Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport	C	0..*	AUCoreDiagnosticReport	A diagnostic report in an Australian healthcare context Constraints: au-core-dir-01
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	S	1..*	Identifier, AULocalOrderIdentifier, AULocalReportIdentifier, AUAccessionNumber	Business identifier for report Slice: Unordered, Open At End by value:system
identifier:authoring-key	S	1..1	HelixBaseAuthoringKey	Business identifier for report
basedOn	S	0..*	Reference(AU Core ServiceRequest)	Diagnostic investigation order
status	?!SΣ	1..1	code	partial | preliminary | final + Binding: DiagnosticReportStatus Report Available (required)
category	SΣ	1..*	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (extensible)
code	SΣ	1..1	CodeableConcept	Diagnostic examination name / study name / group name Binding: Evaluation Procedure (preferred)
subject	SΣ	1..1	Reference(AU Core Patient)	The subject of the report - usually, but not always, the patient
effective[x]	SΣC	1..1		Clinically relevant time/time-period for report Constraints: au-core-dir-04
effectiveDateTime			dateTime
effectivePeriod			Period
issued	SΣ	1..1	instant	Diagnostic report date time
performer	SΣ	1..*	Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Organization)	Responsible Diagnostic Service
result	SC	0..*	Reference(AU Core Diagnostic Result Observation | AU Core Diagnostic Imaging Result Observation | AU Core Pathology Result Observation)	Observations
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
media	SΣ	0..*	BackboneElement	Key images associated with this report
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	SΣ	1..1	Reference(Media)	Reference to the image source
conclusion	S	0..1	string	Clinical conclusion (interpretation) of test results
conclusionCode	S	0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: Clinical Finding (preferred)
presentedForm	SC	0..*	Attachment	Entire report as issued
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DiagnosticReport.status	required	DiagnosticReportStatusReportAvailable https://healthterminologies.gov.au/fhir/ValueSet/diagnosticreportstatus-report-available-1 From https://tx.ontoserver.csiro.au/fhir
DiagnosticReport.category	extensible	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections From the FHIR Standard
DiagnosticReport.code	preferred	EvaluationProcedure https://healthterminologies.gov.au/fhir/ValueSet/evaluation-procedure-1 From https://tx.ontoserver.csiro.au/fhir
DiagnosticReport.conclusionCode	preferred	ClinicalFinding https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1 From https://tx.ontoserver.csiro.au/fhir

Constraints

Id	Grade	Path(s)	Details	Requirements
au-core-dir-01	error	DiagnosticReport	The report shall at least have a result or a presentedForm : result.exists() or presentedForm.exists()
au-core-dir-04	error	DiagnosticReport.effective[x]	Date shall be at least to day : $this is DateTime implies $this.toString().length() >= 10
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DiagnosticReport	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	AUCoreDiagnosticReport	A diagnostic report in an Australian healthcare context
Slices for identifier		1..*	Identifier, AULocalOrderIdentifier, AULocalReportIdentifier, AUAccessionNumber	Business identifier for report Slice: Unordered, Open At End by value:system
identifier:authoring-key	S	1..1	HelixBaseAuthoringKey	Business identifier for report
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport	C	0..*	AUCoreDiagnosticReport	A diagnostic report in an Australian healthcare context Constraints: au-core-dir-01
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	S	1..*	Identifier, AULocalOrderIdentifier, AULocalReportIdentifier, AUAccessionNumber	Business identifier for report Slice: Unordered, Open At End by value:system
identifier:authoring-key	S	1..1	HelixBaseAuthoringKey	Business identifier for report
basedOn	S	0..*	Reference(AU Core ServiceRequest)	Diagnostic investigation order
status	?!SΣ	1..1	code	partial | preliminary | final + Binding: DiagnosticReportStatus Report Available (required)
category	SΣ	1..*	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (extensible)
code	SΣ	1..1	CodeableConcept	Diagnostic examination name / study name / group name Binding: Evaluation Procedure (preferred)
subject	SΣ	1..1	Reference(AU Core Patient)	The subject of the report - usually, but not always, the patient
encounter	Σ	0..1	Reference(Encounter)	Health care event when test ordered
effective[x]	SΣC	1..1		Clinically relevant time/time-period for report Constraints: au-core-dir-04
effectiveDateTime			dateTime
effectivePeriod			Period
issued	SΣ	1..1	instant	Diagnostic report date time
performer	SΣ	1..*	Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Organization)	Responsible Diagnostic Service
resultsInterpreter	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter
specimen		0..*	Reference(AU Base Specimen)	Specimens this report is based on
result	SC	0..*	Reference(AU Core Diagnostic Result Observation | AU Core Diagnostic Imaging Result Observation | AU Core Pathology Result Observation)	Observations
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	1..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	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
imagingStudy		0..*	Reference(ImagingStudy)	Reference to full details of imaging associated with the diagnostic report
media	SΣ	0..*	BackboneElement	Key images associated with this report
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
comment		0..1	string	Comment about the image (e.g. explanation)
link	SΣ	1..1	Reference(Media)	Reference to the image source
conclusion	S	0..1	string	Clinical conclusion (interpretation) of test results
conclusionCode	S	0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: Clinical Finding (preferred)
presentedForm	SC	0..*	Attachment	Entire report as issued
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DiagnosticReport.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
DiagnosticReport.status	required	DiagnosticReportStatusReportAvailable https://healthterminologies.gov.au/fhir/ValueSet/diagnosticreportstatus-report-available-1 From https://tx.ontoserver.csiro.au/fhir
DiagnosticReport.category	extensible	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections From the FHIR Standard
DiagnosticReport.code	preferred	EvaluationProcedure https://healthterminologies.gov.au/fhir/ValueSet/evaluation-procedure-1 From https://tx.ontoserver.csiro.au/fhir
DiagnosticReport.result.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
DiagnosticReport.conclusionCode	preferred	ClinicalFinding https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1 From https://tx.ontoserver.csiro.au/fhir

