 
 
        This page is part of the Genetic Reporting Implementation Guide (v0.1.0: STU 1 Ballot 1) based on FHIR v3.3.0. The current version which supercedes this version is 2.0.0.  For a full list of available versions, see the Directory of published versions 
The official URL for this profile is:
http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/diagnosticreport
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from DiagnosticReport
Summary
Mandatory: 5 elements (3 nested mandatory elements)
 Must-Support: 40 elements
 Fixed Value: 2 elements
 Prohibited: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
This structure is derived from DiagnosticReport
| Name | Flags | Card. | Type | Description & Constraints  | 
|---|---|---|---|---|
|   DiagnosticReport | I | 0..* | Genetics Diagnostic Report | |
|    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: Common Languages (extensible) | |
|    text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation | 
|    contained | 0..* | Resource | Contained, inline Resources | |
|    dr-relatedArtifact | SI | 0..1 | base64Binary, boolean, canonical(), code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference(), SampledData, Signature, Timing, ParameterDefinition, DataRequirement, RelatedArtifact, ContactDetail, Contributor, TriggerDefinition, UsageContext, Dosage | Citations and supporting info URL: http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/dr-relatedArtifact | 
|    dr-recommendedAction | SI | 0..* | Reference(Task | ServiceRequest | MedicationRequest | RequestGroup | CarePlan | DeviceRequest | NutritionOrder | SupplyRequest) | Tasks relevant to report URL: http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/dr-recommendedAction | 
|     id | 0..1 | string | xml:id (or equivalent in JSON) | |
|     url | 1..1 | uri | "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/dr-recommendedAction" | |
|     valueReference | S | 1..1 | Reference(Task) | Recommended action tasks relevant to report | 
|    dr-supportingInfo | SI | 0..* | Reference() | Other resources that support report URL: http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/dr-supportingInfo | 
|     id | 0..1 | string | xml:id (or equivalent in JSON) | |
|     url | 1..1 | uri | "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/dr-supportingInfo" | |
|     valueReference | S | 1..1 | Reference(FamilyMemberHistory | RiskAssessment | Observation | DocumentReference) | Family history with relevance to report | 
|    diagnosticReport-risk | SI | 0..* | Reference(RiskAssessment) | Extension URL: http://hl7.org/fhir/StructureDefinition/diagnosticReport-risk | 
|     id | 0..1 | string | xml:id (or equivalent in JSON) | |
|     url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/diagnosticReport-risk" | |
|     valueReference | S | 1..1 | Reference(RiskAssessment) | Value of extension | 
|    modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | 
|    identifier | SΣ | 0..1 | Identifier | Business identifier for report | 
|    basedOn | S | 0..* | Reference(ServiceRequest) | What was requested | 
|    status | ?!SΣ | 1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required) | 
|    category | SΣ | 0..1 | CodeableConcept | Service category Binding: Diagnostic Service Section Codes (example) Required Pattern: {"coding":[{"system":"http://hl7.org/fhir/v2/0074","code":"GE"}]} | 
|    code | SΣ | 1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: LOINC Diagnostic Report Codes (preferred) | 
|     id | 0..1 | string | xml:id (or equivalent in JSON) | |
|     coding | Σ | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system, value:code | |
|     coding | SΣ | 1..1 | Coding | Code defined by a terminology system | 
|      id | 0..1 | string | xml:id (or equivalent in JSON) | |
|      system | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | 
|      version | Σ | 0..1 | string | Version of the system - if relevant | 
|      code | SΣ | 1..1 | code | Master HL7 genetic variant reporting panel Fixed Value: 81247-9 | 
|      display | Σ | 0..1 | string | Representation defined by the system | 
|      userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | 
|     text | Σ | 0..1 | string | Plain text representation of the concept | 
|    subject | SΣ | 0..1 | Reference(Patient | Group | Location) | The subject of the report - usually, but not always, the patient | 
|    context | Σ | 0..1 | Reference(Encounter | EpisodeOfCare) | Health care event when test ordered | 
|    effective[x] | SΣ | 0..1 | dateTime, Period | Clinically relevant time/time-period for report | 
|    issued | SΣ | 0..1 | instant | DateTime this version was made | 
|    performer | SΣ | 0..1 | Reference(Organization) | Responsible Diagnostic Service | 
|    resultsInterpreter | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter | 
|    specimen | S | 0..* | Reference(Specimen) | Specimens this report is based on | 
|    result | S | Reference(Observation) | Observations - simple, or complex nested groups Slice: Unordered, Open by pattern:resolve().code | |
|    result | S | 0..* | Reference(Genomics Panel) | Genetic panel | 
|    result | S | 0..1 | Reference(Genetic analysis overall interpretation) | Assessment of overall results | 
|    result | S | 0..1 | Reference(Deletion-duplication overall interpretation) | Assessment of deletion/duplication results | 
