description: The findings and interpretation of diagnostic tests performed on patients, groups of patients, products, substances, devices, and locations, and/or specimens derived from these. The report includes clinical context such as requesting provider information, and some mix of atomic results, images, textual and coded interpretations, and formatted representation of diagnostic reports. The report also includes non-clinical context such as batch analysis and stability reporting of products and substances.
package_name: fhir.r4.spirecore
derivation: constraint
name: SpireCoreDiagnosticReportLab
type: DiagnosticReport
elements:
  encounter:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/Encounter', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Encounter']
    index: 21
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 22
  specimen:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/Specimen', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Specimen']
    index: 37
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 38
  extension:
    index: 0
    slicing:
      slices:
        compositionReferenceR5:
          match: {}
          schema:
            index: 0
            elements:
              value:
                choices: [valueReference]
                index: 2
              valueReference:
                type: Reference
                choiceOf: value
                refers: ['http://hl7.org/fhir/StructureDefinition/Composition', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Composition']
                index: 3
              value[x]:
                elements:
                  identifier:
                    elements:
                      assigner:
                        type: Reference
                        refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
                        index: 4
        noteR5:
          match: {}
          schema:
            index: 5
            elements:
              value:
                elements:
                  author:
                    choices: [authorReference, authorString]
                    index: 7
                  authorReference:
                    type: Reference
                    choiceOf: author
                    refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'http://hl7.org/fhir/StructureDefinition/Patient', 'http://hl7.org/fhir/StructureDefinition/Practitioner', 'http://hl7.org/fhir/StructureDefinition/RelatedPerson', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Patient', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Practitioner', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-RelatedPerson']
                    index: 8
                  authorString: {type: string, choiceOf: author, index: 9}
        supportingInfoR5:
          match: {}
          schema:
            index: 10
            extensions:
              reference:
                url: null
                index: 11
                elements:
                  value:
                    choices: [valueReference]
                    index: 13
                  valueReference:
                    type: Reference
                    choiceOf: value
                    refers: ['http://hl7.org/fhir/StructureDefinition/DiagnosticReport', 'http://hl7.org/fhir/StructureDefinition/Observation', 'http://hl7.org/fhir/StructureDefinition/Procedure', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-DiagnosticReport', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Observation', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Procedure']
                    index: 14
                  value[x]:
                    elements:
                      identifier:
                        elements:
                          assigner:
                            type: Reference
                            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
                            index: 15
            elements:
              extension:
                index: 11
                slicing:
                  slices:
                    reference:
                      match: {}
                      schema:
                        index: 11
                        elements:
                          value:
                            choices: [valueReference]
                            index: 13
                          valueReference:
                            type: Reference
                            choiceOf: value
                            refers: ['http://hl7.org/fhir/StructureDefinition/DiagnosticReport', 'http://hl7.org/fhir/StructureDefinition/Observation', 'http://hl7.org/fhir/StructureDefinition/Procedure', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-DiagnosticReport', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Observation', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Procedure']
                            index: 14
                          value[x]:
                            elements:
                              identifier:
                                elements:
                                  assigner:
                                    type: Reference
                                    refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
                                    index: 15
  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://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-CareTeam', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Practitioner', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-PractitionerRole']
    index: 30
    extensions:
      deviceReference:
        url: null
        index: 31
        elements:
          value:
            choices: [valueReference]
            index: 33
          valueReference:
            type: Reference
            choiceOf: value
            refers: ['http://hl7.org/fhir/StructureDefinition/Device', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Device']
            index: 34
          value[x]:
            elements:
              identifier:
                elements:
                  assigner:
                    type: Reference
                    refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
                    index: 35
    elements:
      extension:
        index: 31
        slicing:
          slices:
            deviceReference:
              match: {}
              schema:
                index: 31
                elements:
                  value:
                    choices: [valueReference]
                    index: 33
                  valueReference:
                    type: Reference
                    choiceOf: value
                    refers: ['http://hl7.org/fhir/StructureDefinition/Device', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Device']
                    index: 34
                  value[x]:
                    elements:
                      identifier:
                        elements:
                          assigner:
                            type: Reference
                            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
                            index: 35
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 36
  result:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/Observation', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Observation']
    index: 39
