Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	NlcoreTextResult	TextResult dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-6: A resource should have narrative for robust management dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
basedOn	C	0..1	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
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. ele-1: All FHIR elements must have a @value or children
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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
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. ele-1: All FHIR elements must have a @value or children
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system ele-1: All FHIR elements must have a @value or children
coding:serviceCode	SΣ	1..1	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0074
code	Σ	1..1	code	Symbol in syntax defined by the system Binding: Pathology Report codes (required) ele-1: All FHIR elements must have a @value or children
code	Σ	1..1	CodeableConcept	TextResultType Binding: TekstUitslagTypeCodelijst (extensible): Codes that describe Diagnostic Reports. ele-1: All FHIR elements must have a @value or children
text	Σ	1..1	string	Plain text representation of the concept ele-1: All FHIR elements must have a @value or children
subject	SΣC	1..1	Reference(Patient | nl core Patient | Patient)	The subject of the report - usually, but not always, the patient ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
Slices for effective[x]	ΣN	0..1		Clinically relevant time/time-period for report Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	ΣN	0..1	dateTime	TextResultDateTime ele-1: All FHIR elements must have a @value or children
conclusion	S	1..1	string	TextResultReport ele-1: All FHIR elements must have a @value or children
conclusionCode		1..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. ele-1: All FHIR elements must have a @value or children
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system ele-1: All FHIR elements must have a @value or children
coding:snomed_palga	SΣ	1..1	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: 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 ele-1: All FHIR elements must have a @value or children
display	Σ	1..1	string	Representation defined by the system ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 From the FHIR Standard
DiagnosticReport.category	example	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections From the FHIR Standard
DiagnosticReport.category.coding:serviceCode.code	required	PluginPathologyReportCodes https://plugin.healthcare/fhir/ValueSet/plugin-pa-report-codes-vs From this IG
DiagnosticReport.code	extensible	TekstUitslagTypeCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.2.1--20200901000000
DiagnosticReport.conclusionCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings From the FHIR Standard

Constraints

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	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    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		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:snomed_palga	S	1..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
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
DiagnosticReport.category.coding:serviceCode.code	required	PluginPathologyReportCodes https://plugin.healthcare/fhir/ValueSet/plugin-pa-report-codes-vs From 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
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)	What was requested ref-1: SHALL have a contained resource if a local reference is provided
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
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	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	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	SΣ	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	SΣC	1..1	Reference(Patient | nl core Patient | Patient)	The subject of the report - usually, but not always, the patient ref-1: SHALL have a contained resource if a local reference is provided
encounter	ΣC	0..1	Reference(Encounter)	Health care event when test ordered ref-1: SHALL have a contained resource if a local reference is provided
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	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service ref-1: SHALL have a contained resource if a local reference is provided
resultsInterpreter	ΣC	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter ref-1: SHALL have a contained resource if a local reference is provided
specimen	C	0..*	Reference(Specimen)	Specimens this report is based on ref-1: SHALL have a contained resource if a local reference is provided
result	C	0..*	Reference(Observation)	Observations ref-1: SHALL have a contained resource if a local reference is provided
imagingStudy	C	0..*	Reference(ImagingStudy)	Reference to full details of imaging associated with the diagnostic report ref-1: SHALL have a contained resource if a local reference is provided
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 ref-1: SHALL have a contained resource if a local reference is provided
conclusion	S	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:snomed_palga	SΣ	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: 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
text	Σ	0..1	string	Plain text representation of the concept
presentedForm	C	0..*	Attachment	Entire report as issued att-1: If the Attachment has data, it SHALL have a contentType
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DiagnosticReport.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 From the FHIR Standard
DiagnosticReport.status.extension:textResultStatus.value[x]	extensible	TekstStatusCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.2.2--20200901000000
DiagnosticReport.category	example	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections From the FHIR Standard
DiagnosticReport.category.coding:serviceCode.code	required	PluginPathologyReportCodes https://plugin.healthcare/fhir/ValueSet/plugin-pa-report-codes-vs From this IG
DiagnosticReport.code	extensible	TekstUitslagTypeCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.2.1--20200901000000
DiagnosticReport.conclusionCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings From the FHIR Standard

Constraints

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'))

