NHS North West Genomics
2.2.5 - ci-build
NHS North West Genomics
2.2.5 - ci-build
NHS North West Genomics - Local Development build (v2.2.5) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Draft as of 2026-11-05 |
XML representation of the GenomicTestReport logical model.
<StructureDefinition xmlns="http://hl7.org/fhir">
<id value="GenomicTestReport"/>
<language value="en"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: StructureDefinition GenomicTestReport</b></p><table border="0" cellpadding="0" cellspacing="0" class="xhtTableBorder0"><tr class="xhtRowBorder1"><th scope="col" style="" class="hierarchy xhtCellBorder0"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="The logical name of the element">Name</a></th><th scope="col" style="" class="hierarchy xhtCellBorder0"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Information about the use of the element">Flags</a></th><th scope="col" style="" class="hierarchy xhtCellBorder0"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Minimum and Maximum # of times the element can appear in the instance">Card.</a></th><th scope="col" style="; width: 100px" class="hierarchy xhtCellBorder0"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Reference to the type of the element">Type</a></th><th scope="col" style="" class="hierarchy xhtCellBorder0"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Additional information about the element">Description & Constraints</a><span style="float: right"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck1.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="" style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-GenomicTestReport-definitions.html#GenomicTestReport" title="The common core of a Genomic Test Report: the Patient, Hospital Spell, Diagnostic
Workflow and Results shared by every report, regardless of test type. Individual test
findings are carried as panel-specific results (see Report Panels below).
This is a logical model - it is not exchanged as is. It breaks down into `DiagnosticReport`,
`Patient`, `Encounter`, `ServiceRequest`, `PractitionerRole`, `Organization`, `Specimen`,
`Observation` and `DocumentReference`/`Binary` for exchange via
[HL7 v2 ORU_R01](hl7v2.html) or FHIR (Message R01 / RESTful API).">GenomicTestReport</a><a name="GenomicTestReport"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">0</span><span class="xhtPieceDeEmphasized">..</span><span class="xhtPieceDeEmphasized">*</span></td><td style="" class="hierarchy xhtCellBorder0"><a href="http://build.fhir.org/types.html#Base">Base</a></td><td style="" class="hierarchy xhtCellBorder0">Genomic Test Report<br/><span class="xhtPieceBold">Instances of this type can be the target of a Reference</span></td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck11.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">GenomicTestReport.</span><a href="StructureDefinition-GenomicTestReport-definitions.html#GenomicTestReport.patient" title="Patient identification">patient</a><a name="GenomicTestReport.patient"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#BackboneElement">BackboneElement</a></td><td style="" class="hierarchy xhtCellBorder0">Patient</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck110.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="" style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">GenomicTestReport.patient.</span><a href="StructureDefinition-GenomicTestReport-definitions.html#GenomicTestReport.patient.nhsNumber" title="NHS Number of the patient">nhsNumber</a><a name="GenomicTestReport.patient.nhsNumber"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="StructureDefinition-NHSIdentifier.html" title="Identifier">NHSIdentifier</a></td><td style="" class="hierarchy xhtCellBorder0">NHS Number</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck100.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">GenomicTestReport.patient.</span><a href="StructureDefinition-GenomicTestReport-definitions.html#GenomicTestReport.patient.medicalRecordNumber" title="Local hospital number of the patient">medicalRecordNumber</a><a name="GenomicTestReport.patient.medicalRecordNumber"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="StructureDefinition-MedicalRecordNumber.html" title="Identifier">MedicalRecordNumber</a></td><td style="" class="hierarchy xhtCellBorder0">Hospital Number (Medical Record Number)</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck11.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="" style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">GenomicTestReport.</span><a href="StructureDefinition-GenomicTestReport-definitions.html#GenomicTestReport.hospitalSpell" title="Treat as mandatory for reflex or subcontracted orders.">hospitalSpell</a><a name="GenomicTestReport.hospitalSpell"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#BackboneElement">BackboneElement</a></td><td style="" class="hierarchy xhtCellBorder0">Hospital Spell</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck110.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">GenomicTestReport.hospitalSpell.</span><a href="StructureDefinition-GenomicTestReport-definitions.html#GenomicTestReport.hospitalSpell.accountNumber" title="Assigned by the Order Placer, where it is known as spell or episode id. Used by all
diagnostics to link tests to a spell/episode. Also known as stay number.">accountNumber</a><a name="GenomicTestReport.hospitalSpell.accountNumber"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="StructureDefinition-HospitalProviderSpellIdentifier.html" title="Identifier">HospitalProviderSpellIdentifier</a></td><td style="" class="hierarchy xhtCellBorder0">Account Number (Episode or Stay Number)</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck100.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="" style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">GenomicTestReport.hospitalSpell.</span><a href="StructureDefinition-GenomicTestReport-definitions.html#GenomicTestReport.hospitalSpell.hospitalService" title="Hospital service the patient is under">hospitalService</a><a name="GenomicTestReport.hospitalSpell.hospitalService"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="" class="hierarchy xhtCellBorder0">Hospital Service<br class="binding"/><span class="xhtPieceBold binding">Binding: </span><a href="ValueSet-service.html" title="https://fhir.nwgenomics.nhs.uk/ValueSet/service" class="binding">Service</a><span class="binding"> (</span><a href="http://hl7.org/fhir/R4/terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated. If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead." class="binding">extensible</a><span class="binding">)</span></td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">GenomicTestReport.</span><a href="StructureDefinition-GenomicTestReport-definitions.html#GenomicTestReport.orderNumber" title="The unique order number assigned by the Order Placer (order comms or EHR) that requested