|    result | S | 0..1 | Reference(Chromosome analysis overall interpretation) | Assessment of chromosomal abnormalities | 
|    result | S | 0..* | Reference(Inherited Disease Pathogenicity) | Inherited Disease Pathology | 
|    result | S | 0..* | Reference(Somatic Diagnostic Impact) | Somatic Diagnostic | 
|    result | S | 0..* | Reference(Somatic Prognostic Impact) | Somatic Prognostic | 
|    result | S | 0..* | Reference(Somatic Predictive Impact) | Somatic Predictive | 
|    result | S | 0..* | Reference(Genotype medication metabolism impact) | Metabolism Impact | 
|    result | S | 0..* | Reference(Genotype medication efficacy impact) | Efficacy Impact | 
|    result | S | 0..* | Reference(High Risk Allele) | High-Risk Medication Impact | 
|    result | S | 0..* | Reference(Chromosome analysis G-banding panel) | Chromosome G-Band results | 
|    result | S | 0..* | Reference(Chromosome Analysis FISH panel) | Chromosome FISH-test results | 
|    result | S | 0..* | Reference(Cytogenic Notation) | Cytogenic Notation | 
|    result | S | 0..* | Reference(Genotype) | Genotype | 
|    result | S | 0..* | Reference(Haplotype) | Haplotype | 
|    result | S | 0..* | Reference(Complex variation) | Complex Variant | 
|    result | S | 0..* | Reference(Described Variant (Discrete or Structural)) | Described Variant | 
|    media | ΣI | 0..1 | BackboneElement | Key images associated with this report | 
|     id | 0..1 | string | xml:id (or equivalent in JSON) | |
|     extension | 0..* | Extension | Additional content defined by implementations | |
|     modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored | 
|     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 Interpretation of test results | |
|    codedDiagnosis | 0..* | CodeableConcept | Codes for the conclusion Binding: SNOMED CT Clinical Findings (example) | |
|    presentedForm | S | 0..* | Attachment | Entire report as issued | 
|  Documentation for this format | ||||
This structure is derived from DiagnosticReport
Summary
Mandatory: 5 elements (3 nested mandatory elements)
 Must-Support: 40 elements
 Fixed Value: 2 elements
 Prohibited: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from DiagnosticReport
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints  | 
|---|---|---|---|---|
|   DiagnosticReport | I | 0..* | Genetics Diagnostic Report | |
|    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: Common Languages (extensible) | |
|    text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation | 
|    contained | 0..* | Resource | Contained, inline Resources | |
|    dr-relatedArtifact | SI | 0..1 | base64Binary, boolean, canonical(), code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference(), SampledData, Signature, Timing, ParameterDefinition, DataRequirement, RelatedArtifact, ContactDetail, Contributor, TriggerDefinition, UsageContext, Dosage | Citations and supporting info URL: http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/dr-relatedArtifact | 
|    dr-recommendedAction | SI | 0..* | Reference(Task | ServiceRequest | MedicationRequest | RequestGroup | CarePlan | DeviceRequest | NutritionOrder | SupplyRequest) | Tasks relevant to report URL: http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/dr-recommendedAction | 
|     id | 0..1 | string | xml:id (or equivalent in JSON) | |
|     url | 1..1 | uri | "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/dr-recommendedAction" | |
|     valueReference | S | 1..1 | Reference(Task) | Recommended action tasks relevant to report | 
|    dr-supportingInfo | SI | 0..* | Reference() | Other resources that support report URL: http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/dr-supportingInfo | 
|     id | 0..1 | string | xml:id (or equivalent in JSON) | |
|     url | 1..1 | uri | "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/dr-supportingInfo" | |
|     valueReference | S | 1..1 | Reference(FamilyMemberHistory | RiskAssessment | Observation | DocumentReference) | Family history with relevance to report | 
|    diagnosticReport-risk | SI | 0..* | Reference(RiskAssessment) | Extension URL: http://hl7.org/fhir/StructureDefinition/diagnosticReport-risk | 
|     id | 0..1 | string | xml:id (or equivalent in JSON) | |
|     url | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/diagnosticReport-risk" | |
|     valueReference | S | 1..1 | Reference(RiskAssessment) | Value of extension | 
|    modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | 
|    identifier | SΣ | 0..1 | Identifier | Business identifier for report | 
|    basedOn | S | 0..* | Reference(ServiceRequest) | What was requested | 
|    status | ?!SΣ | 1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required) | 
|    category | SΣ | 0..1 | CodeableConcept | Service category Binding: Diagnostic Service Section Codes (example) Required Pattern: {"coding":[{"system":"http://hl7.org/fhir/v2/0074","code":"GE"}]} | 
|    code | SΣ | 1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: LOINC Diagnostic Report Codes (preferred) | 
|     id | 0..1 | string | xml:id (or equivalent in JSON) | |
|     coding | Σ | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system, value:code | |
|     coding | SΣ | 1..1 | Coding | Code defined by a terminology system | 
|      id | 0..1 | string | xml:id (or equivalent in JSON) | |