Summary

Mandatory: 14 elements
Must-Support: 4 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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	NlcoreTextResult	TextResult dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-6: A resource should have narrative for robust management dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
basedOn	C	0..1	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
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. ele-1: All FHIR elements must have a @value or children
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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
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. ele-1: All FHIR elements must have a @value or children
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system ele-1: All FHIR elements must have a @value or children
coding:serviceCode	SΣ	1..1	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0074
code	Σ	1..1	code	Symbol in syntax defined by the system Binding: Pathology Report codes (required) ele-1: All FHIR elements must have a @value or children
code	Σ	1..1	CodeableConcept	TextResultType Binding: TekstUitslagTypeCodelijst (extensible): Codes that describe Diagnostic Reports. ele-1: All FHIR elements must have a @value or children
text	Σ	1..1	string	Plain text representation of the concept ele-1: All FHIR elements must have a @value or children
subject	SΣC	1..1	Reference(Patient | nl core Patient | Patient)	The subject of the report - usually, but not always, the patient ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
Slices for effective[x]	ΣN	0..1		Clinically relevant time/time-period for report Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	ΣN	0..1	dateTime	TextResultDateTime ele-1: All FHIR elements must have a @value or children
conclusion	S	1..1	string	TextResultReport ele-1: All FHIR elements must have a @value or children
conclusionCode		1..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. ele-1: All FHIR elements must have a @value or children
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system ele-1: All FHIR elements must have a @value or children
coding:snomed_palga	SΣ	1..1	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: 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 ele-1: All FHIR elements must have a @value or children
display	Σ	1..1	string	Representation defined by the system ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 From the FHIR Standard
DiagnosticReport.category	example	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections From the FHIR Standard
DiagnosticReport.category.coding:serviceCode.code	required	PluginPathologyReportCodes https://plugin.healthcare/fhir/ValueSet/plugin-pa-report-codes-vs From this IG
DiagnosticReport.code	extensible	TekstUitslagTypeCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.2.1--20200901000000
DiagnosticReport.conclusionCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings From the FHIR Standard

Constraints

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	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    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		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:snomed_palga	S	1..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
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
DiagnosticReport.category.coding:serviceCode.code	required	PluginPathologyReportCodes https://plugin.healthcare/fhir/ValueSet/plugin-pa-report-codes-vs From 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
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)	What was requested ref-1: SHALL have a contained resource if a local reference is provided
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
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	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	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	SΣ	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	SΣC	1..1	Reference(Patient | nl core Patient | Patient)	The subject of the report - usually, but not always, the patient ref-1: SHALL have a contained resource if a local reference is provided
encounter	ΣC	0..1	Reference(Encounter)	Health care event when test ordered ref-1: SHALL have a contained resource if a local reference is provided
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	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service ref-1: SHALL have a contained resource if a local reference is provided
resultsInterpreter	ΣC	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter ref-1: SHALL have a contained resource if a local reference is provided
specimen	C	0..*	Reference(Specimen)	Specimens this report is based on ref-1: SHALL have a contained resource if a local reference is provided
result	C	0..*	Reference(Observation)	Observations ref-1: SHALL have a contained resource if a local reference is provided
imagingStudy	C	0..*	Reference(ImagingStudy)	Reference to full details of imaging associated with the diagnostic report ref-1: SHALL have a contained resource if a local reference is provided
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 ref-1: SHALL have a contained resource if a local reference is provided
conclusion	S	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:snomed_palga	SΣ	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: 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
text	Σ	0..1	string	Plain text representation of the concept
presentedForm	C	0..*	Attachment	Entire report as issued att-1: If the Attachment has data, it SHALL have a contentType
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DiagnosticReport.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 From the FHIR Standard
DiagnosticReport.status.extension:textResultStatus.value[x]	extensible	TekstStatusCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.2.2--20200901000000
DiagnosticReport.category	example	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections From the FHIR Standard
DiagnosticReport.category.coding:serviceCode.code	required	PluginPathologyReportCodes https://plugin.healthcare/fhir/ValueSet/plugin-pa-report-codes-vs From this IG
DiagnosticReport.code	extensible	TekstUitslagTypeCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.2.1--20200901000000
DiagnosticReport.conclusionCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings From the FHIR Standard

Constraints

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'))

Summary

Mandatory: 14 elements
Must-Support: 4 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