DRAFT Implementation Guide

This is for collaboration and discussion purposes and is subject to change.

NHS England North West GMSA - IHE Laboratory Testing Workflow (LTW) - Local Development build (v0.0.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

• Content
• Detailed Descriptions
• Examples
• XML
• JSON

Resource Profile: Diagnostic Report

DRAFT Extension of UK Core DiagnosticReport which includes constraints from:

• NHS England Genomics DiagnosticReport use text descriptions only, not the rendered profile.

Usage:

• Refer to this Resource Profile: ServiceRequest

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from UKCoreDiagnosticReport

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	UKCoreDiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
Slices for extension				Content/Rules for all slices
extension:supporting-info		0..1	Reference(Resource)	Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
identifier	S	1..*	CorrelationIdentifier	Business identifier for report
Slices for basedOn		0..*	CodeableReference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested Slice: Unordered, Open by value:identifier.type
basedOn:All Slices				Content/Rules for all slices
identifier	S	1..1	CorrelationIdentifier	Logical reference, when literal reference is not known
basedOn:fillerOrderNumber	S	0..1	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Identifier assigned by the lab (ORC-3)
Slices for extension				Content/Rules for all slices
extension:concept		0..*	Extension	Extension
type	S	1..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: ServiceRequest
identifier		1..1	FillerOrderNumber	Logical reference, when literal reference is not known
basedOn:accessionNumber	S	0..1	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Identifier assigned by the lab
Slices for extension				Content/Rules for all slices
extension:concept		0..*	Extension	Extension
type	S	1..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: ServiceRequest
identifier		1..1	AccessionNumber	Logical reference, when literal reference is not known
code		1..1	CodeableConcept	ISSUE. See [National Genomic Test Directory](https://www.england.nhs.uk/wp-content/uploads/2018/08/rare-and-inherited-disease-eligibility-criteria-v2.pdf).
Slices for coding	S	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:GenomicTestDirectory	S	0..1	Coding	Code defined by a terminology system Binding: Genomic Test Directory (required)
system		1..1	uri	Identity of the terminology system Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
coding:PathologyAndLaboratoryMedicine		0..1	Coding	Use for Pathology and Laboratory Orders Binding: UK Core Pathology And Laboratory Medicine Observables (required)
system		1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
coding:NICIP		0..1	Coding	Use for Radiology Orders Binding: UK Core Pathology And Laboratory Medicine Observables (required)
system		1..1	uri	Identity of the terminology system Required Pattern: https://fhir.interweavedigital.nhs.uk/CodeSystem/Interweave-NICIP
subject		1..1	Reference(Patient)	The subject of the report - usually, but not always, the patient.
identifier		1..1	NHSNumber	Logical reference, when literal reference is not known
encounter		0..1	Reference(Encounter)	A reference identifier to the episode/stay/visit number in which the report was created. (HL7 v2 PV1-19)
identifier	O	0..1	VisitNumber	(HL7v2 PV1-19 Visit Number from OML_O21) Obligations Actor SHALL:populate-if-known Order Filler SHALL:populate-if-known Order Placer SHALL:populate-if-known Automation Manager
Slices for effective[x]	O	0..1	dateTime, Period	Clinically relevant time/time-period for report Slice: Unordered, Open by type:$this Obligations Actor SHOULD:populate-if-known Order Filler SHOULD:populate-if-known Order Placer SHOULD:populate-if-known Automation Manager
effective[x]:effectiveDateTime	S	0..1	dateTime	Clinically relevant time/time-period for report
Slices for performer		1..*	Reference(Practitioner | Organization)	Responsible Diagnostic Service Slice: Unordered, Open by pattern:type
performer:All Slices				Content/Rules for all slices
Slices for extension				Content/Rules for all slices
extension:performerFunction		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
type		1..1	uri	Type the reference refers to (e.g. "Patient")
identifier		1..1	Identifier	Logical reference, when literal reference is not known
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
performer:organisation		1..1	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service
Slices for extension				Content/Rules for all slices
extension:deviceReference		0..1	PerformerFunction(5.2.0)	Type of performance
extension:performerFunction		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
type		1..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: Organization
identifier		1..1	OrganisationCode	Logical reference, when literal reference is not known
performer:operator		0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service
Slices for extension				Content/Rules for all slices
extension:deviceReference		0..1	PerformerFunction(5.2.0)	Type of performance
extension:performerFunction		0..1	(Complex)	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
value[x]
coding		0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SPRF
type		1..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: Practitioner
identifier		1..1	EnglandPractitionerIdentifier	Logical reference, when literal reference is not known
Slices for resultsInterpreter		0..*	Reference(Practitioner | PractitionerRole)	Primary result interpreter Slice: Unordered, Open by value:type
resultsInterpreter:All Slices				Content/Rules for all slices
type		1..1	uri	Type the reference refers to (e.g. "Patient")
identifier		1..1	Identifier	Logical reference, when literal reference is not known
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
resultsInterpreter:primaryReporter		0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter
Slices for extension				Content/Rules for all slices
extension:deviceReference		0..*	ExtensionUKCoreDeviceReference	An additional Device reference for a DiagnosticReport.
type		1..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: Practitioner
identifier		1..1	EnglandPractitionerIdentifier	Logical reference, when literal reference is not known
specimen	S	0..*	Reference(Specimen)	Specimens this report is based on
presentedForm	S	1..*	NWAttachment	a reference to the full report (presentedForm)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
DiagnosticReport.code.coding:GenomicTestDirectory	required	GenomicTestDirectory (a valid code from Genomic Test Directory) https://fhir.north-west.england.nhs.uk/ValueSet/genomic-test-directory from this IG
DiagnosticReport.code.coding:PathologyAndLaboratoryMedicine	required	UKCorePathologyAndLaboratoryMedicineObservables https://fhir.hl7.org.uk/ValueSet/UKCore-PathologyAndLaboratoryMedicineObservables
DiagnosticReport.code.coding:NICIP	required	UKCorePathologyAndLaboratoryMedicineObservables https://fhir.hl7.org.uk/ValueSet/UKCore-PathologyAndLaboratoryMedicineObservables