the report. Present for a **closed-loop** report; absent for an **unsolicited** report,
where no order was ever received.">orderNumber</a><a name="GenomicTestReport.orderNumber"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="StructureDefinition-OrderIdentifier.html" title="Identifier">OrderIdentifier</a></td><td style="" class="hierarchy xhtCellBorder0">Order Number (Placer)</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="" style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">GenomicTestReport.</span><a href="StructureDefinition-GenomicTestReport-definitions.html#GenomicTestReport.orderFillerNumber" title="Order number assigned by the Order Filler (LIMS)">orderFillerNumber</a><a name="GenomicTestReport.orderFillerNumber"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#Identifier">Identifier</a></td><td style="" class="hierarchy xhtCellBorder0">Order Filler Number</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">GenomicTestReport.</span><a href="StructureDefinition-GenomicTestReport-definitions.html#GenomicTestReport.reportNumber" title="Identifies the report, assigned by the Order Filler (LIMS)">reportNumber</a><a name="GenomicTestReport.reportNumber"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="StructureDefinition-ReportIdentifier.html" title="Identifier">ReportIdentifier</a></td><td style="" class="hierarchy xhtCellBorder0">Report Number</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="" style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">GenomicTestReport.</span><a href="StructureDefinition-GenomicTestReport-definitions.html#GenomicTestReport.orderingFacility" title="ODS code of the organisation that ordered the test">orderingFacility</a><a name="GenomicTestReport.orderingFacility"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="StructureDefinition-OrganisationCode.html" title="Identifier">OrganisationCode</a></td><td style="" class="hierarchy xhtCellBorder0">Referring Organisation / Ordering Facility</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">GenomicTestReport.</span><a href="StructureDefinition-GenomicTestReport-definitions.html#GenomicTestReport.testCode" title="(Order) Procedure Code. For genomics this is the National Genomic Test Directory code
(for radiology it would be the NICIP code). The same code is carried on the order.">testCode</a><a name="GenomicTestReport.testCode"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="" class="hierarchy xhtCellBorder0">Test Code<br class="binding"/><span class="xhtPieceBold binding">Binding: </span><a href="ValueSet-GenomicTestCodes.html" title="https://fhir.nwgenomics.nhs.uk/ValueSet/GenomicTestCodes" class="binding">Genomic Test Codes</a><span class="binding"> (</span><a href="http://hl7.org/fhir/R4/terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated. If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead." class="binding">extensible</a><span class="binding">)</span></td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="" style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">GenomicTestReport.</span><a href="StructureDefinition-GenomicTestReport-definitions.html#GenomicTestReport.geneticDiseaseAssessed" title="Clinical indication (CITT code) the test assessed">geneticDiseaseAssessed</a><a name="GenomicTestReport.geneticDiseaseAssessed"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="" class="hierarchy xhtCellBorder0">Genetic disease assessed<br class="binding"/><span class="xhtPieceBold binding">Binding: </span><a href="ValueSet-GenomicClinicalIndicationCodes.html" title="https://fhir.nwgenomics.nhs.uk/ValueSet/GenomicClinicalIndicationCodes" class="binding">Genomic Clinical Indication Codes</a><span class="binding"> (</span><a href="http://hl7.org/fhir/R4/terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated. If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead." class="binding">extensible</a><span class="binding">)</span></td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">GenomicTestReport.</span><a href="StructureDefinition-GenomicTestReport-definitions.html#GenomicTestReport.reportDate" title="Date/time the report was issued">reportDate</a><a name="GenomicTestReport.reportDate"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#dateTime">dateTime</a></td><td style="" class="hierarchy xhtCellBorder0">Report Date</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="" style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">GenomicTestReport.</span><a href="StructureDefinition-GenomicTestReport-definitions.html#GenomicTestReport.status" title="e.g. preliminary, final, amended">status</a><a name="GenomicTestReport.status"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="" class="hierarchy xhtCellBorder0">Report Status<br class="binding"/><span class="xhtPieceBold binding">Binding: </span><a href="http://hl7.org/fhir/R4/valueset-diagnostic-report-status.html" title="http://hl7.org/fhir/ValueSet/diagnostic-report-status" class="binding">DiagnosticReportStatus</a><span class="binding"> (</span><a href="http://hl7.org/fhir/R4/terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set." class="binding">required</a><span class="binding">)</span></td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">GenomicTestReport.</span><a href="StructureDefinition-GenomicTestReport-definitions.html#GenomicTestReport.resultsInterpreter" title="Who created the report - principal and assistant results interpreter">resultsInterpreter</a><a name="GenomicTestReport.resultsInterpreter"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..*</td><td style="" class="hierarchy xhtCellBorder0"><a href="StructureDefinition-PractitionerIdentifier.html" title="Identifier">PractitionerIdentifier</a></td><td style="" class="hierarchy xhtCellBorder0">Results Interpreter<br/></td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="" style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">GenomicTestReport.