Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	DiagnosticReport	LaboratoryTestResult
identifier		0..*	Identifier	Identifier
basedOn		0..*	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ProcedureRequest | ReferralRequest)	Fulfills plan, proposal or order including requester information.
status		1..1	code	ResultStatus
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
ResultStatus		0..1	CodeableConcept	Provides the specific HCIM code for ResultStatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification Binding: ResultaatStatusCodelijst (extensible)
category		1..1	CodeableConcept	Service category
Slices for coding		2..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:laboratoryTestResultCode		1..1	Coding	LaboratoryTestResultCode
system		0..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		0..1	code	Symbol in syntax defined by the system Fixed Value: 4241000179101
display		0..1	string	Representation defined by the system
coding:resultType		1..1	Coding	ResultType Binding: ResultaatTypeCodelijst (extensible): ResultaatTypeCodelijst
code		1..1	CodeableConcept	PanelOrBattery Binding: OnderzoekCodelijst (extensible): PanelOrBatteryCodelist
subject		0..1	Reference(nl-core-patient)	The subject of the report - usually, but not always, the patient
context		0..1	Reference(nl-core-episodeofcare | HCIM Encounter | gp-Encounter)	Health care event when test ordered
effective[x]		0..1	dateTime, Period	Clinically relevant time/time-period for report
performer		0..*	BackboneElement	Participants in producing the report
role
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:healthProfessionalRole		0..*	Coding	HealthProfessionalRole Binding: ZorgverlenerRolCodelijst (extensible)
actor		1..1	Reference(nl-core-organization | nl-core-practitioner)	Practitioner or Organization participant
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
specimen		0..*	Reference(HCIM LaboratoryTestResult Specimen | http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Isolate)	Specimen
result		0..*	Reference(HCIM LaboratoryTestResult Observation)	Observations - simple, or complex nested groups
conclusion		0..1	string	ResultInterpretation and/or Comment
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
DiagnosticReport.status.extension:ResultStatus [CanonicalType[http://nictiz.nl/fhir/StructureDefinition/code-specification]]	extensible	ResultaatStatusCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.8--20171231000000 from this IG
DiagnosticReport.category.coding:resultType	extensible	ResultaatTypeCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.1--20171231000000 from this IG
DiagnosticReport.code	extensible	OnderzoekCodelijst (a valid code from LOINC) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.5--20171231000000 from this IG
DiagnosticReport.performer.role.coding:healthProfessionalRole	extensible	ZorgverlenerRolCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.1.5--20171231000000 from this IG