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport	C	0..*	UKCoreDiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management ukcore-diag-lab-002: If extension-DiagnosticReport.media.link R5 Backport is used then DiagnsoticReport.media.link reference SHALL be empty
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:compositionReferenceR5	N	0..1	(Complex)	A Composition reference for a DiagnosticReport. This is a R5 backport. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
value[x]		1..1	Reference(Composition)	Reference to a Composition resource. ele-1: All FHIR elements must have a @value or children
extension:noteR5	N	0..*	(Complex)	Comments about the diagnostic report. This is a R5 backport. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note"
value[x]		1..1	Annotation	Comments about the diagnostic report. ele-1: All FHIR elements must have a @value or children
extension:supportingInfoR5	N	0..*	(Complex)	Additional info supporting the diagnostic report. This is a R5 backport. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for extension		2..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:type		1..1	Extension	Supporting information role code. Binding: hl7VS-VS-observationType (example) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"type"
value[x]		1..1	CodeableConcept	Value of extension ele-1: All FHIR elements must have a @value or children
extension:reference		1..1	Extension	Who or what participated in the activities related to the family member history. ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"reference"
value[x]		1..1	Reference(Procedure | Observation | DiagnosticReport)	Value of extension ele-1: All FHIR elements must have a @value or children
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo"
extension:supporting-info		0..1	Reference(Resource)	Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	SΣ	1..*	CorrelationIdentifier	Business identifier for report ele-1: All FHIR elements must have a @value or children
Slices for basedOn		0..*	CodeableReference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested Slice: Unordered, Open by value:identifier.type ele-1: All FHIR elements must have a @value or children
basedOn:All Slices				Content/Rules for all slices
Slices for extension				Content/Rules for all slices
extension:concept		0..1	CodeableConcept	ExtCodeableReference URL: https://fhir.north-west.england.nhs.uk/StructureDefinition/ext-codeable-reference ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	SΣ	1..1	CorrelationIdentifier	Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children
basedOn:fillerOrderNumber	S	0..1	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Identifier assigned by the lab (ORC-3) ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:concept		0..*	Extension	Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
type	SΣ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). ele-1: All FHIR elements must have a @value or children Required Pattern: ServiceRequest
identifier	SΣ	1..1	FillerOrderNumber	Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children
basedOn:accessionNumber	S	0..1	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Identifier assigned by the lab ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:concept		0..*	Extension	Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
type	SΣ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). ele-1: All FHIR elements must have a @value or children Required Pattern: ServiceRequest
identifier	SΣ	1..1	AccessionNumber	Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children
status	?!SΣ	1..1	code	The status of the diagnostic report. Binding: DiagnosticReportStatus (required): The status of the diagnostic report. ele-1: All FHIR elements must have a @value or children
category	SΣ	0..*	CodeableConcept	A code that classifies the clinical discipline, department or diagnostic service that created the report. Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	CodeableConcept	ISSUE. See [National Genomic Test Directory](https://www.england.nhs.uk/wp-content/uploads/2018/08/rare-and-inherited-disease-eligibility-criteria-v2.pdf). Binding: UK Core Report Code (preferred): Codes that describe Diagnostic Reports. ele-1: All FHIR elements must have a @value or children
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system ele-1: All FHIR elements must have a @value or children
coding:GenomicTestDirectory	SΣ	0..1	Coding	Code defined by a terminology system Binding: Genomic Test Directory (required) ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
coding:PathologyAndLaboratoryMedicine	Σ	0..1	Coding	Use for Pathology and Laboratory Orders Binding: UK Core Pathology And Laboratory Medicine Observables (required) ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: http://snomed.info/sct
coding:NICIP	Σ	0..1	Coding	Use for Radiology Orders Binding: UK Core Pathology And Laboratory Medicine Observables (required) ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: https://fhir.interweavedigital.nhs.uk/CodeSystem/Interweave-NICIP
subject	SΣ	1..1	Reference(Patient)	The subject of the report - usually, but not always, the patient. ele-1: All FHIR elements must have a @value or children
identifier	Σ	1..1	NHSNumber	Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children
encounter	SΣ	0..1	Reference(Encounter)	A reference identifier to the episode/stay/visit number in which the report was created. (HL7 v2 PV1-19) ele-1: All FHIR elements must have a @value or children
identifier	OΣ	0..1	VisitNumber	(HL7v2 PV1-19 Visit Number from OML_O21) ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Order Filler SHALL:populate-if-known Order Placer SHALL:populate-if-known Automation Manager
Slices for effective[x]	OΣ	0..1		Clinically relevant time/time-period for report Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children Obligations Actor SHOULD:populate-if-known Order Filler SHOULD:populate-if-known Order Placer SHOULD:populate-if-known Automation Manager
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	SΣ	0..1	dateTime	Clinically relevant time/time-period for report ele-1: All FHIR elements must have a @value or children
issued	SΣ	0..1	instant	Clinically relevant time / time-period for report. ele-1: All FHIR elements must have a @value or children
Slices for performer	Σ	1..*	Reference(Practitioner | Organization)	Responsible Diagnostic Service Slice: Unordered, Open by pattern:type ele-1: All FHIR elements must have a @value or children
performer:All Slices				Content/Rules for all slices
Slices for extension				Content/Rules for all slices
extension:deviceReference	N	0..1	Reference(Device)	A reference to a Device which interprets / performs the results of the DiagnosticReport. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DeviceReference ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:performerFunction		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). ele-1: All FHIR elements must have a @value or children
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456
performer:organisation	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:deviceReference		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:performerFunction		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). ele-1: All FHIR elements must have a @value or children Required Pattern: Organization
identifier	Σ	1..1	OrganisationCode	Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Fixed Value: https://fhir.nhs.uk/Id/ods-organization-code
value	Σ	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456
performer:operator	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:deviceReference		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:performerFunction		0..1	(Complex)	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/event-performerFunction"
value[x]		1..1	CodeableConcept	Value of extension Binding: Performer Function Codes (extensible) ele-1: All FHIR elements must have a @value or children
coding	Σ	0..*	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SPRF
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). ele-1: All FHIR elements must have a @value or children Required Pattern: Practitioner
identifier	Σ	1..1	EnglandPractitionerIdentifier	Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	The namespace for the identifier value Binding: Practitioner Identifiers (required) ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456
Slices for resultsInterpreter	Σ	0..*	Reference(Practitioner | PractitionerRole)	Primary result interpreter Slice: Unordered, Open by value:type ele-1: All FHIR elements must have a @value or children
resultsInterpreter:All Slices				Content/Rules for all slices
Slices for extension				Content/Rules for all slices
extension:deviceReference	N	0..*	Reference(Device)	A reference to a Device which interprets / performs the results of the DiagnosticReport. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DeviceReference ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). ele-1: All FHIR elements must have a @value or children
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456
resultsInterpreter:primaryReporter	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:deviceReference		0..*	Reference(Device)	An additional Device reference for a DiagnosticReport. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DeviceReference ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). ele-1: All FHIR elements must have a @value or children Required Pattern: Practitioner
identifier	Σ	1..1	EnglandPractitionerIdentifier	Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	The namespace for the identifier value Binding: Practitioner Identifiers (required) ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456
specimen	S	0..*	Reference(Specimen)	Specimens this report is based on ele-1: All FHIR elements must have a @value or children
result	S	0..*	Reference(Observation)	Observations that are part of this diagnostic report. ele-1: All FHIR elements must have a @value or children
presentedForm	S	1..*	NWAttachment	a reference to the full report (presentedForm) ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.extension:supportingInfoR5.extension:type []	example	Hl7VSVSObservationType http://terminology.hl7.org/ValueSet/v2-0936
DiagnosticReport.basedOn:fillerOrderNumber.type	extensible	Pattern: ServiceRequest http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.basedOn:accessionNumber.type	extensible	Pattern: ServiceRequest http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 from the FHIR Standard
DiagnosticReport.category	example	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard
DiagnosticReport.code	preferred	UKCoreReportCode https://fhir.hl7.org.uk/ValueSet/UKCore-ReportCode
DiagnosticReport.code.coding:GenomicTestDirectory	required	GenomicTestDirectory (a valid code from Genomic Test Directory) https://fhir.north-west.england.nhs.uk/ValueSet/genomic-test-directory from this IG
DiagnosticReport.code.coding:PathologyAndLaboratoryMedicine	required	UKCorePathologyAndLaboratoryMedicineObservables https://fhir.hl7.org.uk/ValueSet/UKCore-PathologyAndLaboratoryMedicineObservables
DiagnosticReport.code.coding:NICIP	required	UKCorePathologyAndLaboratoryMedicineObservables https://fhir.hl7.org.uk/ValueSet/UKCore-PathologyAndLaboratoryMedicineObservables
DiagnosticReport.performer.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.performer.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
DiagnosticReport.performer:organisation.type	extensible	Pattern: Organization http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.performer:organisation.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
DiagnosticReport.performer:operator.extension:performerFunction.value[x]	extensible	Performer Function Codes http://hl7.org/fhir/ValueSet/performer-function from the FHIR Standard
DiagnosticReport.performer:operator.type	extensible	Pattern: Practitioner http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.performer:operator.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
DiagnosticReport.performer:operator.identifier.system	required	PractitionerIdentifiers (a valid code from UK Professional License) https://fhir.north-west.england.nhs.uk/ValueSet/PractitionerIdentifiers from this IG
DiagnosticReport.resultsInterpreter.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.resultsInterpreter.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
DiagnosticReport.resultsInterpreter:primaryReporter.type	extensible	Pattern: Practitioner http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.resultsInterpreter:primaryReporter.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
DiagnosticReport.resultsInterpreter:primaryReporter.identifier.system	required	PractitionerIdentifiers (a valid code from UK Professional License) https://fhir.north-west.england.nhs.uk/ValueSet/PractitionerIdentifiers from this IG

