PLUGIN
0.1.0-ci - ci-build
NL
PLUGIN
0.1.0-ci - ci-build
NL
PLUGIN - Local Development build (v0.1.0-ci) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: https://plugin.healthcare/fhir/StructureDefinition/plugin-PathologyReport | Version: 0.1.0-ci | |||
| Draft as of 2024-03-26 | 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.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from NlcoreTextResult
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  DiagnosticReport | 0..* | NlcoreTextResult | TextResult | |
  basedOn | 0..1 | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) {c} | What was requested | |
  code | ||||
  text | 1..1 | string | Plain text representation of the concept | |
| subject | 1..1 | Reference(Patient | Group | Device | Location | nl core Patient) {b} | The subject of the report - usually, but not always, the patient | |
| performer | 1..1 | Reference(Practitioner | PractitionerRole | Organization | CareTeam) {b} | Responsible Diagnostic Service | |
| specimen | 1..1 | Reference(Specimen) {c} | Specimens this report is based on | |
| result | 0..* | Reference(Observation) {c} | Observations | |
| conclusion | 1..1 | string | TextResultReport | |
 conclusionCode | 1..* | CodeableConcept | Codes for the clinical conclusion of test results | |
  Slices for coding | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | |
  coding:snomedCodes | 1..1 | Coding | Code defined by a terminology system | |
 system | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system | |
 display | 1..1 | string | Representation defined by the system | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| DiagnosticReport | 0..* | NlcoreTextResult | TextResult | |
 implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
 modifierExtension | ?!N | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url |
| basedOn | C | 0..1 | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) {c} | 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. |
| textResultStatus | N | 0..1 | CodeableConcept | Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification |
| url | 1..1 | uri | "http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification" | |
 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 | ΣC | 1..1 | Reference(Patient | Group | Device | Location | nl core Patient) {b} | The subject of the report - usually, but not always, the patient |
| Slices for effective[x] | ΣN | 0..1 | Clinically relevant time/time-period for report Slice: Unordered, Open by type:$this | |
 effectiveDateTime | dateTime | |||
| effectivePeriod | Period | |||
 effective[x]:effectiveDateTime | ΣN | 0..1 | dateTime | TextResultDateTime |
| performer | ΣC | 1..1 | Reference(Practitioner | PractitionerRole | Organization | CareTeam) {b} | Responsible Diagnostic Service |
| specimen | C | 1..1 | Reference(Specimen) {c} | Specimens this report is based on |
| result | C | 0..* | Reference(Observation) {c} | Observations |
| conclusion | 1..1 | string | TextResultReport | |
| conclusionCode | 1..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. | |
| Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system |
| coding:snomedCodes | Σ | 1..1 | Coding | Code defined by a terminology system |
| system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct |
| 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 | ||||
| Path | Conformance | ValueSet | URI |
| DiagnosticReport.status | required | DiagnosticReportStatushttp://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1from the FHIR Standard | |
| DiagnosticReport.code | extensible | TekstUitslagTypeCodelijsthttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.2.1--20200901000000 | |
| DiagnosticReport.conclusionCode | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findingsfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| 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() | |
| ref-1 | error | DiagnosticReport.basedOn, DiagnosticReport.subject, DiagnosticReport.performer, DiagnosticReport.specimen, DiagnosticReport.result | SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| 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.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
 extension | N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
| modifierExtension | ?!N | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url | ||||
| identifier | Σ | 0..* | Identifier | Business identifier for report | ||||
| basedOn | C | 0..1 | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) {c} | 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 | Unique id for inter-element referencing | |||||
| Slices for extension | N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
| textResultStatus | N | 0..1 | CodeableConcept | Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | N | 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] | N | 0..1 | CodeableConcept | TextResultStatus Binding: TekstStatusCodelijst (extensible) | ||||
| value | 0..1 | code | Primitive value for code Max Length: 1048576 | |||||
| category | Σ | 0..* | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. | ||||
| 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 | ΣC | 1..1 | Reference(Patient | Group | Device | Location | nl core Patient) {b} | The subject of the report - usually, but not always, the patient | ||||
| encounter | ΣC | 0..1 | Reference(Encounter) | Health care event when test ordered | ||||
| Slices for effective[x] | ΣN | 0..1 | Clinically relevant time/time-period for report Slice: Unordered, Open by type:$this | |||||
