Purpose of HCIM

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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
extension:ResultStatus		0..1	(Complex)	Provides the specific HCIM code for ResultStatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
Slices for valueCodeableConcept				Content/Rules for all slices
valueCodeableConcept:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: ResultaatStatusCodelijst (extensible)
category		1..1	CodeableConcept	Service category
Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:laboratoryTestResultCode		1..1	Coding	LaboratoryTestResultCode Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 4241000179101
display		0..1	string	Representation defined by the system
coding:resultType		0..1	Coding	ResultType Binding: ResultaatTypeCodelijst (required): ResultaatTypeCodelijst
code		1..1	CodeableConcept	PanelOrBattery Binding: OnderzoekCodelijst (extensible): PanelOrBatteryCodelist
subject		0..1	Reference(nl-core-patient)	The subject of the report - usually, but not always, the patient
context		0..1	Reference(nl-core-episodeofcare | HCIM Encounter | gp-Encounter)	Health care event when test ordered
effective[x]		0..1	dateTime, Period	Clinically relevant time/time-period for report
performer		0..*	BackboneElement	Participants in producing the report
role
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:healthProfessionalRole		0..*	Coding	HealthProfessionalRole Binding: ZorgverlenerRolCodelijst (required)
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
extension:practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
specimen		0..*	Reference(HCIM LaboratoryTestResult Specimen | HCIM LaboratoryTestResult Specimen 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.valueCodeableConcept:valueCodeableConcept	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	required	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	required	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    Filter: Bindings Constraints Obligations
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
extension:ResultStatus		0..1	(Complex)	Provides the specific HCIM code for ResultStatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/code-specification"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: ResultaatStatusCodelijst (extensible)
category	Σ	1..1	CodeableConcept	Service category Binding: Diagnostic Service Section Codes (example): Codes for diagnostic service sections.
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:laboratoryTestResultCode	Σ	1..1	Coding	LaboratoryTestResultCode Required Pattern: At least the following
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 4241000179101
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
display	Σ	0..1	string	Representation defined by the system
coding:resultType	Σ	0..1	Coding	ResultType Binding: ResultaatTypeCodelijst (required): 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
extension:practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
specimen		0..*	Reference(HCIM LaboratoryTestResult Specimen | HCIM LaboratoryTestResult Specimen 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|3.0.2 From the FHIR Standard
DiagnosticReport.status.extension:ResultStatus.value[x]:valueCodeableConcept	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	example	Diagnostic Service Section Codes http://hl7.org/fhir/ValueSet/diagnostic-service-sections|3.0.2 From the FHIR Standard
DiagnosticReport.category.coding:resultType	required	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    Filter: Bindings Constraints Obligations
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 All Languages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	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
extension:ResultStatus		0..1	(Complex)	Provides the specific HCIM code for ResultStatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/code-specification"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: ResultaatStatusCodelijst (extensible)
value		0..1	code	Primitive value for code
category	Σ	1..1	CodeableConcept	Service category Binding: Diagnostic Service Section Codes (example): Codes for diagnostic service sections.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:laboratoryTestResultCode	Σ	1..1	Coding	LaboratoryTestResultCode Required Pattern: At least the following
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 4241000179101
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
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
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
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	0..1	Coding	ResultType Binding: ResultaatTypeCodelijst (required): 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:$this
coding:healthProfessionalRole	Σ	0..*	Coding	HealthProfessionalRole Binding: ZorgverlenerRolCodelijst (required)
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
extension: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 | HCIM LaboratoryTestResult Specimen 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 http://hl7.org/fhir/ValueSet/languages|3.0.2 From the FHIR Standard Additional Bindings Purpose All Languages Max Binding
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|3.0.2 From the FHIR Standard
DiagnosticReport.status.extension:ResultStatus.value[x]:valueCodeableConcept	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	example	Diagnostic Service Section Codes http://hl7.org/fhir/ValueSet/diagnostic-service-sections|3.0.2 From the FHIR Standard
DiagnosticReport.category.coding:resultType	required	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|3.0.2 From the FHIR Standard
DiagnosticReport.performer.role.coding:healthProfessionalRole	required	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|3.0.2 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