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport	C	0..*	UKCoreDiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports ukcore-diag-lab-002: If extension-DiagnosticReport.media.link R5 Backport is used then DiagnsoticReport.media.link reference SHALL be empty
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:compositionReferenceR5	N	0..1	(Complex)	A Composition reference for a DiagnosticReport. This is a R5 backport. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
value[x]		1..1	Reference(Composition)	Reference to a Composition resource.
extension:noteR5	N	0..*	(Complex)	Comments about the diagnostic report. This is a R5 backport. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note"
value[x]		1..1	Annotation	Comments about the diagnostic report.
extension:supportingInfoR5	N	0..*	(Complex)	Additional info supporting the diagnostic report. This is a R5 backport. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo
id		0..1	string	Unique id for inter-element referencing
Slices for extension		2..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:type		1..1	Extension	Supporting information role code. Binding: hl7VS-VS-observationType (example)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"type"
value[x]		1..1	CodeableConcept	Value of extension
extension:reference		1..1	Extension	Who or what participated in the activities related to the family member history.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"reference"
value[x]		1..1	Reference(Procedure | Observation | DiagnosticReport)	Value of extension
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo"
extension:supporting-info		0..1	Reference(Resource)	Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..*	CorrelationIdentifier	Business identifier for report
Slices for basedOn		0..*	CodeableReference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested Slice: Unordered, Open by value:identifier.type
basedOn:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:concept		0..1	CodeableConcept	ExtCodeableReference URL: https://fhir.north-west.england.nhs.uk/StructureDefinition/ext-codeable-reference
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SΣ	1..1	CorrelationIdentifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
basedOn:fillerOrderNumber	S	0..1	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Identifier assigned by the lab (ORC-3)
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:concept		0..*	Extension	Extension
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	SΣ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Required Pattern: ServiceRequest
identifier	SΣ	1..1	FillerOrderNumber	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
basedOn:accessionNumber	S	0..1	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Identifier assigned by the lab
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:concept		0..*	Extension	Extension
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	SΣ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Required Pattern: ServiceRequest
identifier	SΣ	1..1	AccessionNumber	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
status	?!SΣ	1..1	code	The status of the diagnostic report. Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
category	SΣ	0..*	CodeableConcept	A code that classifies the clinical discipline, department or diagnostic service that created the report. Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
code	SΣ	1..1	CodeableConcept	ISSUE. See [National Genomic Test Directory](https://www.england.nhs.uk/wp-content/uploads/2018/08/rare-and-inherited-disease-eligibility-criteria-v2.pdf). Binding: UK Core Report Code (preferred): Codes that describe Diagnostic Reports.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:GenomicTestDirectory	SΣ	0..1	Coding	Code defined by a terminology system Binding: Genomic Test Directory (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:PathologyAndLaboratoryMedicine	Σ	0..1	Coding	Use for Pathology and Laboratory Orders Binding: UK Core Pathology And Laboratory Medicine Observables (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:NICIP	Σ	0..1	Coding	Use for Radiology Orders Binding: UK Core Pathology And Laboratory Medicine Observables (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.interweavedigital.nhs.uk/CodeSystem/Interweave-NICIP
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(Patient)	The subject of the report - usually, but not always, the patient.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	1..1	NHSNumber	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	SΣ	0..1	Reference(Encounter)	A reference identifier to the episode/stay/visit number in which the report was created. (HL7 v2 PV1-19)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	OΣ	0..1	VisitNumber	(HL7v2 PV1-19 Visit Number from OML_O21) Obligations Actor SHALL:populate-if-known Order Filler SHALL:populate-if-known Order Placer SHALL:populate-if-known Automation Manager
display	Σ	0..1	string	Text alternative for the resource
Slices for effective[x]	OΣ	0..1		Clinically relevant time/time-period for report Slice: Unordered, Open by type:$this Obligations Actor SHOULD:populate-if-known Order Filler SHOULD:populate-if-known Order Placer SHOULD:populate-if-known Automation Manager
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	SΣ	0..1	dateTime	Clinically relevant time/time-period for report
issued	SΣ	0..1	instant	Clinically relevant time / time-period for report.
Slices for performer	Σ	1..*	Reference(Practitioner | Organization)	Responsible Diagnostic Service Slice: Unordered, Open by pattern:type
performer:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:deviceReference	N	0..1	Reference(Device)	A reference to a Device which interprets / performs the results of the DiagnosticReport. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DeviceReference
extension:performerFunction		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
performer:organisation	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:deviceReference		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
extension:performerFunction		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Required Pattern: Organization
identifier	Σ	1..1	OrganisationCode	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.nhs.uk/Id/ods-organization-code
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
performer:operator	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:deviceReference		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
extension:performerFunction		0..1	(Complex)	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
id		0..1	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/event-performerFunction"
value[x]		1..1	CodeableConcept	Value of extension Binding: Performer Function Codes (extensible)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SPRF
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Required Pattern: Practitioner
identifier	Σ	1..1	EnglandPractitionerIdentifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Fixed Value: As shown (License number)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: LN
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Binding: Practitioner Identifiers (required) Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
Slices for resultsInterpreter	Σ	0..*	Reference(Practitioner | PractitionerRole)	Primary result interpreter Slice: Unordered, Open by value:type
resultsInterpreter:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:deviceReference	N	0..*	Reference(Device)	A reference to a Device which interprets / performs the results of the DiagnosticReport. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DeviceReference
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
resultsInterpreter:primaryReporter	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:deviceReference		0..*	Reference(Device)	An additional Device reference for a DiagnosticReport. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DeviceReference
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Required Pattern: Practitioner
identifier	Σ	1..1	EnglandPractitionerIdentifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Fixed Value: As shown (License number)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: LN
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Binding: Practitioner Identifiers (required) Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
specimen	S	0..*	Reference(Specimen)	Specimens this report is based on
result	S	0..*	Reference(Observation)	Observations that are part of this diagnostic report.
imagingStudy		0..*	Reference(ImagingStudy)	Reference to full details of imaging associated with the diagnostic report
media	Σ	0..*	BackboneElement	Key images associated with this report
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:linkR5	N	0..*	Reference(DocumentReference)	Reference to the image or data source URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.media.link
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
comment		0..1	string	Comment about the image (e.g. explanation)
link	Σ	1..1	Reference(Media)	Reference to the image source
conclusion		0..1	string	Clinical conclusion (interpretation) of test results
conclusionCode		0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (preferred): Diagnosis codes provided as adjuncts to the report.
presentedForm	S	1..*	NWAttachment	a reference to the full report (presentedForm)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
DiagnosticReport.extension:supportingInfoR5.extension:type []	example	Hl7VSVSObservationType http://terminology.hl7.org/ValueSet/v2-0936
DiagnosticReport.basedOn.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.basedOn:fillerOrderNumber.type	extensible	Pattern: ServiceRequest http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.basedOn:accessionNumber.type	extensible	Pattern: ServiceRequest http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 from the FHIR Standard
DiagnosticReport.category	example	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard
DiagnosticReport.code	preferred	UKCoreReportCode https://fhir.hl7.org.uk/ValueSet/UKCore-ReportCode
DiagnosticReport.code.coding:GenomicTestDirectory	required	GenomicTestDirectory (a valid code from Genomic Test Directory) https://fhir.north-west.england.nhs.uk/ValueSet/genomic-test-directory from this IG
DiagnosticReport.code.coding:PathologyAndLaboratoryMedicine	required	UKCorePathologyAndLaboratoryMedicineObservables https://fhir.hl7.org.uk/ValueSet/UKCore-PathologyAndLaboratoryMedicineObservables
DiagnosticReport.code.coding:NICIP	required	UKCorePathologyAndLaboratoryMedicineObservables https://fhir.hl7.org.uk/ValueSet/UKCore-PathologyAndLaboratoryMedicineObservables
DiagnosticReport.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.encounter.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.performer.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.performer.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
DiagnosticReport.performer.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
DiagnosticReport.performer:organisation.type	extensible	Pattern: Organization http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.performer:organisation.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
DiagnosticReport.performer:organisation.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
DiagnosticReport.performer:operator.extension:performerFunction.value[x]	extensible	Performer Function Codes http://hl7.org/fhir/ValueSet/performer-function from the FHIR Standard
DiagnosticReport.performer:operator.type	extensible	Pattern: Practitioner http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.performer:operator.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
DiagnosticReport.performer:operator.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
DiagnosticReport.performer:operator.identifier.system	required	PractitionerIdentifiers (a valid code from UK Professional License) https://fhir.north-west.england.nhs.uk/ValueSet/PractitionerIdentifiers from this IG
DiagnosticReport.resultsInterpreter.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.resultsInterpreter.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
DiagnosticReport.resultsInterpreter.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
DiagnosticReport.resultsInterpreter:primaryReporter.type	extensible	Pattern: Practitioner http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.resultsInterpreter:primaryReporter.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
DiagnosticReport.resultsInterpreter:primaryReporter.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
DiagnosticReport.resultsInterpreter:primaryReporter.identifier.system	required	PractitionerIdentifiers (a valid code from UK Professional License) https://fhir.north-west.england.nhs.uk/ValueSet/PractitionerIdentifiers from this IG
DiagnosticReport.conclusionCode	preferred	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard

This structure is derived from UKCoreDiagnosticReport

Summary

Mandatory: 11 elements(10 nested mandatory elements)
Must-Support: 11 elements

Structures

This structure refers to these other structures:

• Correlation Identifier (https://fhir.north-west.england.nhs.uk/StructureDefinition/CorrelationIdentifier)
• CodeableReference (https://fhir.north-west.england.nhs.uk/StructureDefinition/CodeableReference)
• Filler Order Number (https://fhir.north-west.england.nhs.uk/StructureDefinition/FillerOrderNumber)
• Accession Number (https://fhir.north-west.england.nhs.uk/StructureDefinition/AccessionNumber)
• Patient (https://fhir.north-west.england.nhs.uk/StructureDefinition/Patient)
• NHS Number (https://fhir.north-west.england.nhs.uk/StructureDefinition/NHSNumber)
• Encounter (https://fhir.north-west.england.nhs.uk/StructureDefinition/Encounter)
• Visit Number (https://fhir.north-west.england.nhs.uk/StructureDefinition/VisitNumber)
• Practitioner (https://fhir.north-west.england.nhs.uk/StructureDefinition/Practitioner)
• Organization (https://fhir.north-west.england.nhs.uk/StructureDefinition/Organization)
• Organisation Code (https://fhir.north-west.england.nhs.uk/StructureDefinition/OrganisationCode)
• England Practitioner Identifier (https://fhir.north-west.england.nhs.uk/StructureDefinition/EnglandPractitionerIdentifier)
• PractitionerRole (https://fhir.north-west.england.nhs.uk/StructureDefinition/PractitionerRole)
• Attachment (https://fhir.north-west.england.nhs.uk/StructureDefinition/NWAttachment)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
• http://hl7.org/fhir/StructureDefinition/event-performerFunction

Slices

This structure defines the following Slices:

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

Differential View

This structure is derived from UKCoreDiagnosticReport

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	UKCoreDiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
Slices for extension				Content/Rules for all slices
extension:supporting-info		0..1	Reference(Resource)	Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
identifier	S	1..*	CorrelationIdentifier	Business identifier for report
Slices for basedOn		0..*	CodeableReference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested Slice: Unordered, Open by value:identifier.type
basedOn:All Slices				Content/Rules for all slices
identifier	S	1..1	CorrelationIdentifier	Logical reference, when literal reference is not known
basedOn:fillerOrderNumber	S	0..1	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Identifier assigned by the lab (ORC-3)
Slices for extension				Content/Rules for all slices
extension:concept		0..*	Extension	Extension
type	S	1..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: ServiceRequest
identifier		1..1	FillerOrderNumber	Logical reference, when literal reference is not known
basedOn:accessionNumber	S	0..1	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Identifier assigned by the lab
Slices for extension				Content/Rules for all slices
extension:concept		0..*	Extension	Extension
type	S	1..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: ServiceRequest
identifier		1..1	AccessionNumber	Logical reference, when literal reference is not known
code		1..1	CodeableConcept	ISSUE. See [National Genomic Test Directory](https://www.england.nhs.uk/wp-content/uploads/2018/08/rare-and-inherited-disease-eligibility-criteria-v2.pdf).
Slices for coding	S	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:GenomicTestDirectory	S	0..1	Coding	Code defined by a terminology system Binding: Genomic Test Directory (required)
system		1..1	uri	Identity of the terminology system Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
coding:PathologyAndLaboratoryMedicine		0..1	Coding	Use for Pathology and Laboratory Orders Binding: UK Core Pathology And Laboratory Medicine Observables (required)
system		1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
coding:NICIP		0..1	Coding	Use for Radiology Orders Binding: UK Core Pathology And Laboratory Medicine Observables (required)
system		1..1	uri	Identity of the terminology system Required Pattern: https://fhir.interweavedigital.nhs.uk/CodeSystem/Interweave-NICIP
subject		1..1	Reference(Patient)	The subject of the report - usually, but not always, the patient.
identifier		1..1	NHSNumber	Logical reference, when literal reference is not known
encounter		0..1	Reference(Encounter)	A reference identifier to the episode/stay/visit number in which the report was created. (HL7 v2 PV1-19)
identifier	O	0..1	VisitNumber	(HL7v2 PV1-19 Visit Number from OML_O21) Obligations Actor SHALL:populate-if-known Order Filler SHALL:populate-if-known Order Placer SHALL:populate-if-known Automation Manager
Slices for effective[x]	O	0..1	dateTime, Period	Clinically relevant time/time-period for report Slice: Unordered, Open by type:$this Obligations Actor SHOULD:populate-if-known Order Filler SHOULD:populate-if-known Order Placer SHOULD:populate-if-known Automation Manager
effective[x]:effectiveDateTime	S	0..1	dateTime	Clinically relevant time/time-period for report
Slices for performer		1..*	Reference(Practitioner | Organization)	Responsible Diagnostic Service Slice: Unordered, Open by pattern:type
performer:All Slices				Content/Rules for all slices
Slices for extension				Content/Rules for all slices
extension:performerFunction		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
type		1..1	uri	Type the reference refers to (e.g. "Patient")
identifier		1..1	Identifier	Logical reference, when literal reference is not known
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
performer:organisation		1..1	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service
Slices for extension				Content/Rules for all slices
extension:deviceReference		0..1	PerformerFunction(5.2.0)	Type of performance
extension:performerFunction		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
type		1..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: Organization
identifier		1..1	OrganisationCode	Logical reference, when literal reference is not known
performer:operator		0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service
Slices for extension				Content/Rules for all slices
extension:deviceReference		0..1	PerformerFunction(5.2.0)	Type of performance
extension:performerFunction		0..1	(Complex)	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
value[x]
coding		0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SPRF
type		1..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: Practitioner
identifier		1..1	EnglandPractitionerIdentifier	Logical reference, when literal reference is not known
Slices for resultsInterpreter		0..*	Reference(Practitioner | PractitionerRole)	Primary result interpreter Slice: Unordered, Open by value:type
resultsInterpreter:All Slices				Content/Rules for all slices
type		1..1	uri	Type the reference refers to (e.g. "Patient")
identifier		1..1	Identifier	Logical reference, when literal reference is not known
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
resultsInterpreter:primaryReporter		0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter
Slices for extension				Content/Rules for all slices
extension:deviceReference		0..*	ExtensionUKCoreDeviceReference	An additional Device reference for a DiagnosticReport.
type		1..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: Practitioner
identifier		1..1	EnglandPractitionerIdentifier	Logical reference, when literal reference is not known
specimen	S	0..*	Reference(Specimen)	Specimens this report is based on
presentedForm	S	1..*	NWAttachment	a reference to the full report (presentedForm)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
DiagnosticReport.code.coding:GenomicTestDirectory	required	GenomicTestDirectory (a valid code from Genomic Test Directory) https://fhir.north-west.england.nhs.uk/ValueSet/genomic-test-directory from this IG
DiagnosticReport.code.coding:PathologyAndLaboratoryMedicine	required	UKCorePathologyAndLaboratoryMedicineObservables https://fhir.hl7.org.uk/ValueSet/UKCore-PathologyAndLaboratoryMedicineObservables
DiagnosticReport.code.coding:NICIP	required	UKCorePathologyAndLaboratoryMedicineObservables https://fhir.hl7.org.uk/ValueSet/UKCore-PathologyAndLaboratoryMedicineObservables

