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
JSON representation of the diagnosticreport Profile.
{ "resourceType" : "StructureDefinition", "id" : "diagnosticreport", "text" : { "status" : "generated", "div" : "<div xmlns="http://www.w3.org/1999/xhtml"><table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://build.fhir.org/formats.html#table" title="The logical name of the element">Name</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://build.fhir.org/formats.html#table" title="Information about the use of the element">Flags</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://build.fhir.org/formats.html#table" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a></th><th style="width: 100px" class="hierarchy"><a href="http://build.fhir.org/formats.html#table" title="Reference to the type of the element">Type</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://build.fhir.org/formats.html#table" title="Additional information about the element">Description & Constraints</a><span style="float: right"><a href="http://build.fhir.org/formats.html#table" title="Legend for this format"><img src="http://build.fhir.org/help16.png" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><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="diagnosticreport-definitions.html#DiagnosticReport" title="Defines the overall genetic report.">DiagnosticReport</a><a name="DiagnosticReport"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Genetics Diagnostic Report</td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck14.png)" class="hierarchy"><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_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="diagnosticreport-definitions.html#DiagnosticReport.extension:related-artifact" title="Extension URL = http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/dr-relatedArtifact">dr-relatedArtifact</a><a name="DiagnosticReport.extension"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span>..<span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://build.fhir.org/datatypes.html#base64Binary">base64Binary</a>, <a href="http://build.fhir.org/datatypes.html#boolean">boolean</a>, <a href="http://build.fhir.org/references.html">canonical</a>(), <a href="http://build.fhir.org/datatypes.html#code">code</a>, <a href="http://build.fhir.org/datatypes.html#date">date</a>, <a href="http://build.fhir.org/datatypes.html#dateTime">dateTime</a>, <a href="http://build.fhir.org/datatypes.html#decimal">decimal</a>, <a href="http://build.fhir.org/datatypes.html#id">id</a>, <a href="http://build.fhir.org/datatypes.html#instant">instant</a>, <a href="http://build.fhir.org/datatypes.html#integer">integer</a>, <a href="http://build.fhir.org/datatypes.html#markdown">markdown</a>, <a href="http://build.fhir.org/datatypes.html#oid">oid</a>, <a href="http://build.fhir.org/datatypes.html#positiveInt">positiveInt</a>, <a href="http://build.fhir.org/datatypes.html#string">string</a>, <a href="http://build.fhir.org/datatypes.html#time">time</a>, <a href="http://build.fhir.org/datatypes.html#unsignedInt">unsignedInt</a>, <a href="http://build.fhir.org/datatypes.html#uri">uri</a>, <a href="http://build.fhir.org/datatypes.html#url">url</a>, <a href="http://build.fhir.org/datatypes.html#uuid">uuid</a>, <a href="http://build.fhir.org/datatypes.html#Address">Address</a>, <a href="http://build.fhir.org/datatypes.html#Age">Age</a>, <a href="http://build.fhir.org/datatypes.html#Annotation">Annotation</a>, <a href="http://build.fhir.org/datatypes.html#Attachment">Attachment</a>, <a href="http://build.fhir.org/datatypes.html#CodeableConcept">CodeableConcept</a>, <a href="http://build.fhir.org/datatypes.html#Coding">Coding</a>, <a href="http://build.fhir.org/datatypes.html#ContactPoint">ContactPoint</a>, <a href="http://build.fhir.org/datatypes.html#Count">Count</a>, <a href="http://build.fhir.org/datatypes.html#Distance">Distance</a>, <a href="http://build.fhir.org/datatypes.html#Duration">Duration</a>, <a href="http://build.fhir.org/datatypes.html#HumanName">HumanName</a>, <a href="http://build.fhir.org/datatypes.html#Identifier">Identifier</a>, <a href="http://build.fhir.org/datatypes.html#Money">Money</a>, <a href="http://build.fhir.org/datatypes.html#Period">Period</a>, <a href="http://build.fhir.org/datatypes.html#Quantity">Quantity</a>, <a href="http://build.fhir.org/datatypes.html#Range">Range</a>, <a href="http://build.fhir.org/datatypes.html#Ratio">Ratio</a>, <a href="http://build.fhir.org/references.html">Reference</a>(), <a href="http://build.fhir.org/datatypes.html#SampledData">SampledData</a>, <a href="http://build.fhir.org/datatypes.html#Signature">Signature</a>, <a href="http://build.fhir.org/datatypes.html#Timing">Timing</a>, <a href="http://build.fhir.org/datatypes.html#ParameterDefinition">ParameterDefinition</a>, <a href="http://build.fhir.org/datatypes.html#DataRequirement">DataRequirement</a>, <a href="http://build.fhir.org/datatypes.html#RelatedArtifact">RelatedArtifact</a>, <a href="http://build.fhir.org/datatypes.html#ContactDetail">ContactDetail</a>, <a href="http://build.fhir.org/datatypes.html#Contributor">Contributor</a>, <a href="http://build.fhir.org/datatypes.html#TriggerDefinition">TriggerDefinition</a>, <a href="http://build.fhir.org/datatypes.html#UsageContext">UsageContext</a>, <a href="http://build.fhir.org/datatypes.html#Dosage">Dosage</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Citations and supporting info<br/><span style="font-weight:bold">URL: </span><a href="http://build.fhir.org/dr-relatedArtifact.html">http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/dr-relatedArtifact</a></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck15.png)" class="hierarchy"><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_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="diagnosticreport-definitions.html#DiagnosticReport.extension:recommended-action" title="Extension URL = http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/dr-recommendedAction">dr-recommendedAction</a><a name="DiagnosticReport.extension"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://build.fhir.org/references.html">Reference</a>(<a href="http://build.fhir.org/task.html">Task</a> | <a href="http://build.fhir.org/servicerequest.html">ServiceRequest</a> | <a href="http://build.fhir.org/medicationrequest.html">MedicationRequest</a> | <a href="http://build.fhir.org/requestgroup.html">RequestGroup</a> | <a href="http://build.fhir.org/careplan.html">CarePlan</a> | <a href="http://build.fhir.org/devicerequest.html">DeviceRequest</a> | <a href="http://build.fhir.org/nutritionorder.html">NutritionOrder</a> | <a href="http://build.fhir.org/supplyrequest.html">SupplyRequest</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Tasks relevant to report<br/><span style="font-weight:bold">URL: </span><a href="http://build.fhir.org/dr-recommendedAction.html">http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/dr-recommendedAction</a><br/></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck140.png)" class="hierarchy"><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_slice.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"/> <a href="diagnosticreport-definitions.html#DiagnosticReport.extension:recommended-action.valueReference">valueReference</a><a name="DiagnosticReport.extension.valueReference"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://build.fhir.org/references.html">Reference</a>(<a href="http://build.fhir.org/task.html">Task</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Recommended action tasks relevant to report</td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck15.png)" class="hierarchy"><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_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="diagnosticreport-definitions.html#DiagnosticReport.extension:supportinginfo" title="Extension URL = http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/dr-supportingInfo">dr-supportingInfo</a><a name="DiagnosticReport.extension"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://build.fhir.org/references.html">Reference</a>()</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Other resources that support report<br/><span style="font-weight:bold">URL: </span><a href="http://build.fhir.org/dr-supportingInfo.html">http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/dr-supportingInfo</a><br/></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck140.png)" class="hierarchy"><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_slice.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"/> <a href="diagnosticreport-definitions.html#DiagnosticReport.extension:supportinginfo.valueReference">valueReference</a><a name="DiagnosticReport.extension.valueReference"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://build.fhir.org/references.html">Reference</a>(<a href="http://build.fhir.org/familymemberhistory.html">FamilyMemberHistory</a> | <a href="http://build.fhir.org/riskassessment.html">RiskAssessment</a> | <a href="http://build.fhir.org/observation.html">Observation</a> | <a href="http://build.fhir.org/documentreference.html">DocumentReference</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Family history with relevance to report</td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck15.png)" class="hierarchy"><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_extension_simple.png" alt="." style="background-color: white; background-color: inherit" title="Simple Extension" class="hierarchy"/> <a href="diagnosticreport-definitions.html#DiagnosticReport.extension:risk" title="Extension URL = http://hl7.org/fhir/StructureDefinition/diagnosticReport-risk">diagnosticReport-risk</a><a name="DiagnosticReport.extension"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://build.fhir.org/references.html">Reference</a>(<a href="http://build.fhir.org/riskassessment.html">RiskAssessment</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Risk<br/><span style="font-weight:bold">URL: </span><a href="http://build.fhir.org/extension-diagnosticreport-risk.html">http://hl7.org/fhir/StructureDefinition/diagnosticReport-risk</a><br/></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck140.png)" class="hierarchy"><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_slice.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"/> <a href="diagnosticreport-definitions.html#DiagnosticReport.extension:risk.valueReference">valueReference</a><a name="DiagnosticReport.extension.valueReference"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://build.fhir.org/references.html">Reference</a>(<a style="opacity: 0.4" href="http://build.fhir.org/riskassessment.html">RiskAssessment</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><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"/> <a href="diagnosticreport-definitions.html#DiagnosticReport.identifier">identifier</a><a name="DiagnosticReport.identifier"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span>..<span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://build.fhir.org/datatypes.html#Identifier">Identifier</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><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_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="diagnosticreport-definitions.html#DiagnosticReport.basedOn">basedOn</a><a name="DiagnosticReport.basedOn"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://build.fhir.org/references.html">Reference</a>(<a href="http://build.fhir.org/servicerequest.html">ServiceRequest</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><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_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="diagnosticreport-definitions.html#DiagnosticReport.status">status</a><a name="DiagnosticReport.status"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://build.fhir.org/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><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"/> <a href="diagnosticreport-definitions.html#DiagnosticReport.category">category</a><a name="DiagnosticReport.category"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://build.fhir.org/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Required Pattern: </span><span style="color: darkgreen">{"coding":[{"system":"http://hl7.org/fhir/v2/0074","code":"GE"}]}</span></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><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_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="diagnosticreport-definitions.html#DiagnosticReport.code">code</a><a name="DiagnosticReport.code"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://build.fhir.org/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck103.png)" class="hierarchy"><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_slice.png" alt="." style="background-color: white; background-color: inherit" title="Slice Definition" class="hierarchy"/> <a style="font-style: italic" href="diagnosticreport-definitions.html#DiagnosticReport.code.coding:code" title="Slice code: ">coding</a><a name="DiagnosticReport.code.coding"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red; font-style: italic" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4; font-style: italic" href="http://build.fhir.org/datatypes.html#Coding">Coding</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold; font-style: italic">Slice: </span><span style="font-style: italic">Unordered, Open by value:system, value:code</span></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1030.png)" class="hierarchy"><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_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_slicer.