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)
• HCIM LaboratoryTestResult Specimen Isolate (http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Specimen-Isolate)
• 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    Filter: Bindings Constraints Obligations
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
extension:ResultStatus		0..1	(Complex)	Provides the specific HCIM code for ResultStatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
Slices for valueCodeableConcept				Content/Rules for all slices
valueCodeableConcept:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: ResultaatStatusCodelijst (extensible)
category		1..1	CodeableConcept	Service category
Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:laboratoryTestResultCode		1..1	Coding	LaboratoryTestResultCode Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 4241000179101
display		0..1	string	Representation defined by the system
coding:resultType		0..1	Coding	ResultType Binding: ResultaatTypeCodelijst (required): ResultaatTypeCodelijst
code		1..1	CodeableConcept	PanelOrBattery Binding: OnderzoekCodelijst (extensible): PanelOrBatteryCodelist
subject		0..1	Reference(nl-core-patient)	The subject of the report - usually, but not always, the patient
context		0..1	Reference(nl-core-episodeofcare | HCIM Encounter | gp-Encounter)	Health care event when test ordered
effective[x]		0..1	dateTime, Period	Clinically relevant time/time-period for report
performer		0..*	BackboneElement	Participants in producing the report
role
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:healthProfessionalRole		0..*	Coding	HealthProfessionalRole Binding: ZorgverlenerRolCodelijst (required)
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
extension:practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
specimen		0..*	Reference(HCIM LaboratoryTestResult Specimen | HCIM LaboratoryTestResult Specimen 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.valueCodeableConcept:valueCodeableConcept	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	required	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	required	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    Filter: Bindings Constraints Obligations
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
extension:ResultStatus		0..1	(Complex)	Provides the specific HCIM code for ResultStatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/code-specification"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: ResultaatStatusCodelijst (extensible)
category	Σ	1..1	CodeableConcept	Service category Binding: Diagnostic Service Section Codes (example): Codes for diagnostic service sections.
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:laboratoryTestResultCode	Σ	1..1	Coding	LaboratoryTestResultCode Required Pattern: At least the following
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 4241000179101
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
display	Σ	0..1	string	Representation defined by the system
coding:resultType	Σ	0..1	Coding	ResultType Binding: ResultaatTypeCodelijst (required): 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
extension:practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
specimen		0..*	Reference(HCIM LaboratoryTestResult Specimen | HCIM LaboratoryTestResult Specimen 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|3.0.2 From the FHIR Standard
DiagnosticReport.status.extension:ResultStatus.value[x]:valueCodeableConcept	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	example	Diagnostic Service Section Codes http://hl7.org/fhir/ValueSet/diagnostic-service-sections|3.0.2 From the FHIR Standard
DiagnosticReport.category.coding:resultType	required	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    Filter: Bindings Constraints Obligations
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 All Languages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	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
extension:ResultStatus		0..1	(Complex)	Provides the specific HCIM code for ResultStatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/code-specification"
Slices for value[x]		1..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		1..1	CodeableConcept	Value of extension Binding: ResultaatStatusCodelijst (extensible)
value		0..1	code	Primitive value for code
category	Σ	1..1	CodeableConcept	Service category Binding: Diagnostic Service Section Codes (example): Codes for diagnostic service sections.
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:laboratoryTestResultCode	Σ	1..1	Coding	LaboratoryTestResultCode Required Pattern: At least the following
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 4241000179101
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
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
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
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	0..1	Coding	ResultType Binding: ResultaatTypeCodelijst (required): 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:$this
coding:healthProfessionalRole	Σ	0..*	Coding	HealthProfessionalRole Binding: ZorgverlenerRolCodelijst (required)
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
extension: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 | HCIM LaboratoryTestResult Specimen 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 http://hl7.org/fhir/ValueSet/languages|3.0.2 From the FHIR Standard Additional Bindings Purpose All Languages Max Binding
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|3.0.2 From the FHIR Standard
DiagnosticReport.status.extension:ResultStatus.value[x]:valueCodeableConcept	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	example	Diagnostic Service Section Codes http://hl7.org/fhir/ValueSet/diagnostic-service-sections|3.0.2 From the FHIR Standard
DiagnosticReport.category.coding:resultType	required	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|3.0.2 From the FHIR Standard
DiagnosticReport.performer.role.coding:healthProfessionalRole	required	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|3.0.2 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

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)
• HCIM LaboratoryTestResult Specimen Isolate (http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Specimen-Isolate)
• 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