</span><a href="StructureDefinition-GenomicTestReport-definitions.html#GenomicTestReport.performerOperator" title="Who performed the test">performerOperator</a><a name="GenomicTestReport.performerOperator"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..*</td><td style="" class="hierarchy xhtCellBorder0"><a href="StructureDefinition-PractitionerIdentifier.html" title="Identifier">PractitionerIdentifier</a></td><td style="" class="hierarchy xhtCellBorder0">Performer (Operator/Technician)<br/></td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">GenomicTestReport.</span><a href="StructureDefinition-GenomicTestReport-definitions.html#GenomicTestReport.performerOrganisation" title="The organisation that produced the report">performerOrganisation</a><a name="GenomicTestReport.performerOrganisation"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..*</td><td style="" class="hierarchy xhtCellBorder0"><a href="StructureDefinition-OrganisationCode.html" title="Identifier">OrganisationCode</a></td><td style="" class="hierarchy xhtCellBorder0">Performer (Organisation)<br/></td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck11.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="" style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">GenomicTestReport.</span><a href="StructureDefinition-GenomicTestReport-definitions.html#GenomicTestReport.specimen" title="The sample(s) that were used for testing">specimen</a><a name="GenomicTestReport.specimen"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..*</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#BackboneElement">BackboneElement</a></td><td style="" class="hierarchy xhtCellBorder0">Specimen/Biopsy<br/></td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck110.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">GenomicTestReport.specimen.</span><a href="StructureDefinition-GenomicTestReport-definitions.html#GenomicTestReport.specimen.identifier" title="Specimen identifier (LOINC 80398-1)">identifier</a><a name="GenomicTestReport.specimen.identifier"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#Identifier">Identifier</a></td><td style="" class="hierarchy xhtCellBorder0">Specimen ID Number</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck100.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="" style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">GenomicTestReport.specimen.</span><a href="StructureDefinition-GenomicTestReport-definitions.html#GenomicTestReport.specimen.accessionIdentifier" title="Identifier assigned by the laboratory">accessionIdentifier</a><a name="GenomicTestReport.specimen.accessionIdentifier"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="StructureDefinition-SpecimenAccessionNumber.html" title="Identifier">SpecimenAccessionNumber</a></td><td style="" class="hierarchy xhtCellBorder0">Lab DNA Number (if known)</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">GenomicTestReport.</span><a href="StructureDefinition-GenomicTestReport-definitions.html#GenomicTestReport.narrativeReport" title="Results and the entire report as a PDF (LOINC 51969-4 Gene analysis narrative report)">narrativeReport</a><a name="GenomicTestReport.narrativeReport"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..*</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#Attachment">Attachment</a></td><td style="" class="hierarchy xhtCellBorder0">Narrative Report<br/></td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="" style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">GenomicTestReport.</span><a href="StructureDefinition-GenomicTestReport-definitions.html#GenomicTestReport.conclusion" title="Free-text interpretive summary">conclusion</a><a name="GenomicTestReport.conclusion"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="" class="hierarchy xhtCellBorder0">Conclusion</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck10.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">GenomicTestReport.</span><a href="StructureDefinition-GenomicTestReport-definitions.html#GenomicTestReport.outcome" title="NHS England Genomics Test Outcome (coded conclusion)">outcome</a><a name="GenomicTestReport.outcome"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="" class="hierarchy xhtCellBorder0">Outcome<br class="binding"/><span class="xhtPieceBold binding">Binding: </span><a href="ValueSet-GenomicTestOutcomeCodes.html" title="https://fhir.nwgenomics.nhs.uk/ValueSet/GenomicTestOutcomeCodes" class="binding">Genomic Test Outcome Codes</a><span class="binding"> (</span><a href="http://hl7.org/fhir/R4/terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated. If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead." class="binding">extensible</a><span class="binding">)</span></td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck00.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_reference.png" alt="" style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">GenomicTestReport.</span><a href="StructureDefinition-GenomicTestReport-definitions.html#GenomicTestReport.result" title="Individual test findings, carried as panel-specific results - e.g. Reportable Variant,
BCR-ABL Monitoring, Chimerism Testing. See Report Panels.">result</a><a name="GenomicTestReport.result"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..*</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/references.html">Reference</a>(<a href="StructureDefinition-Observation.html">Observation</a>)</td><td style="" class="hierarchy xhtCellBorder0">Results<br/></td></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-type-characteristics">
<valueCode value="can-be-target"/>
</extension>
<url
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/GenomicTestReport"/>
<version value="2.2.5"/>
<name value="GenomicTestReportModel"/>
<title value="Genomic Test Report"/>
<status value="draft"/>
<date value="2026-11-05T06:40:21+00:00"/>
<publisher value="NHS North West Genomics"/>
<contact>
<telecom>
<system value="url"/>
<value value="https://www.nwgenomics.nhs.uk/contact-us"/>
</telecom>
</contact>
<description
value="The common core of a Genomic Test Report: the Patient, Hospital Spell, Diagnostic
Workflow and Results shared by every report, regardless of test type. Individual test
findings are carried as panel-specific results (see Report Panels below).
