Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport			DiagnosticReport
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
sensitive	S	0..1	boolean	Požymis, nurodantis ar protokole yra jautri informacija paciento atžvilgiu / Indicates if results contain sensitive information for the patient URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-sensitive
showToPatient	S	0..1	boolean	Požymis, leidžiantis rodyti šį protokolą pacientui protokole esant jautriai informacijai / Allow the results to be shown to the patient URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-showToPatient
performedExternally	S	0..1	boolean	Požymis, nurodantis ar protokolo tyrimai buvo atliekami išorinėje laboratorijoje / Indicates if results were produced in another laboratory URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-performedExternally
requestedBy	S	0..2	Identifier	Reikšmė, nurodanti tyrimą užsakiusį specialistą ir organizaciją / Indicates the requesting specialist and organization URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-requestedBy
hasNonPreliminaryComposition	S	0..1	boolean	Reikšmė skirta ESPBI portalo vidiniam naudojimui / Internal ESPBI website property URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-hasNonPreliminaryComposition
hasNonFinalComposition	S	0..1	boolean	Reikšmė skirta ESPBI portalo vidiniam naudojimui / Internal ESPBI website property URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-hasNonFinalComposition
basedOn	S	1..*	Reference(LtServiceRequest)	Užsakyti tyrimai, dėl kurių atsirado šis protokolas / What was requested
status	S	1..1	code	Statusas / status
code	S	1..1	CodeableConcept	Protokolo tipas / Name/Code for this diagnostic report
Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:Loinc	S	1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system
subject	S	1..1	Reference(LtPatient)	Pacientas, kuriam buvo atliekami protokole esantys tyrimai / The subject of the report - the patient
encounter	S	1..1	Reference(Encounter)	Apsilankymo kontekstas / Encounter context
identifier
system		0..1	uri	The namespace for the identifier value Required Pattern: http://esveikata.lt/Identifier/Encounter/ESPBI
effective[x]	S	1..1	dateTime	Protokolo pateikimo laikas / Clinically relevant time/time-period for report
issued	S	0..1	instant	Protokolo patvirtinimo laikas / Time this version was made
performer	S	1..1	Reference(LtPractitionerRole)	Protokolą parengęs specialistas / Specialists who submitted the report
resultsInterpreter	S	0..1	Reference(LtPractitionerRole)	Protokolą patvirtinęs specialistas / Who confirmed the results
specimen	S	1..*	Reference(LtSpecimen)	Ėminiai, kuriais remiantis buvo gauti atsakymo rezultatai / Specimens this report is based on
result	S	1..*	Reference(LtObservation | LtObservationPanel)	Protokolą sudarančios atliktų tyrimų panelės ir analitės / Panels and/or observations
note	S	0..*	Annotation	Pastabos / Comments about the diagnostic report
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport	C	0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports dgr-1: When a Composition is referenced in `Diagnostic.composition`, all Observation resources referenced in `Composition.entry` must also be referenced in `Diagnostic.entry` or in the references Observations in `Observation.hasMember` dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
sensitive	S	0..1	boolean	Požymis, nurodantis ar protokole yra jautri informacija paciento atžvilgiu / Indicates if results contain sensitive information for the patient URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-sensitive ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
showToPatient	S	0..1	boolean	Požymis, leidžiantis rodyti šį protokolą pacientui protokole esant jautriai informacijai / Allow the results to be shown to the patient URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-showToPatient ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
performedExternally	S	0..1	boolean	Požymis, nurodantis ar protokolo tyrimai buvo atliekami išorinėje laboratorijoje / Indicates if results were produced in another laboratory URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-performedExternally ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
requestedBy	S	0..2	Identifier	Reikšmė, nurodanti tyrimą užsakiusį specialistą ir organizaciją / Indicates the requesting specialist and organization URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-requestedBy ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
hasNonPreliminaryComposition	S	0..1	boolean	Reikšmė skirta ESPBI portalo vidiniam naudojimui / Internal ESPBI website property URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-hasNonPreliminaryComposition ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