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	DiagnosticReport	LaboratoryTestResult
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Identifier
basedOn		0..*	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ProcedureRequest | ReferralRequest)	Fulfills plan, proposal or order including requester information.
status	?!Σ	1..1	code	ResultStatus Binding: DiagnosticReportStatus (required): The status of the diagnostic report as a whole.
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
ResultStatus		0..1	CodeableConcept	Provides the specific HCIM code for ResultStatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
category	Σ	1..1	CodeableConcept	Service category Binding: Diagnostic Service Section Codes (example): Codes for diagnostic service sections.
Slices for coding	Σ	2..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:laboratoryTestResultCode	Σ	1..1	Coding	LaboratoryTestResultCode
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	Σ	0..1	code	Symbol in syntax defined by the system Fixed Value: 4241000179101
display	Σ	0..1	string	Representation defined by the system
coding:resultType	Σ	1..1	Coding	ResultType Binding: ResultaatTypeCodelijst (extensible): ResultaatTypeCodelijst
code	Σ	1..1	CodeableConcept	PanelOrBattery Binding: OnderzoekCodelijst (extensible): PanelOrBatteryCodelist
subject	Σ	0..1	Reference(nl-core-patient)	The subject of the report - usually, but not always, the patient
context	Σ	0..1	Reference(nl-core-episodeofcare | HCIM Encounter | gp-Encounter)	Health care event when test ordered
effective[x]	Σ	0..1		Clinically relevant time/time-period for report
effectiveDateTime			dateTime
effectivePeriod			Period
performer	Σ	0..*	BackboneElement	Participants in producing the report
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
actor	Σ	1..1	Reference(nl-core-organization | nl-core-practitioner)	Practitioner or Organization participant
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
specimen		0..*	Reference(HCIM LaboratoryTestResult Specimen | http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Isolate)	Specimen
result		0..*	Reference(HCIM LaboratoryTestResult Observation)	Observations - simple, or complex nested groups
conclusion		0..1	string	ResultInterpretation and/or Comment
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status from the FHIR Standard
DiagnosticReport.category	example	Diagnostic Service Section Codes http://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard
DiagnosticReport.category.coding:resultType	extensible	ResultaatTypeCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.1--20171231000000 from this IG
DiagnosticReport.code	extensible	OnderzoekCodelijst (a valid code from LOINC) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.5--20171231000000 from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
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 : contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	DiagnosticReport	LaboratoryTestResult
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: Common Languages (extensible): 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		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Identifier
basedOn		0..*	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ProcedureRequest | ReferralRequest)	Fulfills plan, proposal or order including requester information.
status	?!Σ	1..1	code	ResultStatus Binding: DiagnosticReportStatus (required): The status of the diagnostic report as a whole.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
ResultStatus		0..1	CodeableConcept	Provides the specific HCIM code for ResultStatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
value		0..1	code	Primitive value for code
category	Σ	1..1	CodeableConcept	Service category Binding: Diagnostic Service Section Codes (example): Codes for diagnostic service sections.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	2..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:laboratoryTestResultCode	Σ	1..1	Coding	LaboratoryTestResultCode
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Fixed Value: 4241000179101
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:resultType	Σ	1..1	Coding	ResultType Binding: ResultaatTypeCodelijst (extensible): ResultaatTypeCodelijst
text	Σ	0..1	string	Plain text representation of the concept
code	Σ	1..1	CodeableConcept	PanelOrBattery Binding: OnderzoekCodelijst (extensible): PanelOrBatteryCodelist
subject	Σ	0..1	Reference(nl-core-patient)	The subject of the report - usually, but not always, the patient
context	Σ	0..1	Reference(nl-core-episodeofcare | HCIM Encounter | gp-Encounter)	Health care event when test ordered
effective[x]	Σ	0..1		Clinically relevant time/time-period for report
effectiveDateTime			dateTime
effectivePeriod			Period
issued	Σ	0..1	instant	DateTime this version was released
performer	Σ	0..*	BackboneElement	Participants in producing the report
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
role	Σ	0..1	CodeableConcept	Type of performer Binding: Procedure Performer Role Codes (example): Indicate a role of diagnostic report performer
id		0..1	string	xml:id (or equivalent in JSON)
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:healthProfessionalRole	Σ	0..*	Coding	HealthProfessionalRole Binding: ZorgverlenerRolCodelijst (extensible)
text	Σ	0..1	string	Plain text representation of the concept
actor	Σ	1..1	Reference(nl-core-organization | nl-core-practitioner)	Practitioner or Organization participant
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
specimen		0..*	Reference(HCIM LaboratoryTestResult Specimen | http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Isolate)	Specimen
result		0..*	Reference(HCIM LaboratoryTestResult Observation)	Observations - simple, or complex nested groups
imagingStudy		0..*	Reference(ImagingStudy | ImagingManifest)	Reference to full details of imaging associated with the diagnostic report
image	Σ	0..*	BackboneElement	Key images associated with this report
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
comment		0..1	string	Comment about the image (e.g. explanation)
link	Σ	1..1	Reference(Media)	Reference to the image source
conclusion		0..1	string	ResultInterpretation and/or Comment
codedDiagnosis		0..*	CodeableConcept	Codes for the conclusion Binding: SNOMED CT Clinical Findings (example): Diagnosis codes provided as adjuncts to the report.
presentedForm		0..*	Attachment	Entire report as issued
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DiagnosticReport.language	extensible	Common Languages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status from the FHIR Standard
DiagnosticReport.category	example	Diagnostic Service Section Codes http://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard
DiagnosticReport.category.coding:resultType	extensible	ResultaatTypeCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.1--20171231000000 from this IG
DiagnosticReport.code	extensible	OnderzoekCodelijst (a valid code from LOINC) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.5--20171231000000 from this IG
DiagnosticReport.performer.role	example	Procedure Performer Role Codes http://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard
DiagnosticReport.performer.role.coding:healthProfessionalRole	extensible	ZorgverlenerRolCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.1.5--20171231000000 from this IG
DiagnosticReport.codedDiagnosis	example	SNOMED CT Clinical Findings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
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 : contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Summary