This is a logical model - it is not exchanged as is. It breaks down into `DiagnosticReport`,
`Patient`, `Encounter`, `ServiceRequest`, `PractitionerRole`, `Organization`, `Specimen`,
`Observation` and `DocumentReference`/`Binary` for exchange via
[HL7 v2 ORU_R01](hl7v2.html) or FHIR (Message R01 / RESTful API)."/>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="GB"/>
<display value="United Kingdom of Great Britain and Northern Ireland"/>
</coding>
</jurisdiction>
<fhirVersion value="4.0.1"/>
<mapping>
<identity value="hl7v2"/>
<uri value="http://hl7.org/v2"/>
<name value="HL7 v2 ORU_R01"/>
</mapping>
<mapping>
<identity value="fhir"/>
<uri value="https://fhir.nwgenomics.nhs.uk"/>
<name value="FHIR (this IG)"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<uri
value="https://fhir.nwgenomics.nhs.uk/Questionnaire/GenomicTestReport"/>
<name value="Questionnaire (linkId)"/>
</mapping>
<kind value="logical"/>
<abstract value="false"/>
<type
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/GenomicTestReport"/>
<baseDefinition value="http://hl7.org/fhir/StructureDefinition/Base"/>
<derivation value="specialization"/>
<snapshot>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version">
<valueString value="4.0.1"/>
</extension>
<element id="GenomicTestReport">
<path value="GenomicTestReport"/>
<short value="Genomic Test Report"/>
<definition
value="The common core of a Genomic Test Report: the Patient, Hospital Spell, Diagnostic
Workflow and Results shared by every report, regardless of test type. Individual test
findings are carried as panel-specific results (see Report Panels below).
This is a logical model - it is not exchanged as is. It breaks down into `DiagnosticReport`,
`Patient`, `Encounter`, `ServiceRequest`, `PractitionerRole`, `Organization`, `Specimen`,
`Observation` and `DocumentReference`/`Binary` for exchange via
[HL7 v2 ORU_R01](hl7v2.html) or FHIR (Message R01 / RESTful API)."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Base"/>
<min value="0"/>
<max value="*"/>
</base>
<isModifier value="false"/>
</element>
<element id="GenomicTestReport.patient">
<path value="GenomicTestReport.patient"/>
<short value="Patient"/>
<definition value="Patient identification"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="GenomicTestReport.patient"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mapping>
<identity value="hl7v2"/>
<map value="PID"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="DiagnosticReport.subject (Patient)"/>
</mapping>
</element>
<element id="GenomicTestReport.patient.id">
<path value="GenomicTestReport.patient.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="GenomicTestReport.patient.extension">
<path value="GenomicTestReport.patient.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<description value="Extensions are always sliced by (at least) url"/>
<rules value="open"/>
</slicing>
<short value="Additional content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="GenomicTestReport.patient.modifierExtension">
<path value="GenomicTestReport.patient.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<requirements
value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="GenomicTestReport.patient.nhsNumber">
<path value="GenomicTestReport.patient.nhsNumber"/>
<short value="NHS Number"/>
<definition value="NHS Number of the patient"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="GenomicTestReport.patient.nhsNumber"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Identifier"/>
<profile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/NHSIdentifier"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="PID-3"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="Patient.identifier[nhsNumber]"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="LN/89061-6"/>
</mapping>
</element>
<element id="GenomicTestReport.patient.medicalRecordNumber">
<path value="GenomicTestReport.patient.medicalRecordNumber"/>
<short value="Hospital Number (Medical Record Number)"/>
<definition value="Local hospital number of the patient"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="GenomicTestReport.patient.medicalRecordNumber"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="Identifier"/>
<profile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/MedicalRecordNumber"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="PID-3"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="Patient.identifier[MedicalRecordNumber]"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="LN/76435-7"/>
</mapping>
</element>
<element id="GenomicTestReport.hospitalSpell">
<path value="GenomicTestReport.hospitalSpell"/>
<short value="Hospital Spell"/>
<definition
value="Treat as mandatory for reflex or subcontracted orders."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="GenomicTestReport.hospitalSpell"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mapping>
<identity value="hl7v2"/>
<map value="PV1"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="DiagnosticReport.encounter (Encounter - HospitalSpell)"/>
</mapping>
</element>
<element id="GenomicTestReport.hospitalSpell.id">
<path value="GenomicTestReport.hospitalSpell.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="GenomicTestReport.hospitalSpell.extension">
<path value="GenomicTestReport.hospitalSpell.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<description value="Extensions are always sliced by (at least) url"/>
<rules value="open"/>
</slicing>
<short value="Additional content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="GenomicTestReport.hospitalSpell.modifierExtension">
<path value="GenomicTestReport.hospitalSpell.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<requirements
value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="GenomicTestReport.hospitalSpell.accountNumber">
<path value="GenomicTestReport.hospitalSpell.accountNumber"/>
<short value="Account Number (Episode or Stay Number)"/>
<definition
value="Assigned by the Order Placer, where it is known as spell or episode id. Used by all
diagnostics to link tests to a spell/episode. Also known as stay number."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="GenomicTestReport.hospitalSpell.accountNumber"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Identifier"/>
<profile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/HospitalProviderSpellIdentifier"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="PV1-19"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="Encounter.identifier"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="LN/56797-4"/>
</mapping>
</element>
<element id="GenomicTestReport.hospitalSpell.hospitalService">
<path value="GenomicTestReport.hospitalSpell.hospitalService"/>
<short value="Hospital Service"/>
<definition value="Hospital service the patient is under"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="GenomicTestReport.hospitalSpell.hospitalService"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<binding>