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport	C	0..*	UKCoreDiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management ukcore-diag-lab-002: If extension-DiagnosticReport.media.link R5 Backport is used then DiagnsoticReport.media.link reference SHALL be empty
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:compositionReferenceR5	N	0..1	(Complex)	A Composition reference for a DiagnosticReport. This is a R5 backport. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
value[x]		1..1	Reference(Composition)	Reference to a Composition resource. ele-1: All FHIR elements must have a @value or children
extension:noteR5	N	0..*	(Complex)	Comments about the diagnostic report. This is a R5 backport. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note"
value[x]		1..1	Annotation	Comments about the diagnostic report. ele-1: All FHIR elements must have a @value or children
extension:supportingInfoR5	N	0..*	(Complex)	Additional info supporting the diagnostic report. This is a R5 backport. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for extension		2..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:type		1..1	Extension	Supporting information role code. Binding: hl7VS-VS-observationType (example) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"type"
value[x]		1..1	CodeableConcept	Value of extension ele-1: All FHIR elements must have a @value or children
extension:reference		1..1	Extension	Who or what participated in the activities related to the family member history. ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"reference"
value[x]		1..1	Reference(Procedure | Observation | DiagnosticReport)	Value of extension ele-1: All FHIR elements must have a @value or children
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo"
extension:supporting-info		0..1	Reference(Resource)	Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	SΣ	1..*	CorrelationIdentifier	Business identifier for report ele-1: All FHIR elements must have a @value or children
Slices for basedOn		0..*	CodeableReference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested Slice: Unordered, Open by value:identifier.type ele-1: All FHIR elements must have a @value or children
basedOn:All Slices				Content/Rules for all slices
Slices for extension				Content/Rules for all slices
extension:concept		0..1	CodeableConcept	ExtCodeableReference URL: https://fhir.north-west.england.nhs.uk/StructureDefinition/ext-codeable-reference ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	SΣ	1..1	CorrelationIdentifier	Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children
basedOn:fillerOrderNumber	S	0..1	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Identifier assigned by the lab (ORC-3) ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:concept		0..*	Extension	Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
type	SΣ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). ele-1: All FHIR elements must have a @value or children Required Pattern: ServiceRequest
identifier	SΣ	1..1	FillerOrderNumber	Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children
basedOn:accessionNumber	S	0..1	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Identifier assigned by the lab ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:concept		0..*	Extension	Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
type	SΣ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). ele-1: All FHIR elements must have a @value or children Required Pattern: ServiceRequest
identifier	SΣ	1..1	AccessionNumber	Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children
status	?!SΣ	1..1	code	The status of the diagnostic report. Binding: DiagnosticReportStatus (required): The status of the diagnostic report. ele-1: All FHIR elements must have a @value or children
category	SΣ	0..*	CodeableConcept	A code that classifies the clinical discipline, department or diagnostic service that created the report. Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	CodeableConcept	ISSUE. See [National Genomic Test Directory](https://www.england.nhs.uk/wp-content/uploads/2018/08/rare-and-inherited-disease-eligibility-criteria-v2.pdf). Binding: UK Core Report Code (preferred): Codes that describe Diagnostic Reports. ele-1: All FHIR elements must have a @value or children
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system ele-1: All FHIR elements must have a @value or children
coding:GenomicTestDirectory	SΣ	0..1	Coding	Code defined by a terminology system Binding: Genomic Test Directory (required) ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
coding:PathologyAndLaboratoryMedicine	Σ	0..1	Coding	Use for Pathology and Laboratory Orders Binding: UK Core Pathology And Laboratory Medicine Observables (required) ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: http://snomed.info/sct
coding:NICIP	Σ	0..1	Coding	Use for Radiology Orders Binding: UK Core Pathology And Laboratory Medicine Observables (required) ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: https://fhir.interweavedigital.nhs.uk/CodeSystem/Interweave-NICIP
subject	SΣ	1..1	Reference(Patient)	The subject of the report - usually, but not always, the patient. ele-1: All FHIR elements must have a @value or children
identifier	Σ	1..1	NHSNumber	Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children
encounter	SΣ	0..1	Reference(Encounter)	A reference identifier to the episode/stay/visit number in which the report was created. (HL7 v2 PV1-19) ele-1: All FHIR elements must have a @value or children
identifier	OΣ	0..1	VisitNumber	(HL7v2 PV1-19 Visit Number from OML_O21) ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Order Filler SHALL:populate-if-known Order Placer SHALL:populate-if-known Automation Manager
Slices for effective[x]	OΣ	0..1		Clinically relevant time/time-period for report Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children Obligations Actor SHOULD:populate-if-known Order Filler SHOULD:populate-if-known Order Placer SHOULD:populate-if-known Automation Manager
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	SΣ	0..1	dateTime	Clinically relevant time/time-period for report ele-1: All FHIR elements must have a @value or children
issued	SΣ	0..1	instant	Clinically relevant time / time-period for report. ele-1: All FHIR elements must have a @value or children
Slices for performer	Σ	1..*	Reference(Practitioner | Organization)	Responsible Diagnostic Service Slice: Unordered, Open by pattern:type ele-1: All FHIR elements must have a @value or children
performer:All Slices				Content/Rules for all slices
Slices for extension				Content/Rules for all slices
extension:deviceReference	N	0..1	Reference(Device)	A reference to a Device which interprets / performs the results of the DiagnosticReport. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DeviceReference ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:performerFunction		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). ele-1: All FHIR elements must have a @value or children
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456
performer:organisation	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:deviceReference		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:performerFunction		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). ele-1: All FHIR elements must have a @value or children Required Pattern: Organization
identifier	Σ	1..1	OrganisationCode	Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Fixed Value: https://fhir.nhs.uk/Id/ods-organization-code
value	Σ	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456
performer:operator	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:deviceReference		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:performerFunction		0..1	(Complex)	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/event-performerFunction"
value[x]		1..1	CodeableConcept	Value of extension Binding: Performer Function Codes (extensible) ele-1: All FHIR elements must have a @value or children
coding	Σ	0..*	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SPRF
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). ele-1: All FHIR elements must have a @value or children Required Pattern: Practitioner
identifier	Σ	1..1	EnglandPractitionerIdentifier	Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	The namespace for the identifier value Binding: Practitioner Identifiers (required) ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456
Slices for resultsInterpreter	Σ	0..*	Reference(Practitioner | PractitionerRole)	Primary result interpreter Slice: Unordered, Open by value:type ele-1: All FHIR elements must have a @value or children
resultsInterpreter:All Slices				Content/Rules for all slices
Slices for extension				Content/Rules for all slices
extension:deviceReference	N	0..*	Reference(Device)	A reference to a Device which interprets / performs the results of the DiagnosticReport. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DeviceReference ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). ele-1: All FHIR elements must have a @value or children
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456
resultsInterpreter:primaryReporter	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
extension:deviceReference		0..*	Reference(Device)	An additional Device reference for a DiagnosticReport. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DeviceReference ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). ele-1: All FHIR elements must have a @value or children Required Pattern: Practitioner
identifier	Σ	1..1	EnglandPractitionerIdentifier	Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	The namespace for the identifier value Binding: Practitioner Identifiers (required) ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456
specimen	S	0..*	Reference(Specimen)	Specimens this report is based on ele-1: All FHIR elements must have a @value or children
result	S	0..*	Reference(Observation)	Observations that are part of this diagnostic report. ele-1: All FHIR elements must have a @value or children
presentedForm	S	1..*	NWAttachment	a reference to the full report (presentedForm) ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.extension:supportingInfoR5.extension:type []	example	Hl7VSVSObservationType http://terminology.hl7.org/ValueSet/v2-0936
DiagnosticReport.basedOn:fillerOrderNumber.type	extensible	Pattern: ServiceRequest http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.basedOn:accessionNumber.type	extensible	Pattern: ServiceRequest http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 from the FHIR Standard
DiagnosticReport.category	example	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard
DiagnosticReport.code	preferred	UKCoreReportCode https://fhir.hl7.org.uk/ValueSet/UKCore-ReportCode
DiagnosticReport.code.coding:GenomicTestDirectory	required	GenomicTestDirectory (a valid code from Genomic Test Directory) https://fhir.north-west.england.nhs.uk/ValueSet/genomic-test-directory from this IG
DiagnosticReport.code.coding:PathologyAndLaboratoryMedicine	required	UKCorePathologyAndLaboratoryMedicineObservables https://fhir.hl7.org.uk/ValueSet/UKCore-PathologyAndLaboratoryMedicineObservables
DiagnosticReport.code.coding:NICIP	required	UKCorePathologyAndLaboratoryMedicineObservables https://fhir.hl7.org.uk/ValueSet/UKCore-PathologyAndLaboratoryMedicineObservables
DiagnosticReport.performer.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.performer.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
DiagnosticReport.performer:organisation.type	extensible	Pattern: Organization http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.performer:organisation.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
DiagnosticReport.performer:operator.extension:performerFunction.value[x]	extensible	Performer Function Codes http://hl7.org/fhir/ValueSet/performer-function from the FHIR Standard
DiagnosticReport.performer:operator.type	extensible	Pattern: Practitioner http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.performer:operator.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
DiagnosticReport.performer:operator.identifier.system	required	PractitionerIdentifiers (a valid code from UK Professional License) https://fhir.north-west.england.nhs.uk/ValueSet/PractitionerIdentifiers from this IG
DiagnosticReport.resultsInterpreter.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.resultsInterpreter.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
DiagnosticReport.resultsInterpreter:primaryReporter.type	extensible	Pattern: Practitioner http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.resultsInterpreter:primaryReporter.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
DiagnosticReport.resultsInterpreter:primaryReporter.identifier.system	required	PractitionerIdentifiers (a valid code from UK Professional License) https://fhir.north-west.england.nhs.uk/ValueSet/PractitionerIdentifiers from this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport	C	0..*	UKCoreDiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports ukcore-diag-lab-002: If extension-DiagnosticReport.media.link R5 Backport is used then DiagnsoticReport.media.link reference SHALL be empty