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"/> <a href="diagnosticreport-definitions.html#DiagnosticReport.code.coding:code.system">system</a><a name="DiagnosticReport.code.coding.system"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://build.fhir.org/datatypes.html#uri">uri</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold">Fixed Value: </span><span style="color: darkgreen">http://loinc.org</span></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1020.png)" class="hierarchy"><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_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end_slicer.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"/> <a href="diagnosticreport-definitions.html#DiagnosticReport.code.coding:code.code">code</a><a name="DiagnosticReport.code.coding.code"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://build.fhir.org/datatypes.html#code">code</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Master HL7 genetic variant reporting panel<br/><span style="font-weight:bold">Fixed Value: </span><span style="color: darkgreen">81247-9</span></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><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_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="diagnosticreport-definitions.html#DiagnosticReport.subject">subject</a><a name="DiagnosticReport.subject"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://build.fhir.org/references.html">Reference</a>(<a href="http://build.fhir.org/patient.html">Patient</a> | <a href="http://build.fhir.org/group.html">Group</a> | <a href="http://build.fhir.org/location.html">Location</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><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_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="diagnosticreport-definitions.html#DiagnosticReport.effectiveDateTime">effectiveDateTime</a><a name="DiagnosticReport.effectiveDateTime"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://build.fhir.org/datatypes.html#dateTime">dateTime</a><span style="opacity: 0.4">, </span><a style="opacity: 0.4" href="http://build.fhir.org/datatypes.html#Period">Period</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><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_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="diagnosticreport-definitions.html#DiagnosticReport.issued">issued</a><a name="DiagnosticReport.issued"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://build.fhir.org/datatypes.html#instant">instant</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><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_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="diagnosticreport-definitions.html#DiagnosticReport.performer">performer</a><a name="DiagnosticReport.performer"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span>..<span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://build.fhir.org/references.html">Reference</a>(<a href="http://build.fhir.org/organization.html">Organization</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><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_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="diagnosticreport-definitions.html#DiagnosticReport.specimen">specimen</a><a name="DiagnosticReport.specimen"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://build.fhir.org/references.html">Reference</a>(<a href="specimen.html">Specimen</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck12.png)" class="hierarchy"><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_slice.png" alt="." style="background-color: white; background-color: inherit" title="Slice Definition" class="hierarchy"/> <a style="font-style: italic" href="diagnosticreport-definitions.html#DiagnosticReport.result">result</a><a name="DiagnosticReport.result"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red; font-style: italic" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="font-style: italic" href="http://build.fhir.org/references.html">Reference</a><span style="font-style: italic">(</span><a style="opacity: 0.4; font-style: italic" href="http://build.fhir.org/observation.html">Observation</a><span style="font-style: italic">)</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="font-weight:bold; font-style: italic">Slice: </span><span style="font-style: italic">Unordered, Open by pattern:resolve().code</span><br style="font-style: italic"/></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck14.png)" class="hierarchy"><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_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="diagnosticreport-definitions.html#DiagnosticReport.result:obs-gen-panel" title="Slice obs-gen-panel: ">result</a><a name="DiagnosticReport.result"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://build.fhir.org/references.html">Reference</a>(<a href="obs-gen-panel.html">Genomics Panel</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Genetic panel<br/></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck14.png)" class="hierarchy"><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_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="diagnosticreport-definitions.html#DiagnosticReport.result:overall" title="Slice overall: ">result</a><a name="DiagnosticReport.result"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span>..<span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://build.fhir.org/references.html">Reference</a>(<a href="obs-overall.html">Genetic analysis overall interpretation</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Assessment of overall results</td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck14.png)" class="hierarchy"><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_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="diagnosticreport-definitions.html#DiagnosticReport.result:deletion-dup" title="Slice deletion-dup: ">result</a><a name="DiagnosticReport.result"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span>..<span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://build.fhir.org/references.html">Reference</a>(<a href="obs-deletion-dup.html">Deletion-duplication overall interpretation</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Assessment of deletion/duplication results</td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck14.png)" class="hierarchy"><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_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="diagnosticreport-definitions.html#DiagnosticReport.result:obs-chrom-overall" title="Slice obs-chrom-overall: ">result</a><a name="DiagnosticReport.result"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span>..<span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://build.fhir.org/references.html">Reference</a>(<a href="obs-chrom-overall.html">Chromosome analysis overall interpretation</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Assessment of chromosomal abnormalities</td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck14.png)" class="hierarchy"><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_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="diagnosticreport-definitions.html#DiagnosticReport.result:inh-dis-path" title="Slice inh-dis-path: ">result</a><a name="DiagnosticReport.result"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://build.fhir.org/references.html">Reference</a>(<a href="obs-inh-dis-path.html">Inherited Disease Pathogenicity</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Inherited Disease Pathology<br/></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck14.png)" class="hierarchy"><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_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="diagnosticreport-definitions.html#DiagnosticReport.result:som-diagnostic" title="Slice som-diagnostic: ">result</a><a name="DiagnosticReport.result"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://build.fhir.org/references.html">Reference</a>(<a href="obs-som-diagnostic.html">Somatic Diagnostic Impact</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Somatic Diagnostic<br/></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck14.png)" class="hierarchy"><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_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="diagnosticreport-definitions.html#DiagnosticReport.result:som-prognostic" title="Slice som-prognostic: ">result</a><a name="DiagnosticReport.result"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://build.fhir.org/references.html">Reference</a>(<a href="obs-som-prognostic.html">Somatic Prognostic Impact</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Somatic Prognostic<br/></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck14.png)" class="hierarchy"><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_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="diagnosticreport-definitions.html#DiagnosticReport.result:som-predictive" title="Slice som-predictive: ">result</a><a name="DiagnosticReport.result"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://build.fhir.org/references.html">Reference</a>(<a href="obs-som-predictive.html">Somatic Predictive Impact</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Somatic Predictive<br/></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck14.png)" class="hierarchy"><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_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="diagnosticreport-definitions.html#DiagnosticReport.result:med-metabolism" title="Slice med-metabolism: ">result</a><a name="DiagnosticReport.result"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://build.fhir.org/references.html">Reference</a>(<a href="obs-metabolism.html">Genotype medication metabolism impact</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Metabolism Impact<br/></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck14.png)" class="hierarchy"><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_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="diagnosticreport-definitions.html#DiagnosticReport.result:med-efficacy" title="Slice med-efficacy: ">result</a><a name="DiagnosticReport.result"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://build.fhir.org/references.html">Reference</a>(<a href="obs-efficacy.html">Genotype medication efficacy impact</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Efficacy Impact<br/></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck14.png)" class="hierarchy"><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_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="diagnosticreport-definitions.html#DiagnosticReport.result:med-high-risk" title="Slice med-high-risk: ">result</a><a name="DiagnosticReport.result"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://build.fhir.org/references.html">Reference</a>(<a href="obs-high-risk.html">High Risk Allele</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">High-Risk Medication Impact<br/></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck14.png)" class="hierarchy"><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_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="diagnosticreport-definitions.html#DiagnosticReport.result:obs-chrom-g-band" title="Slice obs-chrom-g-band: ">result</a><a name="DiagnosticReport.result"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://build.fhir.org/references.html">Reference</a>(<a href="obs-chrom-g-band.html">Chromosome analysis G-banding panel</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Chromosome G-Band results<br/></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck14.png)" class="hierarchy"><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_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="diagnosticreport-definitions.html#DiagnosticReport.result:obs-chrom-fish" title="Slice obs-chrom-fish: ">result</a><a name="DiagnosticReport.result"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://build.fhir.org/references.html">Reference</a>(<a href="obs-chrom-fish.html">Chromosome Analysis FISH panel</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Chromosome FISH-test results<br/></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck14.png)" class="hierarchy"><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_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="diagnosticreport-definitions.html#DiagnosticReport.result:obs-cytogenic-not" title="Slice obs-cytogenic-not: ">result</a><a name="DiagnosticReport.result"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://build.fhir.org/references.html">Reference</a>(<a