description: This profile defines the Genomics constraints and extensions on the Genomics Reporting FHIR resource [Genomic Report DiagnosticReport](http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-report).
package_name: uk.nhsengland.genomics.r4
derivation: constraint
name: NHSEngland_DiagnosticReport_GenomicReport
type: DiagnosticReport
elements:
  category:
    index: 22
    slicing:
      rules: open
      min: null
      slices:
        GeneticsSnomedCT:
          match: {}
          schema:
            index: 23
            elements:
              coding:
                pattern:
                  type: Coding
                  value: {code: '1236877003', system: 'http://snomed.info/sct', display: Genetic pathology}
                index: 24
  conclusionCode: {index: 43}
  specimen:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/Specimen', 'https://fhir.nhs.uk/StructureDefinition/NHSEngland-Specimen-Genomics']
    index: 35
  extension:
    index: 0
    slicing:
      slices:
        recommended-action:
          match: {}
          schema: {index: 0}
        supporting-info:
          match: {}
          schema: {index: 1}
        genomic-study:
          match: {}
          schema: {index: 2}
        workflow-relatedArtifact:
          match: {}
          schema:
            index: 3
            elements:
              value[x]:
                elements:
                  type:
                    pattern: {type: Code, value: citation}
                    index: 4
        diagnosticReportCompositionR5:
          match: {}
          schema: {type: Extension, isModifier: false, url: 'http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition', index: 5}
  resultsInterpreter:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/CareTeam', 'http://hl7.org/fhir/StructureDefinition/Organization', 'http://hl7.org/fhir/StructureDefinition/Practitioner', 'http://hl7.org/fhir/StructureDefinition/PractitionerRole', 'https://fhir.nhs.uk/StructureDefinition/NHSEngland-PractitionerRole-Genomics']
    index: 34
  status: {index: 21}
  result: {index: 36}
  code:
    index: 25
    elements:
      coding:
        index: 26
        slicing:
          rules: open
          discriminator:
          - {path: $this, type: pattern}
          min: null
          slices:
            codingSnomedCT:
              match: {}
              schema:
                binding: {strength: preferred, valueSet: 'https://fhir.hl7.org.uk/ValueSet/UKCore-ReportCode'}
                index: 27
  identifier:
    index: 6
    slicing:
      rules: open
      discriminator:
      - {path: system, type: pattern}
      min: 1
      slices:
        identifierGMSReport:
          match: {system: 'https://fhir.nhs.uk/Id/GMSReport'}
          schema:
            index: 7
            elements:
              use: {index: 8}
              type: {index: 9}
              system:
                pattern: {type: Uri, value: 'https://fhir.nhs.uk/Id/GMSReport'}
                index: 10
              value: {index: 11}
              period: {index: 12}
              assigner: {index: 13}
            required: [value, system]
        localIdentifier:
          match: {system: 'https://fhir.nhs.uk/local-identifier/diagnosticreport'}
          schema:
            index: 14
            elements:
              system:
                pattern: {type: Uri, value: 'https://fhir.nhs.uk/local-identifier/diagnosticreport'}
                index: 15
              value: {index: 16}
              assigner:
                index: 17
                elements:
                  reference: {index: 18}
                  identifier:
                    pattern:
                      type: Identifier
                      value: {system: 'https://fhir.nhs.uk/Id/ods-organization-code'}
                    index: 19
                required: [identifier]
            required: [assigner, value, system]
  issued: {index: 29}
  presentedForm: {index: 44}
  basedOn:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/CarePlan', 'http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation', 'http://hl7.org/fhir/StructureDefinition/MedicationRequest', 'http://hl7.org/fhir/StructureDefinition/NutritionOrder', 'http://hl7.org/fhir/StructureDefinition/ServiceRequest', 'https://fhir.nhs.uk/StructureDefinition/NHSEngland-ServiceRequest-Genomics']
    index: 20
  imagingStudy: {index: 37}
  media:
    index: 38
    elements:
      link:
        extensions:
          alternateReference:
            url: http://hl7.org/fhir/StructureDefinition/alternate-reference
            type: Extension
            isModifier: false
            index: 39
            elements:
              value:
                choices: [valueReference]
                index: 41
              valueReference:
                type: Reference
                choiceOf: value
                refers: ['http://hl7.org/fhir/StructureDefinition/Resource', 'https://fhir.nhs.uk/StructureDefinition/NHSEngland-DocumentReference-Genomics']
                index: 42
        elements:
          extension:
            type: Extension
            isModifier: false
            url: http://hl7.org/fhir/StructureDefinition/alternate-reference
            index: 39
            slicing:
              slices:
                alternateReference:
                  match: {}
                  schema:
                    type: Extension
                    isModifier: false
                    url: http://hl7.org/fhir/StructureDefinition/alternate-reference
                    index: 39
                    elements:
                      value:
                        choices: [valueReference]
                        index: 41
                      valueReference:
                        type: Reference
                        choiceOf: value
                        refers: ['http://hl7.org/fhir/StructureDefinition/Resource', 'https://fhir.nhs.uk/StructureDefinition/NHSEngland-DocumentReference-Genomics']
                        index: 42
  subject:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/Device', 'http://hl7.org/fhir/StructureDefinition/Group', 'http://hl7.org/fhir/StructureDefinition/Location', 'http://hl7.org/fhir/StructureDefinition/Patient', 'https://fhir.nhs.uk/StructureDefinition/NHSEngland-Patient-Genomics']
    index: 28
  performer:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/CareTeam', 'http://hl7.org/fhir/StructureDefinition/Organization', 'http://hl7.org/fhir/StructureDefinition/Practitioner', 'http://hl7.org/fhir/StructureDefinition/PractitionerRole', 'https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization']
    index: 30
    elements:
      reference: {index: 31}
      identifier:
        index: 32
        elements:
          system:
            pattern: {type: Uri, value: 'https://fhir.nhs.uk/Id/ods-organisation-code'}
            index: 33
    required: [identifier]
package_version: 0.6.0-pre-release
extensions:
  recommended-action: {url: null, index: 0}
  supporting-info: {url: null, index: 1}
  genomic-study: {url: null, index: 2}
  workflow-relatedArtifact:
    url: null
    index: 3
    elements:
      value[x]:
        elements:
          type:
            pattern: {type: Code, value: citation}
            index: 4
  diagnosticReportCompositionR5: {url: 'http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition', type: Extension, isModifier: false, index: 5}
class: profile
kind: resource
url: https://fhir.nhs.uk/StructureDefinition/NHSEngland-DiagnosticReport-GenomicReport
base: http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-report
version: 0.3.0
required: [issued, presentedForm, identifier, subject, specimen]