Mandatory: 3 elements
Fixed: 2 elements

Structures

This structure refers to these other structures:

• nl-core-patient (http://fhir.nl/fhir/StructureDefinition/nl-core-patient)
• nl-core-episodeofcare (http://fhir.nl/fhir/StructureDefinition/nl-core-episodeofcare)
• HCIM Encounter (http://nictiz.nl/fhir/StructureDefinition/zib-Encounter)
• gp-Encounter (http://nictiz.nl/fhir/StructureDefinition/gp-Encounter)
• nl-core-organization (http://fhir.nl/fhir/StructureDefinition/nl-core-organization)
• nl-core-practitioner (http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner)
• HCIM LaboratoryTestResult Specimen (http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Specimen)
• Unable to summarise profile http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Isolate (no profile found)
• HCIM LaboratoryTestResult Observation (http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Observation)

Extensions

This structure refers to these extensions:

• http://nictiz.nl/fhir/StructureDefinition/code-specification
• http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference

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.performer.role.coding

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	DiagnosticReport	LaboratoryTestResult
identifier		0..*	Identifier	Identifier
basedOn		0..*	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ProcedureRequest | ReferralRequest)	Fulfills plan, proposal or order including requester information.
status		1..1	code	ResultStatus
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
ResultStatus		0..1	CodeableConcept	Provides the specific HCIM code for ResultStatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification Binding: ResultaatStatusCodelijst (extensible)
category		1..1	CodeableConcept	Service category
Slices for coding		2..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:laboratoryTestResultCode		1..1	Coding	LaboratoryTestResultCode
system		0..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		0..1	code	Symbol in syntax defined by the system Fixed Value: 4241000179101
display		0..1	string	Representation defined by the system
coding:resultType		1..1	Coding	ResultType Binding: ResultaatTypeCodelijst (extensible): ResultaatTypeCodelijst
code		1..1	CodeableConcept	PanelOrBattery Binding: OnderzoekCodelijst (extensible): PanelOrBatteryCodelist
subject		0..1	Reference(nl-core-patient)	The subject of the report - usually, but not always, the patient
context		0..1	Reference(nl-core-episodeofcare | HCIM Encounter | gp-Encounter)	Health care event when test ordered
effective[x]		0..1	dateTime, Period	Clinically relevant time/time-period for report
performer		0..*	BackboneElement	Participants in producing the report
role
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:healthProfessionalRole		0..*	Coding	HealthProfessionalRole Binding: ZorgverlenerRolCodelijst (extensible)
actor		1..1	Reference(nl-core-organization | nl-core-practitioner)	Practitioner or Organization participant
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
specimen		0..*	Reference(HCIM LaboratoryTestResult Specimen | http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Isolate)	Specimen
result		0..*	Reference(HCIM LaboratoryTestResult Observation)	Observations - simple, or complex nested groups
conclusion		0..1	string	ResultInterpretation and/or Comment
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
DiagnosticReport.status.extension:ResultStatus [CanonicalType[http://nictiz.nl/fhir/StructureDefinition/code-specification]]	extensible	ResultaatStatusCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.8--20171231000000 from this IG
DiagnosticReport.category.coding:resultType	extensible	ResultaatTypeCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.1--20171231000000 from this IG
DiagnosticReport.code	extensible	OnderzoekCodelijst (a valid code from LOINC) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.5--20171231000000 from this IG
DiagnosticReport.performer.role.coding:healthProfessionalRole	extensible	ZorgverlenerRolCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.1.5--20171231000000 from this IG