hasNonFinalComposition	S	0..1	boolean	Reikšmė skirta ESPBI portalo vidiniam naudojimui / Internal ESPBI website property URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-hasNonFinalComposition ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
basedOn	S	1..*	Reference(LtServiceRequest)	Užsakyti tyrimai, dėl kurių atsirado šis protokolas / What was requested ele-1: All FHIR elements must have a @value or children
status	?!SΣ	1..1	code	Statusas / status Binding: DiagnosticReportStatus (required): The status of the diagnostic report. ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	CodeableConcept	Protokolo tipas / Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): LOINC Codes for Diagnostic Reports ele-1: All FHIR elements must have a @value or children
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system ele-1: All FHIR elements must have a @value or children
coding:Loinc	SΣ	1..1	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: http://loinc.org
code	ΣC	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(LtPatient)	Pacientas, kuriam buvo atliekami protokole esantys tyrimai / The subject of the report - the patient ele-1: All FHIR elements must have a @value or children
encounter	SΣ	1..1	Reference(Encounter)	Apsilankymo kontekstas / Encounter context ele-1: All FHIR elements must have a @value or children
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
effective[x]	SΣ	1..1	dateTime	Protokolo pateikimo laikas / Clinically relevant time/time-period for report ele-1: All FHIR elements must have a @value or children
issued	SΣ	0..1	instant	Protokolo patvirtinimo laikas / Time this version was made ele-1: All FHIR elements must have a @value or children
performer	SΣ	1..1	Reference(LtPractitionerRole)	Protokolą parengęs specialistas / Specialists who submitted the report ele-1: All FHIR elements must have a @value or children
resultsInterpreter	SΣ	0..1	Reference(LtPractitionerRole)	Protokolą patvirtinęs specialistas / Who confirmed the results ele-1: All FHIR elements must have a @value or children
specimen	S	1..*	Reference(LtSpecimen)	Ėminiai, kuriais remiantis buvo gauti atsakymo rezultatai / Specimens this report is based on ele-1: All FHIR elements must have a @value or children
result	SC	1..*	Reference(LtObservation | LtObservationPanel)	Protokolą sudarančios atliktų tyrimų panelės ir analitės / Panels and/or observations ele-1: All FHIR elements must have a @value or children
note	S	0..*	Annotation	Pastabos / Comments about the diagnostic report ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|5.0.0 from the FHIR Standard
DiagnosticReport.code	preferred	LOINCDiagnosticReportCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/report-codes from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dgr-1	error	DiagnosticReport	When a Composition is referenced in `Diagnostic.composition`, all Observation resources referenced in `Composition.entry` must also be referenced in `Diagnostic.entry` or in the references Observations in `Observation.hasMember` : composition.exists() implies (composition.resolve().section.entry.reference.where(resolve() is Observation) in (result.reference|result.reference.resolve().hasMember.reference))
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DiagnosticReport	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport	C	0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports dgr-1: When a Composition is referenced in `Diagnostic.composition`, all Observation resources referenced in `Composition.entry` must also be referenced in `Diagnostic.entry` or in the references Observations in `Observation.hasMember`
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Set
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
sensitive	S	0..1	boolean	Požymis, nurodantis ar protokole yra jautri informacija paciento atžvilgiu / Indicates if results contain sensitive information for the patient URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-sensitive
showToPatient	S	0..1	boolean	Požymis, leidžiantis rodyti šį protokolą pacientui protokole esant jautriai informacijai / Allow the results to be shown to the patient URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-showToPatient
performedExternally	S	0..1	boolean	Požymis, nurodantis ar protokolo tyrimai buvo atliekami išorinėje laboratorijoje / Indicates if results were produced in another laboratory URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-performedExternally
requestedBy	S	0..2	Identifier	Reikšmė, nurodanti tyrimą užsakiusį specialistą ir organizaciją / Indicates the requesting specialist and organization URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-requestedBy
hasNonPreliminaryComposition	S	0..1	boolean	Reikšmė skirta ESPBI portalo vidiniam naudojimui / Internal ESPBI website property URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-hasNonPreliminaryComposition
