Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
status		1..1	code	Always 'final' Binding: http://hl7.org/fhir/diagnostic-report-status (required) Required Pattern: final
category		1..1	CodeableConcept	Always 'laboratory' Binding: http://terminology.hl7.org/CodeSystem/v2-0074 (required)
coding
system		0..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0074
code		0..1	code	Symbol in syntax defined by the system Required Pattern: LAB
display		0..1	string	Representation defined by the system Required Pattern: Laboratory
text		0..1	string	Plain text representation of the concept Required Pattern: Laboratory
code		1..1	CodeableConcept	Name/Code for this diagnostic report Binding: http://terminology.hl7.org/CodeSystem/condition-clinical (required)
subject		1..1	Reference(SHAPatient)	The subject of the report - usually, but not always, the patient
Slices for effective[x]		1..1	dateTime	Clinically relevant time/time-period for report Slice: Unordered, Open by type:$this
effective[x]:effectiveDateTime		1..1	dateTime	Clinically relevant time/time-period for report
performer		1..*	Reference(Practitioner | Organization)	Who perfomed the investigation
specimen		0..1	Reference(Specimen)	Specimens this report is based on
result		1..1	Reference(ObservationLabResultsProfile)	Provide references to the lab result obs
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.status	required	Pattern: final http://hl7.org/fhir/diagnostic-report-status
DiagnosticReport.category	required	http://terminology.hl7.org/CodeSystem/v2-0074 http://terminology.hl7.org/CodeSystem/v2-0074
DiagnosticReport.code	required	http://terminology.hl7.org/CodeSystem/condition-clinical http://terminology.hl7.org/CodeSystem/condition-clinical

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	Always 'final' Binding: http://hl7.org/fhir/diagnostic-report-status (required) Required Pattern: final
category	Σ	1..1	CodeableConcept	Always 'laboratory' Binding: http://terminology.hl7.org/CodeSystem/v2-0074 (required)
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Laboratory
code	Σ	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: http://terminology.hl7.org/CodeSystem/condition-clinical (required)
subject	Σ	1..1	Reference(SHAPatient)	The subject of the report - usually, but not always, the patient
Slices for effective[x]	Σ	1..1	dateTime	Clinically relevant time/time-period for report Slice: Unordered, Closed by type:$this
effective[x]:effectiveDateTime	Σ	1..1	dateTime	Clinically relevant time/time-period for report
performer	Σ	1..*	Reference(Practitioner | Organization)	Who perfomed the investigation
specimen		0..1	Reference(Specimen)	Specimens this report is based on
result		1..1	Reference(ObservationLabResultsProfile)	Provide references to the lab result obs
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.status	required	Pattern: final http://hl7.org/fhir/diagnostic-report-status
DiagnosticReport.category	required	http://terminology.hl7.org/CodeSystem/v2-0074 http://terminology.hl7.org/CodeSystem/v2-0074
DiagnosticReport.code	required	http://terminology.hl7.org/CodeSystem/condition-clinical http://terminology.hl7.org/CodeSystem/condition-clinical

Constraints

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

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business identifier for report
basedOn		0..*	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested
status	?!Σ	1..1	code	Always 'final' Binding: http://hl7.org/fhir/diagnostic-report-status (required) Required Pattern: final
category	Σ	1..1	CodeableConcept	Always 'laboratory' Binding: http://terminology.hl7.org/CodeSystem/v2-0074 (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
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	0..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0074
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Required Pattern: LAB
display	Σ	0..1	string	Representation defined by the system Required Pattern: Laboratory
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 Required Pattern: Laboratory
code	Σ	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: http://terminology.hl7.org/CodeSystem/condition-clinical (required)
subject	Σ	1..1	Reference(SHAPatient)	The subject of the report - usually, but not always, the patient
encounter	Σ	0..1	Reference(Encounter)	Health care event when test ordered
Slices for effective[x]	Σ	1..1	dateTime	Clinically relevant time/time-period for report Slice: Unordered, Closed by type:$this
effective[x]:effectiveDateTime	Σ	1..1	dateTime	Clinically relevant time/time-period for report
issued	Σ	0..1	instant	DateTime this version was made
performer	Σ	1..*	Reference(Practitioner | Organization)	Who perfomed the investigation
resultsInterpreter	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter
specimen		0..1	Reference(Specimen)	Specimens this report is based on
result		1..1	Reference(ObservationLabResultsProfile)	Provide references to the lab result obs
imagingStudy		0..*	Reference(ImagingStudy)	Reference to full details of imaging associated with the diagnostic report
media	Σ	0..*	BackboneElement	Key images associated with this report
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
comment		0..1	string	Comment about the image (e.g. explanation)
link	Σ	1..1	Reference(Media)	Reference to the image source
conclusion		0..1	string	Clinical conclusion (interpretation) of test results
conclusionCode		0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
presentedForm		0..*	Attachment	Entire report as issued
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
DiagnosticReport.status	required	Pattern: final http://hl7.org/fhir/diagnostic-report-status
DiagnosticReport.category	required	http://terminology.hl7.org/CodeSystem/v2-0074 http://terminology.hl7.org/CodeSystem/v2-0074
DiagnosticReport.code	required	http://terminology.hl7.org/CodeSystem/condition-clinical http://terminology.hl7.org/CodeSystem/condition-clinical
DiagnosticReport.conclusionCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard

Constraints

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

Summary

Mandatory: 6 elements

Structures

This structure refers to these other structures:

• SHAPatient (https://shr.tiberbuapps.com/fhir/StructureDefinition/SHAPatient)
• ObservationLabResultsProfile (https://shr.tiberbuapps.com/fhir/StructureDefinition/ObservationLabResultsProfile)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of DiagnosticReport.effective[x]