href="obs-cytogenic-not.html">Cytogenic Notation</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Cytogenic Notation<br/></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck14.png)" class="hierarchy"><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_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="diagnosticreport-definitions.html#DiagnosticReport.result:obs-genotype" title="Slice obs-genotype: ">result</a><a name="DiagnosticReport.result"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://build.fhir.org/references.html">Reference</a>(<a href="obs-genotype.html">Genotype</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Genotype<br/></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck14.png)" class="hierarchy"><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_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="diagnosticreport-definitions.html#DiagnosticReport.result:obs-haplotype" title="Slice obs-haplotype: ">result</a><a name="DiagnosticReport.result"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://build.fhir.org/references.html">Reference</a>(<a href="obs-haplotype.html">Haplotype</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Haplotype<br/></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck14.png)" class="hierarchy"><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_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="diagnosticreport-definitions.html#DiagnosticReport.result:obs-complex-variant" title="Slice obs-complex-variant: ">result</a><a name="DiagnosticReport.result"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://build.fhir.org/references.html">Reference</a>(<a href="obs-complex-variant.html">Complex variation</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Complex Variant<br/></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck14.png)" class="hierarchy"><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_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <a href="diagnosticreport-definitions.html#DiagnosticReport.result:obs-described-variant" title="Slice obs-described-variant: ">result</a><a name="DiagnosticReport.result"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://build.fhir.org/references.html">Reference</a>(<a href="obs-described-variant.html">Described Variant (Discrete or Structural)</a>)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Described Variant<br/></td></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><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_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy"/> <span style="text-decoration:line-through">imagingStudy</span><a name="DiagnosticReport.imagingStudy"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="text-decoration:line-through"/><span style="text-decoration:line-through">0</span><span style="text-decoration:line-through">..</span><span style="text-decoration:line-through">0</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><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_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="diagnosticreport-definitions.html#DiagnosticReport.media">media</a><a name="DiagnosticReport.media"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span>..<span style="opacity: 0.4">1</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://build.fhir.org/datatypes.html#BackboneElement">BackboneElement</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;"><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)" class="hierarchy"><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_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="diagnosticreport-definitions.html#DiagnosticReport.presentedForm">presentedForm</a><a name="DiagnosticReport.presentedForm"> </a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.4">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.4">*</span></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.4" href="http://build.fhir.org/datatypes.html#Attachment">Attachment</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr> <tr><td colspan="5" class="hierarchy"><br/><a href="http://build.fhir.org/formats.html#table" title="Legend for this format"><img src="http://build.fhir.org/help16.png" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>" }, "url" : "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/diagnosticreport", "version" : "2018may", "name" : "Genetics Diagnostic Report", "status" : "draft", "date" : "2017-05-20", "publisher" : "HL7 Clinical Genomics WG", "description" : "Root DiagnosticReport profile", "fhirVersion" : "3.3.0", "mapping" : [ { "identity" : "v2-cg-results", "uri" : "http://unknown.org/V2-CG-Results", "name" : "V2-CG-Results" }, { "identity" : "workflow", "uri" : "http://hl7.org/fhir/workflow", "name" : "Workflow Pattern" }, { "identity" : "v2", "uri" : "http://hl7.org/v2", "name" : "HL7 v2 Mapping" }, { "identity" : "rim", "uri" : "http://hl7.org/v3", "name" : "RIM Mapping" }, { "identity" : "w5", "uri" : "http://hl7.org/fhir/fivews", "name" : "FiveWs Pattern" } ], "kind" : "resource", "abstract" : false, "type" : "DiagnosticReport", "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DiagnosticReport", "derivation" : "constraint", "snapshot" : { "element" : [ { "id" : "DiagnosticReport", "path" : "DiagnosticReport", "short" : "Genetics Diagnostic Report", "definition" : "Defines the overall genetic report.", "comment" : "This is intended to capture a single report, and is not suitable for use in displaying summary information that covers multiple reports. For example, this resource has not been designed for laboratory cumulative reporting formats nor detailed structured reports for sequencing.", "alias" : [ "Report", "Test", "Result", "Results", "Labs", "Laboratory" ], "min" : 0, "max" : "*", "base" : { "path" : "DiagnosticReport", "min" : 0, "max" : "*" }, "constraint" : [ { "key" : "dom-2", "severity" : "error", "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources", "expression" : "contained.contained.empty()", "xpath" : "not(parent::f:contained and f:contained)", "source" : "DomainResource" }, { "key" : "dom-1", "severity" : "error", "human" : "If the resource is contained in another resource, it SHALL NOT contain any narrative", "expression" : "contained.text.empty()", "xpath" : "not(parent::f:contained and f:text)", "source" : "DomainResource" }, { "key" : "dom-4", "severity" : "error", "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated", "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()", "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))", "source" : "DomainResource" }, { "key" : "dom-3", "severity" : "error", "human" : "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", "expression" : "contained.all(('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists())", "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))", "source" : "DomainResource" } ], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "Entity. Role, or Act" }, { "identity" : "workflow", "map" : "Event" }, { "identity" : "v2", "map" : "ORU -> OBR" }, { "identity" : "rim", "map" : "Observation[classCode=OBS, moodCode=EVN]" } ] }, { "id" : "DiagnosticReport.id", "path" : "DiagnosticReport.id", "short" : "Logical id of this artifact", "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.", "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.", "min" : 0, "max" : "1", "base" : { "path" : "Resource.id", "min" : 0, "max" : "1" }, "type" : [ { "code" : "id" } ], "isModifier" : false, "isSummary" : true }, { "id" : "DiagnosticReport.meta", "path" : "DiagnosticReport.meta", "short" : "Metadata about the resource", "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.", "min" : 0, "max" : "1", "base" : { "path" : "Resource.meta", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Meta" } ], "isModifier" : false, "isSummary" : true }, { "id" : "DiagnosticReport.implicitRules", "path" : "DiagnosticReport.implicitRules", "short" : "A set of rules under which this content was created", "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.", "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.", "min" : 0, "max" : "1", "base" : { "path" : "Resource.implicitRules", "min" : 0, "max" : "1" }, "type" : [ { "code" : "uri" } ], "isModifier" : true, "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation", "isSummary" : true }, { "id" : "DiagnosticReport.language", "path" : "DiagnosticReport.language", "short" : "Language of the resource content", "definition" : "The base language in which the resource is written.", "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).", "min" : 0, "max" : "1", "base" : { "path" : "Resource.language", "min" : 0, "max" : "1" }, "type" : [ { "code" : "code" } ], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet", "valueReference" : { "reference" : "http://hl7.org/fhir/ValueSet/all-languages" } }, { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "Language" }, { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding", "valueBoolean" : true } ], "strength" : "extensible", "description" : "A human language.", "valueSetCanonical" : "http://hl7.org/fhir/ValueSet/languages" } }, { "id" : "DiagnosticReport.text", "path" : "DiagnosticReport.text", "short" : "Text summary of the resource, for human interpretation", "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.", "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later.", "alias" : [ "narrative", "html", "xhtml", "display" ], "min" : 0, "max" : "1", "base" : { "path" : "DomainResource.text", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Narrative" } ], "condition" : [ "dom-1" ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "Act.text?" } ] }, { "id" : "DiagnosticReport.contained", "path" : "DiagnosticReport.contained", "short" : "Contained, inline Resources", "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.", "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.", "alias" : [ "inline resources", "anonymous resources", "contained resources" ], "min" : 0, "max" : "*", "base" : { "path" : "DomainResource.contained", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Resource" } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "DiagnosticReport.extension", "path" : "DiagnosticReport.extension", "slicing" : { "id" : "2", "discriminator" : [ { "type" : "value", "path" : "url" } ], "ordered" : false, "rules" : "open" }, "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "*", "base" : { "path" : "DomainResource.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "isModifier" : false, "isSummary" : false }, { "id" : "DiagnosticReport.extension:related-artifact", "path" : "DiagnosticReport.extension", "sliceName" : "related-artifact", "short" : "Citations and supporting info", "definition" : "References to literature that supports the assertions made within the report, describes the methodology used in testing or other information relevant to the interpretation of the report.", "min" : 0, "max" : "1", "base" : { "path" : "DomainResource.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension", "profile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/dr-relatedArtifact" ] } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() | (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "Extension" } ], "mustSupport" : true, "isModifier" : false }, { "id" : "DiagnosticReport.extension:recommended-action", "path" : "DiagnosticReport.extension", "sliceName" : "recommended-action", "short" : "Tasks relevant to report", "definition" : "An Extension", "min" : 0, "max" : "*", "base" : { "path" : "DomainResource.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension", "profile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/dr-recommendedAction" ] } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() | (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "Extension" } ], "mustSupport" : true, "isModifier" : false, "mapping" : [ { "identity" : "v2-cg-results", "map" : "N/A (from other CG FHIR work)" } ] }, { "id" : "DiagnosticReport.extension:recommended-action.id", "path" : "DiagnosticReport.extension.id", "representation" : [ "xmlAttr" ], "short" : "xml:id (or equivalent in JSON)", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "DiagnosticReport.extension:recommended-action.extension", "path" : "DiagnosticReport.extension.extension", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "url" } ], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "DiagnosticReport.extension:recommended-action.url", "path" : "DiagnosticReport.extension.url", "representation" : [ "xmlAttr" ], "short" : "identifies the meaning of the extension", "definition" : "Source of the definition for the extension code - a logical name or a URL.", "comment" : "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.", "min" : 1, "max" : "1", "base" : { "path" : "Extension.url", "min" : 1, "max" : "1" }, "type" : [ { "code" : "uri" } ], "fixedUri" : "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/dr-recommendedAction", "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "DiagnosticReport.extension:recommended-action.valueReference", "path" : "DiagnosticReport.extension.valueReference", "short" : "Recommended action tasks relevant to report", "definition" : "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).", "min" : 1, "max" : "1", "base" : { "path" : "Extension.value[x]", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/StructureDefinition/Task" ] } ], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "N/A" }, { "identity" : "v2-cg-results", "map" : "N/A (from other CG FHIR work)" } ] }, { "id" : "DiagnosticReport.extension:supportinginfo", "path" : "DiagnosticReport.extension", "sliceName" : "supportingInfo", "short" : "Other resources that support report", "definition" : "An Extension", "min" : 0, "max" : "*", "base" : { "path" : "DomainResource.