hasNonFinalComposition	S	0..1	boolean	Reikšmė skirta ESPBI portalo vidiniam naudojimui / Internal ESPBI website property URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-hasNonFinalComposition
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business identifier for report
basedOn	S	1..*	Reference(LtServiceRequest)	Užsakyti tyrimai, dėl kurių atsirado šis protokolas / What was requested
status	?!SΣ	1..1	code	Statusas / status Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
category	Σ	0..*	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074
code	SΣ	1..1	CodeableConcept	Protokolo tipas / Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): LOINC Codes for Diagnostic Reports
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:Loinc	SΣ	1..1	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	1..1	code	Symbol in syntax defined by the system
display	ΣC	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(LtPatient)	Pacientas, kuriam buvo atliekami protokole esantys tyrimai / The subject of the report - the patient
encounter	SΣ	1..1	Reference(Encounter)	Apsilankymo kontekstas / Encounter context
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	0..1	Identifier	Logical reference, when literal reference is not known
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	The namespace for the identifier value Required Pattern: http://esveikata.lt/Identifier/Encounter/ESPBI
value	ΣC	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	ΣC	0..1	string	Text alternative for the resource
effective[x]	SΣ	1..1	dateTime	Protokolo pateikimo laikas / Clinically relevant time/time-period for report
issued	SΣ	0..1	instant	Protokolo patvirtinimo laikas / Time this version was made
performer	SΣ	1..1	Reference(LtPractitionerRole)	Protokolą parengęs specialistas / Specialists who submitted the report
resultsInterpreter	SΣ	0..1	Reference(LtPractitionerRole)	Protokolą patvirtinęs specialistas / Who confirmed the results
specimen	S	1..*	Reference(LtSpecimen)	Ėminiai, kuriais remiantis buvo gauti atsakymo rezultatai / Specimens this report is based on
result	SC	1..*	Reference(LtObservation | LtObservationPanel)	Protokolą sudarančios atliktų tyrimų panelės ir analitės / Panels and/or observations
note	S	0..*	Annotation	Pastabos / Comments about the diagnostic report
study		0..*	Reference(GenomicStudy | ImagingStudy)	Reference to full details of an analysis associated with the diagnostic report
supportingInfo		0..*	BackboneElement	Additional information supporting the diagnostic report
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	CodeableConcept	Supporting information role code Binding: hl7VS-VS-observationType (example): The code value for the role of the supporting information in the diagnostic report.
reference		1..1	Reference(Procedure | Observation | DiagnosticReport | Citation)	Supporting information reference
media	Σ	0..*	BackboneElement	Key images or data associated with this report
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
comment		0..1	string	Comment about the image or data (e.g. explanation)
link	Σ	1..1	Reference(DocumentReference)	Reference to the image or data source
composition	C	0..1	Reference(Composition)	Reference to a Composition resource for the DiagnosticReport structure
conclusion		0..1	markdown	Clinical conclusion (interpretation) of test results
conclusionCode		0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): SNOMED CT Clinical Findings
presentedForm		0..*	Attachment	Entire report as issued
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DiagnosticReport.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|5.0.0 from the FHIR Standard
DiagnosticReport.category	example	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard
DiagnosticReport.code	preferred	LOINCDiagnosticReportCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/report-codes from the FHIR Standard
DiagnosticReport.encounter.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.encounter.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard
DiagnosticReport.encounter.identifier.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
DiagnosticReport.supportingInfo.type	example	Hl7VSVSObservationType http://terminology.hl7.org/ValueSet/v2-0936
DiagnosticReport.conclusionCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dgr-1	error	DiagnosticReport	When a Composition is referenced in `Diagnostic.composition`, all Observation resources referenced in `Composition.entry` must also be referenced in `Diagnostic.entry` or in the references Observations in `Observation.hasMember` : composition.exists() implies (composition.resolve().section.entry.reference.where(resolve() is Observation) in (result.reference|result.reference.resolve().hasMember.reference))
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DiagnosticReport	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Summary

Mandatory: 12 elements
Must-Support: 19 elements

Structures

This structure refers to these other structures:

• LtServiceRequest (http://esveikata.lt/fhir/StructureDefinition/lt-serviceRequest)
• LtPatient (http://esveikata.lt/fhir/StructureDefinition/lt-patient)
• LtPractitionerRole (http://esveikata.lt/fhir/StructureDefinition/lt-practitionerRole)
• LtSpecimen (http://esveikata.lt/fhir/StructureDefinition/lt-specimen)
• LtObservation (http://esveikata.lt/fhir/StructureDefinition/lt-observation)
• LtObservationPanel (http://esveikata.lt/fhir/StructureDefinition/lt-observation-panel)

Extensions

This structure refers to these extensions:

• http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-sensitive
• http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-showToPatient
• http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-performedExternally
• http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-requestedBy
• http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-hasNonPreliminaryComposition
• http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-hasNonFinalComposition

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of DiagnosticReport.code.coding

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport			DiagnosticReport
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
sensitive	S	0..1	boolean	Požymis, nurodantis ar protokole yra jautri informacija paciento atžvilgiu / Indicates if results contain sensitive information for the patient URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-sensitive
showToPatient	S	0..1	boolean	Požymis, leidžiantis rodyti šį protokolą pacientui protokole esant jautriai informacijai / Allow the results to be shown to the patient URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-showToPatient
performedExternally	S	0..1	boolean	Požymis, nurodantis ar protokolo tyrimai buvo atliekami išorinėje laboratorijoje / Indicates if results were produced in another laboratory URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-performedExternally
requestedBy	S	0..2	Identifier	Reikšmė, nurodanti tyrimą užsakiusį specialistą ir organizaciją / Indicates the requesting specialist and organization URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-requestedBy
hasNonPreliminaryComposition	S	0..1	boolean	Reikšmė skirta ESPBI portalo vidiniam naudojimui / Internal ESPBI website property URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-hasNonPreliminaryComposition
hasNonFinalComposition	S	0..1	boolean	Reikšmė skirta ESPBI portalo vidiniam naudojimui / Internal ESPBI website property URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-hasNonFinalComposition
basedOn	S	1..*	Reference(LtServiceRequest)	Užsakyti tyrimai, dėl kurių atsirado šis protokolas / What was requested
status	S	1..1	code	Statusas / status
code	S	1..1	CodeableConcept	Protokolo tipas / Name/Code for this diagnostic report
Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:Loinc	S	1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system
subject	S	1..1	Reference(LtPatient)	Pacientas, kuriam buvo atliekami protokole esantys tyrimai / The subject of the report - the patient
encounter	S	1..1	Reference(Encounter)	Apsilankymo kontekstas / Encounter context
identifier
system		0..1	uri	The namespace for the identifier value Required Pattern: http://esveikata.lt/Identifier/Encounter/ESPBI
effective[x]	S	1..1	dateTime	Protokolo pateikimo laikas / Clinically relevant time/time-period for report
issued	S	0..1	instant	Protokolo patvirtinimo laikas / Time this version was made
performer	S	1..1	Reference(LtPractitionerRole)	Protokolą parengęs specialistas / Specialists who submitted the report
resultsInterpreter	S	0..1	Reference(LtPractitionerRole)	Protokolą patvirtinęs specialistas / Who confirmed the results
specimen	S	1..*	Reference(LtSpecimen)	Ėminiai, kuriais remiantis buvo gauti atsakymo rezultatai / Specimens this report is based on
result	S	1..*	Reference(LtObservation | LtObservationPanel)	Protokolą sudarančios atliktų tyrimų panelės ir analitės / Panels and/or observations
note	S	0..*	Annotation	Pastabos / Comments about the diagnostic report
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport	C	0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports dgr-1: When a Composition is referenced in `Diagnostic.composition`, all Observation resources referenced in `Composition.entry` must also be referenced in `Diagnostic.entry` or in the references Observations in `Observation.hasMember` dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
sensitive	S	0..1	boolean	Požymis, nurodantis ar protokole yra jautri informacija paciento atžvilgiu / Indicates if results contain sensitive information for the patient URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-sensitive ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
showToPatient	S	0..1	boolean	Požymis, leidžiantis rodyti šį protokolą pacientui protokole esant jautriai informacijai / Allow the results to be shown to the patient URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-showToPatient ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
performedExternally	S	0..1	boolean	Požymis, nurodantis ar protokolo tyrimai buvo atliekami išorinėje laboratorijoje / Indicates if results were produced in another laboratory URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-performedExternally ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
requestedBy	S	0..2	Identifier	Reikšmė, nurodanti tyrimą užsakiusį specialistą ir organizaciją / Indicates the requesting specialist and organization URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-requestedBy ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
hasNonPreliminaryComposition	S	0..1	boolean	Reikšmė skirta ESPBI portalo vidiniam naudojimui / Internal ESPBI website property URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-hasNonPreliminaryComposition ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
hasNonFinalComposition	S	0..1	boolean	Reikšmė skirta ESPBI portalo vidiniam naudojimui / Internal ESPBI website property URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-hasNonFinalComposition ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
basedOn	S	1..*	Reference(LtServiceRequest)	Užsakyti tyrimai, dėl kurių atsirado šis protokolas / What was requested ele-1: All FHIR elements must have a @value or children
status	?!SΣ	1..1	code	Statusas / status Binding: DiagnosticReportStatus (required): The status of the diagnostic report. ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	CodeableConcept	Protokolo tipas / Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): LOINC Codes for Diagnostic Reports ele-1: All FHIR elements must have a @value or children
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system ele-1: All FHIR elements must have a @value or children
coding:Loinc	SΣ	1..1	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: http://loinc.org
code	ΣC	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(LtPatient)	Pacientas, kuriam buvo atliekami protokole esantys tyrimai / The subject of the report - the patient ele-1: All FHIR elements must have a @value or children
encounter	SΣ	1..1	Reference(Encounter)	Apsilankymo kontekstas / Encounter context ele-1: All FHIR elements must have a @value or children
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
effective[x]	SΣ	1..1	dateTime	Protokolo pateikimo laikas / Clinically relevant time/time-period for report ele-1: All FHIR elements must have a @value or children
issued	SΣ	0..1	instant	Protokolo patvirtinimo laikas / Time this version was made ele-1: All FHIR elements must have a @value or children
performer	SΣ	1..1	Reference(LtPractitionerRole)	Protokolą parengęs specialistas / Specialists who submitted the report ele-1: All FHIR elements must have a @value or children
resultsInterpreter	SΣ	0..1	Reference(LtPractitionerRole)	Protokolą patvirtinęs specialistas / Who confirmed the results ele-1: All FHIR elements must have a @value or children
specimen	S	1..*	Reference(LtSpecimen)	Ėminiai, kuriais remiantis buvo gauti atsakymo rezultatai / Specimens this report is based on ele-1: All FHIR elements must have a @value or children
result	SC	1..*	Reference(LtObservation | LtObservationPanel)	Protokolą sudarančios atliktų tyrimų panelės ir analitės / Panels and/or observations ele-1: All FHIR elements must have a @value or children
note	S	0..*	Annotation	Pastabos / Comments about the diagnostic report ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|5.0.0 from the FHIR Standard
DiagnosticReport.code	preferred	LOINCDiagnosticReportCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/report-codes from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dgr-1	error	DiagnosticReport	When a Composition is referenced in `Diagnostic.composition`, all Observation resources referenced in `Composition.entry` must also be referenced in `Diagnostic.entry` or in the references Observations in `Observation.hasMember` : composition.exists() implies (composition.resolve().section.entry.reference.where(resolve() is Observation) in (result.reference|result.reference.resolve().hasMember.reference))
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DiagnosticReport	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport	C	0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports dgr-1: When a Composition is referenced in `Diagnostic.composition`, all Observation resources referenced in `Composition.entry` must also be referenced in `Diagnostic.entry` or in the references Observations in `Observation.hasMember`
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Set
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
sensitive	S	0..1	boolean	Požymis, nurodantis ar protokole yra jautri informacija paciento atžvilgiu / Indicates if results contain sensitive information for the patient URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-sensitive
showToPatient	S	0..1	boolean	Požymis, leidžiantis rodyti šį protokolą pacientui protokole esant jautriai informacijai / Allow the results to be shown to the patient URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-showToPatient
performedExternally	S	0..1	boolean	Požymis, nurodantis ar protokolo tyrimai buvo atliekami išorinėje laboratorijoje / Indicates if results were produced in another laboratory URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-performedExternally
requestedBy	S	0..2	Identifier	Reikšmė, nurodanti tyrimą užsakiusį specialistą ir organizaciją / Indicates the requesting specialist and organization URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-requestedBy
hasNonPreliminaryComposition	S	0..1	boolean	Reikšmė skirta ESPBI portalo vidiniam naudojimui / Internal ESPBI website property URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-hasNonPreliminaryComposition
hasNonFinalComposition	S	0..1	boolean	Reikšmė skirta ESPBI portalo vidiniam naudojimui / Internal ESPBI website property URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-hasNonFinalComposition
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business identifier for report
basedOn	S	1..*	Reference(LtServiceRequest)	Užsakyti tyrimai, dėl kurių atsirado šis protokolas / What was requested
