Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
identifier
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
assigner		0..1	Reference(CareConnect-Organization-1)	Organization that issued id (may be just text)
basedOn		0..*	Reference(CareConnect-CarePlan-1 | CareConnect-MedicationRequest-1 | CareConnect-ReferralRequest-1 | CareConnect-ProcedureRequest-1)	What was requested
category		0..1	CodeableConcept	Service category Binding: Diagnostic Service Section Codes (preferred)
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT		0..*	Coding	Code defined by a terminology system
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
code
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT		0..*	Coding	Code defined by a terminology system Binding: Care Connect Report Code SnCT (extensible): A code from the SNOMED Clinical Terminology UK
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
subject		1..1	Reference(Group | Device | CareConnectPatient1 | CareConnect-Location-1)	The subject of the report - usually, but not always, the patient
context		0..1	Reference(CareConnect-Encounter-1)	Health care event when test ordered
performer
actor		1..1	Reference(CareConnect-Organization-1 | CareConnect-Practitioner-1)	Practitioner or Organization participant
specimen		0..*	Reference(CareConnect-Specimen-1)	Specimens this report is based on
result		0..*	Reference(CareConnect-Observation-1)	Observations - simple, or complex nested groups
codedDiagnosis		0..*	CodeableConcept	Codes for the conclusion Binding: Care Connect Finding Code (preferred): A SNOMED Coded finding for the test report.
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT		0..*	Coding	Code defined by a terminology system Binding: Care Connect Finding Code (extensible): A code from the SNOMED Clinical Terminology UK
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
DiagnosticReport.category	preferred	Diagnostic Service Section Codes
DiagnosticReport.code.coding:snomedCT	extensible	Care Connect Report Code SnCT
DiagnosticReport.codedDiagnosis	preferred	Care Connect Finding Code
DiagnosticReport.codedDiagnosis.coding:snomedCT	extensible	Care Connect Finding Code

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
basedOn		0..*	Reference(CareConnect-CarePlan-1 | CareConnect-MedicationRequest-1 | CareConnect-ReferralRequest-1 | CareConnect-ProcedureRequest-1)	What was requested
status	?!Σ	1..1	code	registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report as a whole.
category	Σ	0..1	CodeableConcept	Service category Binding: Diagnostic Service Section Codes (preferred)
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT	Σ	0..*	Coding	Code defined by a terminology system
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
code	Σ	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: LOINC Diagnostic Report Codes (preferred): Codes that describe Diagnostic Reports.
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT	Σ	0..*	Coding	Code defined by a terminology system Binding: Care Connect Report Code SnCT (extensible): A code from the SNOMED Clinical Terminology UK
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
subject	Σ	1..1	Reference(Group | Device | CareConnectPatient1 | CareConnect-Location-1)	The subject of the report - usually, but not always, the patient
context	Σ	0..1	Reference(CareConnect-Encounter-1)	Health care event when test ordered
specimen		0..*	Reference(CareConnect-Specimen-1)	Specimens this report is based on
result		0..*	Reference(CareConnect-Observation-1)	Observations - simple, or complex nested groups
codedDiagnosis		0..*	CodeableConcept	Codes for the conclusion Binding: Care Connect Finding Code (preferred): A SNOMED Coded finding for the test report.
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT	Σ	0..*	Coding	Code defined by a terminology system Binding: Care Connect Finding Code (extensible): A code from the SNOMED Clinical Terminology UK
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
DiagnosticReport.status	required	DiagnosticReportStatus
DiagnosticReport.category	preferred	Diagnostic Service Section Codes
DiagnosticReport.code	preferred	LOINC Diagnostic Report Codes (a valid code from LOINC)
DiagnosticReport.code.coding:snomedCT	extensible	Care Connect Report Code SnCT
DiagnosticReport.codedDiagnosis	preferred	Care Connect Finding Code
DiagnosticReport.codedDiagnosis.coding:snomedCT	extensible	Care Connect Finding Code

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DiagnosticReport	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource : contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: Common Languages (extensible): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business identifier for report
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary (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(CareConnect-Organization-1)	Organization that issued id (may be just text)
basedOn		0..*	Reference(CareConnect-CarePlan-1 | CareConnect-MedicationRequest-1 | CareConnect-ReferralRequest-1 | CareConnect-ProcedureRequest-1)	What was requested
status	?!Σ	1..1	code	registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report as a whole.
category	Σ	0..1	CodeableConcept	Service category Binding: Diagnostic Service Section Codes (preferred)
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..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
code	Σ	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: LOINC Diagnostic Report Codes (preferred): Codes that describe Diagnostic Reports.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT	Σ	0..*	Coding	Code defined by a terminology system Binding: Care Connect Report Code SnCT (extensible): A code from the SNOMED Clinical Terminology UK
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..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	Σ	1..1	Reference(Group | Device | CareConnectPatient1 | CareConnect-Location-1)	The subject of the report - usually, but not always, the patient
context	Σ	0..1	Reference(CareConnect-Encounter-1)	Health care event when test ordered
effective[x]	Σ	0..1		Clinically relevant time/time-period for report
effectiveDateTime			dateTime
effectivePeriod			Period
issued	Σ	0..1	instant	DateTime this version was released
performer	Σ	0..*	BackboneElement	Participants in producing the report
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
role	Σ	0..1	CodeableConcept	Type of performer Binding: Procedure Performer Role Codes (example): Indicate a role of diagnostic report performer
actor	Σ	1..1	Reference(CareConnect-Organization-1 | CareConnect-Practitioner-1)	Practitioner or Organization participant
specimen		0..*	Reference(CareConnect-Specimen-1)	Specimens this report is based on
result		0..*	Reference(CareConnect-Observation-1)	Observations - simple, or complex nested groups
imagingStudy		0..*	Reference(ImagingStudy | ImagingManifest)	Reference to full details of imaging associated with the diagnostic report
image	Σ	0..*	BackboneElement	Key images associated with this report
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
comment		0..1	string	Comment about the image (e.g. explanation)
link	Σ	1..1	Reference(Media)	Reference to the image source
conclusion		0..1	string	Clinical Interpretation of test results
codedDiagnosis		0..*	CodeableConcept	Codes for the conclusion Binding: Care Connect Finding Code (preferred): A SNOMED Coded finding for the test report.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT	Σ	0..*	Coding	Code defined by a terminology system Binding: Care Connect Finding Code (extensible): A code from the SNOMED Clinical Terminology UK
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..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
presentedForm		0..*	Attachment	Entire report as issued
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
DiagnosticReport.language	extensible	Common Languages Additional Bindings Purpose AllLanguages Max Binding
DiagnosticReport.identifier.use	required	IdentifierUse
DiagnosticReport.identifier.type	extensible	Identifier Type Codes
DiagnosticReport.status	required	DiagnosticReportStatus
DiagnosticReport.category	preferred	Diagnostic Service Section Codes
DiagnosticReport.code	preferred	LOINC Diagnostic Report Codes (a valid code from LOINC)
DiagnosticReport.code.coding:snomedCT	extensible	Care Connect Report Code SnCT
DiagnosticReport.performer.role	example	Procedure Performer Role Codes
DiagnosticReport.codedDiagnosis	preferred	Care Connect Finding Code
DiagnosticReport.codedDiagnosis.coding:snomedCT	extensible	Care Connect Finding Code

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())

Summary

Mandatory: 1 element (11 nested mandatory elements)
Fixed Value: 3 elements

Structures

This structure refers to these other structures:

• CareConnect-Organization-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1)
• CareConnect-CarePlan-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-CarePlan-1)
• CareConnect-MedicationRequest-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-MedicationRequest-1)
• CareConnect-ReferralRequest-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-ReferralRequest-1)
• CareConnect-ProcedureRequest-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-ProcedureRequest-1)
• CareConnectPatient1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Patient-1)
• CareConnect-Location-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Location-1)
• CareConnect-Encounter-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Encounter-1)
• CareConnect-Practitioner-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1)
• CareConnect-Specimen-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Specimen-1)
• CareConnect-Observation-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Observation-1)

Extensions

This structure refers to these extensions:

• https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid

Slices

This structure defines the following Slices:

• The element DiagnosticReport.category.coding is sliced based on the value of value:system
• The element DiagnosticReport.code.coding is sliced based on the value of value:system
• The element DiagnosticReport.codedDiagnosis.coding is sliced based on the value of value:system

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
identifier
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
assigner		0..1	Reference(CareConnect-Organization-1)	Organization that issued id (may be just text)
basedOn		0..*	Reference(CareConnect-CarePlan-1 | CareConnect-MedicationRequest-1 | CareConnect-ReferralRequest-1 | CareConnect-ProcedureRequest-1)	What was requested
category		0..1	CodeableConcept	Service category Binding: Diagnostic Service Section Codes (preferred)
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT		0..*	Coding	Code defined by a terminology system
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
code
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT		0..*	Coding	Code defined by a terminology system Binding: Care Connect Report Code SnCT (extensible): A code from the SNOMED Clinical Terminology UK
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
subject		1..1	Reference(Group | Device | CareConnectPatient1 | CareConnect-Location-1)	The subject of the report - usually, but not always, the patient
context		0..1	Reference(CareConnect-Encounter-1)	Health care event when test ordered
performer
actor		1..1	Reference(CareConnect-Organization-1 | CareConnect-Practitioner-1)	Practitioner or Organization participant
specimen		0..*	Reference(CareConnect-Specimen-1)	Specimens this report is based on
result		0..*	Reference(CareConnect-Observation-1)	Observations - simple, or complex nested groups
codedDiagnosis		0..*	CodeableConcept	Codes for the conclusion Binding: Care Connect Finding Code (preferred): A SNOMED Coded finding for the test report.
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT		0..*	Coding	Code defined by a terminology system Binding: Care Connect Finding Code (extensible): A code from the SNOMED Clinical Terminology UK
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
DiagnosticReport.category	preferred	Diagnostic Service Section Codes
DiagnosticReport.code.coding:snomedCT	extensible	Care Connect Report Code SnCT
DiagnosticReport.codedDiagnosis	preferred	Care Connect Finding Code
DiagnosticReport.codedDiagnosis.coding:snomedCT	extensible	Care Connect Finding Code

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
basedOn		0..*	Reference(CareConnect-CarePlan-1 | CareConnect-MedicationRequest-1 | CareConnect-ReferralRequest-1 | CareConnect-ProcedureRequest-1)	What was requested
status	?!Σ	1..1	code	registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report as a whole.
category	Σ	0..1	CodeableConcept	Service category Binding: Diagnostic Service Section Codes (preferred)
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT	Σ	0..*	Coding	Code defined by a terminology system
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
code	Σ	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: LOINC Diagnostic Report Codes (preferred): Codes that describe Diagnostic Reports.
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT	Σ	0..*	Coding	Code defined by a terminology system Binding: Care Connect Report Code SnCT (extensible): A code from the SNOMED Clinical Terminology UK
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
subject	Σ	1..1	Reference(Group | Device | CareConnectPatient1 | CareConnect-Location-1)	The subject of the report - usually, but not always, the patient
context	Σ	0..1	Reference(CareConnect-Encounter-1)	Health care event when test ordered
specimen		0..*	Reference(CareConnect-Specimen-1)	Specimens this report is based on
result		0..*	Reference(CareConnect-Observation-1)	Observations - simple, or complex nested groups
codedDiagnosis		0..*	CodeableConcept	Codes for the conclusion Binding: Care Connect Finding Code (preferred): A SNOMED Coded finding for the test report.
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT	Σ	0..*	Coding	Code defined by a terminology system Binding: Care Connect Finding Code (extensible): A code from the SNOMED Clinical Terminology UK
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
DiagnosticReport.status	required	DiagnosticReportStatus
DiagnosticReport.category	preferred	Diagnostic Service Section Codes
DiagnosticReport.code	preferred	LOINC Diagnostic Report Codes (a valid code from LOINC)
DiagnosticReport.code.coding:snomedCT	extensible	Care Connect Report Code SnCT
DiagnosticReport.codedDiagnosis	preferred	Care Connect Finding Code
DiagnosticReport.codedDiagnosis.coding:snomedCT	extensible	Care Connect Finding Code