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension", "profile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/dr-supportingInfo" ] } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() | (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "Extension" } ], "mustSupport" : true, "isModifier" : false, "mapping" : [ { "identity" : "v2-cg-results", "map" : "N/A (from other CG FHIR work)" } ] }, { "id" : "DiagnosticReport.extension:supportinginfo.id", "path" : "DiagnosticReport.extension.id", "representation" : [ "xmlAttr" ], "short" : "xml:id (or equivalent in JSON)", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "DiagnosticReport.extension:supportinginfo.extension", "path" : "DiagnosticReport.extension.extension", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "url" } ], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "DiagnosticReport.extension:supportinginfo.url", "path" : "DiagnosticReport.extension.url", "representation" : [ "xmlAttr" ], "short" : "identifies the meaning of the extension", "definition" : "Source of the definition for the extension code - a logical name or a URL.", "comment" : "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.", "min" : 1, "max" : "1", "base" : { "path" : "Extension.url", "min" : 1, "max" : "1" }, "type" : [ { "code" : "uri" } ], "fixedUri" : "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/dr-supportingInfo", "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "DiagnosticReport.extension:supportinginfo.valueReference", "path" : "DiagnosticReport.extension.valueReference", "short" : "Family history with relevance to report", "definition" : "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).", "min" : 1, "max" : "1", "base" : { "path" : "Extension.value[x]", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory", "http://hl7.org/fhir/StructureDefinition/RiskAssessment", "http://hl7.org/fhir/StructureDefinition/Observation", "http://hl7.org/fhir/StructureDefinition/DocumentReference" ] } ], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "N/A" }, { "identity" : "v2-cg-results", "map" : "N/A (from other CG FHIR work)" } ] }, { "id" : "DiagnosticReport.extension:risk", "path" : "DiagnosticReport.extension", "sliceName" : "risk", "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "*", "base" : { "path" : "DomainResource.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension", "profile" : [ "http://hl7.org/fhir/StructureDefinition/diagnosticReport-risk" ] } ], "condition" : [ "ele-1" ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() | (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source" : "Extension" } ], "mustSupport" : true, "isModifier" : false }, { "id" : "DiagnosticReport.extension:risk.id", "path" : "DiagnosticReport.extension.id", "representation" : [ "xmlAttr" ], "short" : "xml:id (or equivalent in JSON)", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "DiagnosticReport.extension:risk.extension", "path" : "DiagnosticReport.extension.extension", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "url" } ], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Extension", "definition" : "An Extension", "min" : 0, "max" : "0", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "isModifier" : false, "isSummary" : false }, { "id" : "DiagnosticReport.extension:risk.url", "path" : "DiagnosticReport.extension.url", "representation" : [ "xmlAttr" ], "short" : "identifies the meaning of the extension", "definition" : "Source of the definition for the extension code - a logical name or a URL.", "comment" : "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.", "min" : 1, "max" : "1", "base" : { "path" : "Extension.url", "min" : 1, "max" : "1" }, "type" : [ { "code" : "uri" } ], "fixedUri" : "http://hl7.org/fhir/StructureDefinition/diagnosticReport-risk", "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "DiagnosticReport.extension:risk.valueReference", "path" : "DiagnosticReport.extension.valueReference", "short" : "Value of extension", "definition" : "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).", "min" : 1, "max" : "1", "base" : { "path" : "Extension.value[x]", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/StructureDefinition/RiskAssessment" ] } ], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "DiagnosticReport.modifierExtension", "path" : "DiagnosticReport.modifierExtension", "short" : "Extensions that cannot be ignored", "definition" : "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. 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 is allowed to 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.", "comment" : "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" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "DomainResource.modifierExtension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "isModifier" : true, "isModifierReason" : "Not known why this is labelled a modifier", "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "DiagnosticReport.identifier", "path" : "DiagnosticReport.identifier", "short" : "Business identifier for report", "definition" : "Identifiers assigned to this report by the performer or other systems.", "comment" : "Usually assigned by the Information System of the diagnostic service provider (filler id).", "requirements" : "Need to know what identifier to use when making queries about this report from the source laboratory, and for linking to the report outside FHIR context.", "alias" : [ "ReportID", "Filler ID", "Placer ID" ], "min" : 0, "max" : "1", "base" : { "path" : "DiagnosticReport.identifier", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Identifier" } ], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "workflow", "map" : "Event.identifier" }, { "identity" : "w5", "map" : "FiveWs.identifier" }, { "identity" : "v2", "map" : "OBR-51/ for globally unique filler ID - OBR-3 , For non-globally unique filler-id the flller/placer number must be combined with the universal service Id - OBR-2(if present)+OBR-3+OBR-4" }, { "identity" : "rim", "map" : "id" } ] }, { "id" : "DiagnosticReport.basedOn", "path" : "DiagnosticReport.basedOn", "short" : "What was requested", "definition" : "Details concerning a service requested.", "comment" : "Note: Usually there is one test request for each result, however in some circumstances multiple test requests may be represented using a single test result resource. Note that there are also cases where one request leads to multiple reports.", "requirements" : "This allows tracing of authorization for the report and tracking whether proposals/recommendations were acted upon.", "alias" : [ "Request" ], "min" : 0, "max" : "*", "base" : { "path" : "DiagnosticReport.basedOn", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/StructureDefinition/ServiceRequest" ] } ], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "workflow", "map" : "Event.basedOn" }, { "identity" : "v2", "map" : "ORC? OBR-2/3?" }, { "identity" : "rim", "map" : "outboundRelationship[typeCode=FLFS].target" } ] }, { "id" : "DiagnosticReport.status", "path" : "DiagnosticReport.status", "short" : "registered | partial | preliminary | final +", "definition" : "The status of the diagnostic report.", "requirements" : "Diagnostic services routinely issue provisional/incomplete reports, and sometimes withdraw previously released reports.", "min" : 1, "max" : "1", "base" : { "path" : "DiagnosticReport.status", "min" : 1, "max" : "1" }, "type" : [ { "code" : "code" } ], "mustSupport" : true, "isModifier" : true, "isModifierReason" : "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid", "isSummary" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "DiagnosticReportStatus" } ], "strength" : "required", "description" : "The status of the diagnostic report.", "valueSetCanonical" : "http://hl7.org/fhir/ValueSet/diagnostic-report-status" }, "mapping" : [ { "identity" : "workflow", "map" : "Event.status" }, { "identity" : "w5", "map" : "FiveWs.status" }, { "identity" : "v2", "map" : "OBR-25 (not 1:1 mapping)" }, { "identity" : "rim", "map" : "statusCode Note: final and amended are distinguished by whether observation is the subject of a ControlAct event of type "revise"" } ] }, { "id" : "DiagnosticReport.category", "path" : "DiagnosticReport.category", "short" : "Service category", "definition" : "A code that classifies the clinical discipline, department or diagnostic service that created the report (e.g. cardiology, biochemistry, hematology, MRI). This is used for searching, sorting and display purposes.", "comment" : "The level of granularity is defined by the category concepts in the value set. More fine-grained filtering can be performed using the metadata and/or terminology hierarchy in DiagnosticReport.code.", "alias" : [ "Department", "Sub-department", "Service", "Discipline" ], "min" : 0, "max" : "1", "base" : { "path" : "DiagnosticReport.category", "min" : 0, "max" : "1" }, "type" : [ { "code" : "CodeableConcept" } ], "patternCodeableConcept" : { "coding" : [ { "system" : "http://hl7.org/fhir/v2/0074", "code" : "GE" } ] }, "mustSupport" : true, "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "DiagnosticServiceSection" } ], "strength" : "example", "description" : "Codes for diagnostic service sections.", "valueSetCanonical" : "http://hl7.org/fhir/ValueSet/diagnostic-service-sections" }, "mapping" : [ { "identity" : "w5", "map" : "FiveWs.class" }, { "identity" : "v2", "map" : "OBR-24" }, { "identity" : "rim", "map" : "inboundRelationship[typeCode=COMP].source[classCode=LIST, moodCode=EVN, code < LabService].code" } ] }, { "id" : "DiagnosticReport.code", "path" : "DiagnosticReport.code", "short" : "Name/Code for this diagnostic report", "definition" : "A code or name that describes this diagnostic report.", "alias" : [ "Type" ], "min" : 1, "max" : "1", "base" : { "path" : "DiagnosticReport.code", "min" : 1, "max" : "1" }, "type" : [ { "code" : "CodeableConcept" } ], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "DiagnosticReportCodes" } ], "strength" : "preferred", "description" : "Codes that describe Diagnostic Reports.", "valueSetCanonical" : "http://hl7.org/fhir/ValueSet/report-codes" }, "mapping" : [ { "identity" : "workflow", "map" : "Event.code" }, { "identity" : "w5", "map" : "FiveWs.what[x]" }, { "identity" : "v2", "map" : "OBR-4 (HL7 v2 doesn't provide an easy way to indicate both the ordered test and the performed panel)" }, { "identity" : "rim", "map" : "code" } ] }, { "id" : "DiagnosticReport.code.id", "path" : "DiagnosticReport.code.id", "representation" : [ "xmlAttr" ], "short" : "xml:id (or equivalent in JSON)", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "DiagnosticReport.code.extension", "path" : "DiagnosticReport.code.extension", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "url" } ], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "DiagnosticReport.code.coding", "path" : "DiagnosticReport.code.coding", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "system" }, { "type" : "value", "path" : "code" } ], "rules" : "open" }, "short" : "Code defined by a terminology system", "definition" : "A reference to a code defined by a terminology system.", "comment" : "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.", "requirements" : "Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.", "min" : 0, "max" : "*", "base" : { "path" : "CodeableConcept.coding", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Coding" } ], "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "v2", "map" : "C*E.1-8, C*E.10-22" }, { "identity" : "rim", "map" : "union(., ./translation)" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id" : "DiagnosticReport.code.coding:code", "path" : "DiagnosticReport.code.coding", "sliceName" : "code", "short" : "Code defined by a terminology system", "definition" : "A reference to a code defined by a terminology system.", "comment" : "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.", "requirements" : "Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.", "min" : 1, "max" : "1", "base" : { "path" : "CodeableConcept.coding", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Coding" } ], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "v2", "map" : "C*E.1-8, C*E.10-22" }, { "identity" : "rim", "map" : "union(., ./translation)" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id" : "DiagnosticReport.code.coding:code.id", "path" : "DiagnosticReport.code.coding.id", "representation" : [ "xmlAttr" ], "short" : "xml:id (or equivalent in JSON)", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "DiagnosticReport.code.coding:code.extension", "path" : "DiagnosticReport.code.coding.extension", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "url" } ], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "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" : "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" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "DiagnosticReport.code.coding:code.system", "path" : "DiagnosticReport.code.coding.system", "short" : "Identity of the terminology system", "definition" : "The identification of the code system that defines the meaning of the symbol in the code.", "comment" : "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.", "requirements" : "Need to be unambiguous about the source of the definition of the symbol.