Nictiz FHIR NL STU3 Zib2017 - Local Development build (v1.3.15) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: HCIM TextResult

A TextResult as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 4.1. Textual results describe the findings and interpretation of diagnostic or therapeutic procedures carried out on patients or on specimens from the patient.

Note that the HCIM TextResult-v4.1 has NL-CM:13.2.5 Procedure as property of the report. FHIR has this relationship reversed, so the procedure points to the report.

Recording the results of diagnostic procedures for the purpose of communicating these with the person requesting the procedure and documenting the findings resulting from therapeutic procedures.

Usage:

• Derived from this Resource Profile: HCIM OutcomeOfCare
• Refer to this Resource Profile: HCIM NursingIntervention and HCIM Procedure

Formal Views of Profile Content

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

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

This structure is derived from DiagnosticReport

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	DiagnosticReport	TextResult
identifier		0..*	Identifier	Identifier
status		1..1	code	TextResultStatus
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
TextResultStatus		0..1	CodeableConcept	Provides the specific HCIM code for TextResultStatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification Binding: TekstStatusCodelijst (extensible)
code		1..1	CodeableConcept	Test Binding: TekstUitslagTypeCodelijst (extensible)
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
conclusion		0..1	string	Clinical Interpretation of test results
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
DiagnosticReport.status.extension:TextResultStatus [CanonicalType[http://nictiz.nl/fhir/StructureDefinition/code-specification]]	extensible	TekstStatusCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.2.2--20171231000000 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--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	TextResult
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
status	?!Σ	1..1	code	TextResultStatus Binding: DiagnosticReportStatus (required): The status of the diagnostic report as a whole.
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
TextResultStatus		0..1	CodeableConcept	Provides the specific HCIM code for TextResultStatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
code	Σ	1..1	CodeableConcept	Test Binding: TekstUitslagTypeCodelijst (extensible)
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
conclusion		0..1	string	Clinical Interpretation of test results
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.code	extensible	TekstUitslagTypeCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.2.1--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	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: 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)	What was requested
status	?!Σ	1..1	code	TextResultStatus 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
TextResultStatus		0..1	CodeableConcept	Provides the specific HCIM code for TextResultStatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
value		0..1	code	Primitive value for code
category	Σ	0..1	CodeableConcept	Service category Binding: Diagnostic Service Section Codes (example): Codes for diagnostic service sections.
code	Σ	1..1	CodeableConcept	Test Binding: TekstUitslagTypeCodelijst (extensible)
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(Specimen)	Specimens this report is based on
result		0..*	Reference(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	Clinical Interpretation of test results
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.code	extensible	TekstUitslagTypeCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.2.1--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()

This structure is derived from DiagnosticReport

Summary

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)

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.performer.role.coding

Differential View

This structure is derived from DiagnosticReport

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	DiagnosticReport	TextResult
identifier		0..*	Identifier	Identifier
status		1..1	code	TextResultStatus
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
TextResultStatus		0..1	CodeableConcept	Provides the specific HCIM code for TextResultStatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification Binding: TekstStatusCodelijst (extensible)
code		1..1	CodeableConcept	Test Binding: TekstUitslagTypeCodelijst (extensible)
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
conclusion		0..1	string	Clinical Interpretation of test results
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
DiagnosticReport.status.extension:TextResultStatus [CanonicalType[http://nictiz.nl/fhir/StructureDefinition/code-specification]]	extensible	TekstStatusCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.2.2--20171231000000 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--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

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	DiagnosticReport	TextResult
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
status	?!Σ	1..1	code	TextResultStatus Binding: DiagnosticReportStatus (required): The status of the diagnostic report as a whole.
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
TextResultStatus		0..1	CodeableConcept	Provides the specific HCIM code for TextResultStatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
code	Σ	1..1	CodeableConcept	Test Binding: TekstUitslagTypeCodelijst (extensible)
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
conclusion		0..1	string	Clinical Interpretation of test results
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.code	extensible	TekstUitslagTypeCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.2.1--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()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	DiagnosticReport	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: 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)	What was requested
status	?!Σ	1..1	code	TextResultStatus 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
TextResultStatus		0..1	CodeableConcept	Provides the specific HCIM code for TextResultStatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
value		0..1	code	Primitive value for code
category	Σ	0..1	CodeableConcept	Service category Binding: Diagnostic Service Section Codes (example): Codes for diagnostic service sections.
code	Σ	1..1	CodeableConcept	Test Binding: TekstUitslagTypeCodelijst (extensible)
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(Specimen)	Specimens this report is based on
result		0..*	Reference(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	Clinical Interpretation of test results
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.code	extensible	TekstUitslagTypeCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.2.1--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()

This structure is derived from DiagnosticReport

Summary

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)

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.performer.role.coding

Other representations of profile: CSV, Excel, Schematron