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	DiagnosticReport	LaboratoryTestResult
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Identifier
basedOn		0..*	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ProcedureRequest | ReferralRequest)	Fulfills plan, proposal or order including requester information.
status	?!Σ	1..1	code	ResultStatus Binding: DiagnosticReportStatus (required): The status of the diagnostic report as a whole.
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
ResultStatus		0..1	CodeableConcept	Provides the specific HCIM code for ResultStatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
category	Σ	1..1	CodeableConcept	Service category Binding: Diagnostic Service Section Codes (example): Codes for diagnostic service sections.
Slices for coding	Σ	2..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:laboratoryTestResultCode	Σ	1..1	Coding	LaboratoryTestResultCode
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	Σ	0..1	code	Symbol in syntax defined by the system Fixed Value: 4241000179101
display	Σ	0..1	string	Representation defined by the system
coding:resultType	Σ	1..1	Coding	ResultType Binding: ResultaatTypeCodelijst (extensible): ResultaatTypeCodelijst
code	Σ	1..1	CodeableConcept	PanelOrBattery Binding: OnderzoekCodelijst (extensible): PanelOrBatteryCodelist
subject	Σ	0..1	Reference(nl-core-patient)	The subject of the report - usually, but not always, the patient
context	Σ	0..1	Reference(nl-core-episodeofcare | HCIM Encounter | gp-Encounter)	Health care event when test ordered
effective[x]	Σ	0..1		Clinically relevant time/time-period for report
effectiveDateTime			dateTime
effectivePeriod			Period
performer	Σ	0..*	BackboneElement	Participants in producing the report
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
actor	Σ	1..1	Reference(nl-core-organization | nl-core-practitioner)	Practitioner or Organization participant
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
specimen		0..*	Reference(HCIM LaboratoryTestResult Specimen | http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Isolate)	Specimen
result		0..*	Reference(HCIM LaboratoryTestResult Observation)	Observations - simple, or complex nested groups
conclusion		0..1	string	ResultInterpretation and/or Comment
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status from the FHIR Standard
DiagnosticReport.category	example	Diagnostic Service Section Codes http://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard
DiagnosticReport.category.coding:resultType	extensible	ResultaatTypeCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.1--20171231000000 from this IG
DiagnosticReport.code	extensible	OnderzoekCodelijst (a valid code from LOINC) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.5--20171231000000 from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
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 : contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	DiagnosticReport	LaboratoryTestResult
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: Common Languages (extensible): 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		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Identifier
basedOn		0..*	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ProcedureRequest | ReferralRequest)	Fulfills plan, proposal or order including requester information.
status	?!Σ	1..1	code	ResultStatus Binding: DiagnosticReportStatus (required): The status of the diagnostic report as a whole.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
ResultStatus		0..1	CodeableConcept	Provides the specific HCIM code for ResultStatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
value		0..1	code	Primitive value for code
category	Σ	1..1	CodeableConcept	Service category Binding: Diagnostic Service Section Codes (example): Codes for diagnostic service sections.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	2..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:laboratoryTestResultCode	Σ	1..1	Coding	LaboratoryTestResultCode
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Fixed Value: 4241000179101
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:resultType	Σ	1..1	Coding	ResultType Binding: ResultaatTypeCodelijst (extensible): ResultaatTypeCodelijst
text	Σ	0..1	string	Plain text representation of the concept
code	Σ	1..1	CodeableConcept	PanelOrBattery Binding: OnderzoekCodelijst (extensible): PanelOrBatteryCodelist