Constraints

Id	Grade	Path(s)	Details	Requirements
au-core-dir-01	error	DiagnosticReport	The report shall at least have a result or a presentedForm : result.exists() or presentedForm.exists()
au-core-dir-04	error	DiagnosticReport.effective[x]	Date shall be at least to day : $this is DateTime implies $this.toString().length() >= 10
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DiagnosticReport	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Summary

Mandatory: 1 element
Must-Support: 1 element

Structures

This structure refers to these other structures:

• Helix Base Authoring Key (http://medicaldirector.com/helix-base/StructureDefinition/authoring-key)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of DiagnosticReport.identifier (Open at End)

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport	C	0..*	AUCoreDiagnosticReport	A diagnostic report in an Australian healthcare context Constraints: au-core-dir-01
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	S	1..*	Identifier, AULocalOrderIdentifier, AULocalReportIdentifier, AUAccessionNumber	Business identifier for report Slice: Unordered, Open At End by value:system
identifier:authoring-key	S	1..1	HelixBaseAuthoringKey	Business identifier for report
basedOn	S	0..*	Reference(AU Core ServiceRequest)	Diagnostic investigation order
status	?!SΣ	1..1	code	partial | preliminary | final + Binding: DiagnosticReportStatus Report Available (required)
category	SΣ	1..*	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (extensible)
code	SΣ	1..1	CodeableConcept	Diagnostic examination name / study name / group name Binding: Evaluation Procedure (preferred)
subject	SΣ	1..1	Reference(AU Core Patient)	The subject of the report - usually, but not always, the patient
effective[x]	SΣC	1..1		Clinically relevant time/time-period for report Constraints: au-core-dir-04
effectiveDateTime			dateTime
effectivePeriod			Period
issued	SΣ	1..1	instant	Diagnostic report date time
performer	SΣ	1..*	Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Organization)	Responsible Diagnostic Service
result	SC	0..*	Reference(AU Core Diagnostic Result Observation | AU Core Diagnostic Imaging Result Observation | AU Core Pathology Result Observation)	Observations
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
media	SΣ	0..*	BackboneElement	Key images associated with this report
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	SΣ	1..1	Reference(Media)	Reference to the image source
conclusion	S	0..1	string	Clinical conclusion (interpretation) of test results
conclusionCode	S	0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: Clinical Finding (preferred)
presentedForm	SC	0..*	Attachment	Entire report as issued
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DiagnosticReport.status	required	DiagnosticReportStatusReportAvailable https://healthterminologies.gov.au/fhir/ValueSet/diagnosticreportstatus-report-available-1 From https://tx.ontoserver.csiro.au/fhir
DiagnosticReport.category	extensible	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections From the FHIR Standard
DiagnosticReport.code	preferred	EvaluationProcedure https://healthterminologies.gov.au/fhir/ValueSet/evaluation-procedure-1 From https://tx.ontoserver.csiro.au/fhir
DiagnosticReport.conclusionCode	preferred	ClinicalFinding https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1 From https://tx.ontoserver.csiro.au/fhir