<strength value="extensible"/>
<valueSet value="https://fhir.nwgenomics.nhs.uk/ValueSet/service"/>
</binding>
<mapping>
<identity value="hl7v2"/>
<map value="PV1-10"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="Encounter.serviceType"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="HL7/PV1-10"/>
</mapping>
</element>
<element id="GenomicTestReport.orderNumber">
<path value="GenomicTestReport.orderNumber"/>
<short value="Order Number (Placer)"/>
<definition
value="The unique order number assigned by the Order Placer (order comms or EHR) that requested
the report. Present for a **closed-loop** report; absent for an **unsolicited** report,
where no order was ever received."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="GenomicTestReport.orderNumber"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Identifier"/>
<profile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/OrderIdentifier"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="ORC-2 / OBR-2"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map
value="DiagnosticReport.basedOn (ServiceRequest).identifier[OrderIdentifier]"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="LN/106194-4"/>
</mapping>
</element>
<element id="GenomicTestReport.orderFillerNumber">
<path value="GenomicTestReport.orderFillerNumber"/>
<short value="Order Filler Number"/>
<definition value="Order number assigned by the Order Filler (LIMS)"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="GenomicTestReport.orderFillerNumber"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Identifier"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="ORC-3"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="ServiceRequest.identifier[OrderFillerNumber]"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="LN/106183-7"/>
</mapping>
</element>
<element id="GenomicTestReport.reportNumber">
<path value="GenomicTestReport.reportNumber"/>
<short value="Report Number"/>
<definition
value="Identifies the report, assigned by the Order Filler (LIMS)"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="GenomicTestReport.reportNumber"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="Identifier"/>
<profile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/ReportIdentifier"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="OBR-3"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="DiagnosticReport.identifier[ReportNumber]"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="HL7/OBR-3"/>
</mapping>
</element>
<element id="GenomicTestReport.orderingFacility">
<path value="GenomicTestReport.orderingFacility"/>
<short value="Referring Organisation / Ordering Facility"/>
<definition value="ODS code of the organisation that ordered the test"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="GenomicTestReport.orderingFacility"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Identifier"/>
<profile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/OrganisationCode"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="ORC-21"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map
value="ServiceRequest.requester (PractitionerRole).organization"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="HL7/ORC-21"/>
</mapping>
</element>
<element id="GenomicTestReport.testCode">
<path value="GenomicTestReport.testCode"/>
<short value="Test Code"/>
<definition
value="(Order) Procedure Code. For genomics this is the National Genomic Test Directory code
(for radiology it would be the NICIP code). The same code is carried on the order."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="GenomicTestReport.testCode"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<binding>
<strength value="extensible"/>
<valueSet
value="https://fhir.nwgenomics.nhs.uk/ValueSet/GenomicTestCodes"/>
</binding>
<mapping>
<identity value="hl7v2"/>
<map value="OBR-4"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="DiagnosticReport.code"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="HL7/OBR-4-r"/>
</mapping>
</element>
<element id="GenomicTestReport.geneticDiseaseAssessed">
<path value="GenomicTestReport.geneticDiseaseAssessed"/>
<short value="Genetic disease assessed"/>
<definition value="Clinical indication (CITT code) the test assessed"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="GenomicTestReport.geneticDiseaseAssessed"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<binding>
<strength value="extensible"/>
<valueSet
value="https://fhir.nwgenomics.nhs.uk/ValueSet/GenomicClinicalIndicationCodes"/>
</binding>
<mapping>
<identity value="hl7v2"/>
<map value="OBX (LOINC 51967-8)"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="Observation.valueCodeableConcept (LOINC 51967-8)"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="/81306-3/51967-8"/>
</mapping>
</element>
<element id="GenomicTestReport.reportDate">
<path value="GenomicTestReport.reportDate"/>
<short value="Report Date"/>
<definition value="Date/time the report was issued"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="GenomicTestReport.reportDate"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="dateTime"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="OBR-7"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="DiagnosticReport.effectiveDateTime"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="HL7/OBR-7"/>
</mapping>
</element>
<element id="GenomicTestReport.status">
<path value="GenomicTestReport.status"/>
<short value="Report Status"/>
<definition value="e.g. preliminary, final, amended"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="GenomicTestReport.status"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<binding>
<strength value="required"/>
<valueSet
value="http://hl7.org/fhir/ValueSet/diagnostic-report-status"/>
</binding>
<mapping>
<identity value="hl7v2"/>
<map value="OBR-25"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="DiagnosticReport.status"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="HL7/OBR-25"/>
</mapping>
</element>
<element id="GenomicTestReport.resultsInterpreter">
<path value="GenomicTestReport.resultsInterpreter"/>
<short value="Results Interpreter"/>
<definition
value="Who created the report - principal and assistant results interpreter"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="GenomicTestReport.resultsInterpreter"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Identifier"/>
<profile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/PractitionerIdentifier"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="OBR-32 (Principal) / OBR-33 (Assistant)"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="DiagnosticReport.resultsInterpreter (Practitioner)"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="HL7/OBR-32"/>
</mapping>
</element>
<element id="GenomicTestReport.performerOperator">
<path value="GenomicTestReport.performerOperator"/>