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.system", "min" : 0, "max" : "1" }, "type" : [ { "code" : "uri" } ], "fixedUri" : "http://loinc.org", "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "v2", "map" : "C*E.3" }, { "identity" : "rim", "map" : "./codeSystem" }, { "identity" : "orim", "map" : "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" } ] }, { "id" : "DiagnosticReport.code.coding:code.version", "path" : "DiagnosticReport.code.coding.version", "short" : "Version of the system - if relevant", "definition" : "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.", "comment" : "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.version", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "v2", "map" : "C*E.7" }, { "identity" : "rim", "map" : "./codeSystemVersion" }, { "identity" : "orim", "map" : "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" } ] }, { "id" : "DiagnosticReport.code.coding:code.code", "path" : "DiagnosticReport.code.coding.code", "short" : "Master HL7 genetic variant reporting panel", "definition" : "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).", "requirements" : "Need to refer to a particular code in the system.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.code", "min" : 0, "max" : "1" }, "type" : [ { "code" : "code" } ], "fixedCode" : "81247-9", "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "v2", "map" : "C*E.1" }, { "identity" : "rim", "map" : "./code" }, { "identity" : "orim", "map" : "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" } ] }, { "id" : "DiagnosticReport.code.coding:code.display", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true } ], "path" : "DiagnosticReport.code.coding.display", "short" : "Representation defined by the system", "definition" : "A representation of the meaning of the code in the system, following the rules of the system.", "requirements" : "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.display", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "v2", "map" : "C*E.2 - but note this is not well followed" }, { "identity" : "rim", "map" : "CV.displayName" }, { "identity" : "orim", "map" : "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" } ] }, { "id" : "DiagnosticReport.code.coding:code.userSelected", "path" : "DiagnosticReport.code.coding.userSelected", "short" : "If this coding was chosen directly by the user", "definition" : "Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).", "comment" : "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.", "requirements" : "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [ { "code" : "boolean" } ], "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "v2", "map" : "Sometimes implied by being first" }, { "identity" : "rim", "map" : "CD.codingRationale" }, { "identity" : "orim", "map" : "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]" } ] }, { "id" : "DiagnosticReport.code.text", "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true } ], "path" : "DiagnosticReport.code.text", "short" : "Plain text representation of the concept", "definition" : "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.", "comment" : "Very often the text is the same as a displayName of one of the codings.", "requirements" : "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min" : 0, "max" : "1", "base" : { "path" : "CodeableConcept.text", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "v2", "map" : "C*E.9. But note many systems use C*E.2 for this" }, { "identity" : "rim", "map" : "./originalText[mediaType/code="text/plain"]/data" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" } ] }, { "id" : "DiagnosticReport.subject", "path" : "DiagnosticReport.subject", "short" : "The subject of the report - usually, but not always, the patient", "definition" : "The subject of the report. Usually, but not always, this is a patient. However diagnostic services also perform analyses on specimens collected from a variety of other sources.", "requirements" : "SHALL know the subject context.", "alias" : [ "Patient" ], "min" : 0, "max" : "1", "base" : { "path" : "DiagnosticReport.subject", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Group", "http://hl7.org/fhir/StructureDefinition/Location" ] } ], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "workflow", "map" : "Event.subject" }, { "identity" : "w5", "map" : "FiveWs.subject[x]" }, { "identity" : "v2", "map" : "PID-3 (no HL7 v2 mapping for Group or Device)" }, { "identity" : "rim", "map" : "participation[typeCode=SBJ]" }, { "identity" : "w5", "map" : "FiveWs.subject" } ] }, { "id" : "DiagnosticReport.context", "path" : "DiagnosticReport.context", "short" : "Health care event when test ordered", "definition" : "The healthcare event (e.g. a patient and healthcare provider interaction) which this DiagnosticReport per is about.", "comment" : "This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter or episode but still be tied to the context of the encounter or episode (e.g. pre-admission laboratory tests).", "requirements" : "Links the request to the Encounter context.", "alias" : [ "Encounter" ], "min" : 0, "max" : "1", "base" : { "path" : "DiagnosticReport.context", "min" : 0, "max" : "1" }, "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/StructureDefinition/Encounter", "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare" ] } ], "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "workflow", "map" : "Event.context" }, { "identity" : "w5", "map" : "FiveWs.context" }, { "identity" : "v2", "map" : "PV1-19" }, { "identity" : "rim", "map" : "inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]" } ] }, { "id" : "DiagnosticReport.effective[x]", "path" : "DiagnosticReport.effective[x]", "short" : "Clinically relevant time/time-period for report", "definition" : "The time or time-period the observed values are related to. When the subject of the report is a patient, this is usually either the time of the procedure or of specimen collection(s), but very often the source of the date/time is not known, only the date/time itself.", "comment" : "If the diagnostic procedure was performed on the patient, this is the time it was performed. If there are specimens, the diagnostically relevant time can be derived from the specimen collection times, but the specimen information is not always available, and the exact relationship between the specimens and the diagnostically relevant time is not always automatic.", "requirements" : "Need to know where in the patient history to file/present this report.", "alias" : [ "Observation time", "Effective Time", "Occurrence" ], "min" : 0, "max" : "1", "base" : { "path" : "DiagnosticReport.effective[x]", "min" : 0, "max" : "1" }, "type" : [ { "code" : "dateTime" }, { "code" : "Period" } ], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "workflow", "map" : "Event.occurrence[x]" }, { "identity" : "w5", "map" : "FiveWs.done[x]" }, { "identity" : "v2", "map" : "OBR-7" }, { "identity" : "rim", "map" : "effectiveTime" } ] }, { "id" : "DiagnosticReport.issued", "path" : "DiagnosticReport.issued", "short" : "DateTime this version was made", "definition" : "The date and time that this version of the report was made available to providers, typically after the report was reviewed and verified.", "comment" : "May be different from the update time of the resource itself, because that is the status of the record (potentially a secondary copy), not the actual release time of the report.", "requirements" : "Clinicians need to be able to check the date that the report was released.", "alias" : [ "Date published", "Date Issued", "Date Verified" ], "min" : 0, "max" : "1", "base" : { "path" : "DiagnosticReport.issued", "min" : 0, "max" : "1" }, "type" : [ { "code" : "instant" } ], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "w5", "map" : "FiveWs.recorded" }, { "identity" : "v2", "map" : "OBR-22" }, { "identity" : "rim", "map" : "participation[typeCode=VRF or AUT].time" } ] }, { "id" : "DiagnosticReport.performer", "path" : "DiagnosticReport.performer", "short" : "Responsible Diagnostic Service", "definition" : "The diagnostic service that is responsible for issuing the report.", "comment" : "This is not necessarily the source of the atomic data items or the entity that interpreted the results. It is the entity that takes responsibility for the clinical report.", "requirements" : "Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis.", "alias" : [ "Laboratory", "Service", "Practitioner", "Department", "Company", "Authorized by", "Director" ], "min" : 0, "max" : "1", "base" : { "path" : "DiagnosticReport.performer", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/StructureDefinition/Organization" ] } ], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "workflow", "map" : "Event.performer.actor" }, { "identity" : "w5", "map" : "FiveWs.actor" }, { "identity" : "v2", "map" : "PRT-8 (where this PRT-4-Participation = "PO")" }, { "identity" : "rim", "map" : ".participation[typeCode=PRF]" } ] }, { "id" : "DiagnosticReport.resultsInterpreter", "path" : "DiagnosticReport.resultsInterpreter", "short" : "Primary result interpreter", "definition" : "The practitioner or organization that is responsible for the report's conclusions and interpretations.", "comment" : "Might not be the same entity that takes responsibility for the clinical report.", "requirements" : "Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis.", "alias" : [ "Analyzed by", "Reported by" ], "min" : 0, "max" : "*", "base" : { "path" : "DiagnosticReport.resultsInterpreter", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/Organization", "http://hl7.org/fhir/StructureDefinition/CareTeam" ] } ], "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "workflow", "map" : "Event.performer.actor" }, { "identity" : "w5", "map" : "FiveWs.actor" }, { "identity" : "v2", "map" : "OBR-32, PRT-8 (where this PRT-4-Participation = "PI")" }, { "identity" : "rim", "map" : ".participation[typeCode=PRF]" } ] }, { "id" : "DiagnosticReport.specimen", "path" : "DiagnosticReport.specimen", "short" : "Specimens this report is based on", "definition" : "Details about the specimens on which this diagnostic report is based.", "comment" : "If the specimen is sufficiently specified with a code in the test result name, then this additional data may be redundant. If there are multiple specimens, these may be represented per observation or group.", "requirements" : "Need to be able to report information about the collected specimens on which the report is based.", "min" : 0, "max" : "*", "base" : { "path" : "DiagnosticReport.specimen", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/specimen" ] } ], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "v2", "map" : "SPM" }, { "identity" : "rim", "map" : "participation[typeCode=SBJ]" } ] }, { "id" : "DiagnosticReport.result", "path" : "DiagnosticReport.result", "slicing" : { "discriminator" : [ { "type" : "pattern", "path" : "resolve().code" } ], "rules" : "open" }, "short" : "Observations - simple, or complex nested groups", "definition" : "Observations that are part of this diagnostic report. Observations can be simple name/value pairs (e.g. "atomic" results), or they can be grouping observations that include references to other members of the group (e.g. "panels").", "requirements" : "Need to support individual results, or report groups of results, where the result grouping is arbitrary, but meaningful. This structure is recursive - observations can contain observations.", "alias" : [ "Data", "Atomic Value", "Result", "Atomic result", "Data", "Test", "Analyte", "Battery", "Organizer" ], "min" : 1, "max" : "*", "base" : { "path" : "DiagnosticReport.result", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/StructureDefinition/Observation" ] } ], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "v2", "map" : "OBXs" }, { "identity" : "rim", "map" : "outboundRelationship[typeCode=COMP].target" } ] }, { "id" : "DiagnosticReport.result:obs-gen-panel", "path" : "DiagnosticReport.result", "sliceName" : "obs-gen-panel", "short" : "Genetic panel", "definition" : "Observations that are part of this diagnostic report. Observations can be simple name/value pairs (e.g. "atomic" results), or they can be grouping observations that include references to other members of the group (e.g. "panels").", "requirements" : "Need to support individual results, or report groups of