| effectiveDateTime | dateTime | |||||||
| effectivePeriod | Period | |||||||
| effective[x]:effectiveDateTime | ΣN | 0..1 | dateTime | TextResultDateTime | ||||
| issued | Σ | 0..1 | instant | DateTime this version was made | ||||
| performer | ΣC | 1..1 | Reference(Practitioner | PractitionerRole | Organization | CareTeam) {b} | Responsible Diagnostic Service | ||||
| resultsInterpreter | ΣC | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter | ||||
| specimen | C | 1..1 | Reference(Specimen) {c} | Specimens this report is based on | ||||
| result | C | 0..* | Reference(Observation) {c} | Observations | ||||
| imagingStudy | C | 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 | N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| comment | 0..1 | string | Comment about the image (e.g. explanation) | |||||
| link | ΣC | 1..1 | Reference(Media | nl core TextResult.VisualResult) | Reference to the image source | ||||
| conclusion | 1..1 | string | TextResultReport | |||||
| conclusionCode | 1..* | 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 | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | ||||
| coding:snomedCodes | 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://snomed.info/sct | ||||
| 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 | C | 0..* | Attachment | Entire report as issued | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| DiagnosticReport.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| DiagnosticReport.status | required | DiagnosticReportStatushttp://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1from the FHIR Standard | ||||
| DiagnosticReport.status.extension:textResultStatus.value[x] | extensible | TekstStatusCodelijsthttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.2.2--20200901000000 | ||||
| DiagnosticReport.category | example | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sectionsfrom the FHIR Standard | ||||
| DiagnosticReport.code | extensible | TekstUitslagTypeCodelijsthttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.2.1--20200901000000 | ||||
| DiagnosticReport.conclusionCode | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findingsfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| att-1 | error | DiagnosticReport.presentedForm | If the Attachment has data, it SHALL have a contentType : data.empty() or contentType.exists() | |
| 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() | |
| ref-1 | error | DiagnosticReport.basedOn, DiagnosticReport.subject, DiagnosticReport.encounter, DiagnosticReport.performer, DiagnosticReport.resultsInterpreter, DiagnosticReport.specimen, DiagnosticReport.result, DiagnosticReport.imagingStudy, DiagnosticReport.media.link | SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) |
This structure is derived from NlcoreTextResult
Summary
Mandatory: 11 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from NlcoreTextResult
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| DiagnosticReport | 0..* | NlcoreTextResult | TextResult | |
| basedOn | 0..1 | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) {c} | What was requested | |
| code | ||||
| text | 1..1 | string | Plain text representation of the concept | |
| subject | 1..1 | Reference(Patient | Group | Device | Location | nl core Patient) {b} | The subject of the report - usually, but not always, the patient | |
| performer | 1..1 | Reference(Practitioner | PractitionerRole | Organization | CareTeam) {b} | Responsible Diagnostic Service | |
| specimen | 1..1 | Reference(Specimen) {c} | Specimens this report is based on | |
| result | 0..* | Reference(Observation) {c} | Observations | |
| conclusion | 1..1 | string | TextResultReport | |
| conclusionCode | 1..* | CodeableConcept | Codes for the clinical conclusion of test results | |
| Slices for coding | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | |
| coding:snomedCodes | 1..1 | Coding | Code defined by a terminology system | |
| system | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system | |
| display | 1..1 | string | Representation defined by the system | |
| Documentation for this format | ||||
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| DiagnosticReport | 0..* | NlcoreTextResult | TextResult | |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| modifierExtension | ?!N | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url |
| basedOn | C | 0..1 | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) {c} | 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. |
| textResultStatus | N | 0..1 | CodeableConcept | Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification |
| url | 1..1 | uri | "http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification" | |
| 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 | ΣC | 1..1 | Reference(Patient | Group | Device | Location | nl core Patient) {b} | The subject of the report - usually, but not always, the patient |
| Slices for effective[x] | ΣN | 0..1 | Clinically relevant time/time-period for report Slice: Unordered, Open by type:$this | |
| effectiveDateTime | dateTime | |||
| effectivePeriod | Period | |||
| effective[x]:effectiveDateTime | ΣN | 0..1 | dateTime | TextResultDateTime |
| performer | ΣC | 1..1 | Reference(Practitioner | PractitionerRole | Organization | CareTeam) {b} | Responsible Diagnostic Service |
| specimen | C | 1..1 | Reference(Specimen) {c} | Specimens this report is based on |
| result | C | 0..* | Reference(Observation) {c} | Observations |