<short value="Performer (Operator/Technician)"/>
<definition value="Who performed the test"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="GenomicTestReport.performerOperator"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Identifier"/>
<profile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/PractitionerIdentifier"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="OBR-34"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="DiagnosticReport.performer[operator] (Practitioner)"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="HL7/OBR-34"/>
</mapping>
</element>
<element id="GenomicTestReport.performerOrganisation">
<path value="GenomicTestReport.performerOrganisation"/>
<short value="Performer (Organisation)"/>
<definition value="The organisation that produced the report"/>
<min value="1"/>
<max value="*"/>
<base>
<path value="GenomicTestReport.performerOrganisation"/>
<min value="1"/>
<max value="*"/>
</base>
<type>
<code value="Identifier"/>
<profile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/OrganisationCode"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="No dedicated field identified"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="DiagnosticReport.performer[organization] (Organization)"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="DiagnosticReport/performer-organization"/>
</mapping>
</element>
<element id="GenomicTestReport.specimen">
<path value="GenomicTestReport.specimen"/>
<short value="Specimen/Biopsy"/>
<definition value="The sample(s) that were used for testing"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="GenomicTestReport.specimen"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<mapping>
<identity value="hl7v2"/>
<map value="SPM"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="DiagnosticReport.specimen (Specimen)"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="Specimen"/>
</mapping>
</element>
<element id="GenomicTestReport.specimen.id">
<path value="GenomicTestReport.specimen.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="GenomicTestReport.specimen.extension">
<path value="GenomicTestReport.specimen.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<description value="Extensions are always sliced by (at least) url"/>
<rules value="open"/>
</slicing>
<short value="Additional content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="GenomicTestReport.specimen.modifierExtension">
<path value="GenomicTestReport.specimen.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<requirements
value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="GenomicTestReport.specimen.identifier">
<path value="GenomicTestReport.specimen.identifier"/>
<short value="Specimen ID Number"/>
<definition value="Specimen identifier (LOINC 80398-1)"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="GenomicTestReport.specimen.identifier"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Identifier"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="SPM-2"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="Specimen.identifier"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="LN/80398-1"/>
</mapping>
</element>
<element id="GenomicTestReport.specimen.accessionIdentifier">
<path value="GenomicTestReport.specimen.accessionIdentifier"/>
<short value="Lab DNA Number (if known)"/>
<definition value="Identifier assigned by the laboratory"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="GenomicTestReport.specimen.accessionIdentifier"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Identifier"/>
<profile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/SpecimenAccessionNumber"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="SPM-30"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="Specimen.accessionIdentifier"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="Specimen/accessionIdentifier"/>
</mapping>
</element>
<element id="GenomicTestReport.narrativeReport">
<path value="GenomicTestReport.narrativeReport"/>
<short value="Narrative Report"/>
<definition
value="Results and the entire report as a PDF (LOINC 51969-4 Gene analysis narrative report)"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="GenomicTestReport.narrativeReport"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Attachment"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="OBX (type = ED)"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map
value="DiagnosticReport.presentedForm / DocumentReference.content (Binary)"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="/81306-3/51969-4"/>
</mapping>
</element>
<element id="GenomicTestReport.conclusion">
<path value="GenomicTestReport.conclusion"/>
<short value="Conclusion"/>
<definition value="Free-text interpretive summary"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="GenomicTestReport.conclusion"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="No dedicated field identified"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="DiagnosticReport.conclusion"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="DiagnosticReport/conclusion"/>
</mapping>
</element>
<element id="GenomicTestReport.outcome">
<path value="GenomicTestReport.outcome"/>
<short value="Outcome"/>
<definition
value="NHS England Genomics Test Outcome (coded conclusion)"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="GenomicTestReport.outcome"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<binding>
<strength value="extensible"/>
<valueSet
value="https://fhir.nwgenomics.nhs.uk/ValueSet/GenomicTestOutcomeCodes"/>
</binding>
<mapping>
<identity value="hl7v2"/>
<map value="OBX (LOINC 51968-6)"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="DiagnosticReport.conclusionCode"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="/81306-3/TESTOUTCOME"/>
</mapping>
</element>
<element id="GenomicTestReport.result">
<path value="GenomicTestReport.result"/>
<short value="Results"/>
<definition
value="Individual test findings, carried as panel-specific results - e.g. Reportable Variant,
BCR-ABL Monitoring, Chimerism Testing. See Report Panels."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="GenomicTestReport.result"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Reference"/>
<targetProfile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/Observation"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="OBX"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="DiagnosticReport.result (Observation)"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="/Results"/>
</mapping>
</element>
</snapshot>
<differential>
<element id="GenomicTestReport">
<path value="GenomicTestReport"/>
<short value="Genomic Test Report"/>
<definition
value="The common core of a Genomic Test Report: the Patient, Hospital Spell, Diagnostic
Workflow and Results shared by every report, regardless of test type. Individual test
findings are carried as panel-specific results (see Report Panels below).
