PLUGIN
0.7.0-public-consultation-1 - draft NL

PLUGIN - Local Development build (v0.7.0-public-consultation-1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Resource Profile: DiagnosticReport - Pathology

Official URL: https://plugin.healthcare/fhir/StructureDefinition/plugin-pathologyreport | Version: 0.7.0-public-consultation-1
Draft as of 2026-02-27 | Computable Name: PluginPathologyReport
Copyright/Legal: Used by permission of the PLUGIN team, all rights reserved Creative Commons License

DiagnosticReport as used within PLUGIN for Pathology. Maturity Level: 0 Draft. Open issues see Github.

Usages:

- This Profile is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
DiagnosticReport |  | 0..* | NlcoreTextResult | TextResult
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
basedOn |  | 0..1 | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested
status | ?!Σ | 1..1 | code | TextResultStatus Binding: DiagnosticReportStatus (required): Use ConceptMap TekstStatusCodelijst_to_DiagnosticReportStatus to translate terminology from the functional model to profile terminology in ValueSet DiagnosticReportStatus.
Slices for extension |  |  |  | Content/Rules for all slices
extension:textResultStatus | N | 0..1 | (Complex) | Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification
url |  | 1..1 | uri | "http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification"
category | Σ | 1..* | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system
coding:serviceCode | S Σ | 1..1 | Coding | Code defined by a terminology system
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0074
code | Σ | 1..1 | code | Symbol in syntax defined by the system Binding: Pathology Report codes (required)
code | Σ | 1..1 | CodeableConcept | TextResultType Binding: TekstUitslagTypeCodelijst (extensible): Codes that describe Diagnostic Reports.
text | Σ | 1..1 | string | Plain text representation of the concept
subject | S Σ | 1..1 | Reference(Patient | nl core Patient | Patient) | The subject of the report - usually, but not always, the patient
Slices for effective[x] | Σ | 0..1 |  | Clinically relevant time/time-period for report Slice: Unordered, Open by type:$this
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effective[x]:effectiveDateTime | Σ | 0..1 | dateTime | TextResultDateTime
conclusion | S | 1..1 | string | TextResultReport
conclusionCode | S | 0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomed_palga | S Σ | 0..1 | Coding | Code defined by a terminology system
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: urn:oid:2.16.840.1.113883.2.4.3.23.5.2
code | Σ | 1..1 | code | Symbol in syntax defined by the system
display | Σ | 1..1 | string | Representation defined by the system
coding:icdo3 | S Σ | 0..1 | Coding | Code defined by a terminology system
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/icd-o-3
code | Σ | 1..1 | code | Symbol in syntax defined by the system
display | Σ | 1..1 | string | Representation defined by the system
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std.
DiagnosticReport.category | Base | example | Diagnostic Service Section Codes | 📦4.0.1 | FHIR Std.
DiagnosticReport.category.​coding:serviceCode.code | Base | required | Pathology Report codes | 📦0.7.0-public-consultation-1 | This IG
DiagnosticReport.code | Base | extensible | TekstUitslagTypeCodelijst | 📦2020-09-01T00:00:00 | FHIR implementation of zibs 2020 v0.12
DiagnosticReport.conclusionCode | Base | example | SNOMED CT Clinical Findings | 📦4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from NlcoreTextResult

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
DiagnosticReport |  | 0..* | NlcoreTextResult | TextResult
basedOn |  | 0..1 | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested
category |  | 1..* | CodeableConcept | Service category
Slices for coding |  | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system
coding:serviceCode | S | 1..1 | Coding | Code defined by a terminology system
system |  | 1..1 | uri | Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0074
code |  | 1..1 | code | Symbol in syntax defined by the system Binding: Pathology Report codes (required)
code |  |  |  |
text |  | 1..1 | string | Plain text representation of the concept
subject | S | 1..1 | Reference(Patient | nl core Patient | Patient) | The subject of the report - usually, but not always, the patient
conclusion | S | 1..1 | string | TextResultReport
conclusionCode | S | 0..* | CodeableConcept | Codes for the clinical conclusion of test results
Slices for coding |  | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomed_palga | S | 0..1 | Coding | Code defined by a terminology system
system |  | 1..1 | uri | Identity of the terminology system Required Pattern: urn:oid:2.16.840.1.113883.2.4.3.23.5.2
code |  | 1..1 | code | Symbol in syntax defined by the system
display |  | 1..1 | string | Representation defined by the system
coding:icdo3 | S | 0..1 | Coding | Code defined by a terminology system
system |  | 1..1 | uri | Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/icd-o-3
code |  | 1..1 | code | Symbol in syntax defined by the system
display |  | 1..1 | string | Representation defined by the system
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
DiagnosticReport.category.​coding:serviceCode.code | Base | required | Pathology Report codes | 📦0.7.0-public-consultation-1 | This IG