results, where the result grouping is arbitrary, but meaningful. This structure is recursive - observations can contain observations.", "alias" : [ "Data", "Atomic Value", "Result", "Atomic result", "Data", "Test", "Analyte", "Battery", "Organizer" ], "min" : 0, "max" : "*", "base" : { "path" : "DiagnosticReport.result", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-gen-panel" ] } ], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "v2", "map" : "OBXs" }, { "identity" : "rim", "map" : "outboundRelationship[typeCode=COMP].target" }, { "identity" : "v2-cg-results", "map" : "TBD" } ] }, { "id" : "DiagnosticReport.result:overall", "path" : "DiagnosticReport.result", "sliceName" : "overall", "short" : "Assessment of overall results", "definition" : "Observations that are part of this diagnostic report. Observations can be simple name/value pairs (e.g. "atomic" results), or they can be grouping observations that include references to other members of the group (e.g. "panels").", "requirements" : "Need to support individual results, or report groups of results, where the result grouping is arbitrary, but meaningful. This structure is recursive - observations can contain observations.", "alias" : [ "Data", "Atomic Value", "Result", "Atomic result", "Data", "Test", "Analyte", "Battery", "Organizer" ], "min" : 0, "max" : "1", "base" : { "path" : "DiagnosticReport.result", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-overall" ] } ], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "v2", "map" : "OBXs" }, { "identity" : "rim", "map" : "outboundRelationship[typeCode=COMP].target" }, { "identity" : "v2-cg-results", "map" : "A.8" } ] }, { "id" : "DiagnosticReport.result:deletion-dup", "path" : "DiagnosticReport.result", "sliceName" : "deletion-dup", "short" : "Assessment of deletion/duplication results", "definition" : "Observations that are part of this diagnostic report. Observations can be simple name/value pairs (e.g. "atomic" results), or they can be grouping observations that include references to other members of the group (e.g. "panels").", "requirements" : "Need to support individual results, or report groups of results, where the result grouping is arbitrary, but meaningful. This structure is recursive - observations can contain observations.", "alias" : [ "Data", "Atomic Value", "Result", "Atomic result", "Data", "Test", "Analyte", "Battery", "Organizer" ], "min" : 0, "max" : "1", "base" : { "path" : "DiagnosticReport.result", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-deletion-dup" ] } ], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "v2", "map" : "OBXs" }, { "identity" : "rim", "map" : "outboundRelationship[typeCode=COMP].target" }, { "identity" : "v2-cg-results", "map" : "A.9" } ] }, { "id" : "DiagnosticReport.result:obs-chrom-overall", "path" : "DiagnosticReport.result", "sliceName" : "obs-chrom-overall", "short" : "Assessment of chromosomal abnormalities", "definition" : "Observations that are part of this diagnostic report. Observations can be simple name/value pairs (e.g. "atomic" results), or they can be grouping observations that include references to other members of the group (e.g. "panels").", "requirements" : "Need to support individual results, or report groups of results, where the result grouping is arbitrary, but meaningful. This structure is recursive - observations can contain observations.", "alias" : [ "Data", "Atomic Value", "Result", "Atomic result", "Data", "Test", "Analyte", "Battery", "Organizer" ], "min" : 0, "max" : "1", "base" : { "path" : "DiagnosticReport.result", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-chrom-overall" ] } ], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "v2", "map" : "OBXs" }, { "identity" : "rim", "map" : "outboundRelationship[typeCode=COMP].target" }, { "identity" : "v2-cg-results", "map" : "A.9" } ] }, { "id" : "DiagnosticReport.result:inh-dis-path", "path" : "DiagnosticReport.result", "sliceName" : "inh-dis-path", "short" : "Inherited Disease Pathology", "definition" : "Observations that are part of this diagnostic report. Observations can be simple name/value pairs (e.g. "atomic" results), or they can be grouping observations that include references to other members of the group (e.g. "panels").", "requirements" : "Need to support individual results, or report groups of results, where the result grouping is arbitrary, but meaningful. This structure is recursive - observations can contain observations.", "alias" : [ "Data", "Atomic Value", "Result", "Atomic result", "Data", "Test", "Analyte", "Battery", "Organizer" ], "min" : 0, "max" : "*", "base" : { "path" : "DiagnosticReport.result", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-inh-dis-path" ] } ], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "v2", "map" : "OBXs" }, { "identity" : "rim", "map" : "outboundRelationship[typeCode=COMP].target" }, { "identity" : "v2-cg-results", "map" : "TBD" } ] }, { "id" : "DiagnosticReport.result:som-diagnostic", "path" : "DiagnosticReport.result", "sliceName" : "som-diagnostic", "short" : "Somatic Diagnostic", "definition" : "Observations that are part of this diagnostic report. Observations can be simple name/value pairs (e.g. "atomic" results), or they can be grouping observations that include references to other members of the group (e.g. "panels").", "requirements" : "Need to support individual results, or report groups of results, where the result grouping is arbitrary, but meaningful. This structure is recursive - observations can contain observations.", "alias" : [ "Data", "Atomic Value", "Result", "Atomic result", "Data", "Test", "Analyte", "Battery", "Organizer" ], "min" : 0, "max" : "*", "base" : { "path" : "DiagnosticReport.result", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-som-diagnostic" ] } ], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "v2", "map" : "OBXs" }, { "identity" : "rim", "map" : "outboundRelationship[typeCode=COMP].target" }, { "identity" : "v2-cg-results", "map" : "TBD" } ] }, { "id" : "DiagnosticReport.result:som-prognostic", "path" : "DiagnosticReport.result", "sliceName" : "som-prognostic", "short" : "Somatic Prognostic", "definition" : "Observations that are part of this diagnostic report. Observations can be simple name/value pairs (e.g. "atomic" results), or they can be grouping observations that include references to other members of the group (e.g. "panels").", "requirements" : "Need to support individual results, or report groups of results, where the result grouping is arbitrary, but meaningful. This structure is recursive - observations can contain observations.", "alias" : [ "Data", "Atomic Value", "Result", "Atomic result", "Data", "Test", "Analyte", "Battery", "Organizer" ], "min" : 0, "max" : "*", "base" : { "path" : "DiagnosticReport.result", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-som-prognostic" ] } ], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "v2", "map" : "OBXs" }, { "identity" : "rim", "map" : "outboundRelationship[typeCode=COMP].target" }, { "identity" : "v2-cg-results", "map" : "TBD" } ] }, { "id" : "DiagnosticReport.result:som-predictive", "path" : "DiagnosticReport.result", "sliceName" : "som-predictive", "short" : "Somatic Predictive", "definition" : "Observations that are part of this diagnostic report. Observations can be simple name/value pairs (e.g. "atomic" results), or they can be grouping observations that include references to other members of the group (e.g. "panels").", "requirements" : "Need to support individual results, or report groups of results, where the result grouping is arbitrary, but meaningful. This structure is recursive - observations can contain observations.", "alias" : [ "Data", "Atomic Value", "Result", "Atomic result", "Data", "Test", "Analyte", "Battery", "Organizer" ], "min" : 0, "max" : "*", "base" : { "path" : "DiagnosticReport.result", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-som-predictive" ] } ], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "v2", "map" : "OBXs" }, { "identity" : "rim", "map" : "outboundRelationship[typeCode=COMP].target" }, { "identity" : "v2-cg-results", "map" : "TBD" } ] }, { "id" : "DiagnosticReport.result:med-metabolism", "path" : "DiagnosticReport.result", "sliceName" : "med-metabolism", "short" : "Metabolism Impact", "definition" : "Observations that are part of this diagnostic report. Observations can be simple name/value pairs (e.g. "atomic" results), or they can be grouping observations that include references to other members of the group (e.g. "panels").", "requirements" : "Need to support individual results, or report groups of results, where the result grouping is arbitrary, but meaningful. This structure is recursive - observations can contain observations.", "alias" : [ "Data", "Atomic Value", "Result", "Atomic result", "Data", "Test", "Analyte", "Battery", "Organizer" ], "min" : 0, "max" : "*", "base" : { "path" : "DiagnosticReport.result", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-metabolism" ] } ], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "v2", "map" : "OBXs" }, { "identity" : "rim", "map" : "outboundRelationship[typeCode=COMP].target" }, { "identity" : "v2-cg-results", "map" : "TDB" } ] }, { "id" : "DiagnosticReport.result:med-efficacy", "path" : "DiagnosticReport.result", "sliceName" : "med-efficacy", "short" : "Efficacy Impact", "definition" : "Observations that are part of this diagnostic report. Observations can be simple name/value pairs (e.g. "atomic" results), or they can be grouping observations that include references to other members of the group (e.g. "panels").", "requirements" : "Need to support individual results, or report groups of results, where the result grouping is arbitrary, but meaningful. This structure is recursive - observations can contain observations.", "alias" : [ "Data", "Atomic Value", "Result", "Atomic result", "Data", "Test", "Analyte", "Battery", "Organizer" ], "min" : 0, "max" : "*", "base" : { "path" : "DiagnosticReport.result", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-efficacy" ] } ], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "v2", "map" : "OBXs" }, { "identity" : "rim", "map" : "outboundRelationship[typeCode=COMP].target" }, { "identity" : "v2-cg-results", "map" : "TDB" } ] }, { "id" : "DiagnosticReport.result:med-high-risk", "path" : "DiagnosticReport.result", "sliceName" : "med-high-risk", "short" : "High-Risk Medication Impact", "definition" : "Observations that are part of this diagnostic report. Observations can be simple name/value pairs (e.g. "atomic" results), or they can be grouping observations that include references to other members of the group (e.g. "panels").", "requirements" : "Need to support individual results, or report groups of results, where the result grouping is arbitrary, but meaningful. This structure is recursive - observations can contain observations.", "alias" : [ "Data", "Atomic Value", "Result", "Atomic result", "Data", "Test", "Analyte", "Battery", "Organizer" ], "min" : 0, "max" : "*", "base" : { "path" : "DiagnosticReport.result", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-high-risk" ] } ], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "v2", "map" : "OBXs" }, { "identity" : "rim", "map" : "outboundRelationship[typeCode=COMP].target" }, { "identity" : "v2-cg-results", "map" : "TDB" } ] }, { "id" : "DiagnosticReport.result:obs-chrom-g-band", "path" : "DiagnosticReport.result", "sliceName" : "obs-chrom-g-band", "short" : "Chromosome G-Band results", "definition" : "Observations that are part of this diagnostic report. Observations can be simple name/value pairs (e.g. "atomic" results), or they can be grouping observations that include references to other members of the group (e.g. "panels").", "requirements" : "Need to support individual results, or report groups of results, where the result grouping is arbitrary, but meaningful. This structure is recursive - observations can contain observations.", "alias" : [ "Data", "Atomic Value", "Result", "Atomic result", "Data", "Test", "Analyte", "Battery", "Organizer" ], "min" : 0, "max" : "*", "base" : { "path" : "DiagnosticReport.result", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-chrom-g-band" ] } ], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "v2", "map" : "OBXs" }, { "identity" : "rim", "map" : "outboundRelationship[typeCode=COMP].target" }, { "identity" : "v2-cg-results", "map" : "TBD" } ] }, { "id" : "DiagnosticReport.result:obs-chrom-fish", "path" : "DiagnosticReport.result", "sliceName" : "obs-chrom-fish", "short" : "Chromosome FISH-test results", "definition" : "Observations that are part of this diagnostic report. Observations can be simple name/value pairs (e.g. "atomic" results), or they can be grouping observations that include references to other members of the group (e.g. "panels").", "requirements" : "Need to support individual results, or report groups of results, where the result grouping is arbitrary, but meaningful. This structure is recursive - observations can contain observations.", "alias" : [ "Data", "Atomic Value", "Result", "Atomic result", "Data", "Test", "Analyte", "Battery", "Organizer" ], "min" : 0, "max" : "*", "base" : { "path" : "DiagnosticReport.result", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-chrom-fish" ] } ], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "v2", "map" : "OBXs" }, { "identity" : "rim", "map" : "outboundRelationship[typeCode=COMP].target" }, { "identity" : "v2-cg-results", "map" : "TBD" } ] }, { "id" : "DiagnosticReport.result:obs-cytogenic-not", "path" : "DiagnosticReport.result", "sliceName" : "obs-cytogenic-not", "short" : "Cytogenic Notation", "definition" : "Observations that are part of this diagnostic report. Observations can be simple name/value pairs (e.g. "atomic" results), or they can be grouping observations that include references to other members of the group (e.g. "panels").", "requirements" : "Need to support individual results, or report groups of results, where the result grouping is arbitrary, but meaningful. This structure is recursive - observations can contain observations.", "alias" : [ "Data", "Atomic Value", "Result", "Atomic result", "Data", "Test", "Analyte", "Battery", "Organizer" ], "min" : 0, "max" : "*", "base" : { "path" : "DiagnosticReport.result", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-cytogenic-not" ] } ], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "v2", "map" : "OBXs" }, { "identity" : "rim", "map" : "outboundRelationship[typeCode=COMP].target" }, { "identity" : "v2-cg-results", "map" : "TBD" } ] }, { "id" : "DiagnosticReport.result:obs-genotype", "path" : "DiagnosticReport.result", "sliceName" : "obs-genotype", "short" : "Genotype", "definition" : "Observations that are part of this diagnostic report. Observations can be simple name/value pairs (e.g. "atomic" results), or they can be grouping observations that include references to other members of the group (e.g. "panels").", "requirements" : "Need to support individual results, or report groups of results, where the result grouping is arbitrary, but meaningful. This structure is recursive - observations can contain observations.", "alias" : [ "Data", "Atomic Value", "Result", "Atomic result", "Data", "Test", "Analyte", "Battery", "Organizer" ], "min" : 0, "max" : "*", "base" : { "path" : "DiagnosticReport.result", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-genotype" ] } ], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "v2", "map" : "OBXs" }, { "identity" : "rim", "map" : "outboundRelationship[typeCode=COMP].target" }, { "identity" : "v2-cg-results", "map" : "TBD" } ] }, { "id" : "DiagnosticReport.result:obs-haplotype", "path" : "DiagnosticReport.result", "sliceName" : "obs-haplotype", "short" : "Haplotype", "definition" : "Observations that are part of this diagnostic report. Observations can be simple name/value pairs (e.g. "atomic" results), or they can be grouping observations that include references to other members of the group (e.g. "panels").", "requirements" : "Need to support individual results, or report groups of results, where the result grouping is arbitrary, but meaningful. This structure is recursive - observations can contain observations.", "alias" : [ "Data", "Atomic Value", "Result", "Atomic result", "Data", "Test", "Analyte", "Battery", "Organizer" ], "min" : 0, "max" : "*", "base" : { "path" : "DiagnosticReport.result", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-haplotype" ] } ], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "v2", "map" : "OBXs" }, { "identity" : "rim", "map" : "outboundRelationship[typeCode=COMP].target" }, { "identity" : "v2-cg-results", "map" : "TBD" } ] }, { "id" : "DiagnosticReport.result:obs-complex-variant", "path" : "DiagnosticReport.result", "sliceName" : "obs-complex-variant", "short" : "Complex Variant", "definition" : "Observations that are part of this diagnostic report. Observations can be simple name/value pairs (e.g. "atomic" results), or they can be grouping observations that include references to other members of the group (e.g. "panels").", "requirements" : "Need to support individual results, or report groups of results, where the result grouping is arbitrary, but meaningful. This structure is recursive - observations can contain observations.", "alias" : [ "Data", "Atomic Value", "Result", "Atomic result", "Data", "Test", "Analyte", "Battery", "Organizer" ], "min" : 0, "max" : "*", "base" : { "path" : "DiagnosticReport.result", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-complex-variant" ] } ], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "v2", "map" : "OBXs" }, { "identity" : "rim", "map" : "outboundRelationship[typeCode=COMP].target" }, { "identity" : "v2-cg-results", "map" : "TBD" } ] }, { "id" : "DiagnosticReport.result:obs-described-variant", "path" : "DiagnosticReport.result", "sliceName" : "obs-described-variant", "short" : "Described Variant", "definition" : "Observations that are part of this diagnostic report. Observations can be simple name/value pairs (e.g. "atomic" results), or they can be grouping observations that include references to other members of the group (e.g. "panels").", "requirements" : "Need to support individual results, or report groups of results, where the result grouping is arbitrary, but meaningful. This structure is recursive - observations can contain observations.", "alias" : [ "Data", "Atomic Value", "Result", "Atomic result", "Data", "Test", "Analyte", "Battery", "Organizer" ], "min" : 0, "max" : "*", "base" : { "path" : "DiagnosticReport.result", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-described-variant" ] } ], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "v2", "map" : "OBXs" }, { "identity" : "rim", "map" : "outboundRelationship[typeCode=COMP].target" }, { "identity" : "v2-cg-results", "map" : "TBD" } ] }, { "id" : "DiagnosticReport.imagingStudy", "path" : "DiagnosticReport.imagingStudy", "short" : "Reference to full details of imaging associated with the diagnostic report", "definition" : "One or more links to full details of any imaging performed during the diagnostic investigation. Typically, this is imaging performed by DICOM enabled modalities, but this is not required. A fully enabled PACS viewer can use this information to provide views of the source images.", "comment" : "ImagingStudy and the image element are somewhat overlapping - typically, the list of image references in the image element will also be found in one of the imaging study resources. However each caters to different types of displays for different types of purposes. Neither, either, or both may be provided.", "min" : 0, "max" : "0", "base" : { "path" : "DiagnosticReport.imagingStudy", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/StructureDefinition/ImagingStudy" ] } ], "mustSupport" : false, "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "outboundRelationship[typeCode=COMP].target[classsCode=DGIMG, moodCode=EVN]" } ] }, { "id" : "DiagnosticReport.media", "path" : "DiagnosticReport.media", "short" : "Key images associated with this report", "definition" : "A list of key images associated with this report. The images are generally created during the diagnostic process, and may be directly of the patient, or of treated specimens (i.e. slides of interest).", "comment" : "This might be used to convey cytogenic-related images.", "requirements" : "Many diagnostic services include images in the report as part of their service.", "alias" : [ "DICOM", "Slides", "Scans" ], "min" : 0, "max" : "1", "base" : { "path" : "DiagnosticReport.media", "min" : 0, "max" : "*" }, "type" : [ { "code" : "BackboneElement" } ], "constraint" : [ { "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() | (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "Element" } ], "mustSupport" : false, "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "v2", "map" : "OBX?" }, { "identity" : "rim", "map" : "outboundRelationship[typeCode=COMP].target" } ] }, { "id" : "DiagnosticReport.media.id", "path" : "DiagnosticReport.media.id", "representation" : [ "xmlAttr" ], "short" : "xml:id (or equivalent in JSON)", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "DiagnosticReport.media.extension", "path" : "DiagnosticReport.media.extension", "short" : "Additional content defined by implementations", "definition" : "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" : "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" : [ "extensions", "user content" ], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : "n/a" } ] }, { "id" : "DiagnosticReport.media.modifierExtension", "path" : "DiagnosticReport.media.modifierExtension", "short" : "Extensions that cannot be ignored", "definition" : "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. 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.", "comment" : "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" : [ "extensions", "user content", "modifiers" ], "min" : 0, "max" : "*", "base" : { "path" : "BackboneElement.modifierExtension", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Extension" } ], "isModifier" : true, "isModifierReason" : "modifierExtension is reserved for use where modifier extensions must be used", "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : "N/A" } ] }, { "id" : "DiagnosticReport.media.comment", "path" : "DiagnosticReport.media.comment", "short" : "Comment about the image (e.g. explanation)", "definition" : "A comment about the image. Typically, this is used to provide an explanation for why the image is included, or to draw the viewer's attention to important features.", "comment" : "The comment should be displayed with the image. It would be common for the report to include additional discussion of the image contents in other sections such as the conclusion.", "requirements" : "The provider of the report should make a comment about each image included in the report.", "min" : 0, "max" : "1", "base" : { "path" : "DiagnosticReport.media.comment", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "rim", "map" : ".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="annotation"].value" } ] }, { "id" : "DiagnosticReport.media.link", "path" : "DiagnosticReport.media.link", "short" : "Reference to the image source", "definition" : "Reference to the image source.", "min" : 1, "max" : "1", "base" : { "path" : "DiagnosticReport.media.link", "min" : 1, "max" : "1" }, "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/StructureDefinition/Media" ] } ], "isModifier" : false, "isSummary" : true, "mapping" : [ { "identity" : "rim", "map" : ".value.reference" } ] }, { "id" : "DiagnosticReport.conclusion", "path" : "DiagnosticReport.conclusion", "short" : "Clinical Interpretation of test results", "definition" : "Concise and clinically contextualized impression / summary of the diagnostic report.", "requirements" : "Need to be able to provide a conclusion that is not lost among the basic result data.", "alias" : [ "Report" ], "min" : 0, "max" : "1", "base" : { "path" : "DiagnosticReport.conclusion", "min" : 0, "max" : "1" }, "type" : [ { "code" : "string" } ], "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "v2", "map" : "OBX" }, { "identity" : "rim", "map" : "inboundRelationship[typeCode="SPRT"].source[classCode=OBS, moodCode=EVN, code=LOINC:48767-8].value (type=ST)" } ] }, { "id" : "DiagnosticReport.codedDiagnosis", "path" : "DiagnosticReport.codedDiagnosis", "short" : "Codes for the conclusion", "definition" : "Codes for the conclusion.", "min" : 0, "max" : "*", "base" : { "path" : "DiagnosticReport.codedDiagnosis", "min" : 0, "max" : "*" }, "type" : [ { "code" : "CodeableConcept" } ], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [ { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "AdjunctDiagnosis" } ], "strength" : "example", "description" : "Diagnosis codes provided as adjuncts to the report.", "valueSetCanonical" : "http://hl7.org/fhir/ValueSet/clinical-findings" }, "mapping" : [ { "identity" : "v2", "map" : "OBX" }, { "identity" : "rim", "map" : "inboundRelationship[typeCode=SPRT].source[classCode=OBS, moodCode=EVN, code=LOINC:54531-9].value (type=CD)" } ] }, { "id" : "DiagnosticReport.presentedForm", "path" : "DiagnosticReport.presentedForm", "short" : "Entire report as issued", "definition" : "Rich text representation of the entire result as issued by the diagnostic service. Multiple formats are allowed but they SHALL be semantically equivalent.", "comment" : ""application/pdf" is recommended as the most reliable and interoperable in this context.", "requirements" : "Gives laboratory the ability to provide its own fully formatted report for clinical fidelity.", "min" : 0, "max" : "*", "base" : { "path" : "DiagnosticReport.presentedForm", "min" : 0, "max" : "*" }, "type" : [ { "code" : "Attachment" } ], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [ { "identity" : "v2", "map" : "OBX" }, { "identity" : "rim", "map" : "text (type=ED)" }, { "identity" : "v2-cg-results", "map" : "A.10" } ] } ] }, "differential" : { "element" : [ { "id" : "DiagnosticReport", "path" : "DiagnosticReport", "short" : "Genetics Diagnostic Report", "definition" : "Defines the overall genetic report.", "mustSupport" : false, "isModifier" : false }, { "id" : "DiagnosticReport.extension:related-artifact", "path" : "DiagnosticReport.extension", "sliceName" : "related-artifact", "short" : "Citations