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DiagnosticReport	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource : contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: Common Languages (extensible): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business identifier for report
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary (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(CareConnect-Organization-1)	Organization that issued id (may be just text)
basedOn		0..*	Reference(CareConnect-CarePlan-1 | CareConnect-MedicationRequest-1 | CareConnect-ReferralRequest-1 | CareConnect-ProcedureRequest-1)	What was requested
status	?!Σ	1..1	code	registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report as a whole.
category	Σ	0..1	CodeableConcept	Service category Binding: Diagnostic Service Section Codes (preferred)
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..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
code	Σ	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: LOINC Diagnostic Report Codes (preferred): Codes that describe Diagnostic Reports.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT	Σ	0..*	Coding	Code defined by a terminology system Binding: Care Connect Report Code SnCT (extensible): A code from the SNOMED Clinical Terminology UK
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..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	Σ	1..1	Reference(Group | Device | CareConnectPatient1 | CareConnect-Location-1)	The subject of the report - usually, but not always, the patient
context	Σ	0..1	Reference(CareConnect-Encounter-1)	Health care event when test ordered
effective[x]	Σ	0..1		Clinically relevant time/time-period for report
effectiveDateTime			dateTime
effectivePeriod			Period
issued	Σ	0..1	instant	DateTime this version was released
performer	Σ	0..*	BackboneElement	Participants in producing the report
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
role	Σ	0..1	CodeableConcept	Type of performer Binding: Procedure Performer Role Codes (example): Indicate a role of diagnostic report performer
actor	Σ	1..1	Reference(CareConnect-Organization-1 | CareConnect-Practitioner-1)	Practitioner or Organization participant
specimen		0..*	Reference(CareConnect-Specimen-1)	Specimens this report is based on
result		0..*	Reference(CareConnect-Observation-1)	Observations - simple, or complex nested groups
imagingStudy		0..*	Reference(ImagingStudy | ImagingManifest)	Reference to full details of imaging associated with the diagnostic report
image	Σ	0..*	BackboneElement	Key images associated with this report
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
comment		0..1	string	Comment about the image (e.g. explanation)
link	Σ	1..1	Reference(Media)	Reference to the image source
conclusion		0..1	string	Clinical Interpretation of test results
codedDiagnosis		0..*	CodeableConcept	Codes for the conclusion Binding: Care Connect Finding Code (preferred): A SNOMED Coded finding for the test report.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomedCT	Σ	0..*	Coding	Code defined by a terminology system Binding: Care Connect Finding Code (extensible): A code from the SNOMED Clinical Terminology UK
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
snomedCTDescriptionID		0..*	(Complex)	The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..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
presentedForm		0..*	Attachment	Entire report as issued
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
DiagnosticReport.language	extensible	Common Languages Additional Bindings Purpose AllLanguages Max Binding
DiagnosticReport.identifier.use	required	IdentifierUse
DiagnosticReport.identifier.type	extensible	Identifier Type Codes
DiagnosticReport.status	required	DiagnosticReportStatus
DiagnosticReport.category	preferred	Diagnostic Service Section Codes
DiagnosticReport.code	preferred	LOINC Diagnostic Report Codes (a valid code from LOINC)
DiagnosticReport.code.coding:snomedCT	extensible	Care Connect Report Code SnCT
DiagnosticReport.performer.role	example	Procedure Performer Role Codes
DiagnosticReport.codedDiagnosis	preferred	Care Connect Finding Code
DiagnosticReport.codedDiagnosis.coding:snomedCT	extensible	Care Connect Finding Code

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())

Summary

Mandatory: 1 element (11 nested mandatory elements)
Fixed Value: 3 elements

Structures

This structure refers to these other structures:

• CareConnect-Organization-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1)
• CareConnect-CarePlan-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-CarePlan-1)
• CareConnect-MedicationRequest-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-MedicationRequest-1)
• CareConnect-ReferralRequest-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-ReferralRequest-1)
• CareConnect-ProcedureRequest-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-ProcedureRequest-1)
• CareConnectPatient1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Patient-1)
• CareConnect-Location-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Location-1)
• CareConnect-Encounter-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Encounter-1)
• CareConnect-Practitioner-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1)
• CareConnect-Specimen-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Specimen-1)
• CareConnect-Observation-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Observation-1)

Extensions

This structure refers to these extensions:

• https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid

Slices

This structure defines the following Slices:

• The element DiagnosticReport.category.coding is sliced based on the value of value:system
• The element DiagnosticReport.code.coding is sliced based on the value of value:system
• The element DiagnosticReport.codedDiagnosis.coding is sliced based on the value of value:system