|      system | SΣ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | 
|      version | Σ | 0..1 | string | Version of the system - if relevant | 
|      code | SΣ | 1..1 | code | Master HL7 genetic variant reporting panel Fixed Value: 81247-9 | 
|      display | Σ | 0..1 | string | Representation defined by the system | 
|      userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | 
|     text | Σ | 0..1 | string | Plain text representation of the concept | 
|    subject | SΣ | 0..1 | Reference(Patient | Group | Location) | The subject of the report - usually, but not always, the patient | 
|    context | Σ | 0..1 | Reference(Encounter | EpisodeOfCare) | Health care event when test ordered | 
|    effective[x] | SΣ | 0..1 | dateTime, Period | Clinically relevant time/time-period for report | 
|    issued | SΣ | 0..1 | instant | DateTime this version was made | 
|    performer | SΣ | 0..1 | Reference(Organization) | Responsible Diagnostic Service | 
|    resultsInterpreter | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter | 
|    specimen | S | 0..* | Reference(Specimen) | Specimens this report is based on | 
|    result | S | Reference(Observation) | Observations - simple, or complex nested groups Slice: Unordered, Open by pattern:resolve().code | |
|    result | S | 0..* | Reference(Genomics Panel) | Genetic panel | 
|    result | S | 0..1 | Reference(Genetic analysis overall interpretation) | Assessment of overall results | 
|    result | S | 0..1 | Reference(Deletion-duplication overall interpretation) | Assessment of deletion/duplication results | 
|    result | S | 0..1 | Reference(Chromosome analysis overall interpretation) | Assessment of chromosomal abnormalities | 
|    result | S | 0..* | Reference(Inherited Disease Pathogenicity) | Inherited Disease Pathology | 
|    result | S | 0..* | Reference(Somatic Diagnostic Impact) | Somatic Diagnostic | 
|    result | S | 0..* | Reference(Somatic Prognostic Impact) | Somatic Prognostic | 
|    result | S | 0..* | Reference(Somatic Predictive Impact) | Somatic Predictive | 
|    result | S | 0..* | Reference(Genotype medication metabolism impact) | Metabolism Impact | 
|    result | S | 0..* | Reference(Genotype medication efficacy impact) | Efficacy Impact | 
|    result | S | 0..* | Reference(High Risk Allele) | High-Risk Medication Impact | 
|    result | S | 0..* | Reference(Chromosome analysis G-banding panel) | Chromosome G-Band results | 
|    result | S | 0..* | Reference(Chromosome Analysis FISH panel) | Chromosome FISH-test results | 
|    result | S | 0..* | Reference(Cytogenic Notation) | Cytogenic Notation | 
|    result | S | 0..* | Reference(Genotype) | Genotype | 
|    result | S | 0..* | Reference(Haplotype) | Haplotype | 
|    result | S | 0..* | Reference(Complex variation) | Complex Variant | 
|    result | S | 0..* | Reference(Described Variant (Discrete or Structural)) | Described Variant | 
|    media | ΣI | 0..1 | BackboneElement | Key images associated with this report | 
|     id | 0..1 | string | xml:id (or equivalent in JSON) | |
|     extension | 0..* | Extension | Additional content defined by implementations | |
|     modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored | 
|     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 Interpretation of test results | |
|    codedDiagnosis | 0..* | CodeableConcept | Codes for the conclusion Binding: SNOMED CT Clinical Findings (example) | |
|    presentedForm | S | 0..* | Attachment | Entire report as issued | 
|  Documentation for this format | ||||
Other representations of profile: Schematron
| Path | Name | Conformance | ValueSet | 
| DiagnosticReport.language | Common Languages | extensible | Common Languages | 
| DiagnosticReport.status | DiagnosticReportStatus | required | DiagnosticReportStatus | 
| DiagnosticReport.category | Diagnostic Service Section Codes | example | Diagnostic Service Section Codes | 
| DiagnosticReport.code | LOINC Diagnostic Report Codes | preferred | LOINC Diagnostic Report Codes | 
| DiagnosticReport.codedDiagnosis | SNOMED CT Clinical Findings | example | SNOMED CT Clinical Findings | 
| Id | Path | Details | Requirements | 
| dom-2 | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-1 | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty() | |
| dom-4 | 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-3 | 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.all(('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists()) | |
| ele-1 | DiagnosticReport.extension | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) | |
| ext-1 | DiagnosticReport.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | DiagnosticReport.extension | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) | |
| ext-1 | DiagnosticReport.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | DiagnosticReport.extension | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) | |
| ext-1 | DiagnosticReport.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | DiagnosticReport.extension | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) | |
| ext-1 | DiagnosticReport.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | DiagnosticReport.extension | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) | |
| ext-1 | DiagnosticReport.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | DiagnosticReport.media | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) |