and supporting info", "definition" : "References to literature that supports the assertions made within the report, describes the methodology used in testing or other information relevant to the interpretation of the report.", "min" : 0, "max" : "1", "type" : [ { "code" : "Extension", "profile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/dr-relatedArtifact" ] } ], "mustSupport" : true, "isModifier" : false }, { "id" : "DiagnosticReport.extension:recommended-action", "path" : "DiagnosticReport.extension", "sliceName" : "recommended-action", "short" : "Tasks relevant to report", "min" : 0, "max" : "*", "type" : [ { "code" : "Extension", "profile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/dr-recommendedAction" ] } ], "mustSupport" : true, "isModifier" : false, "mapping" : [ { "identity" : "v2-cg-results", "map" : "N/A (from other CG FHIR work)" } ] }, { "id" : "DiagnosticReport.extension:recommended-action.valueReference", "path" : "DiagnosticReport.extension.valueReference", "short" : "Recommended action tasks relevant to report", "min" : 1, "max" : "1", "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/StructureDefinition/Task" ] } ], "mustSupport" : true, "isModifier" : false, "mapping" : [ { "identity" : "v2-cg-results", "map" : "N/A (from other CG FHIR work)" } ] }, { "id" : "DiagnosticReport.extension:supportinginfo", "path" : "DiagnosticReport.extension", "sliceName" : "supportingInfo", "short" : "Other resources that support report", "min" : 0, "max" : "*", "type" : [ { "code" : "Extension", "profile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/dr-supportingInfo" ] } ], "mustSupport" : true, "isModifier" : false, "mapping" : [ { "identity" : "v2-cg-results", "map" : "N/A (from other CG FHIR work)" } ] }, { "id" : "DiagnosticReport.extension:supportinginfo.valueReference", "path" : "DiagnosticReport.extension.valueReference", "short" : "Family history with relevance to report", "min" : 1, "max" : "1", "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory", "http://hl7.org/fhir/StructureDefinition/RiskAssessment", "http://hl7.org/fhir/StructureDefinition/Observation", "http://hl7.org/fhir/StructureDefinition/DocumentReference" ] } ], "mustSupport" : true, "isModifier" : false, "mapping" : [ { "identity" : "v2-cg-results", "map" : "N/A (from other CG FHIR work)" } ] }, { "id" : "DiagnosticReport.extension:risk", "path" : "DiagnosticReport.extension", "sliceName" : "risk", "min" : 0, "max" : "*", "type" : [ { "code" : "Extension", "profile" : [ "http://hl7.org/fhir/StructureDefinition/diagnosticReport-risk" ] } ], "mustSupport" : true, "isModifier" : false }, { "id" : "DiagnosticReport.extension:risk.valueReference", "path" : "DiagnosticReport.extension.valueReference", "min" : 1, "max" : "1", "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/StructureDefinition/RiskAssessment" ] } ], "mustSupport" : true, "isModifier" : false }, { "id" : "DiagnosticReport.identifier", "path" : "DiagnosticReport.identifier", "min" : 0, "max" : "1", "type" : [ { "code" : "Identifier" } ], "mustSupport" : true, "isModifier" : false }, { "id" : "DiagnosticReport.basedOn", "path" : "DiagnosticReport.basedOn", "min" : 0, "max" : "*", "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/StructureDefinition/ServiceRequest" ] } ], "mustSupport" : true, "isModifier" : false }, { "id" : "DiagnosticReport.status", "path" : "DiagnosticReport.status", "mustSupport" : true, "isModifier" : false }, { "id" : "DiagnosticReport.category", "path" : "DiagnosticReport.category", "min" : 0, "max" : "1", "type" : [ { "code" : "CodeableConcept" } ], "patternCodeableConcept" : { "coding" : [ { "system" : "http://hl7.org/fhir/v2/0074", "code" : "GE" } ] }, "mustSupport" : true, "isModifier" : false }, { "id" : "DiagnosticReport.code", "path" : "DiagnosticReport.code", "min" : 1, "max" : "1", "mustSupport" : true, "isModifier" : false }, { "id" : "DiagnosticReport.code.coding:code", "path" : "DiagnosticReport.code.coding", "sliceName" : "code", "slicing" : { "discriminator" : [ { "type" : "value", "path" : "system" }, { "type" : "value", "path" : "code" } ], "rules" : "open" }, "min" : 1, "max" : "1", "mustSupport" : true, "isModifier" : false }, { "id" : "DiagnosticReport.code.coding:code.system", "path" : "DiagnosticReport.code.coding.system", "min" : 1, "max" : "1", "type" : [ { "code" : "uri" } ], "fixedUri" : "http://loinc.org", "mustSupport" : true, "isModifier" : false }, { "id" : "DiagnosticReport.code.coding:code.code", "path" : "DiagnosticReport.code.coding.code", "short" : "Master HL7 genetic variant reporting panel", "min" : 1, "max" : "1", "type" : [ { "code" : "code" } ], "fixedCode" : "81247-9", "mustSupport" : true, "isModifier" : false }, { "id" : "DiagnosticReport.subject", "path" : "DiagnosticReport.subject", "min" : 0, "max" : "1", "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Group", "http://hl7.org/fhir/StructureDefinition/Location" ] } ], "mustSupport" : true, "isModifier" : false }, { "id" : "DiagnosticReport.effectiveDateTime", "path" : "DiagnosticReport.effectiveDateTime", "min" : 0, "max" : "1", "mustSupport" : true, "isModifier" : false }, { "id" : "DiagnosticReport.issued", "path" : "DiagnosticReport.issued", "min" : 0, "max" : "1", "mustSupport" : true, "isModifier" : false }, { "id" : "DiagnosticReport.performer", "path" : "DiagnosticReport.performer", "min" : 0, "max" : "1", "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/StructureDefinition/Organization" ] } ], "mustSupport" : true, "isModifier" : false }, { "id" : "DiagnosticReport.specimen", "path" : "DiagnosticReport.specimen", "min" : 0, "max" : "*", "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/specimen" ] } ], "mustSupport" : true, "isModifier" : false }, { "id" : "DiagnosticReport.result", "path" : "DiagnosticReport.result", "slicing" : { "discriminator" : [ { "type" : "pattern", "path" : "resolve().code" } ], "rules" : "open" }, "min" : 1, "max" : "*", "mustSupport" : true, "isModifier" : false }, { "id" : "DiagnosticReport.result:obs-gen-panel", "path" : "DiagnosticReport.result", "sliceName" : "obs-gen-panel", "short" : "Genetic panel", "min" : 0, "max" : "*", "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-gen-panel" ] } ], "mustSupport" : true, "isModifier" : false, "mapping" : [ { "identity" : "v2-cg-results", "map" : "TBD" } ] }, { "id" : "DiagnosticReport.result:overall", "path" : "DiagnosticReport.result", "sliceName" : "overall", "short" : "Assessment of overall results", "min" : 0, "max" : "1", "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-overall" ] } ], "mustSupport" : true, "isModifier" : false, "mapping" : [ { "identity" : "v2-cg-results", "map" : "A.8" } ] }, { "id" : "DiagnosticReport.result:deletion-dup", "path" : "DiagnosticReport.result", "sliceName" : "deletion-dup", "short" : "Assessment of deletion/duplication results", "min" : 0, "max" : "1", "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-deletion-dup" ] } ], "mustSupport" : true, "isModifier" : false, "mapping" : [ { "identity" : "v2-cg-results", "map" : "A.9" } ] }, { "id" : "DiagnosticReport.result:obs-chrom-overall", "path" : "DiagnosticReport.result", "sliceName" : "obs-chrom-overall", "short" : "Assessment of chromosomal abnormalities", "min" : 0, "max" : "1", "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-chrom-overall" ] } ], "mustSupport" : true, "isModifier" : false, "mapping" : [ { "identity" : "v2-cg-results", "map" : "A.9" } ] }, { "id" : "DiagnosticReport.result:inh-dis-path", "path" : "DiagnosticReport.result", "sliceName" : "inh-dis-path", "short" : "Inherited Disease Pathology", "min" : 0, "max" : "*", "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-inh-dis-path" ] } ], "mustSupport" : true, "isModifier" : false, "mapping" : [ { "identity" : "v2-cg-results", "map" : "TBD" } ] }, { "id" : "DiagnosticReport.result:som-diagnostic", "path" : "DiagnosticReport.result", "sliceName" : "som-diagnostic", "short" : "Somatic Diagnostic", "min" : 0, "max" : "*", "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-som-diagnostic" ] } ], "mustSupport" : true, "isModifier" : false, "mapping" : [ { "identity" : "v2-cg-results", "map" : "TBD" } ] }, { "id" : "DiagnosticReport.result:som-prognostic", "path" : "DiagnosticReport.result", "sliceName" : "som-prognostic", "short" : "Somatic Prognostic", "min" : 0, "max" : "*", "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-som-prognostic" ] } ], "mustSupport" : true, "isModifier" : false, "mapping" : [ { "identity" : "v2-cg-results", "map" : "TBD" } ] }, { "id" : "DiagnosticReport.result:som-predictive", "path" : "DiagnosticReport.result", "sliceName" : "som-predictive", "short" : "Somatic Predictive", "min" : 0, "max" : "*", "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-som-predictive" ] } ], "mustSupport" : true, "isModifier" : false, "mapping" : [ { "identity" : "v2-cg-results", "map" : "TBD" } ] }, { "id" : "DiagnosticReport.result:med-metabolism", "path" : "DiagnosticReport.result", "sliceName" : "med-metabolism", "short" : "Metabolism Impact", "min" : 0, "max" : "*", "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-metabolism" ] } ], "mustSupport" : true, "isModifier" : false, "mapping" : [ { "identity" : "v2-cg-results", "map" : "TDB" } ] }, { "id" : "DiagnosticReport.result:med-efficacy", "path" : "DiagnosticReport.result", "sliceName" : "med-efficacy", "short" : "Efficacy Impact", "min" : 0, "max" : "*", "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-efficacy" ] } ], "mustSupport" : true, "isModifier" : false, "mapping" : [ { "identity" : "v2-cg-results", "map" : "TDB" } ] }, { "id" : "DiagnosticReport.result:med-high-risk", "path" : "DiagnosticReport.result", "sliceName" : "med-high-risk", "short" : "High-Risk Medication Impact", "min" : 0, "max" : "*", "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-high-risk" ] } ], "mustSupport" : true, "isModifier" : false, "mapping" : [ { "identity" : "v2-cg-results", "map" : "TDB" } ] }, { "id" : "DiagnosticReport.result:obs-chrom-g-band", "path" : "DiagnosticReport.result", "sliceName" : "obs-chrom-g-band", "short" : "Chromosome G-Band results", "min" : 0, "max" : "*", "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-chrom-g-band" ] } ], "mustSupport" : true, "isModifier" : false, "mapping" : [ { "identity" : "v2-cg-results", "map" : "TBD" } ] }, { "id" : "DiagnosticReport.result:obs-chrom-fish", "path" : "DiagnosticReport.result", "sliceName" : "obs-chrom-fish", "short" : "Chromosome FISH-test results", "min" : 0, "max" : "*", "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-chrom-fish" ] } ], "mustSupport" : true, "isModifier" : false, "mapping" : [ { "identity" : "v2-cg-results", "map" : "TBD" } ] }, { "id" : "DiagnosticReport.result:obs-cytogenic-not", "path" : "DiagnosticReport.result", "sliceName" : "obs-cytogenic-not", "short" : "Cytogenic Notation", "min" : 0, "max" : "*", "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-cytogenic-not" ] } ], "mustSupport" : true, "isModifier" : false, "mapping" : [ { "identity" : "v2-cg-results", "map" : "TBD" } ] }, { "id" : "DiagnosticReport.result:obs-genotype", "path" : "DiagnosticReport.result", "sliceName" : "obs-genotype", "short" : "Genotype", "min" : 0, "max" : "*", "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-genotype" ] } ], "mustSupport" : true, "isModifier" : false, "mapping" : [ { "identity" : "v2-cg-results", "map" : "TBD" } ] }, { "id" : "DiagnosticReport.result:obs-haplotype", "path" : "DiagnosticReport.result", "sliceName" : "obs-haplotype", "short" : "Haplotype", "min" : 0, "max" : "*", "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-haplotype" ] } ], "mustSupport" : true, "isModifier" : false, "mapping" : [ { "identity" : "v2-cg-results", "map" : "TBD" } ] }, { "id" : "DiagnosticReport.result:obs-complex-variant", "path" : "DiagnosticReport.result", "sliceName" : "obs-complex-variant", "short" : "Complex Variant", "min" : 0, "max" : "*", "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-complex-variant" ] } ], "mustSupport" : true, "isModifier" : false, "mapping" : [ { "identity" : "v2-cg-results", "map" : "TBD" } ] }, { "id" : "DiagnosticReport.result:obs-described-variant", "path" : "DiagnosticReport.result", "sliceName" : "obs-described-variant", "short" : "Described Variant", "min" : 0, "max" : "*", "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/obs-described-variant" ] } ], "mustSupport" : true, "isModifier" : false, "mapping" : [ { "identity" : "v2-cg-results", "map" : "TBD" } ] }, { "id" : "DiagnosticReport.imagingStudy", "path" : "DiagnosticReport.imagingStudy", "min" : 0, "max" : "0", "type" : [ { "code" : "Reference", "targetProfile" : [ "http://hl7.org/fhir/StructureDefinition/ImagingStudy" ] } ], "mustSupport" : false, "isModifier" : false }, { "id" : "DiagnosticReport.media", "path" : "DiagnosticReport.media", "comment" : "This might be used to convey cytogenic-related images.", "min" : 0, "max" : "1", "mustSupport" : false, "isModifier" : false }, { "id" : "DiagnosticReport.presentedForm", "path" : "DiagnosticReport.presentedForm", "mustSupport" : true, "isModifier" : false, "mapping" : [ { "identity" : "v2-cg-results", "map" : "A.10" } ] } ] } }