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Resource "DiagnosticReport" Version "1" (StructureDefinition)

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XML or JSON representation. Try out the Profile as a questionnaire based web form . Edit this as XML or JSON

NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport DomainResourceA Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
... identifier Σ0..*IdentifierBusiness identifier for report
... basedOn 0..*Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ProcedureRequest | ReferralRequest)What was requested
... status ?!Σ1..1coderegistered | partial | preliminary | final +
DiagnosticReportStatus (Required)
... category Σ0..1CodeableConceptService category
Diagnostic Service Section Codes (Example)
... code Σ1..1CodeableConceptName/Code for this diagnostic report
LOINC Diagnostic Report Codes (Preferred)
... subject Σ0..1Reference(Patient | Group | Device | Location)The subject of the report - usually, but not always, the patient
... context Σ0..1Reference(Encounter | EpisodeOfCare)Health care event when test ordered
... effective[x] Σ0..1Clinically relevant time/time-period for report
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... issued Σ0..1instantDateTime this version was released
... performer Σ0..*BackboneElementParticipants in producing the report
.... role Σ0..1CodeableConceptType of performer
Procedure Performer Role Codes (Example)
.... actor Σ1..1Reference(Practitioner | Organization)Practitioner or Organization participant
... specimen 0..*Reference(Specimen)Specimens this report is based on
... result 0..*Reference(Observation)Observations - simple, or complex nested groups
... imagingStudy 0..*Reference(ImagingStudy | ImagingManifest)Reference to full details of imaging associated with the diagnostic report
... image Σ0..*BackboneElementKey images associated with this report
.... comment 0..1stringComment about the image (e.g. explanation)
.... link Σ1..1Reference(Media)Reference to the image source
... conclusion 0..1stringClinical Interpretation of test results
... codedDiagnosis 0..*CodeableConceptCodes for the conclusion
SNOMED CT Clinical Findings (Example)
... presentedForm 0..*AttachmentEntire report as issued

doco Documentation for this format

<?xml version="1.0" encoding="UTF-8"?>
<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="DiagnosticReport"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2017-09-26T21:54:51Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <table style="border: 0px #F0F0F0 solid font-size: 11px font-family: verdana vertical-align: top" border="0" cellpadding="0" cellspacing="0">
        <tr style="border: 1px #F0F0F0 solid font-size: 11px font-family: verdana vertical-align: top">
          <th style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <a title="The logical name of the element" href="formats.html#table">Name</a>
          </th>
          <th style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <a title="Information about the use of the element" href="formats.html#table">Flags</a>
          </th>
          <th style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <a title="Minimum and Maximum # of times the the element can appear in the instance" href="formats.html#table">Card.</a>
          </th>
          <th style="width: 100px" class="hierarchy">
            <a title="Reference to the type of the element" href="formats.html#table">Type</a>
          </th>
          <th style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <a title="Additional information about the element" href="formats.html#table">Description &amp; Constraints</a>
            <span style="float: right">
              <a title="Legend for this format" href="formats.html#table">
                <img alt="doco" style="background-color: inherit"/>
              </a>
            </span>
          </th>
        </tr>
        <tr style="border: 0px #F0F0F0 solid padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,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" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Resource"/>
            <span title="DiagnosticReport : The findings and interpretation of diagnostic tests performed on patients, groups of patients, devices, and locations, and/or specimens derived from these. The report includes clinical context such as requesting and provider information, and some mix of atomic results, images, textual and coded interpretations, and formatted representation of diagnostic reports.">DiagnosticReport</span>
            <a name="DiagnosticReport"> </a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy"/>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy"/>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <a href="domainresource.html">DomainResource</a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
            <br/>Elements defined in Ancestors:
            <a title="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes." href="resource.html#Resource">id</a>,
            <a title="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource." href="resource.html#Resource">meta</a>,
            <a title="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content." href="resource.html#Resource">implicitRules</a>,
            <a title="The base language in which the resource is written." href="resource.html#Resource">language</a>,
            <a title="A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety." href="domainresource.html#DomainResource">text</a>,
            <a title="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope." href="domainresource.html#DomainResource">contained</a>,
            <a title="May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." href="domainresource.html#DomainResource">extension</a>,
            <a title="May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions." href="domainresource.html#DomainResource">modifierExtension</a>
          </td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,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" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Data Type"/>
            <span title="DiagnosticReport.identifier : Identifiers assigned to this report by the performer or other systems.">identifier</span>
            <a name="DiagnosticReport.identifier"> </a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">0..*</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <a href="datatypes.html#Identifier">Identifier</a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">Business identifier for report
            <br/>
          </td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1BAACxjwv8YQUAAAAJcEhZcwAADsMAAA7DAcdvqGQAAAAadEVYdFNvZnR3YXJlAFBhaW50Lk5FVCB2My41LjEwMPRyoQAAAFxJREFUOE/NjEEOACEIA/0o/38GGw+agoXYeNnDJDCUDnd/gkoFKhWozJiZI3gLwY6rAgxhsPKTPUzycTl8lAryMyMsVQG6TFi6cHULyz8KOjC7OIQKlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Reference to another Resource"/>
            <span title="DiagnosticReport.basedOn : Details concerning a test or procedure requested.">basedOn</span>
            <a name="DiagnosticReport.basedOn"> </a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy"/>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">0..*</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <a href="references.html">Reference</a>(
            <a href="careplan.html">CarePlan</a>|
            <a href="immunizationrecommendation.html">ImmunizationRecommendation</a>|
            <a href="medicationrequest.html">MedicationRequest</a>|
            <a href="nutritionorder.html">NutritionOrder</a>|
            <a href="procedurerequest.html">ProcedureRequest</a>|
            <a href="referralrequest.html">ReferralRequest</a>)</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">What was requested
            <br/>
          </td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3gYBFzI0BrFQCwAAAERJREFUOMtj/P//PwMlgImBQjDwBrCcOnWKokBgYWBgYDCU+06W5i8MUggvnH/EOVJjAW4AuQHJ+O75LYqikXE0LzAAALePEntTkEoSAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Primitive Data Type"/>
            <span title="DiagnosticReport.status : The status of the diagnostic report as a whole.">status</span>
            <a name="DiagnosticReport.status"> </a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <span style="padding: 3px" title="This element is a modifier element">?!</span>
            <span style="padding: 3px" title="This element is included in summaries">Σ</span>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">1..1</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <a href="datatypes.html#code">code</a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">registered | partial | preliminary | final +
            <br/>
            <a title="The status of the diagnostic report as a whole." href="valueset-diagnostic-report-status.html">DiagnosticReportStatus</a>(
            <a title="To be conformant, the concept in this element SHALL be from the specified value set" href="terminologies.html#required">Required</a>)</td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,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" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Data Type"/>
            <span title="DiagnosticReport.category : A code that classifies the clinical discipline, department or diagnostic service that created the report (e.g. cardiology, biochemistry, hematology, MRI). This is used for searching, sorting and display purposes.">category</span>
            <a name="DiagnosticReport.category"> </a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">0..1</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">Service category
            <br/>
            <a title="Codes for diagnostic service sections." href="valueset-diagnostic-service-sections.html">Diagnostic Service Section Codes</a>(
            <a title="Instances are not expected or even encouraged to draw from the specified value set. The value set merely provides examples of the types of concepts intended to be included." href="terminologies.html#example">Example</a>)</td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,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" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Data Type"/>
            <span title="DiagnosticReport.code : A code or name that describes this diagnostic report.">code</span>
            <a name="DiagnosticReport.code"> </a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">1..1</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">Name/Code for this diagnostic report
            <br/>
            <a title="Codes that describe Diagnostic Reports." href="valueset-report-codes.html">LOINC Diagnostic Report Codes</a>(
            <a title="Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant." href="terminologies.html#preferred">Preferred</a>)</td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1BAACxjwv8YQUAAAAJcEhZcwAADsMAAA7DAcdvqGQAAAAadEVYdFNvZnR3YXJlAFBhaW50Lk5FVCB2My41LjEwMPRyoQAAAFxJREFUOE/NjEEOACEIA/0o/38GGw+agoXYeNnDJDCUDnd/gkoFKhWozJiZI3gLwY6rAgxhsPKTPUzycTl8lAryMyMsVQG6TFi6cHULyz8KOjC7OIQKlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Reference to another Resource"/>
            <span title="DiagnosticReport.subject : The subject of the report. Usually, but not always, this is a patient. However diagnostic services also perform analyses on specimens collected from a variety of other sources.">subject</span>
            <a name="DiagnosticReport.subject"> </a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">0..1</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <a href="references.html">Reference</a>(
            <a href="patient.html">Patient</a>|
            <a href="group.html">Group</a>|
            <a href="device.html">Device</a>|
            <a href="location.html">Location</a>)</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">The subject of the report - usually, but not always, the patient</td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1BAACxjwv8YQUAAAAJcEhZcwAADsMAAA7DAcdvqGQAAAAadEVYdFNvZnR3YXJlAFBhaW50Lk5FVCB2My41LjEwMPRyoQAAAFxJREFUOE/NjEEOACEIA/0o/38GGw+agoXYeNnDJDCUDnd/gkoFKhWozJiZI3gLwY6rAgxhsPKTPUzycTl8lAryMyMsVQG6TFi6cHULyz8KOjC7OIQKlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Reference to another Resource"/>
            <span title="DiagnosticReport.context : The healthcare event (e.g. a patient and healthcare provider interaction) which this DiagnosticReport per is about.">context</span>
            <a name="DiagnosticReport.context"> </a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">0..1</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <a href="references.html">Reference</a>(
            <a href="encounter.html">Encounter</a>|
            <a href="episodeofcare.html">EpisodeOfCare</a>)</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">Health care event when test ordered</td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,R0lGODlhEAAQAMQfAGm6/idTd4yTmF+v8Xa37KvW+lyh3KHJ62aq41ee2bXZ98nm/2mt5W2Ck5XN/C1chEZieho8WXXA/2Gn4P39/W+y6V+l3qjP8Njt/lx2izxPYGyv51Oa1EJWZ////////yH5BAEAAB8ALAAAAAAQABAAAAWH4Cd+Xml6Y0pCQts0EKp6GbYshaM/skhjhCChUmFIeL4OsHIxXRAISQTl6SgIG8+FgfBMoh2qtbLZQr0TQJhk3TC4pYPBApiyFVDEwSOf18UFXxMWBoUJBn9sDgmDewcJCRyJJBoEkRyYmAABPZQEAAOhA5seFDMaDw8BAQ9TpiokJyWwtLUhADs=" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Choice of Types"/>
            <span title="DiagnosticReport.effective[x] : The time or time-period the observed values are related to. When the subject of the report is a patient, this is usually either the time of the procedure or of specimen collection(s), but very often the source of the date/time is not known, only the date/time itself.">effective[x]</span>
            <a name="DiagnosticReport.effective_x_"> </a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">0..1</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy"/>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">Clinically relevant time/time-period for report</td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMElEQVR42u3QwQkAMAwDsezq/WdoskKgFAoy6HkfV5LamJ1tc7MHAAD+5QQAAOCZBkurQFbnaRSlAAAAAElFTkSuQmCC)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzMPbYccAgAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAMElEQVQ4y+3OQREAIBDDwAv+PQcFFN5MIyCzqHMKUGVCpMFLK97heq+gggoq+EiwAVjvMhFGmlEUAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3gYBFzI0BrFQCwAAAERJREFUOMtj/P//PwMlgImBQjDwBrCcOnWKokBgYWBgYDCU+06W5i8MUggvnH/EOVJjAW4AuQHJ+O75LYqikXE0LzAAALePEntTkEoSAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Primitive Data Type"/>
            <span title="A date, date-time or partial date (e.g. just year or year + month). If hours and minutes are specified, a time zone SHALL be populated. The format is a union of the schema types gYear, gYearMonth, date and dateTime. Seconds must be provided due to schema type constraints but may be zero-filled and may be ignored. Dates SHALL be valid dates.">effectiveDateTime</span>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy"/>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy"/>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <a href="datatypes.html#dateTime">dateTime</a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy"/>
        </tr>
        <tr style="border: 0px #F0F0F0 solid padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzMPbYccAgAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAMElEQVQ4y+3OQREAIBDDwAv+PQcFFN5MIyCzqHMKUGVCpMFLK97heq+gggoq+EiwAVjvMhFGmlEUAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzME+lXFigAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+3OsRUAIAjEUOL+O8cJABttJM11/x1qZAGqRBEVcNIqdWj1efDqQbb3HwwwwEfABmQUHSPM9dtDAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,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" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Data Type"/>
            <span title="A time period defined by a start and end date and optionally time.">effectivePeriod</span>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy"/>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy"/>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <a href="datatypes.html#Period">Period</a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy"/>
        </tr>
        <tr style="border: 0px #F0F0F0 solid padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3gYBFzI0BrFQCwAAAERJREFUOMtj/P//PwMlgImBQjDwBrCcOnWKokBgYWBgYDCU+06W5i8MUggvnH/EOVJjAW4AuQHJ+O75LYqikXE0LzAAALePEntTkEoSAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Primitive Data Type"/>
            <span title="DiagnosticReport.issued : The date and time that this version of the report was released from the source diagnostic service.">issued</span>
            <a name="DiagnosticReport.issued"> </a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">0..1</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <a href="datatypes.html#instant">instant</a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">DateTime this version was released</td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,R0lGODlhEAAQAMQfAOvGUf7ztuvPMf/78/fkl/Pbg+u8Rvjqteu2Pf3zxPz36Pz0z+vTmPzurPvuw/npofbjquvNefHVduuyN+uuMu3Oafbgjfnqvf/3zv/3xevPi+vRjP/20/bmsP///////yH5BAEAAB8ALAAAAAAQABAAAAV24CeOZGmepqeqqOgxjBZFa+19r4ftWQUAgqDgltthMshMIJAZ4jYDHsBARSAmFOJvq+g6HIdEFgcYmBWNxoNAsDjGHgBnmV5bCoUDHLBIq9sFEhIdcAYJdYASFRUQhQkLCwkOFwcdEBAXhVabE52ecDahKy0oIQA7" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Element"/>
            <span title="DiagnosticReport.performer : Indicates who or what participated in producing the report.">performer</span>
            <a name="DiagnosticReport.performer"> </a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">0..*</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <a href="backboneelement.html">BackboneElement</a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">Participants in producing the report
            <br/>
          </td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMElEQVR42u3QwQkAMAwDsezq/WdoskKgFAoy6HkfV5LamJ1tc7MHAAD+5QQAAOCZBkurQFbnaRSlAAAAAElFTkSuQmCC)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzMPbYccAgAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAMElEQVQ4y+3OQREAIBDDwAv+PQcFFN5MIyCzqHMKUGVCpMFLK97heq+gggoq+EiwAVjvMhFGmlEUAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,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" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Data Type"/>
            <span title="DiagnosticReport.performer.role : Describes the type of participation (e.g. a responsible party, author, or verifier).">role</span>
            <a name="DiagnosticReport.performer.role"> </a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">0..1</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">Type of performer
            <br/>
            <a title="Indicate a role of diagnostic report performer" href="valueset-performer-role.html">Procedure Performer Role Codes</a>(
            <a title="Instances are not expected or even encouraged to draw from the specified value set. The value set merely provides examples of the types of concepts intended to be included." href="terminologies.html#example">Example</a>)</td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzMPbYccAgAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAMElEQVQ4y+3OQREAIBDDwAv+PQcFFN5MIyCzqHMKUGVCpMFLK97heq+gggoq+EiwAVjvMhFGmlEUAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzME+lXFigAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+3OsRUAIAjEUOL+O8cJABttJM11/x1qZAGqRBEVcNIqdWj1efDqQbb3HwwwwEfABmQUHSPM9dtDAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1BAACxjwv8YQUAAAAJcEhZcwAADsMAAA7DAcdvqGQAAAAadEVYdFNvZnR3YXJlAFBhaW50Lk5FVCB2My41LjEwMPRyoQAAAFxJREFUOE/NjEEOACEIA/0o/38GGw+agoXYeNnDJDCUDnd/gkoFKhWozJiZI3gLwY6rAgxhsPKTPUzycTl8lAryMyMsVQG6TFi6cHULyz8KOjC7OIQKlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Reference to another Resource"/>
            <span title="DiagnosticReport.performer.actor : The reference to the practitioner or organization involved in producing the report. For example, the diagnostic service that is responsible for issuing the report.">actor</span>
            <a name="DiagnosticReport.performer.actor"> </a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">1..1</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <a href="references.html">Reference</a>(
            <a href="practitioner.html">Practitioner</a>|
            <a href="organization.html">Organization</a>)</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">Practitioner or Organization participant</td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
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            <span title="DiagnosticReport.specimen : Details about the specimens on which this diagnostic report is based.">specimen</span>
            <a name="DiagnosticReport.specimen"> </a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy"/>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">0..*</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <a href="references.html">Reference</a>(
            <a href="specimen.html">Specimen</a>)</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">Specimens this report is based on
            <br/>
          </td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid padding:0px vertical-align: top background-color: white">
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            <span title="DiagnosticReport.result : Observations that are part of this diagnostic report. Observations can be simple name/value pairs (e.g. &quot;atomic&quot; results), or they can be grouping observations that include references to other members of the group (e.g. &quot;panels&quot;).">result</span>
            <a name="DiagnosticReport.result"> </a>
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          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy"/>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">0..*</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <a href="references.html">Reference</a>(
            <a href="observation.html">Observation</a>)</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">Observations - simple, or complex nested groups
            <br/>
          </td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid padding:0px vertical-align: top background-color: white">
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            <span title="DiagnosticReport.imagingStudy : One or more links to full details of any imaging performed during the diagnostic investigation. Typically, this is imaging performed by DICOM enabled modalities, but this is not required. A fully enabled PACS viewer can use this information to provide views of the source images.">imagingStudy</span>
            <a name="DiagnosticReport.imagingStudy"> </a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy"/>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">0..*</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <a href="references.html">Reference</a>(
            <a href="imagingstudy.html">ImagingStudy</a>|
            <a href="imagingmanifest.html">ImagingManifest</a>)</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">Reference to full details of imaging associated with the diagnostic report
            <br/>
          </td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid padding:0px vertical-align: top background-color: white">
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            <span title="DiagnosticReport.image : A list of key images associated with this report. The images are generally created during the diagnostic process, and may be directly of the patient, or of treated specimens (i.e. slides of interest).">image</span>
            <a name="DiagnosticReport.image"> </a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">0..*</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <a href="backboneelement.html">BackboneElement</a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">Key images associated with this report
            <br/>
          </td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMElEQVR42u3QwQkAMAwDsezq/WdoskKgFAoy6HkfV5LamJ1tc7MHAAD+5QQAAOCZBkurQFbnaRSlAAAAAElFTkSuQmCC)" class="hierarchy">
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            <span title="DiagnosticReport.image.comment : A comment about the image. Typically, this is used to provide an explanation for why the image is included, or to draw the viewer's attention to important features.">comment</span>
            <a name="DiagnosticReport.image.comment"> </a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy"/>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">0..1</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <a href="datatypes.html#string">string</a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">Comment about the image (e.g. explanation)</td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid padding:0px vertical-align: top background-color: white">
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            <span title="DiagnosticReport.image.link : Reference to the image source.">link</span>
            <a name="DiagnosticReport.image.link"> </a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">1..1</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <a href="references.html">Reference</a>(
            <a href="media.html">Media</a>)</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">Reference to the image source</td>
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        <tr style="border: 0px #F0F0F0 solid padding:0px vertical-align: top background-color: white">
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            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3gYBFzI0BrFQCwAAAERJREFUOMtj/P//PwMlgImBQjDwBrCcOnWKokBgYWBgYDCU+06W5i8MUggvnH/EOVJjAW4AuQHJ+O75LYqikXE0LzAAALePEntTkEoSAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Primitive Data Type"/>
            <span title="DiagnosticReport.conclusion : Concise and clinically contextualized impression / summary of the diagnostic report.">conclusion</span>
            <a name="DiagnosticReport.conclusion"> </a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy"/>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">0..1</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <a href="datatypes.html#string">string</a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">Clinical Interpretation of test results</td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,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" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Data Type"/>
            <span title="DiagnosticReport.codedDiagnosis : Codes for the conclusion.">codedDiagnosis</span>
            <a name="DiagnosticReport.codedDiagnosis"> </a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy"/>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">0..*</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">Codes for the conclusion
            <br/>
            <a title="Diagnosis codes provided as adjuncts to the report." href="valueset-clinical-findings.html">SNOMED CT Clinical Findings</a>(
            <a title="Instances are not expected or even encouraged to draw from the specified value set. The value set merely provides examples of the types of concepts intended to be included." href="terminologies.html#example">Example</a>)
            <br/>
          </td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid padding:0px vertical-align: top background-color: white">
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px white-space: nowrap background-image: url(data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAI0lEQVR42u3QIQEAAAACIL/6/4MvTAQOkLYBAAB4kAAAANwMad9AqkRjgNAAAAAASUVORK5CYII=)" class="hierarchy">
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3wYeFzME+lXFigAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+3OsRUAIAjEUOL+O8cJABttJM11/x1qZAGqRBEVcNIqdWj1efDqQbb3HwwwwEfABmQUHSPM9dtDAAAAAElFTkSuQmCC" class="hierarchy" alt="." style="background-color: inherit"/>
            <img src="data: image/pngbase64,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" class="hierarchy" alt="." style="background-color: white background-color: inherit" title="Data Type"/>
            <span title="DiagnosticReport.presentedForm : Rich text representation of the entire result as issued by the diagnostic service. Multiple formats are allowed but they SHALL be semantically equivalent.">presentedForm</span>
            <a name="DiagnosticReport.presentedForm"> </a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy"/>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">0..*</td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">
            <a href="datatypes.html#Attachment">Attachment</a>
          </td>
          <td style="vertical-align: top text-align : left background-color: white border: 0px #F0F0F0 solid padding:0px 4px 0px 4px" class="hierarchy">Entire report as issued
            <br/>
          </td>
        </tr>
        <tr>
          <td colspan="5" class="hierarchy">
            <br/>
            <a title="Legend for this format" href="formats.html#table">
              <img alt="doco" style="background-color: inherit"/>Documentation for this format</a>
          </td>
        </tr>
      </table>
    </div>
  </text>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="3"/>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="oo"/>
  </extension>
  <url value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"/>
  <name value="DiagnosticReport"/>
  <status value="draft"/>
  <date value="2017-04-27T17:09:41+10:00"/>
  <publisher value="Health Level Seven International (Orders and Observations)"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://hl7.org/fhir"/>
    </telecom>
  </contact>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/orders/index.cfm"/>
    </telecom>
  </contact>
  <description value="The findings and interpretation of diagnostic tests performed on patients, groups of patients, devices, and locations, and/or specimens derived from these. The report includes clinical context such as requesting and provider information, and some mix of atomic results, images, textual and coded interpretations, and formatted representation of diagnostic reports."/>
  <purpose value="To support reporting for any diagnostic report into a clinical data repository."/>
  <fhirVersion value="3.0.1"/>
  <mapping>
    <identity value="workflow"/>
    <uri value="http://hl7.org/fhir/workflow"/>
    <name value="Workflow Mapping"/>
  </mapping>
  <mapping>
    <identity value="v2"/>
    <uri value="http://hl7.org/v2"/>
    <name value="HL7 v2 Mapping"/>
  </mapping>
  <mapping>
    <identity value="rim"/>
    <uri value="http://hl7.org/v3"/>
    <name value="RIM Mapping"/>
  </mapping>
  <mapping>
    <identity value="w5"/>
    <uri value="http://hl7.org/fhir/w5"/>
    <name value="W5 Mapping"/>
  </mapping>
  <kind value="resource"/>
  <abstract value="false"/>
  <type value="DiagnosticReport"/>
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
  <derivation value="specialization"/>
  <snapshot>
    <element id="DiagnosticReport">
      <path value="DiagnosticReport"/>
      <short value="A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports"/>
      <definition value="The findings and interpretation of diagnostic tests performed on patients, groups of patients, devices, and locations, and/or specimens derived from these. The report includes clinical context such as requesting and provider information, and some mix of atomic results, images, textual and coded interpretations, and formatted representation of diagnostic reports."/>
      <comment value="This is intended to capture a single report, and is not suitable for use in displaying summary information that covers multiple reports. For example, this resource has not been designed for laboratory cumulative reporting formats nor detailed structured reports for sequencing."/>
      <alias value="Report"/>
      <alias value="Test"/>
      <alias value="Result"/>
      <alias value="Results"/>
      <alias value="Labs"/>
      <alias value="Laboratory"/>
      <min value="0"/>
      <max value="*"/>
      <constraint>
        <key value="dom-2"/>
        <severity value="error"/>
        <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/>
        <expression value="contained.contained.empty()"/>
        <xpath value="not(parent::f:contained and f:contained)"/>
        <source value="DomainResource"/>
      </constraint>
      <constraint>
        <key value="dom-1"/>
        <severity value="error"/>
        <human value="If the resource is contained in another resource, it SHALL NOT contain any narrative"/>
        <expression value="contained.text.empty()"/>
        <xpath value="not(parent::f:contained and f:text)"/>
        <source value="DomainResource"/>
      </constraint>
      <constraint>
        <key value="dom-4"/>
        <severity value="error"/>
        <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"/>
        <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/>
        <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/>
        <source value="DomainResource"/>
      </constraint>
      <constraint>
        <key value="dom-3"/>
        <severity value="error"/>
        <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource"/>
        <expression value="contained.where(('#'+id in %resource.descendants().reference).not()).empty()"/>
        <xpath value="not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))"/>
        <source value="DomainResource"/>
      </constraint>
      <mapping>
        <identity value="rim"/>
        <map value="Entity. Role, or Act"/>
      </mapping>
      <mapping>
        <identity value="workflow"/>
        <map value="Event"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="ORU -> OBR"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="Observation[classCode=OBS, moodCode=EVN]"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="clinical.diagnostics"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.id">
      <path value="DiagnosticReport.id"/>
      <short value="Logical id of this artifact"/>
      <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/>
      <comment value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="DiagnosticReport.meta">
      <path value="DiagnosticReport.meta"/>
      <short value="Metadata about the resource"/>
      <definition value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.meta"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Meta"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="DiagnosticReport.implicitRules">
      <path value="DiagnosticReport.implicitRules"/>
      <short value="A set of rules under which this content was created"/>
      <definition value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content."/>
      <comment value="Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. &#xA;&#xA;This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.implicitRules"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
    </element>
    <element id="DiagnosticReport.language">
      <path value="DiagnosticReport.language"/>
      <short value="Language of the resource content"/>
      <definition value="The base language in which the resource is written."/>
      <comment value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.language"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
          <valueReference>
            <reference value="http://hl7.org/fhir/ValueSet/all-languages"/>
          </valueReference>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="Language"/>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/>
        </extension>
        <strength value="extensible"/>
        <description value="A human language."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/languages"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="DiagnosticReport.text">
      <path value="DiagnosticReport.text"/>
      <short value="Text summary of the resource, for human interpretation"/>
      <definition value="A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety."/>
      <comment value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a &quot;text blob&quot; or where text is additionally entered raw or narrated and encoded in formation is added later."/>
      <alias value="narrative"/>
      <alias value="html"/>
      <alias value="xhtml"/>
      <alias value="display"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DomainResource.text"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Narrative"/>
      </type>
      <condition value="dom-1"/>
      <mapping>
        <identity value="rim"/>
        <map value="Act.text?"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.contained">
      <path value="DiagnosticReport.contained"/>
      <short value="Contained, inline Resources"/>
      <definition value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope."/>
      <comment value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again."/>
      <alias value="inline resources"/>
      <alias value="anonymous resources"/>
      <alias value="contained resources"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.contained"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Resource"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.extension">
      <path value="DiagnosticReport.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.modifierExtension">
      <path value="DiagnosticReport.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/>
      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.identifier">
      <path value="DiagnosticReport.identifier"/>
      <short value="Business identifier for report"/>
      <definition value="Identifiers assigned to this report by the performer or other systems."/>
      <comment value="Usually assigned by the Information System of the diagnostic service provider (filler id)."/>
      <requirements value="Need to know what identifier to use when making queries about this report from the source laboratory, and for linking to the report outside FHIR context."/>
      <alias value="ReportID"/>
      <alias value="Filler ID"/>
      <alias value="Placer ID"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Identifier"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.identifier"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="OBR-51"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="id"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="id"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.basedOn">
      <path value="DiagnosticReport.basedOn"/>
      <short value="What was requested"/>
      <definition value="Details concerning a test or procedure requested."/>
      <comment value="Note: Usually there is one test request for each result, however in some circumstances multiple test requests may be represented using a single test result resource. Note that there are also cases where one request leads to multiple reports."/>
      <requirements value="This allows tracing of authorization for the report and tracking whether proposals/recommendations were acted upon."/>
      <alias value="Request"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/CarePlan"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/NutritionOrder"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ProcedureRequest"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ReferralRequest"/>
      </type>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.basedOn"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="ORC? OBR-2/3?"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=FLFS].target"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.status">
      <path value="DiagnosticReport.status"/>
      <short value="registered | partial | preliminary | final +"/>
      <definition value="The status of the diagnostic report as a whole."/>
      <comment value="This is labeled as &quot;Is Modifier&quot; because applications need to take appropriate action if a report is withdrawn."/>
      <requirements value="Diagnostic services routinely issue provisional/incomplete reports, and sometimes withdraw previously released reports."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="DiagnosticReportStatus"/>
        </extension>
        <strength value="required"/>
        <description value="The status of the diagnostic report as a whole."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/diagnostic-report-status"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.status"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="OBR-25 (not 1:1 mapping)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="statusCode Note: final and amended are distinguished by whether observation is the subject of a ControlAct event of type &quot;revise&quot;"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="status"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.category">
      <path value="DiagnosticReport.category"/>
      <short value="Service category"/>
      <definition value="A code that classifies the clinical discipline, department or diagnostic service that created the report (e.g. cardiology, biochemistry, hematology, MRI). This is used for searching, sorting and display purposes."/>
      <comment value="The level of granularity is defined by the category concepts in the value set. More fine-grained filtering can be performed using the metadata and/or terminology hierarchy in DiagnosticReport.code."/>
      <alias value="Department"/>
      <alias value="Sub-department"/>
      <alias value="Service"/>
      <alias value="Discipline"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="DiagnosticServiceSection"/>
        </extension>
        <strength value="example"/>
        <description value="Codes for diagnostic service sections."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/diagnostic-service-sections"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="OBR-24"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="inboundRelationship[typeCode=COMP].source[classCode=LIST, moodCode=EVN, code &lt; LabService].code"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="class"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.code">
      <path value="DiagnosticReport.code"/>
      <short value="Name/Code for this diagnostic report"/>
      <definition value="A code or name that describes this diagnostic report."/>
      <alias value="Type"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="DiagnosticReportCodes"/>
        </extension>
        <strength value="preferred"/>
        <description value="Codes that describe Diagnostic Reports."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/report-codes"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.code"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="OBR-4 (HL7 v2 doesn't provide an easy way to indicate both the ordered test and the performed panel)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="code"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="what"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.subject">
      <path value="DiagnosticReport.subject"/>
      <short value="The subject of the report - usually, but not always, the patient"/>
      <definition value="The subject of the report. Usually, but not always, this is a patient. However diagnostic services also perform analyses on specimens collected from a variety of other sources."/>
      <requirements value="SHALL know the subject context."/>
      <alias value="Patient"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.subject"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="PID-3 (no HL7 v2 mapping for Group or Device)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="participation[typeCode=SBJ]"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.focus"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.context">
      <path value="DiagnosticReport.context"/>
      <short value="Health care event when test ordered"/>
      <definition value="The healthcare event (e.g. a patient and healthcare provider interaction) which this DiagnosticReport per is about."/>
      <comment value="This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter or episode but still be tied to the context of the encounter or episode (e.g. pre-admission lab tests)."/>
      <requirements value="Links the request to the Encounter context."/>
      <alias value="Encounter"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.context"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="PV1-19"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="context"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.effective[x]">
      <path value="DiagnosticReport.effective[x]"/>
      <short value="Clinically relevant time/time-period for report"/>
      <definition value="The time or time-period the observed values are related to. When the subject of the report is a patient, this is usually either the time of the procedure or of specimen collection(s), but very often the source of the date/time is not known, only the date/time itself."/>
      <comment value="If the diagnostic procedure was performed on the patient, this is the time it was performed. If there are specimens, the diagnostically relevant time can be derived from the specimen collection times, but the specimen information is not always available, and the exact relationship between the specimens and the diagnostically relevant time is not always automatic."/>
      <requirements value="Need to know where in the patient history to file/present this report."/>
      <alias value="Observation time"/>
      <alias value="Effective Time"/>
      <alias value="Occurrence"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="dateTime"/>
      </type>
      <type>
        <code value="Period"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.occurrence[x]"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="OBR-7"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="effectiveTime"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="when.done"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.issued">
      <path value="DiagnosticReport.issued"/>
      <short value="DateTime this version was released"/>
      <definition value="The date and time that this version of the report was released from the source diagnostic service."/>
      <comment value="May be different from the update time of the resource itself, because that is the status of the record (potentially a secondary copy), not the actual release time of the report."/>
      <requirements value="Clinicians need to be able to check the date that the report was released."/>
      <alias value="Date Created"/>
      <alias value="Date published"/>
      <alias value="Date Issued"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="instant"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="OBR-22"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="participation[typeCode=VRF or AUT].time"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="when.recorded"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.performer">
      <path value="DiagnosticReport.performer"/>
      <short value="Participants in producing the report"/>
      <definition value="Indicates who or what participated in producing the report."/>
      <alias value="Laboratory"/>
      <alias value="Service"/>
      <alias value="Practitioner"/>
      <alias value="Department"/>
      <alias value="Company"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="hasValue() | (children().count() > id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="Element"/>
      </constraint>
      <isSummary value="true"/>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.performer"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="PRT-8 (where this PRT-4-Participation = &quot;PO&quot;)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=PRF]"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.witness"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.performer.id">
      <path value="DiagnosticReport.performer.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.performer.extension">
      <path value="DiagnosticReport.performer.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.performer.modifierExtension">
      <path value="DiagnosticReport.performer.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/>
      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.performer.role">
      <path value="DiagnosticReport.performer.role"/>
      <short value="Type of performer"/>
      <definition value="Describes the type of participation (e.g. a responsible party, author, or verifier)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="Role"/>
        </extension>
        <strength value="example"/>
        <description value="Indicate a role of diagnostic report performer"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/performer-role"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.performer.role"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="PRT-8 (where this PRT-4-Participation = &quot;PO&quot;)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".functionCode"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.performer.actor">
      <path value="DiagnosticReport.performer.actor"/>
      <short value="Practitioner or Organization participant"/>
      <definition value="The reference to the practitioner or organization involved in producing the report. For example, the diagnostic service that is responsible for issuing the report."/>
      <comment value="This is not necessarily the source of the atomic data items. It is the entity that takes responsibility for the clinical report."/>
      <requirements value="Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.performer.actor"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="PRT-8 (where this PRT-4-Participation = &quot;PO&quot;)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".role"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.specimen">
      <path value="DiagnosticReport.specimen"/>
      <short value="Specimens this report is based on"/>
      <definition value="Details about the specimens on which this diagnostic report is based."/>
      <comment value="If the specimen is sufficiently specified with a code in the test result name, then this additional data may be redundant. If there are multiple specimens, these may be represented per observation or group."/>
      <requirements value="Need to be able to report information about the collected specimens on which the report is based."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Specimen"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="SPM"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="participation[typeCode=SBJ]"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.result">
      <path value="DiagnosticReport.result"/>
      <short value="Observations - simple, or complex nested groups"/>
      <definition value="Observations that are part of this diagnostic report. Observations can be simple name/value pairs (e.g. &quot;atomic&quot; results), or they can be grouping observations that include references to other members of the group (e.g. &quot;panels&quot;)."/>
      <requirements value="Need to support individual results, or report groups of results, where the result grouping is arbitrary, but meaningful. This structure is recursive - observations can contain observations."/>
      <alias value="Data"/>
      <alias value="Atomic Value"/>
      <alias value="Result"/>
      <alias value="Atomic result"/>
      <alias value="Data"/>
      <alias value="Test"/>
      <alias value="Analyte"/>
      <alias value="Battery"/>
      <alias value="Organizer"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="OBXs"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=COMP].target"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.imagingStudy">
      <path value="DiagnosticReport.imagingStudy"/>
      <short value="Reference to full details of imaging associated with the diagnostic report"/>
      <definition value="One or more links to full details of any imaging performed during the diagnostic investigation. Typically, this is imaging performed by DICOM enabled modalities, but this is not required. A fully enabled PACS viewer can use this information to provide views of the source images."/>
      <comment value="ImagingStudy and ImageManifest and the image element are somewhat overlapping - typically, the list of image references in the image element will also be found in one of the imaging study resources. However each caters to different types of displays for different types of purposes. Neither, either, or both may be provided."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImagingStudy"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImagingManifest"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=COMP].target[classsCode=DGIMG, moodCode=EVN]"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.image">
      <path value="DiagnosticReport.image"/>
      <short value="Key images associated with this report"/>
      <definition value="A list of key images associated with this report. The images are generally created during the diagnostic process, and may be directly of the patient, or of treated specimens (i.e. slides of interest)."/>
      <requirements value="Many diagnostic services include images in the report as part of their service."/>
      <alias value="DICOM"/>
      <alias value="Slides"/>
      <alias value="Scans"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="hasValue() | (children().count() > id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="Element"/>
      </constraint>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="OBX?"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=COMP].target"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.image.id">
      <path value="DiagnosticReport.image.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.image.extension">
      <path value="DiagnosticReport.image.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.image.modifierExtension">
      <path value="DiagnosticReport.image.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/>
      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.image.comment">
      <path value="DiagnosticReport.image.comment"/>
      <short value="Comment about the image (e.g. explanation)"/>
      <definition value="A comment about the image. Typically, this is used to provide an explanation for why the image is included, or to draw the viewer's attention to important features."/>
      <comment value="The comment should be displayed with the image. It would be common for the report to include additional discussion of the image contents in other sections such as the conclusion."/>
      <requirements value="The provider of the report should make a comment about each image included in the report."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value=".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code=&quot;annotation&quot;].value"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.image.link">
      <path value="DiagnosticReport.image.link"/>
      <short value="Reference to the image source"/>
      <definition value="Reference to the image source."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Media"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".value.reference"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.conclusion">
      <path value="DiagnosticReport.conclusion"/>
      <short value="Clinical Interpretation of test results"/>
      <definition value="Concise and clinically contextualized impression / summary of the diagnostic report."/>
      <requirements value="Need to be able to provide a conclusion that is not lost among the basic result data."/>
      <alias value="Report"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="OBX"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="inboundRelationship[typeCode=&quot;SPRT&quot;].source[classCode=OBS, moodCode=EVN, code=LOINC:48767-8].value (type=ST)"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.codedDiagnosis">
      <path value="DiagnosticReport.codedDiagnosis"/>
      <short value="Codes for the conclusion"/>
      <definition value="Codes for the conclusion."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="AdjunctDiagnosis"/>
        </extension>
        <strength value="example"/>
        <description value="Diagnosis codes provided as adjuncts to the report."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/clinical-findings"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="OBX"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="inboundRelationship[typeCode=SPRT].source[classCode=OBS, moodCode=EVN, code=LOINC:54531-9].value (type=CD)"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.presentedForm">
      <path value="DiagnosticReport.presentedForm"/>
      <short value="Entire report as issued"/>
      <definition value="Rich text representation of the entire result as issued by the diagnostic service. Multiple formats are allowed but they SHALL be semantically equivalent."/>
      <comment value="&quot;application/pdf&quot; is recommended as the most reliable and interoperable in this context."/>
      <requirements value="Gives laboratory the ability to provide its own fully formatted report for clinical fidelity."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Attachment"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="OBX"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="text (type=ED)"/>
      </mapping>
    </element>
  </snapshot>
  <differential>
    <element id="DiagnosticReport">
      <path value="DiagnosticReport"/>
      <short value="A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports"/>
      <definition value="The findings and interpretation of diagnostic tests performed on patients, groups of patients, devices, and locations, and/or specimens derived from these. The report includes clinical context such as requesting and provider information, and some mix of atomic results, images, textual and coded interpretations, and formatted representation of diagnostic reports."/>
      <comment value="This is intended to capture a single report, and is not suitable for use in displaying summary information that covers multiple reports. For example, this resource has not been designed for laboratory cumulative reporting formats nor detailed structured reports for sequencing."/>
      <alias value="Report"/>
      <alias value="Test"/>
      <alias value="Result"/>
      <alias value="Results"/>
      <alias value="Labs"/>
      <alias value="Laboratory"/>
      <min value="0"/>
      <max value="*"/>
      <mapping>
        <identity value="workflow"/>
        <map value="Event"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="ORU -> OBR"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="Observation[classCode=OBS, moodCode=EVN]"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="clinical.diagnostics"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.identifier">
      <path value="DiagnosticReport.identifier"/>
      <short value="Business identifier for report"/>
      <definition value="Identifiers assigned to this report by the performer or other systems."/>
      <comment value="Usually assigned by the Information System of the diagnostic service provider (filler id)."/>
      <requirements value="Need to know what identifier to use when making queries about this report from the source laboratory, and for linking to the report outside FHIR context."/>
      <alias value="ReportID"/>
      <alias value="Filler ID"/>
      <alias value="Placer ID"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Identifier"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.identifier"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="OBR-51"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="id"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="id"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.basedOn">
      <path value="DiagnosticReport.basedOn"/>
      <short value="What was requested"/>
      <definition value="Details concerning a test or procedure requested."/>
      <comment value="Note: Usually there is one test request for each result, however in some circumstances multiple test requests may be represented using a single test result resource. Note that there are also cases where one request leads to multiple reports."/>
      <requirements value="This allows tracing of authorization for the report and tracking whether proposals/recommendations were acted upon."/>
      <alias value="Request"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/CarePlan"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/NutritionOrder"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ProcedureRequest"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ReferralRequest"/>
      </type>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.basedOn"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="ORC? OBR-2/3?"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=FLFS].target"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.status">
      <path value="DiagnosticReport.status"/>
      <short value="registered | partial | preliminary | final +"/>
      <definition value="The status of the diagnostic report as a whole."/>
      <comment value="This is labeled as &quot;Is Modifier&quot; because applications need to take appropriate action if a report is withdrawn."/>
      <requirements value="Diagnostic services routinely issue provisional/incomplete reports, and sometimes withdraw previously released reports."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="DiagnosticReportStatus"/>
        </extension>
        <strength value="required"/>
        <description value="The status of the diagnostic report as a whole."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/diagnostic-report-status"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.status"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="OBR-25 (not 1:1 mapping)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="statusCode Note: final and amended are distinguished by whether observation is the subject of a ControlAct event of type &quot;revise&quot;"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="status"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.category">
      <path value="DiagnosticReport.category"/>
      <short value="Service category"/>
      <definition value="A code that classifies the clinical discipline, department or diagnostic service that created the report (e.g. cardiology, biochemistry, hematology, MRI). This is used for searching, sorting and display purposes."/>
      <comment value="The level of granularity is defined by the category concepts in the value set. More fine-grained filtering can be performed using the metadata and/or terminology hierarchy in DiagnosticReport.code."/>
      <alias value="Department"/>
      <alias value="Sub-department"/>
      <alias value="Service"/>
      <alias value="Discipline"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="DiagnosticServiceSection"/>
        </extension>
        <strength value="example"/>
        <description value="Codes for diagnostic service sections."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/diagnostic-service-sections"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="OBR-24"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="inboundRelationship[typeCode=COMP].source[classCode=LIST, moodCode=EVN, code &lt; LabService].code"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="class"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.code">
      <path value="DiagnosticReport.code"/>
      <short value="Name/Code for this diagnostic report"/>
      <definition value="A code or name that describes this diagnostic report."/>
      <alias value="Type"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="DiagnosticReportCodes"/>
        </extension>
        <strength value="preferred"/>
        <description value="Codes that describe Diagnostic Reports."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/report-codes"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.code"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="OBR-4 (HL7 v2 doesn't provide an easy way to indicate both the ordered test and the performed panel)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="code"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="what"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.subject">
      <path value="DiagnosticReport.subject"/>
      <short value="The subject of the report - usually, but not always, the patient"/>
      <definition value="The subject of the report. Usually, but not always, this is a patient. However diagnostic services also perform analyses on specimens collected from a variety of other sources."/>
      <requirements value="SHALL know the subject context."/>
      <alias value="Patient"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.subject"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="PID-3 (no HL7 v2 mapping for Group or Device)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="participation[typeCode=SBJ]"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.focus"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.context">
      <path value="DiagnosticReport.context"/>
      <short value="Health care event when test ordered"/>
      <definition value="The healthcare event (e.g. a patient and healthcare provider interaction) which this DiagnosticReport per is about."/>
      <comment value="This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter or episode but still be tied to the context of the encounter or episode (e.g. pre-admission lab tests)."/>
      <requirements value="Links the request to the Encounter context."/>
      <alias value="Encounter"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.context"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="PV1-19"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="context"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.effective[x]">
      <path value="DiagnosticReport.effective[x]"/>
      <short value="Clinically relevant time/time-period for report"/>
      <definition value="The time or time-period the observed values are related to. When the subject of the report is a patient, this is usually either the time of the procedure or of specimen collection(s), but very often the source of the date/time is not known, only the date/time itself."/>
      <comment value="If the diagnostic procedure was performed on the patient, this is the time it was performed. If there are specimens, the diagnostically relevant time can be derived from the specimen collection times, but the specimen information is not always available, and the exact relationship between the specimens and the diagnostically relevant time is not always automatic."/>
      <requirements value="Need to know where in the patient history to file/present this report."/>
      <alias value="Observation time"/>
      <alias value="Effective Time"/>
      <alias value="Occurrence"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="dateTime"/>
      </type>
      <type>
        <code value="Period"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.occurrence[x]"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="OBR-7"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="effectiveTime"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="when.done"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.issued">
      <path value="DiagnosticReport.issued"/>
      <short value="DateTime this version was released"/>
      <definition value="The date and time that this version of the report was released from the source diagnostic service."/>
      <comment value="May be different from the update time of the resource itself, because that is the status of the record (potentially a secondary copy), not the actual release time of the report."/>
      <requirements value="Clinicians need to be able to check the date that the report was released."/>
      <alias value="Date Created"/>
      <alias value="Date published"/>
      <alias value="Date Issued"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="instant"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="OBR-22"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="participation[typeCode=VRF or AUT].time"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="when.recorded"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.performer">
      <path value="DiagnosticReport.performer"/>
      <short value="Participants in producing the report"/>
      <definition value="Indicates who or what participated in producing the report."/>
      <alias value="Laboratory"/>
      <alias value="Service"/>
      <alias value="Practitioner"/>
      <alias value="Department"/>
      <alias value="Company"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.performer"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="PRT-8 (where this PRT-4-Participation = &quot;PO&quot;)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=PRF]"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.witness"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.performer.role">
      <path value="DiagnosticReport.performer.role"/>
      <short value="Type of performer"/>
      <definition value="Describes the type of participation (e.g. a responsible party, author, or verifier)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <isSummary value="true"/>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="Role"/>
        </extension>
        <strength value="example"/>
        <description value="Indicate a role of diagnostic report performer"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/performer-role"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.performer.role"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="PRT-8 (where this PRT-4-Participation = &quot;PO&quot;)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".functionCode"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.performer.actor">
      <path value="DiagnosticReport.performer.actor"/>
      <short value="Practitioner or Organization participant"/>
      <definition value="The reference to the practitioner or organization involved in producing the report. For example, the diagnostic service that is responsible for issuing the report."/>
      <comment value="This is not necessarily the source of the atomic data items. It is the entity that takes responsibility for the clinical report."/>
      <requirements value="Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="workflow"/>
        <map value="Event.performer.actor"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="PRT-8 (where this PRT-4-Participation = &quot;PO&quot;)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".role"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.specimen">
      <path value="DiagnosticReport.specimen"/>
      <short value="Specimens this report is based on"/>
      <definition value="Details about the specimens on which this diagnostic report is based."/>
      <comment value="If the specimen is sufficiently specified with a code in the test result name, then this additional data may be redundant. If there are multiple specimens, these may be represented per observation or group."/>
      <requirements value="Need to be able to report information about the collected specimens on which the report is based."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Specimen"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="SPM"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="participation[typeCode=SBJ]"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.result">
      <path value="DiagnosticReport.result"/>
      <short value="Observations - simple, or complex nested groups"/>
      <definition value="Observations that are part of this diagnostic report. Observations can be simple name/value pairs (e.g. &quot;atomic&quot; results), or they can be grouping observations that include references to other members of the group (e.g. &quot;panels&quot;)."/>
      <requirements value="Need to support individual results, or report groups of results, where the result grouping is arbitrary, but meaningful. This structure is recursive - observations can contain observations."/>
      <alias value="Data"/>
      <alias value="Atomic Value"/>
      <alias value="Result"/>
      <alias value="Atomic result"/>
      <alias value="Data"/>
      <alias value="Test"/>
      <alias value="Analyte"/>
      <alias value="Battery"/>
      <alias value="Organizer"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="OBXs"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=COMP].target"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.imagingStudy">
      <path value="DiagnosticReport.imagingStudy"/>
      <short value="Reference to full details of imaging associated with the diagnostic report"/>
      <definition value="One or more links to full details of any imaging performed during the diagnostic investigation. Typically, this is imaging performed by DICOM enabled modalities, but this is not required. A fully enabled PACS viewer can use this information to provide views of the source images."/>
      <comment value="ImagingStudy and ImageManifest and the image element are somewhat overlapping - typically, the list of image references in the image element will also be found in one of the imaging study resources. However each caters to different types of displays for different types of purposes. Neither, either, or both may be provided."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImagingStudy"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImagingManifest"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=COMP].target[classsCode=DGIMG, moodCode=EVN]"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.image">
      <path value="DiagnosticReport.image"/>
      <short value="Key images associated with this report"/>
      <definition value="A list of key images associated with this report. The images are generally created during the diagnostic process, and may be directly of the patient, or of treated specimens (i.e. slides of interest)."/>
      <requirements value="Many diagnostic services include images in the report as part of their service."/>
      <alias value="DICOM"/>
      <alias value="Slides"/>
      <alias value="Scans"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="OBX?"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="outboundRelationship[typeCode=COMP].target"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.image.comment">
      <path value="DiagnosticReport.image.comment"/>
      <short value="Comment about the image (e.g. explanation)"/>
      <definition value="A comment about the image. Typically, this is used to provide an explanation for why the image is included, or to draw the viewer's attention to important features."/>
      <comment value="The comment should be displayed with the image. It would be common for the report to include additional discussion of the image contents in other sections such as the conclusion."/>
      <requirements value="The provider of the report should make a comment about each image included in the report."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value=".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code=&quot;annotation&quot;].value"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.image.link">
      <path value="DiagnosticReport.image.link"/>
      <short value="Reference to the image source"/>
      <definition value="Reference to the image source."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Media"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".value.reference"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.conclusion">
      <path value="DiagnosticReport.conclusion"/>
      <short value="Clinical Interpretation of test results"/>
      <definition value="Concise and clinically contextualized impression / summary of the diagnostic report."/>
      <requirements value="Need to be able to provide a conclusion that is not lost among the basic result data."/>
      <alias value="Report"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="OBX"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="inboundRelationship[typeCode=&quot;SPRT&quot;].source[classCode=OBS, moodCode=EVN, code=LOINC:48767-8].value (type=ST)"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.codedDiagnosis">
      <path value="DiagnosticReport.codedDiagnosis"/>
      <short value="Codes for the conclusion"/>
      <definition value="Codes for the conclusion."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="AdjunctDiagnosis"/>
        </extension>
        <strength value="example"/>
        <description value="Diagnosis codes provided as adjuncts to the report."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/clinical-findings"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="OBX"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="inboundRelationship[typeCode=SPRT].source[classCode=OBS, moodCode=EVN, code=LOINC:54531-9].value (type=CD)"/>
      </mapping>
    </element>
    <element id="DiagnosticReport.presentedForm">
      <path value="DiagnosticReport.presentedForm"/>
      <short value="Entire report as issued"/>
      <definition value="Rich text representation of the entire result as issued by the diagnostic service. Multiple formats are allowed but they SHALL be semantically equivalent."/>
      <comment value="&quot;application/pdf&quot; is recommended as the most reliable and interoperable in this context."/>
      <requirements value="Gives laboratory the ability to provide its own fully formatted report for clinical fidelity."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Attachment"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="OBX"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="text (type=ED)"/>
      </mapping>
    </element>
  </differential>
</StructureDefinition>