subject	Σ	0..1	Reference(nl-core-patient)	The subject of the report - usually, but not always, the patient
context	Σ	0..1	Reference(nl-core-episodeofcare | HCIM Encounter | gp-Encounter)	Health care event when test ordered
effective[x]	Σ	0..1		Clinically relevant time/time-period for report
effectiveDateTime			dateTime
effectivePeriod			Period
issued	Σ	0..1	instant	DateTime this version was released
performer	Σ	0..*	BackboneElement	Participants in producing the report
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
role	Σ	0..1	CodeableConcept	Type of performer Binding: Procedure Performer Role Codes (example): Indicate a role of diagnostic report performer
id		0..1	string	xml:id (or equivalent in JSON)
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:healthProfessionalRole	Σ	0..*	Coding	HealthProfessionalRole Binding: ZorgverlenerRolCodelijst (extensible)
text	Σ	0..1	string	Plain text representation of the concept
actor	Σ	1..1	Reference(nl-core-organization | nl-core-practitioner)	Practitioner or Organization participant
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
specimen		0..*	Reference(HCIM LaboratoryTestResult Specimen | http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Isolate)	Specimen
result		0..*	Reference(HCIM LaboratoryTestResult Observation)	Observations - simple, or complex nested groups
imagingStudy		0..*	Reference(ImagingStudy | ImagingManifest)	Reference to full details of imaging associated with the diagnostic report
image	Σ	0..*	BackboneElement	Key images associated with this report
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
comment		0..1	string	Comment about the image (e.g. explanation)
link	Σ	1..1	Reference(Media)	Reference to the image source
conclusion		0..1	string	ResultInterpretation and/or Comment
codedDiagnosis		0..*	CodeableConcept	Codes for the conclusion Binding: SNOMED CT Clinical Findings (example): Diagnosis codes provided as adjuncts to the report.
presentedForm		0..*	Attachment	Entire report as issued
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
DiagnosticReport.language	extensible	Common Languages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status from the FHIR Standard
DiagnosticReport.category	example	Diagnostic Service Section Codes http://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard
DiagnosticReport.category.coding:resultType	extensible	ResultaatTypeCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.1--20171231000000 from this IG
DiagnosticReport.code	extensible	OnderzoekCodelijst (a valid code from LOINC) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.5--20171231000000 from this IG
DiagnosticReport.performer.role	example	Procedure Performer Role Codes http://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard
DiagnosticReport.performer.role.coding:healthProfessionalRole	extensible	ZorgverlenerRolCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.1.5--20171231000000 from this IG
DiagnosticReport.codedDiagnosis	example	SNOMED CT Clinical Findings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
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 : contained.where(('#'+id in %resource.descendants().reference).not()).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()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Summary

Mandatory: 3 elements
Fixed: 2 elements

Structures

This structure refers to these other structures:

• nl-core-patient (http://fhir.nl/fhir/StructureDefinition/nl-core-patient)
• nl-core-episodeofcare (http://fhir.nl/fhir/StructureDefinition/nl-core-episodeofcare)
• HCIM Encounter (http://nictiz.nl/fhir/StructureDefinition/zib-Encounter)
• gp-Encounter (http://nictiz.nl/fhir/StructureDefinition/gp-Encounter)
• nl-core-organization (http://fhir.nl/fhir/StructureDefinition/nl-core-organization)
• nl-core-practitioner (http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner)
• HCIM LaboratoryTestResult Specimen (http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Specimen)
• Unable to summarise profile http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Isolate (no profile found)
• HCIM LaboratoryTestResult Observation (http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Observation)

Extensions

This structure refers to these extensions:

• http://nictiz.nl/fhir/StructureDefinition/code-specification
• http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference

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.performer.role.coding