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 40
  identifier:
    elements:
      assigner:
        type: Reference
        refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
        index: 16
  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://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-CarePlan', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-ImmunizationRecommendation', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-MedicationRequest', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-NutritionOrder', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-ServiceRequest']
    index: 17
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 18
  imagingStudy:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/ImagingStudy', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-ImagingStudy']
    index: 41
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 42
  media:
    elements:
      link:
        type: Reference
        refers: ['http://hl7.org/fhir/StructureDefinition/Media', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Media']
        index: 43
        elements:
          identifier:
            elements:
              assigner:
                type: Reference
                refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
                index: 44
  subject:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/Patient', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Patient']
    index: 19
    elements:
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 20
  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://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-CareTeam', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Practitioner', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-PractitionerRole']
    index: 23
    extensions:
      deviceReference:
        url: null
        index: 24
        elements:
          value:
            choices: [valueReference]
            index: 26
          valueReference:
            type: Reference
            choiceOf: value
            refers: ['http://hl7.org/fhir/StructureDefinition/Device', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Device']
            index: 27
          value[x]:
            elements:
              identifier:
                elements:
                  assigner:
                    type: Reference
                    refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
                    index: 28
    elements:
      extension:
        index: 24
        slicing:
          slices:
            deviceReference:
              match: {}
              schema:
                index: 24
                elements:
                  value:
                    choices: [valueReference]
                    index: 26
                  valueReference:
                    type: Reference
                    choiceOf: value
                    refers: ['http://hl7.org/fhir/StructureDefinition/Device', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Device']
                    index: 27
                  value[x]:
                    elements:
                      identifier:
                        elements:
                          assigner:
                            type: Reference
                            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
                            index: 28
      identifier:
        elements:
          assigner:
            type: Reference
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
            index: 29
package_version: 0.1.0-alpha
extensions:
  compositionReferenceR5:
    url: null
    index: 0
    elements:
      value:
        choices: [valueReference]
        index: 2
      valueReference:
        type: Reference
        choiceOf: value
        refers: ['http://hl7.org/fhir/StructureDefinition/Composition', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Composition']
        index: 3
      value[x]:
        elements:
          identifier:
            elements:
              assigner:
                type: Reference
                refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
                index: 4
  noteR5:
    url: null
    index: 5
    elements:
      value:
        elements:
          author:
            choices: [authorReference, authorString]
            index: 7
          authorReference:
            type: Reference
            choiceOf: author
            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'http://hl7.org/fhir/StructureDefinition/Patient', 'http://hl7.org/fhir/StructureDefinition/Practitioner', 'http://hl7.org/fhir/StructureDefinition/RelatedPerson', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Patient', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Practitioner', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-RelatedPerson']
            index: 8
          authorString: {type: string, choiceOf: author, index: 9}
  supportingInfoR5:
    url: null
    index: 10
    extensions:
      reference:
        url: null
        index: 11
        elements:
          value:
            choices: [valueReference]
            index: 13
          valueReference:
            type: Reference
            choiceOf: value
            refers: ['http://hl7.org/fhir/StructureDefinition/DiagnosticReport', 'http://hl7.org/fhir/StructureDefinition/Observation', 'http://hl7.org/fhir/StructureDefinition/Procedure', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-DiagnosticReport', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Observation', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Procedure']
            index: 14
          value[x]:
            elements:
              identifier:
                elements:
                  assigner:
                    type: Reference
                    refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
                    index: 15
    elements:
      extension:
        index: 11
        slicing:
          slices:
            reference:
              match: {}
              schema:
                index: 11
                elements:
                  value:
                    choices: [valueReference]
                    index: 13
                  valueReference:
                    type: Reference
                    choiceOf: value
                    refers: ['http://hl7.org/fhir/StructureDefinition/DiagnosticReport', 'http://hl7.org/fhir/StructureDefinition/Observation', 'http://hl7.org/fhir/StructureDefinition/Procedure', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-DiagnosticReport', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Observation', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Procedure']
                    index: 14
                  value[x]:
                    elements:
                      identifier:
                        elements:
                          assigner:
                            type: Reference
                            refers: ['http://hl7.org/fhir/StructureDefinition/Organization', 'https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-Organization']
                            index: 15
class: profile
kind: resource
url: https://www.spirehealthcare.com/fhir/StructureDefinition/SpireCore-DiagnosticReportLab
base: https://fhir.hl7.org.uk/StructureDefinition/UKCore-DiagnosticReport-Lab
version: null