Constraints

Id	Grade	Path(s)	Details	Requirements
au-core-dir-01	error	DiagnosticReport	The report shall at least have a result or a presentedForm : result.exists() or presentedForm.exists()
au-core-dir-04	error	DiagnosticReport.effective[x]	Date shall be at least to day : $this is DateTime implies $this.toString().length() >= 10
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DiagnosticReport	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	AUCoreDiagnosticReport	A diagnostic report in an Australian healthcare context
Slices for identifier		1..*	Identifier, AULocalOrderIdentifier, AULocalReportIdentifier, AUAccessionNumber	Business identifier for report Slice: Unordered, Open At End by value:system
identifier:authoring-key	S	1..1	HelixBaseAuthoringKey	Business identifier for report
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport	C	0..*	AUCoreDiagnosticReport	A diagnostic report in an Australian healthcare context Constraints: au-core-dir-01
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	S	1..*	Identifier, AULocalOrderIdentifier, AULocalReportIdentifier, AUAccessionNumber	Business identifier for report Slice: Unordered, Open At End by value:system
identifier:authoring-key	S	1..1	HelixBaseAuthoringKey	Business identifier for report
basedOn	S	0..*	Reference(AU Core ServiceRequest)	Diagnostic investigation order
status	?!SΣ	1..1	code	partial | preliminary | final + Binding: DiagnosticReportStatus Report Available (required)
category	SΣ	1..*	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (extensible)
code	SΣ	1..1	CodeableConcept	Diagnostic examination name / study name / group name Binding: Evaluation Procedure (preferred)
subject	SΣ	1..1	Reference(AU Core Patient)	The subject of the report - usually, but not always, the patient
encounter	Σ	0..1	Reference(Encounter)	Health care event when test ordered
effective[x]	SΣC	1..1		Clinically relevant time/time-period for report Constraints: au-core-dir-04
effectiveDateTime			dateTime
effectivePeriod			Period
issued	SΣ	1..1	instant	Diagnostic report date time
performer	SΣ	1..*	Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Organization)	Responsible Diagnostic Service
resultsInterpreter	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter
specimen		0..*	Reference(AU Base Specimen)	Specimens this report is based on
result	SC	0..*	Reference(AU Core Diagnostic Result Observation | AU Core Diagnostic Imaging Result Observation | AU Core Pathology Result Observation)	Observations
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	1..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	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
imagingStudy		0..*	Reference(ImagingStudy)	Reference to full details of imaging associated with the diagnostic report
media	SΣ	0..*	BackboneElement	Key images associated with this report
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
comment		0..1	string	Comment about the image (e.g. explanation)
link	SΣ	1..1	Reference(Media)	Reference to the image source
conclusion	S	0..1	string	Clinical conclusion (interpretation) of test results
conclusionCode	S	0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: Clinical Finding (preferred)
presentedForm	SC	0..*	Attachment	Entire report as issued
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DiagnosticReport.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
DiagnosticReport.status	required	DiagnosticReportStatusReportAvailable https://healthterminologies.gov.au/fhir/ValueSet/diagnosticreportstatus-report-available-1 From https://tx.ontoserver.csiro.au/fhir
DiagnosticReport.category	extensible	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections From the FHIR Standard
DiagnosticReport.code	preferred	EvaluationProcedure https://healthterminologies.gov.au/fhir/ValueSet/evaluation-procedure-1 From https://tx.ontoserver.csiro.au/fhir
DiagnosticReport.result.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
DiagnosticReport.conclusionCode	preferred	ClinicalFinding https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1 From https://tx.ontoserver.csiro.au/fhir

Constraints

Id	Grade	Path(s)	Details	Requirements
au-core-dir-01	error	DiagnosticReport	The report shall at least have a result or a presentedForm : result.exists() or presentedForm.exists()
au-core-dir-04	error	DiagnosticReport.effective[x]	Date shall be at least to day : $this is DateTime implies $this.toString().length() >= 10
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DiagnosticReport	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Summary

Mandatory: 1 element
Must-Support: 1 element

Structures

This structure refers to these other structures:

• Helix Base Authoring Key (http://medicaldirector.com/helix-base/StructureDefinition/authoring-key)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of DiagnosticReport.identifier (Open at End)