status	?!SΣ	1..1	code	Statusas / status Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
category	Σ	0..*	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074
code	SΣ	1..1	CodeableConcept	Protokolo tipas / Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): LOINC Codes for Diagnostic Reports
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:Loinc	SΣ	1..1	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	1..1	code	Symbol in syntax defined by the system
display	ΣC	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(LtPatient)	Pacientas, kuriam buvo atliekami protokole esantys tyrimai / The subject of the report - the patient
encounter	SΣ	1..1	Reference(Encounter)	Apsilankymo kontekstas / Encounter context
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	0..1	Identifier	Logical reference, when literal reference is not known
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	The namespace for the identifier value Required Pattern: http://esveikata.lt/Identifier/Encounter/ESPBI
value	ΣC	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	ΣC	0..1	string	Text alternative for the resource
effective[x]	SΣ	1..1	dateTime	Protokolo pateikimo laikas / Clinically relevant time/time-period for report
issued	SΣ	0..1	instant	Protokolo patvirtinimo laikas / Time this version was made
performer	SΣ	1..1	Reference(LtPractitionerRole)	Protokolą parengęs specialistas / Specialists who submitted the report
resultsInterpreter	SΣ	0..1	Reference(LtPractitionerRole)	Protokolą patvirtinęs specialistas / Who confirmed the results
specimen	S	1..*	Reference(LtSpecimen)	Ėminiai, kuriais remiantis buvo gauti atsakymo rezultatai / Specimens this report is based on
result	SC	1..*	Reference(LtObservation | LtObservationPanel)	Protokolą sudarančios atliktų tyrimų panelės ir analitės / Panels and/or observations
note	S	0..*	Annotation	Pastabos / Comments about the diagnostic report
study		0..*	Reference(GenomicStudy | ImagingStudy)	Reference to full details of an analysis associated with the diagnostic report
supportingInfo		0..*	BackboneElement	Additional information supporting the diagnostic report
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	CodeableConcept	Supporting information role code Binding: hl7VS-VS-observationType (example): The code value for the role of the supporting information in the diagnostic report.
reference		1..1	Reference(Procedure | Observation | DiagnosticReport | Citation)	Supporting information reference
media	Σ	0..*	BackboneElement	Key images or data associated with this report
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
comment		0..1	string	Comment about the image or data (e.g. explanation)
link	Σ	1..1	Reference(DocumentReference)	Reference to the image or data source
composition	C	0..1	Reference(Composition)	Reference to a Composition resource for the DiagnosticReport structure
conclusion		0..1	markdown	Clinical conclusion (interpretation) of test results
conclusionCode		0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): SNOMED CT Clinical Findings
presentedForm		0..*	Attachment	Entire report as issued
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DiagnosticReport.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|5.0.0 from the FHIR Standard
DiagnosticReport.category	example	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard
DiagnosticReport.code	preferred	LOINCDiagnosticReportCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/report-codes from the FHIR Standard
DiagnosticReport.encounter.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.encounter.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard
DiagnosticReport.encounter.identifier.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
DiagnosticReport.supportingInfo.type	example	Hl7VSVSObservationType http://terminology.hl7.org/ValueSet/v2-0936
DiagnosticReport.conclusionCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dgr-1	error	DiagnosticReport	When a Composition is referenced in `Diagnostic.composition`, all Observation resources referenced in `Composition.entry` must also be referenced in `Diagnostic.entry` or in the references Observations in `Observation.hasMember` : composition.exists() implies (composition.resolve().section.entry.reference.where(resolve() is Observation) in (result.reference|result.reference.resolve().hasMember.reference))
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DiagnosticReport	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Summary

Mandatory: 12 elements
Must-Support: 19 elements

Structures

This structure refers to these other structures:

• LtServiceRequest (http://esveikata.lt/fhir/StructureDefinition/lt-serviceRequest)
• LtPatient (http://esveikata.lt/fhir/StructureDefinition/lt-patient)
• LtPractitionerRole (http://esveikata.lt/fhir/StructureDefinition/lt-practitionerRole)
• LtSpecimen (http://esveikata.lt/fhir/StructureDefinition/lt-specimen)
• LtObservation (http://esveikata.lt/fhir/StructureDefinition/lt-observation)
• LtObservationPanel (http://esveikata.lt/fhir/StructureDefinition/lt-observation-panel)

Extensions

This structure refers to these extensions:

• http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-sensitive
• http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-showToPatient
• http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-performedExternally
• http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-requestedBy
• http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-hasNonPreliminaryComposition
• http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-hasNonFinalComposition

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of DiagnosticReport.code.coding