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:compositionReferenceR5	N	0..1	(Complex)	A Composition reference for a DiagnosticReport. This is a R5 backport. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
value[x]		1..1	Reference(Composition)	Reference to a Composition resource.
extension:noteR5	N	0..*	(Complex)	Comments about the diagnostic report. This is a R5 backport. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note"
value[x]		1..1	Annotation	Comments about the diagnostic report.
extension:supportingInfoR5	N	0..*	(Complex)	Additional info supporting the diagnostic report. This is a R5 backport. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo
id		0..1	string	Unique id for inter-element referencing
Slices for extension		2..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:type		1..1	Extension	Supporting information role code. Binding: hl7VS-VS-observationType (example)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"type"
value[x]		1..1	CodeableConcept	Value of extension
extension:reference		1..1	Extension	Who or what participated in the activities related to the family member history.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"reference"
value[x]		1..1	Reference(Procedure | Observation | DiagnosticReport)	Value of extension
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo"
extension:supporting-info		0..1	Reference(Resource)	Other information that may be relevant to this event. URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..*	CorrelationIdentifier	Business identifier for report
Slices for basedOn		0..*	CodeableReference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested Slice: Unordered, Open by value:identifier.type
basedOn:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:concept		0..1	CodeableConcept	ExtCodeableReference URL: https://fhir.north-west.england.nhs.uk/StructureDefinition/ext-codeable-reference
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SΣ	1..1	CorrelationIdentifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
basedOn:fillerOrderNumber	S	0..1	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Identifier assigned by the lab (ORC-3)
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:concept		0..*	Extension	Extension
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	SΣ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Required Pattern: ServiceRequest
identifier	SΣ	1..1	FillerOrderNumber	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
basedOn:accessionNumber	S	0..1	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Identifier assigned by the lab
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:concept		0..*	Extension	Extension
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	SΣ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Required Pattern: ServiceRequest
identifier	SΣ	1..1	AccessionNumber	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
status	?!SΣ	1..1	code	The status of the diagnostic report. Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
category	SΣ	0..*	CodeableConcept	A code that classifies the clinical discipline, department or diagnostic service that created the report. Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
code	SΣ	1..1	CodeableConcept	ISSUE. See [National Genomic Test Directory](https://www.england.nhs.uk/wp-content/uploads/2018/08/rare-and-inherited-disease-eligibility-criteria-v2.pdf). Binding: UK Core Report Code (preferred): Codes that describe Diagnostic Reports.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:GenomicTestDirectory	SΣ	0..1	Coding	Code defined by a terminology system Binding: Genomic Test Directory (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:PathologyAndLaboratoryMedicine	Σ	0..1	Coding	Use for Pathology and Laboratory Orders Binding: UK Core Pathology And Laboratory Medicine Observables (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:NICIP	Σ	0..1	Coding	Use for Radiology Orders Binding: UK Core Pathology And Laboratory Medicine Observables (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.interweavedigital.nhs.uk/CodeSystem/Interweave-NICIP
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(Patient)	The subject of the report - usually, but not always, the patient.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	1..1	NHSNumber	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	SΣ	0..1	Reference(Encounter)	A reference identifier to the episode/stay/visit number in which the report was created. (HL7 v2 PV1-19)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	OΣ	0..1	VisitNumber	(HL7v2 PV1-19 Visit Number from OML_O21) Obligations Actor SHALL:populate-if-known Order Filler SHALL:populate-if-known Order Placer SHALL:populate-if-known Automation Manager
display	Σ	0..1	string	Text alternative for the resource
Slices for effective[x]	OΣ	0..1		Clinically relevant time/time-period for report Slice: Unordered, Open by type:$this Obligations Actor SHOULD:populate-if-known Order Filler SHOULD:populate-if-known Order Placer SHOULD:populate-if-known Automation Manager
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	SΣ	0..1	dateTime	Clinically relevant time/time-period for report
issued	SΣ	0..1	instant	Clinically relevant time / time-period for report.
Slices for performer	Σ	1..*	Reference(Practitioner | Organization)	Responsible Diagnostic Service Slice: Unordered, Open by pattern:type
performer:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:deviceReference	N	0..1	Reference(Device)	A reference to a Device which interprets / performs the results of the DiagnosticReport. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DeviceReference
extension:performerFunction		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
performer:organisation	Σ	1..1	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:deviceReference		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
extension:performerFunction		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Required Pattern: Organization
identifier	Σ	1..1	OrganisationCode	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: https://fhir.nhs.uk/Id/ods-organization-code
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
performer:operator	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:deviceReference		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
extension:performerFunction		0..1	(Complex)	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
id		0..1	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/event-performerFunction"
value[x]		1..1	CodeableConcept	Value of extension Binding: Performer Function Codes (extensible)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SPRF
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Required Pattern: Practitioner
identifier	Σ	1..1	EnglandPractitionerIdentifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Fixed Value: As shown (License number)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: LN
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Binding: Practitioner Identifiers (required) Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
Slices for resultsInterpreter	Σ	0..*	Reference(Practitioner | PractitionerRole)	Primary result interpreter Slice: Unordered, Open by value:type
resultsInterpreter:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:deviceReference	N	0..*	Reference(Device)	A reference to a Device which interprets / performs the results of the DiagnosticReport. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DeviceReference
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
resultsInterpreter:primaryReporter	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:deviceReference		0..*	Reference(Device)	An additional Device reference for a DiagnosticReport. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DeviceReference
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Required Pattern: Practitioner
identifier	Σ	1..1	EnglandPractitionerIdentifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Fixed Value: As shown (License number)
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: LN
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
system	Σ	1..1	uri	The namespace for the identifier value Binding: Practitioner Identifiers (required) Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
specimen	S	0..*	Reference(Specimen)	Specimens this report is based on
result	S	0..*	Reference(Observation)	Observations that are part of this diagnostic report.
imagingStudy		0..*	Reference(ImagingStudy)	Reference to full details of imaging associated with the diagnostic report
media	Σ	0..*	BackboneElement	Key images associated with this report
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:linkR5	N	0..*	Reference(DocumentReference)	Reference to the image or data source URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.media.link
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
comment		0..1	string	Comment about the image (e.g. explanation)
link	Σ	1..1	Reference(Media)	Reference to the image source
conclusion		0..1	string	Clinical conclusion (interpretation) of test results
conclusionCode		0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (preferred): Diagnosis codes provided as adjuncts to the report.
presentedForm	S	1..*	NWAttachment	a reference to the full report (presentedForm)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
DiagnosticReport.extension:supportingInfoR5.extension:type []	example	Hl7VSVSObservationType http://terminology.hl7.org/ValueSet/v2-0936
DiagnosticReport.basedOn.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.basedOn:fillerOrderNumber.type	extensible	Pattern: ServiceRequest http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.basedOn:accessionNumber.type	extensible	Pattern: ServiceRequest http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 from the FHIR Standard
DiagnosticReport.category	example	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard
DiagnosticReport.code	preferred	UKCoreReportCode https://fhir.hl7.org.uk/ValueSet/UKCore-ReportCode
DiagnosticReport.code.coding:GenomicTestDirectory	required	GenomicTestDirectory (a valid code from Genomic Test Directory) https://fhir.north-west.england.nhs.uk/ValueSet/genomic-test-directory from this IG
DiagnosticReport.code.coding:PathologyAndLaboratoryMedicine	required	UKCorePathologyAndLaboratoryMedicineObservables https://fhir.hl7.org.uk/ValueSet/UKCore-PathologyAndLaboratoryMedicineObservables
DiagnosticReport.code.coding:NICIP	required	UKCorePathologyAndLaboratoryMedicineObservables https://fhir.hl7.org.uk/ValueSet/UKCore-PathologyAndLaboratoryMedicineObservables
DiagnosticReport.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.encounter.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.performer.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.performer.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
DiagnosticReport.performer.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
DiagnosticReport.performer:organisation.type	extensible	Pattern: Organization http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.performer:organisation.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
DiagnosticReport.performer:organisation.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
DiagnosticReport.performer:operator.extension:performerFunction.value[x]	extensible	Performer Function Codes http://hl7.org/fhir/ValueSet/performer-function from the FHIR Standard
DiagnosticReport.performer:operator.type	extensible	Pattern: Practitioner http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.performer:operator.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
DiagnosticReport.performer:operator.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
DiagnosticReport.performer:operator.identifier.system	required	PractitionerIdentifiers (a valid code from UK Professional License) https://fhir.north-west.england.nhs.uk/ValueSet/PractitionerIdentifiers from this IG
DiagnosticReport.resultsInterpreter.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.resultsInterpreter.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
DiagnosticReport.resultsInterpreter.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
DiagnosticReport.resultsInterpreter:primaryReporter.type	extensible	Pattern: Practitioner http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.resultsInterpreter:primaryReporter.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
DiagnosticReport.resultsInterpreter:primaryReporter.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
DiagnosticReport.resultsInterpreter:primaryReporter.identifier.system	required	PractitionerIdentifiers (a valid code from UK Professional License) https://fhir.north-west.england.nhs.uk/ValueSet/PractitionerIdentifiers from this IG
DiagnosticReport.conclusionCode	preferred	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard

This structure is derived from UKCoreDiagnosticReport

Summary

Mandatory: 11 elements(10 nested mandatory elements)
Must-Support: 11 elements

Structures

This structure refers to these other structures:

• Correlation Identifier (https://fhir.north-west.england.nhs.uk/StructureDefinition/CorrelationIdentifier)
• CodeableReference (https://fhir.north-west.england.nhs.uk/StructureDefinition/CodeableReference)
• Filler Order Number (https://fhir.north-west.england.nhs.uk/StructureDefinition/FillerOrderNumber)
• Accession Number (https://fhir.north-west.england.nhs.uk/StructureDefinition/AccessionNumber)
• Patient (https://fhir.north-west.england.nhs.uk/StructureDefinition/Patient)
• NHS Number (https://fhir.north-west.england.nhs.uk/StructureDefinition/NHSNumber)
• Encounter (https://fhir.north-west.england.nhs.uk/StructureDefinition/Encounter)
• Visit Number (https://fhir.north-west.england.nhs.uk/StructureDefinition/VisitNumber)
• Practitioner (https://fhir.north-west.england.nhs.uk/StructureDefinition/Practitioner)
• Organization (https://fhir.north-west.england.nhs.uk/StructureDefinition/Organization)
• Organisation Code (https://fhir.north-west.england.nhs.uk/StructureDefinition/OrganisationCode)
• England Practitioner Identifier (https://fhir.north-west.england.nhs.uk/StructureDefinition/EnglandPractitionerIdentifier)
• PractitionerRole (https://fhir.north-west.england.nhs.uk/StructureDefinition/PractitionerRole)
• Attachment (https://fhir.north-west.england.nhs.uk/StructureDefinition/NWAttachment)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
• http://hl7.org/fhir/StructureDefinition/event-performerFunction

Slices

This structure defines the following Slices:

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