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
DiagnosticReport |  | 0..* | NlcoreTextResult | TextResult
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Business identifier for report
basedOn |  | 0..1 | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested
status | ?!Σ | 1..1 | code | TextResultStatus Binding: DiagnosticReportStatus (required): Use ConceptMap TekstStatusCodelijst_to_DiagnosticReportStatus to translate terminology from the functional model to profile terminology in ValueSet DiagnosticReportStatus.
id |  | 0..1 | string | xml:id (or equivalent in JSON)
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:textResultStatus | N | 0..1 | (Complex) | Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification"
value[x] |  | 0..1 | CodeableConcept | TextResultStatus Binding: TekstStatusCodelijst (extensible)
value |  | 0..1 | string | Primitive value for code
category | Σ | 1..* | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
id |  | 0..1 | string | 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:serviceCode | S Σ | 1..1 | Coding | Code defined by a terminology system
id |  | 0..1 | string | 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://terminology.hl7.org/CodeSystem/v2-0074
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 1..1 | code | Symbol in syntax defined by the system Binding: Pathology Report codes (required)
display | Σ | 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
code | Σ | 1..1 | CodeableConcept | TextResultType Binding: TekstUitslagTypeCodelijst (extensible): Codes that describe Diagnostic Reports.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system
text | Σ | 1..1 | string | Plain text representation of the concept
subject | S Σ | 1..1 | Reference(Patient | nl core Patient | Patient) | The subject of the report - usually, but not always, the patient
encounter | Σ | 0..1 | Reference(Encounter) | Health care event when test ordered
Slices for effective[x] | Σ | 0..1 |  | Clinically relevant time/time-period for report Slice: Unordered, Open by type:$this
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effective[x]:effectiveDateTime | Σ | 0..1 | dateTime | TextResultDateTime
issued | Σ | 0..1 | instant | DateTime this version was made
performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service
resultsInterpreter | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter
specimen |  | 0..* | Reference(Specimen) | Specimens this report is based on
result |  | 0..* | Reference(Observation) | Observations
imagingStudy |  | 0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic report
media | Σ | 0..* | BackboneElement | Key images associated with this report
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
comment |  | 0..1 | string | Comment about the image (e.g. explanation)
link | Σ | 1..1 | Reference(Media | nl core TextResult.VisualResult) | Reference to the image source
conclusion | S | 1..1 | string | TextResultReport
conclusionCode | S | 0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomed_palga | S Σ | 0..1 | Coding | Code defined by a terminology system
id |  | 0..1 | string | 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: urn:oid:2.16.840.1.113883.2.4.3.23.5.2
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 1..1 | code | Symbol in syntax defined by the system
display | Σ | 1..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
coding:icdo3 | S Σ | 0..1 | Coding | Code defined by a terminology system
id |  | 0..1 | string | 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://terminology.hl7.org/CodeSystem/icd-o-3
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 1..1 | code | Symbol in syntax defined by the system
display | Σ | 1..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
presentedForm |  | 0..* | Attachment | Entire report as issued
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
DiagnosticReport.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std.
DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std.
DiagnosticReport.status.​extension:textResultStatus.​value[x] | Base | extensible | TekstStatusCodelijst | 📦2020-09-01T00:00:00 | FHIR implementation of zibs 2020 v0.12
DiagnosticReport.category | Base | example | Diagnostic Service Section Codes | 📦4.0.1 | FHIR Std.
DiagnosticReport.category.​coding:serviceCode.code | Base | required | Pathology Report codes | 📦0.7.0-public-consultation-1 | This IG
DiagnosticReport.code | Base | extensible | TekstUitslagTypeCodelijst | 📦2020-09-01T00:00:00 | FHIR implementation of zibs 2020 v0.12
DiagnosticReport.conclusionCode | Base | example | SNOMED CT Clinical Findings | 📦4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from NlcoreTextResult

Summary

Mandatory: 8 elements(6 nested mandatory elements)
Must-Support: 6 elements

Structures

This structure refers to these other structures:

- nl core Patient (http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient)
- Patient (https://plugin.healthcare/fhir/StructureDefinition/plugin-patient)

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of DiagnosticReport.category.coding
- The element 1 is sliced based on the value of DiagnosticReport.conclusionCode.coding

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
DiagnosticReport |  | 0..* | NlcoreTextResult | TextResult
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
basedOn |  | 0..1 | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested
status | ?!Σ | 1..1 | code | TextResultStatus Binding: DiagnosticReportStatus (required): Use ConceptMap TekstStatusCodelijst_to_DiagnosticReportStatus to translate terminology from the functional model to profile terminology in ValueSet DiagnosticReportStatus.
Slices for extension |  |  |  | Content/Rules for all slices
extension:textResultStatus | N | 0..1 | (Complex) | Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification
url |  | 1..1 | uri | "http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification"
category | Σ | 1..* | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system
coding:serviceCode | S Σ | 1..1 | Coding | Code defined by a terminology system
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0074
code | Σ | 1..1 | code | Symbol in syntax defined by the system Binding: Pathology Report codes (required)
code | Σ | 1..1 | CodeableConcept | TextResultType Binding: TekstUitslagTypeCodelijst (extensible): Codes that describe Diagnostic Reports.
text | Σ | 1..1 | string | Plain text representation of the concept
subject | S Σ | 1..1 | Reference(Patient | nl core Patient | Patient) | The subject of the report - usually, but not always, the patient
Slices for effective[x] | Σ | 0..1 |  | Clinically relevant time/time-period for report Slice: Unordered, Open by type:$this
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effective[x]:effectiveDateTime | Σ | 0..1 | dateTime | TextResultDateTime
conclusion | S | 1..1 | string | TextResultReport
conclusionCode | S | 0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomed_palga | S Σ | 0..1 | Coding | Code defined by a terminology system
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: urn:oid:2.16.840.1.113883.2.4.3.23.5.2
code | Σ | 1..1 | code | Symbol in syntax defined by the system
display | Σ | 1..1 | string | Representation defined by the system
coding:icdo3 | S Σ | 0..1 | Coding | Code defined by a terminology system
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/icd-o-3
code | Σ | 1..1 | code | Symbol in syntax defined by the system
display | Σ | 1..1 | string | Representation defined by the system
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std.
DiagnosticReport.category | Base | example | Diagnostic Service Section Codes | 📦4.0.1 | FHIR Std.
DiagnosticReport.category.​coding:serviceCode.code | Base | required | Pathology Report codes | 📦0.7.0-public-consultation-1 | This IG
DiagnosticReport.code | Base | extensible | TekstUitslagTypeCodelijst | 📦2020-09-01T00:00:00 | FHIR implementation of zibs 2020 v0.12
DiagnosticReport.conclusionCode | Base | example | SNOMED CT Clinical Findings | 📦4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

Differential View

This structure is derived from NlcoreTextResult

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
DiagnosticReport |  | 0..* | NlcoreTextResult | TextResult
basedOn |  | 0..1 | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested
category |  | 1..* | CodeableConcept | Service category
Slices for coding |  | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system
coding:serviceCode | S | 1..1 | Coding | Code defined by a terminology system
system |  | 1..1 | uri | Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0074
code |  | 1..1 | code | Symbol in syntax defined by the system Binding: Pathology Report codes (required)
code |  |  |  |
text |  | 1..1 | string | Plain text representation of the concept
subject | S | 1..1 | Reference(Patient | nl core Patient | Patient) | The subject of the report - usually, but not always, the patient
conclusion | S | 1..1 | string | TextResultReport
conclusionCode | S | 0..* | CodeableConcept | Codes for the clinical conclusion of test results
Slices for coding |  | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomed_palga | S | 0..1 | Coding | Code defined by a terminology system
system |  | 1..1 | uri | Identity of the terminology system Required Pattern: urn:oid:2.16.840.1.113883.2.4.3.23.5.2
code |  | 1..1 | code | Symbol in syntax defined by the system
display |  | 1..1 | string | Representation defined by the system
coding:icdo3 | S | 0..1 | Coding | Code defined by a terminology system
system |  | 1..1 | uri | Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/icd-o-3
code |  | 1..1 | code | Symbol in syntax defined by the system
display |  | 1..1 | string | Representation defined by the system
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
DiagnosticReport.category.​coding:serviceCode.code | Base | required | Pathology Report codes | 📦0.7.0-public-consultation-1 | This IG