This is a logical model - it is not exchanged as is. It breaks down into `DiagnosticReport`,
`Patient`, `Encounter`, `ServiceRequest`, `PractitionerRole`, `Organization`, `Specimen`,
`Observation` and `DocumentReference`/`Binary` for exchange via
[HL7 v2 ORU_R01](hl7v2.html) or FHIR (Message R01 / RESTful API)."/>
</element>
<element id="GenomicTestReport.patient">
<path value="GenomicTestReport.patient"/>
<short value="Patient"/>
<definition value="Patient identification"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="BackboneElement"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="PID"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="DiagnosticReport.subject (Patient)"/>
</mapping>
</element>
<element id="GenomicTestReport.patient.nhsNumber">
<path value="GenomicTestReport.patient.nhsNumber"/>
<short value="NHS Number"/>
<definition value="NHS Number of the patient"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="Identifier"/>
<profile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/NHSIdentifier"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="PID-3"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="Patient.identifier[nhsNumber]"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="LN/89061-6"/>
</mapping>
</element>
<element id="GenomicTestReport.patient.medicalRecordNumber">
<path value="GenomicTestReport.patient.medicalRecordNumber"/>
<short value="Hospital Number (Medical Record Number)"/>
<definition value="Local hospital number of the patient"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="Identifier"/>
<profile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/MedicalRecordNumber"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="PID-3"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="Patient.identifier[MedicalRecordNumber]"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="LN/76435-7"/>
</mapping>
</element>
<element id="GenomicTestReport.hospitalSpell">
<path value="GenomicTestReport.hospitalSpell"/>
<short value="Hospital Spell"/>
<definition
value="Treat as mandatory for reflex or subcontracted orders."/>
<min value="0"/>
<max value="1"/>
<type>
<code value="BackboneElement"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="PV1"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="DiagnosticReport.encounter (Encounter - HospitalSpell)"/>
</mapping>
</element>
<element id="GenomicTestReport.hospitalSpell.accountNumber">
<path value="GenomicTestReport.hospitalSpell.accountNumber"/>
<short value="Account Number (Episode or Stay Number)"/>
<definition
value="Assigned by the Order Placer, where it is known as spell or episode id. Used by all
diagnostics to link tests to a spell/episode. Also known as stay number."/>
<min value="0"/>
<max value="1"/>
<type>
<code value="Identifier"/>
<profile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/HospitalProviderSpellIdentifier"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="PV1-19"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="Encounter.identifier"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="LN/56797-4"/>
</mapping>
</element>
<element id="GenomicTestReport.hospitalSpell.hospitalService">
<path value="GenomicTestReport.hospitalSpell.hospitalService"/>
<short value="Hospital Service"/>
<definition value="Hospital service the patient is under"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="CodeableConcept"/>
</type>
<binding>
<strength value="extensible"/>
<valueSet value="https://fhir.nwgenomics.nhs.uk/ValueSet/service"/>
</binding>
<mapping>
<identity value="hl7v2"/>
<map value="PV1-10"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="Encounter.serviceType"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="HL7/PV1-10"/>
</mapping>
</element>
<element id="GenomicTestReport.orderNumber">
<path value="GenomicTestReport.orderNumber"/>
<short value="Order Number (Placer)"/>
<definition
value="The unique order number assigned by the Order Placer (order comms or EHR) that requested
the report. Present for a **closed-loop** report; absent for an **unsolicited** report,
where no order was ever received."/>
<min value="0"/>
<max value="1"/>
<type>
<code value="Identifier"/>
<profile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/OrderIdentifier"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="ORC-2 / OBR-2"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map
value="DiagnosticReport.basedOn (ServiceRequest).identifier[OrderIdentifier]"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="LN/106194-4"/>
</mapping>
</element>
<element id="GenomicTestReport.orderFillerNumber">
<path value="GenomicTestReport.orderFillerNumber"/>
<short value="Order Filler Number"/>
<definition value="Order number assigned by the Order Filler (LIMS)"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="Identifier"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="ORC-3"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="ServiceRequest.identifier[OrderFillerNumber]"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="LN/106183-7"/>
</mapping>
</element>
<element id="GenomicTestReport.reportNumber">
<path value="GenomicTestReport.reportNumber"/>
<short value="Report Number"/>
<definition
value="Identifies the report, assigned by the Order Filler (LIMS)"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="Identifier"/>
<profile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/ReportIdentifier"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="OBR-3"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="DiagnosticReport.identifier[ReportNumber]"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="HL7/OBR-3"/>
</mapping>
</element>
<element id="GenomicTestReport.orderingFacility">
<path value="GenomicTestReport.orderingFacility"/>
<short value="Referring Organisation / Ordering Facility"/>
<definition value="ODS code of the organisation that ordered the test"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="Identifier"/>
<profile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/OrganisationCode"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="ORC-21"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map
value="ServiceRequest.requester (PractitionerRole).organization"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="HL7/ORC-21"/>
</mapping>
</element>
<element id="GenomicTestReport.testCode">
<path value="GenomicTestReport.testCode"/>
<short value="Test Code"/>
<definition
value="(Order) Procedure Code. For genomics this is the National Genomic Test Directory code
(for radiology it would be the NICIP code). The same code is carried on the order."/>
<min value="1"/>
<max value="1"/>
<type>
<code value="CodeableConcept"/>
</type>
<binding>
<strength value="extensible"/>
<valueSet
value="https://fhir.nwgenomics.nhs.uk/ValueSet/GenomicTestCodes"/>
</binding>
<mapping>
<identity value="hl7v2"/>
<map value="OBR-4"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="DiagnosticReport.code"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="HL7/OBR-4-r"/>
</mapping>
</element>
<element id="GenomicTestReport.geneticDiseaseAssessed">
<path value="GenomicTestReport.geneticDiseaseAssessed"/>
<short value="Genetic disease assessed"/>
<definition value="Clinical indication (CITT code) the test assessed"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="CodeableConcept"/>
</type>
<binding>
<strength value="extensible"/>
<valueSet
value="https://fhir.nwgenomics.nhs.uk/ValueSet/GenomicClinicalIndicationCodes"/>
</binding>
<mapping>
<identity value="hl7v2"/>
<map value="OBX (LOINC 51967-8)"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="Observation.valueCodeableConcept (LOINC 51967-8)"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="/81306-3/51967-8"/>
</mapping>
</element>
<element id="GenomicTestReport.reportDate">
<path value="GenomicTestReport.reportDate"/>
<short value="Report Date"/>
<definition value="Date/time the report was issued"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="dateTime"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="OBR-7"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="DiagnosticReport.effectiveDateTime"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="HL7/OBR-7"/>
</mapping>
</element>
<element id="GenomicTestReport.status">
<path value="GenomicTestReport.status"/>
<short value="Report Status"/>
<definition value="e.g. preliminary, final, amended"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="code"/>
</type>
<binding>
<strength value="required"/>
<valueSet
value="http://hl7.org/fhir/ValueSet/diagnostic-report-status"/>
</binding>
<mapping>
<identity value="hl7v2"/>
<map value="OBR-25"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="DiagnosticReport.status"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="HL7/OBR-25"/>
</mapping>
</element>
<element id="GenomicTestReport.resultsInterpreter">
<path value="GenomicTestReport.resultsInterpreter"/>
<short value="Results Interpreter"/>
<definition
value="Who created the report - principal and assistant results interpreter"/>
<min value="0"/>
<max value="*"/>
<type>
<code value="Identifier"/>
<profile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/PractitionerIdentifier"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="OBR-32 (Principal) / OBR-33 (Assistant)"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="DiagnosticReport.resultsInterpreter (Practitioner)"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="HL7/OBR-32"/>
</mapping>
</element>
<element id="GenomicTestReport.performerOperator">
<path value="GenomicTestReport.performerOperator"/>
<short value="Performer (Operator/Technician)"/>
<definition value="Who performed the test"/>
<min value="0"/>
<max value="*"/>
<type>
<code value="Identifier"/>
<profile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/PractitionerIdentifier"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="OBR-34"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="DiagnosticReport.performer[operator] (Practitioner)"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="HL7/OBR-34"/>
</mapping>
</element>
<element id="GenomicTestReport.performerOrganisation">
<path value="GenomicTestReport.performerOrganisation"/>
<short value="Performer (Organisation)"/>
<definition value="The organisation that produced the report"/>
<min value="1"/>
<max value="*"/>
<type>
<code value="Identifier"/>
<profile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/OrganisationCode"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="No dedicated field identified"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="DiagnosticReport.performer[organization] (Organization)"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="DiagnosticReport/performer-organization"/>
</mapping>
</element>
<element id="GenomicTestReport.specimen">
<path value="GenomicTestReport.specimen"/>
<short value="Specimen/Biopsy"/>
<definition value="The sample(s) that were used for testing"/>
<min value="0"/>
<max value="*"/>
<type>
<code value="BackboneElement"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="SPM"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="DiagnosticReport.specimen (Specimen)"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="Specimen"/>
</mapping>
</element>
<element id="GenomicTestReport.specimen.identifier">
<path value="GenomicTestReport.specimen.identifier"/>
<short value="Specimen ID Number"/>
<definition value="Specimen identifier (LOINC 80398-1)"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="Identifier"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="SPM-2"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="Specimen.identifier"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="LN/80398-1"/>
</mapping>
</element>
<element id="GenomicTestReport.specimen.accessionIdentifier">
<path value="GenomicTestReport.specimen.accessionIdentifier"/>
<short value="Lab DNA Number (if known)"/>
<definition value="Identifier assigned by the laboratory"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="Identifier"/>
<profile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/SpecimenAccessionNumber"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="SPM-30"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="Specimen.accessionIdentifier"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="Specimen/accessionIdentifier"/>
</mapping>
</element>
<element id="GenomicTestReport.narrativeReport">
<path value="GenomicTestReport.narrativeReport"/>
<short value="Narrative Report"/>
<definition
value="Results and the entire report as a PDF (LOINC 51969-4 Gene analysis narrative report)"/>
<min value="0"/>
<max value="*"/>
<type>
<code value="Attachment"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="OBX (type = ED)"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map
value="DiagnosticReport.presentedForm / DocumentReference.content (Binary)"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="/81306-3/51969-4"/>
</mapping>
</element>
<element id="GenomicTestReport.conclusion">
<path value="GenomicTestReport.conclusion"/>
<short value="Conclusion"/>
<definition value="Free-text interpretive summary"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="No dedicated field identified"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="DiagnosticReport.conclusion"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="DiagnosticReport/conclusion"/>
</mapping>
</element>
<element id="GenomicTestReport.outcome">
<path value="GenomicTestReport.outcome"/>
<short value="Outcome"/>
<definition
value="NHS England Genomics Test Outcome (coded conclusion)"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="CodeableConcept"/>
</type>
<binding>
<strength value="extensible"/>
<valueSet
value="https://fhir.nwgenomics.nhs.uk/ValueSet/GenomicTestOutcomeCodes"/>
</binding>
<mapping>
<identity value="hl7v2"/>
<map value="OBX (LOINC 51968-6)"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="DiagnosticReport.conclusionCode"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="/81306-3/TESTOUTCOME"/>
</mapping>
</element>
<element id="GenomicTestReport.result">
<path value="GenomicTestReport.result"/>
<short value="Results"/>
<definition
value="Individual test findings, carried as panel-specific results - e.g. Reportable Variant,
BCR-ABL Monitoring, Chimerism Testing. See Report Panels."/>
<min value="0"/>
<max value="*"/>
<type>
<code value="Reference"/>
<targetProfile
value="https://fhir.nwgenomics.nhs.uk/StructureDefinition/Observation"/>
</type>
<mapping>
<identity value="hl7v2"/>
<map value="OBX"/>
</mapping>
<mapping>
<identity value="fhir"/>
<map value="DiagnosticReport.result (Observation)"/>
</mapping>
<mapping>
<identity value="questionnaire"/>
<map value="/Results"/>
</mapping>
</element>
</differential>
</StructureDefinition>