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
status		1..1	code	Always 'final' Binding: http://hl7.org/fhir/diagnostic-report-status (required) Required Pattern: final
category		1..1	CodeableConcept	Always 'laboratory' Binding: http://terminology.hl7.org/CodeSystem/v2-0074 (required)
coding
system		0..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0074
code		0..1	code	Symbol in syntax defined by the system Required Pattern: LAB
display		0..1	string	Representation defined by the system Required Pattern: Laboratory
text		0..1	string	Plain text representation of the concept Required Pattern: Laboratory
code		1..1	CodeableConcept	Name/Code for this diagnostic report Binding: http://terminology.hl7.org/CodeSystem/condition-clinical (required)
subject		1..1	Reference(SHAPatient)	The subject of the report - usually, but not always, the patient
Slices for effective[x]		1..1	dateTime	Clinically relevant time/time-period for report Slice: Unordered, Open by type:$this
effective[x]:effectiveDateTime		1..1	dateTime	Clinically relevant time/time-period for report
performer		1..*	Reference(Practitioner | Organization)	Who perfomed the investigation
specimen		0..1	Reference(Specimen)	Specimens this report is based on
result		1..1	Reference(ObservationLabResultsProfile)	Provide references to the lab result obs
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.status	required	Pattern: final http://hl7.org/fhir/diagnostic-report-status
DiagnosticReport.category	required	http://terminology.hl7.org/CodeSystem/v2-0074 http://terminology.hl7.org/CodeSystem/v2-0074
DiagnosticReport.code	required	http://terminology.hl7.org/CodeSystem/condition-clinical http://terminology.hl7.org/CodeSystem/condition-clinical

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	Always 'final' Binding: http://hl7.org/fhir/diagnostic-report-status (required) Required Pattern: final
category	Σ	1..1	CodeableConcept	Always 'laboratory' Binding: http://terminology.hl7.org/CodeSystem/v2-0074 (required)
text	Σ	0..1	string	Plain text representation of the concept Required Pattern: Laboratory
code	Σ	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: http://terminology.hl7.org/CodeSystem/condition-clinical (required)
subject	Σ	1..1	Reference(SHAPatient)	The subject of the report - usually, but not always, the patient
Slices for effective[x]	Σ	1..1	dateTime	Clinically relevant time/time-period for report Slice: Unordered, Closed by type:$this
effective[x]:effectiveDateTime	Σ	1..1	dateTime	Clinically relevant time/time-period for report
performer	Σ	1..*	Reference(Practitioner | Organization)	Who perfomed the investigation
specimen		0..1	Reference(Specimen)	Specimens this report is based on
result		1..1	Reference(ObservationLabResultsProfile)	Provide references to the lab result obs
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.status	required	Pattern: final http://hl7.org/fhir/diagnostic-report-status
DiagnosticReport.category	required	http://terminology.hl7.org/CodeSystem/v2-0074 http://terminology.hl7.org/CodeSystem/v2-0074
DiagnosticReport.code	required	http://terminology.hl7.org/CodeSystem/condition-clinical http://terminology.hl7.org/CodeSystem/condition-clinical

Constraints

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

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business identifier for report
basedOn		0..*	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested
status	?!Σ	1..1	code	Always 'final' Binding: http://hl7.org/fhir/diagnostic-report-status (required) Required Pattern: final
category	Σ	1..1	CodeableConcept	Always 'laboratory' Binding: http://terminology.hl7.org/CodeSystem/v2-0074 (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
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	0..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0074
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Required Pattern: LAB
display	Σ	0..1	string	Representation defined by the system Required Pattern: Laboratory
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 Required Pattern: Laboratory
code	Σ	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: http://terminology.hl7.org/CodeSystem/condition-clinical (required)
subject	Σ	1..1	Reference(SHAPatient)	The subject of the report - usually, but not always, the patient
encounter	Σ	0..1	Reference(Encounter)	Health care event when test ordered
Slices for effective[x]	Σ	1..1	dateTime	Clinically relevant time/time-period for report Slice: Unordered, Closed by type:$this
effective[x]:effectiveDateTime	Σ	1..1	dateTime	Clinically relevant time/time-period for report
issued	Σ	0..1	instant	DateTime this version was made
performer	Σ	1..*	Reference(Practitioner | Organization)	Who perfomed the investigation
resultsInterpreter	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter
specimen		0..1	Reference(Specimen)	Specimens this report is based on
result		1..1	Reference(ObservationLabResultsProfile)	Provide references to the lab result obs
imagingStudy		0..*	Reference(ImagingStudy)	Reference to full details of imaging associated with the diagnostic report
media	Σ	0..*	BackboneElement	Key images associated with this report
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
comment		0..1	string	Comment about the image (e.g. explanation)
link	Σ	1..1	Reference(Media)	Reference to the image source
conclusion		0..1	string	Clinical conclusion (interpretation) of test results
conclusionCode		0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
presentedForm		0..*	Attachment	Entire report as issued
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
DiagnosticReport.status	required	Pattern: final http://hl7.org/fhir/diagnostic-report-status
DiagnosticReport.category	required	http://terminology.hl7.org/CodeSystem/v2-0074 http://terminology.hl7.org/CodeSystem/v2-0074
DiagnosticReport.code	required	http://terminology.hl7.org/CodeSystem/condition-clinical http://terminology.hl7.org/CodeSystem/condition-clinical
DiagnosticReport.conclusionCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard

Constraints

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

Summary

Mandatory: 6 elements

Structures

This structure refers to these other structures:

• SHAPatient (https://shr.tiberbuapps.com/fhir/StructureDefinition/SHAPatient)
• ObservationLabResultsProfile (https://shr.tiberbuapps.com/fhir/StructureDefinition/ObservationLabResultsProfile)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of DiagnosticReport.effective[x]