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
DiagnosticReport |  | 0..* | NlcoreTextResult | TextResult
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Business identifier for report
basedOn |  | 0..1 | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested
status | ?!Σ | 1..1 | code | TextResultStatus Binding: DiagnosticReportStatus (required): Use ConceptMap TekstStatusCodelijst_to_DiagnosticReportStatus to translate terminology from the functional model to profile terminology in ValueSet DiagnosticReportStatus.
id |  | 0..1 | string | xml:id (or equivalent in JSON)
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:textResultStatus | N | 0..1 | (Complex) | Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification"
value[x] |  | 0..1 | CodeableConcept | TextResultStatus Binding: TekstStatusCodelijst (extensible)
value |  | 0..1 | string | Primitive value for code
category | Σ | 1..* | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
id |  | 0..1 | string | 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:serviceCode | S Σ | 1..1 | Coding | Code defined by a terminology system
id |  | 0..1 | string | 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://terminology.hl7.org/CodeSystem/v2-0074
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 1..1 | code | Symbol in syntax defined by the system Binding: Pathology Report codes (required)
display | Σ | 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
code | Σ | 1..1 | CodeableConcept | TextResultType Binding: TekstUitslagTypeCodelijst (extensible): Codes that describe Diagnostic Reports.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system
text | Σ | 1..1 | string | Plain text representation of the concept
subject | S Σ | 1..1 | Reference(Patient | nl core Patient | Patient) | The subject of the report - usually, but not always, the patient
encounter | Σ | 0..1 | Reference(Encounter) | Health care event when test ordered
Slices for effective[x] | Σ | 0..1 |  | Clinically relevant time/time-period for report Slice: Unordered, Open by type:$this
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effective[x]:effectiveDateTime | Σ | 0..1 | dateTime | TextResultDateTime
issued | Σ | 0..1 | instant | DateTime this version was made
performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service
resultsInterpreter | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter
specimen |  | 0..* | Reference(Specimen) | Specimens this report is based on
result |  | 0..* | Reference(Observation) | Observations
imagingStudy |  | 0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic report
media | Σ | 0..* | BackboneElement | Key images associated with this report
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
comment |  | 0..1 | string | Comment about the image (e.g. explanation)
link | Σ | 1..1 | Reference(Media | nl core TextResult.VisualResult) | Reference to the image source
conclusion | S | 1..1 | string | TextResultReport
conclusionCode | S | 0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system
coding:snomed_palga | S Σ | 0..1 | Coding | Code defined by a terminology system
id |  | 0..1 | string | 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: urn:oid:2.16.840.1.113883.2.4.3.23.5.2
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 1..1 | code | Symbol in syntax defined by the system
display | Σ | 1..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
coding:icdo3 | S Σ | 0..1 | Coding | Code defined by a terminology system
id |  | 0..1 | string | 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://terminology.hl7.org/CodeSystem/icd-o-3
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 1..1 | code | Symbol in syntax defined by the system
display | Σ | 1..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
presentedForm |  | 0..* | Attachment | Entire report as issued
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
DiagnosticReport.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std.
DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std.
DiagnosticReport.status.​extension:textResultStatus.​value[x] | Base | extensible | TekstStatusCodelijst | 📦2020-09-01T00:00:00 | FHIR implementation of zibs 2020 v0.12
DiagnosticReport.category | Base | example | Diagnostic Service Section Codes | 📦4.0.1 | FHIR Std.
DiagnosticReport.category.​coding:serviceCode.code | Base | required | Pathology Report codes | 📦0.7.0-public-consultation-1 | This IG
DiagnosticReport.code | Base | extensible | TekstUitslagTypeCodelijst | 📦2020-09-01T00:00:00 | FHIR implementation of zibs 2020 v0.12
DiagnosticReport.conclusionCode | Base | example | SNOMED CT Clinical Findings | 📦4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from NlcoreTextResult

Summary

Mandatory: 8 elements(6 nested mandatory elements)
Must-Support: 6 elements

Structures

This structure refers to these other structures:

- nl core Patient (http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient)
- Patient (https://plugin.healthcare/fhir/StructureDefinition/plugin-patient)

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of DiagnosticReport.category.coding
- The element 1 is sliced based on the value of DiagnosticReport.conclusionCode.coding

Other representations of profile: CSV, Excel, Schematron