| conclusion | 1..1 | string | TextResultReport | |
| conclusionCode | 1..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. | |
| Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system |
| coding:snomedCodes | Σ | 1..1 | Coding | Code defined by a terminology system |
| system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct |
| 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 | ||||
| Path | Conformance | ValueSet | URI |
| DiagnosticReport.status | required | DiagnosticReportStatushttp://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1from the FHIR Standard | |
| DiagnosticReport.code | extensible | TekstUitslagTypeCodelijsthttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.2.1--20200901000000 | |
| DiagnosticReport.conclusionCode | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findingsfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| 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() | |
| ref-1 | error | DiagnosticReport.basedOn, DiagnosticReport.subject, DiagnosticReport.performer, DiagnosticReport.specimen, DiagnosticReport.result | SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| 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.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
| extension | N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
| modifierExtension | ?!N | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url | ||||
| identifier | Σ | 0..* | Identifier | Business identifier for report | ||||
| basedOn | C | 0..1 | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) {c} | 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 | Unique id for inter-element referencing | |||||
| Slices for extension | N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
| textResultStatus | N | 0..1 | CodeableConcept | Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | N | 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] | N | 0..1 | CodeableConcept | TextResultStatus Binding: TekstStatusCodelijst (extensible) | ||||
| value | 0..1 | code | Primitive value for code Max Length: 1048576 | |||||
| category | Σ | 0..* | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. | ||||
| 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 | ΣC | 1..1 | Reference(Patient | Group | Device | Location | nl core Patient) {b} | The subject of the report - usually, but not always, the patient | ||||
| encounter | ΣC | 0..1 | Reference(Encounter) | Health care event when test ordered | ||||
| Slices for effective[x] | ΣN | 0..1 | Clinically relevant time/time-period for report Slice: Unordered, Open by type:$this | |||||
| effectiveDateTime | dateTime | |||||||
| effectivePeriod | Period | |||||||
| effective[x]:effectiveDateTime | ΣN | 0..1 | dateTime | TextResultDateTime | ||||
| issued | Σ | 0..1 | instant | DateTime this version was made | ||||
| performer | ΣC | 1..1 | Reference(Practitioner | PractitionerRole | Organization | CareTeam) {b} | Responsible Diagnostic Service | ||||
| resultsInterpreter | ΣC | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter | ||||
| specimen | C | 1..1 | Reference(Specimen) {c} | Specimens this report is based on | ||||
| result | C | 0..* | Reference(Observation) {c} | Observations | ||||
| imagingStudy | C | 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 | N | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | ||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| comment | 0..1 | string | Comment about the image (e.g. explanation) | |||||
| link | ΣC | 1..1 | Reference(Media | nl core TextResult.VisualResult) | Reference to the image source | ||||
| conclusion | 1..1 | string | TextResultReport | |||||
| conclusionCode | 1..* | 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 | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | ||||
| coding:snomedCodes | 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://snomed.info/sct | ||||
| 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 | C | 0..* | Attachment | Entire report as issued | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| DiagnosticReport.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| DiagnosticReport.status | required | DiagnosticReportStatushttp://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1from the FHIR Standard | ||||
| DiagnosticReport.status.extension:textResultStatus.value[x] | extensible | TekstStatusCodelijsthttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.2.2--20200901000000 | ||||
| DiagnosticReport.category | example | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sectionsfrom the FHIR Standard | ||||
| DiagnosticReport.code | extensible | TekstUitslagTypeCodelijsthttp://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.2.1--20200901000000 | ||||
| DiagnosticReport.conclusionCode | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findingsfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| att-1 | error | DiagnosticReport.presentedForm | If the Attachment has data, it SHALL have a contentType : data.empty() or contentType.exists() | |
| 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() | |
| ref-1 | error | DiagnosticReport.basedOn, DiagnosticReport.subject, DiagnosticReport.encounter, DiagnosticReport.performer, DiagnosticReport.resultsInterpreter, DiagnosticReport.specimen, DiagnosticReport.result, DiagnosticReport.imagingStudy, DiagnosticReport.media.link | SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) |
This structure is derived from NlcoreTextResult
Summary
Mandatory: 11 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron