ÚNICAS Rare Diseases HL7 FHIR Implementation Guide - Local Development build (v0.0.2) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: DiagnosticReport Formulario de Enrolamiento ÚNICAS

Este profile define las restricciones del recurso DiagnosticReport para representar el registro de un estudio diagnóstico en el contexto del caso de uso de ÚNICAS.

Usages:

• CapabilityStatements using this Profile: Configuración del Servidor FHIR de ÚNICAS
• This Profile is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport	C	0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: dgr-1
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Identificador único
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	0..1	uri	Sistema de identificador Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:regcess:0123456789
value	ΣC	0..1	string	Valor de identificador Example General: 123456 Example ÚNICAS: 123456
status	?!Σ	1..1	code	registered | partial | preliminary | modified | final | amended | corrected | appended | cancelled | entered-in-error | unknown Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
Slices for category	Σ	1..*	CodeableConcept	Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074
category:ClasificacionDiagnostico	Σ	1..*	CodeableConcept	Clasificación de diagnóstico Binding: Value set de Clasificaciones de diagnósticos (required): Value set de Clasificaciones de diagnósticos
category:TipoDiagnostico	Σ	0..*	CodeableConcept	Tipo de diagnóstico Binding: Value set de Tipos de diagnósticos (required): Value set de Tipos de diagnósticos
code	Σ	1..1	CodeableConcept	Diagnóstico Binding: Value set de Diagnósticos (preferred): Value set de Diagnósticos
coding	Σ	1..*	Coding	Concepto de diagnóstico. Pueden ser codificados utilizando las terminologías de SNOMED CT. Extensión para España del SNS, CIE-10-ES. Diagnósticos, ORPHA y OMIM
system	Σ	1..1	uri	URL del SNOMED CT. Extensión para España del SNS | OID del CIE-10-ES. Diagnósticos | OID del ORPHA | OID del OMIM
code	ΣC	1..1	code	Código del diagnóstico
display	ΣC	1..1	string	Descripción del diagnóstico
text	Σ	0..1	string	Descripción narrativa, registrada por el professional
subject	Σ	1..1	Reference(Patient Paciente ÚNICAS)	Referencia al paciente
reference	ΣC	0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type	Σ	1..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	1..1	Identifier	Identificador de paciente CIP-SNS. Cuando no tengamos recurso Patient, se debera informar el identificador de paciente mediante CIP-SNS
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
system	Σ	0..1	uri	OID registro de número de CIP-SNS Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:oid:2.16.724.4.40
value	ΣC	0..1	string	Número CIP-SNS Example General: 123456 Example ÚNICAS: BBBBBBBBQR648597
display	ΣC	0..1	string	Nombre completo del paciente
encounter	Σ	0..1	Reference(Encounter Interacción Clínica ÚNICAS)	Referencia a la interacción clínica
reference	ΣC	0..1	string	Referencia recurso FHIR
type	Σ	0..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	0..1	Identifier	Identificador del recurso FHIR
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	0..1	uri	Sistema para identificar el origen Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:regcess:0123456789
value	ΣC	0..1	string	Identificador interno del sistema para la interacción clínica Example General: 123456 Example ÚNICAS: 123456
effective[x]	Σ	1..1	dateTime	Fecha de diagnóstico
performer	Σ	1..*	Reference(PractitionerRole Profesional Sanitario ÚNICAS | Practitioner Profesional Sanitario ÚNICAS | Organization Institución ÚNICAS)	Referencia al profesional sanitario
reference	ΣC	0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type	Σ	1..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	1..1	Identifier	Identificadores del profesional sanitario. Cuando no tengamos recurso Practitioner, se debera informar el identificador del profesional sanitario mediante DNI como dato mínimo. Adicionalmente, se puede informar el número colegiado del profesional sanitario como dato recomendado
Slices for extension				Content/Rules for all slices
extension:numeroColegiadoProfesionalSanitario		0..*	Identifier	Número de colegiado del profesional sanitario URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/NumeroColegiadoProfesionalSanitario
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
system	Σ	0..1	uri	OID registro de DNI Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:oid:1.3.6.1.4.1.19126.3
value	ΣC	0..1	string	Número del DNI Example General: 123456 Example ÚNICAS: 0000001X
display	ΣC	0..1	string	Nombre completo del profesional sanitario
note		0..*	Annotation	Comentario
text	Σ	1..1	markdown	Comentario
Slices for conclusionCode		0..*	CodeableConcept	Codes for the clinical conclusion of test results Slice: Unordered, Open by value:$this Binding: SNOMEDCTClinicalFindings (example): SNOMED CT Clinical Findings
conclusionCode:GradoSospecha		0..*	CodeableConcept	Grado de sospecha Binding: Value set de Grados de sospecha del diagnóstico (required): Value set de Grados de sospecha del diagnostico
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:GradoSospecha-code	Σ	0..*	Coding	Concepto "grado de sospecha de enfermedad minoritaria" Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct/900000001000122104
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 2095221000122101
display		1..1	string	Representation defined by the system Fixed Value: grado de sospecha de enfermedad minoritaria
userSelected		0..0	boolean	If this coding was chosen directly by the user
system	Σ	0..1	uri	URL del SNOMED CT. Extensión para España del SNS
code	ΣC	0..1	code	Código del concepto: 2095221000122101
display	ΣC	0..1	string	Descripción del concepto: grado de sospecha de enfermedad minoritaria
coding:GradoSospecha-valor	Σ	0..*	Coding	Valor del grado de sospecha (sospecha alta de enfermedad minoritaria | sospecha media de enfermedad minoritaria | sospecha baja de enfermedad minoritaria) Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct/900000001000122104
version		0..0	string	Version of the system - if relevant
code		0..0	code	Symbol in syntax defined by the system
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
system	Σ	0..1	uri	URL del SNOMED CT. Extensión para España del SNS
code	ΣC	0..1	code	Código del grado de sospecha: 2095291000122104 | 2095301000122103 | 2095311000122100
display	ΣC	0..1	string	Descripción del grado de sospecha: sospecha alta de enfermedad minoritaria | sospecha media de enfermedad minoritaria | sospecha baja de enfermedad minoritaria
text	Σ	0..1	string	Comentario
conclusionCode:CriteriosSospecha		0..*	CodeableConcept	Criterios de sospecha (criterio de diagnóstico clínico, criterio de prueba genética, criterio de prueba bioquímica, criterio de prueba hematológica, criterio de prueba histológica, criterio de prueba inmunológica, criterio de prueba de imagen) Binding: Value set de Criterios de sospecha del diagnóstico (required): Value set de Criterios de sospecha del diagnostico
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:CriteriosSospecha-code	Σ	0..*	Coding	Concepto de "criterio de diagnóstico clínico" | "criterio de prueba genética" | "criterio de prueba bioquímica" | "criterio de prueba hematológica" | "criterio de prueba histológica" | "criterio de prueba inmunológica" | "criterio de prueba de imagen" Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct/900000001000122104
version		0..0	string	Version of the system - if relevant
code		0..0	code	Symbol in syntax defined by the system
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
system	Σ	0..1	uri	URL del SNOMED CT. Extensión para España del SNS
code	ΣC	0..1	code	Código del concepto: 2095231000122103 | 2095241000122106 | 2095251000122108 | 2095271000122100 | 2095261000122105 | 2095281000122102
display	ΣC	0..1	string	Descripción del concepto: criterio de diagnóstico clínico | criterio de prueba genética | criterio de prueba bioquímica | criterio de prueba hematológica | criterio de prueba inmunológica | criterio de prueba de imagen
coding:CriteriosSospecha-valor	Σ	0..*	Coding	Valor del criterio (verdadero | falso) Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct/900000001000122104
version		0..0	string	Version of the system - if relevant
code		0..0	code	Symbol in syntax defined by the system
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
system	Σ	0..1	uri	URL del SNOMED CT. Extensión para España del SNS
code	ΣC	0..1	code	Código del criterio: 31874001 | 64100000
display	ΣC	0..1	string	Descripción del criterio: verdadero | falso
text	Σ	0..1	string	Comentario
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.identifier.​use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
DiagnosticReport.status	Base	required	Diagnostic Report Status	📍5.0.0	FHIR Std.
DiagnosticReport.category	Base	example	Diagnostic Service Section Codes	📍5.0.0	FHIR Std.
DiagnosticReport.category:ClasificacionDiagnostico	Base	required	Value set de Clasificaciones de diagnósticos	📦0.0.2	This IG
DiagnosticReport.category:TipoDiagnostico	Base	required	Value set de Tipos de diagnósticos	📦0.0.2	This IG
DiagnosticReport.code	Base	preferred	Value set de Diagnósticos	📦0.0.2	This IG
DiagnosticReport.subject.​type	Base	extensible	Resource Types	📍5.0.0	FHIR Std.
DiagnosticReport.subject.​identifier.use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
DiagnosticReport.subject.​identifier.type	Base	extensible	Identifier Type Codes	📦5.0.0	FHIR Std.
DiagnosticReport.encounter.​type	Base	extensible	Resource Types	📍5.0.0	FHIR Std.
DiagnosticReport.encounter.​identifier.use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
DiagnosticReport.performer.​type	Base	extensible	Resource Types	📍5.0.0	FHIR Std.
DiagnosticReport.performer.​identifier.use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
DiagnosticReport.performer.​identifier.type	Base	extensible	Identifier Type Codes	📦5.0.0	FHIR Std.
DiagnosticReport.conclusionCode	Base	example	SNOMED CT Clinical Findings	📍5.0.0	FHIR Std.
DiagnosticReport.conclusionCode:GradoSospecha	Base	required	Value set de Grados de sospecha del diagnóstico	📦0.0.2	This IG
DiagnosticReport.conclusionCode:CriteriosSospecha	Base	required	Value set de Criterios de sospecha del diagnóstico	📦0.0.2	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
dgr-1	error	DiagnosticReport	When a Composition is referenced in `Diagnostic.composition`, all Observation resources referenced in `Composition.entry` must also be referenced in `Diagnostic.entry` or in the references Observations in `Observation.hasMember`	composition.exists() implies (composition.resolve().section.entry.reference.where(resolve() is Observation) in (result.reference|result.reference.resolve().hasMember.reference))
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	DiagnosticReport	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from DiagnosticReport

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
identifier		0..*	Identifier	Identificador único
system		0..1	uri	Sistema de identificador Example ÚNICAS: urn:regcess:0123456789
value		0..1	string	Valor de identificador Example ÚNICAS: 123456
Slices for category		1..*	CodeableConcept	Service category Slice: Unordered, Open by value:$this
category:ClasificacionDiagnostico		1..*	CodeableConcept	Clasificación de diagnóstico Binding: Value set de Clasificaciones de diagnósticos (required): Value set de Clasificaciones de diagnósticos
coding
system		1..1	uri	URL del SNOMED CT. Extensión para España del SNS
code		1..1	code	Código de la clasificación de diagnóstico
display		1..1	string	Descripción de la clasificación de diagnóstico
category:TipoDiagnostico		0..*	CodeableConcept	Tipo de diagnóstico Binding: Value set de Tipos de diagnósticos (required): Value set de Tipos de diagnósticos
coding
system		0..1	uri	URL del SNOMED CT. Extensión para España del SNS
code		0..1	code	Código del tipo diagnóstico
display		0..1	string	Descripción del tipo diagnóstico
code		1..1	CodeableConcept	Diagnóstico Binding: Value set de Diagnósticos (preferred): Value set de Diagnósticos
coding		1..*	Coding	Concepto de diagnóstico. Pueden ser codificados utilizando las terminologías de SNOMED CT. Extensión para España del SNS, CIE-10-ES. Diagnósticos, ORPHA y OMIM
system		1..1	uri	URL del SNOMED CT. Extensión para España del SNS | OID del CIE-10-ES. Diagnósticos | OID del ORPHA | OID del OMIM
code		1..1	code	Código del diagnóstico
display		1..1	string	Descripción del diagnóstico
text		0..1	string	Descripción narrativa, registrada por el professional
subject		1..1	Reference(Patient Paciente ÚNICAS)	Referencia al paciente
reference		0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type		1..1	uri	Tipo de recurso FHIR
identifier		1..1	Identifier	Identificador de paciente CIP-SNS. Cuando no tengamos recurso Patient, se debera informar el identificador de paciente mediante CIP-SNS
type		0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
coding
system		0..1	uri	URL del SNOMED CT. Extensión para España del SNS
code		0..1	code	Código del identificador
display		0..1	string	Decripción del identificador
system		0..1	uri	OID registro de número de CIP-SNS Example ÚNICAS: urn:oid:2.16.724.4.40
value		0..1	string	Número CIP-SNS Example ÚNICAS: BBBBBBBBQR648597
display		0..1	string	Nombre completo del paciente
encounter		0..1	Reference(Encounter Interacción Clínica ÚNICAS)	Referencia a la interacción clínica
reference		0..1	string	Referencia recurso FHIR
type		0..1	uri	Tipo de recurso FHIR
identifier		0..1	Identifier	Identificador del recurso FHIR
system		0..1	uri	Sistema para identificar el origen Example ÚNICAS: urn:regcess:0123456789
value		0..1	string	Identificador interno del sistema para la interacción clínica Example ÚNICAS: 123456
effective[x]		1..1	dateTime	Fecha de diagnóstico
performer		1..*	Reference(PractitionerRole Profesional Sanitario ÚNICAS | Practitioner Profesional Sanitario ÚNICAS | Organization Institución ÚNICAS)	Referencia al profesional sanitario
reference		0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type		1..1	uri	Tipo de recurso FHIR
identifier		1..1	Identifier	Identificadores del profesional sanitario. Cuando no tengamos recurso Practitioner, se debera informar el identificador del profesional sanitario mediante DNI como dato mínimo. Adicionalmente, se puede informar el número colegiado del profesional sanitario como dato recomendado
Slices for extension				Content/Rules for all slices
extension:numeroColegiadoProfesionalSanitario		0..*	Identifier	Número de colegiado del profesional sanitario URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/NumeroColegiadoProfesionalSanitario
type		0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
coding
system		0..1	uri	URL del refset Tipos de documento para identificación personal de SNOMED CT. Extensión para España del SNS
code		0..1	code	Código del identificador
display		0..1	string	Decripción del identificador
system		0..1	uri	OID registro de DNI Example ÚNICAS: urn:oid:1.3.6.1.4.1.19126.3
value		0..1	string	Número del DNI Example ÚNICAS: 0000001X
display		0..1	string	Nombre completo del profesional sanitario
note		0..*	Annotation	Comentario
text		1..1	markdown	Comentario
Slices for conclusionCode		0..*	CodeableConcept	Codes for the clinical conclusion of test results Slice: Unordered, Open by value:$this
conclusionCode:GradoSospecha		0..*	CodeableConcept	Grado de sospecha Binding: Value set de Grados de sospecha del diagnóstico (required): Value set de Grados de sospecha del diagnostico
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:GradoSospecha-code		0..*	Coding	Concepto "grado de sospecha de enfermedad minoritaria" Fixed Value: As shown
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct/900000001000122104
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 2095221000122101
display		1..1	string	Representation defined by the system Fixed Value: grado de sospecha de enfermedad minoritaria
system		0..1	uri	URL del SNOMED CT. Extensión para España del SNS
code		0..1	code	Código del concepto: 2095221000122101
display		0..1	string	Descripción del concepto: grado de sospecha de enfermedad minoritaria
coding:GradoSospecha-valor		0..*	Coding	Valor del grado de sospecha (sospecha alta de enfermedad minoritaria | sospecha media de enfermedad minoritaria | sospecha baja de enfermedad minoritaria) Fixed Value: As shown
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct/900000001000122104
system		0..1	uri	URL del SNOMED CT. Extensión para España del SNS
code		0..1	code	Código del grado de sospecha: 2095291000122104 | 2095301000122103 | 2095311000122100
display		0..1	string	Descripción del grado de sospecha: sospecha alta de enfermedad minoritaria | sospecha media de enfermedad minoritaria | sospecha baja de enfermedad minoritaria
text		0..1	string	Comentario
conclusionCode:CriteriosSospecha		0..*	CodeableConcept	Criterios de sospecha (criterio de diagnóstico clínico, criterio de prueba genética, criterio de prueba bioquímica, criterio de prueba hematológica, criterio de prueba histológica, criterio de prueba inmunológica, criterio de prueba de imagen) Binding: Value set de Criterios de sospecha del diagnóstico (required): Value set de Criterios de sospecha del diagnostico
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:CriteriosSospecha-code		0..*	Coding	Concepto de "criterio de diagnóstico clínico" | "criterio de prueba genética" | "criterio de prueba bioquímica" | "criterio de prueba hematológica" | "criterio de prueba histológica" | "criterio de prueba inmunológica" | "criterio de prueba de imagen" Fixed Value: As shown
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct/900000001000122104
system		0..1	uri	URL del SNOMED CT. Extensión para España del SNS
code		0..1	code	Código del concepto: 2095231000122103 | 2095241000122106 | 2095251000122108 | 2095271000122100 | 2095261000122105 | 2095281000122102
display		0..1	string	Descripción del concepto: criterio de diagnóstico clínico | criterio de prueba genética | criterio de prueba bioquímica | criterio de prueba hematológica | criterio de prueba inmunológica | criterio de prueba de imagen
coding:CriteriosSospecha-valor		0..*	Coding	Valor del criterio (verdadero | falso) Fixed Value: As shown
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct/900000001000122104
system		0..1	uri	URL del SNOMED CT. Extensión para España del SNS
code		0..1	code	Código del criterio: 31874001 | 64100000
display		0..1	string	Descripción del criterio: verdadero | falso
text		0..1	string	Comentario
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.category:ClasificacionDiagnostico	Base	required	Value set de Clasificaciones de diagnósticos	📦0.0.2	This IG
DiagnosticReport.category:TipoDiagnostico	Base	required	Value set de Tipos de diagnósticos	📦0.0.2	This IG
DiagnosticReport.code	Base	preferred	Value set de Diagnósticos	📦0.0.2	This IG
DiagnosticReport.subject.​identifier.type	Base	extensible	Identifier Type Codes	📦5.0.0	FHIR Std.
DiagnosticReport.performer.​identifier.type	Base	extensible	Identifier Type Codes	📦5.0.0	FHIR Std.
DiagnosticReport.conclusionCode:GradoSospecha	Base	required	Value set de Grados de sospecha del diagnóstico	📦0.0.2	This IG
DiagnosticReport.conclusionCode:CriteriosSospecha	Base	required	Value set de Criterios de sospecha del diagnóstico	📦0.0.2	This IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport	C	0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: dgr-1
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: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
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	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Identificador único
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	Sistema de identificador Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:regcess:0123456789
value	ΣC	0..1	string	Valor de identificador Example General: 123456 Example ÚNICAS: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
basedOn		0..*	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested
status	?!Σ	1..1	code	registered | partial | preliminary | modified | final | amended | corrected | appended | cancelled | entered-in-error | unknown Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
Slices for category	Σ	1..*	CodeableConcept	Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074
category:ClasificacionDiagnostico	Σ	1..*	CodeableConcept	Clasificación de diagnóstico Binding: Value set de Clasificaciones de diagnósticos (required): Value set de Clasificaciones de diagnósticos
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	URL del SNOMED CT. Extensión para España del SNS
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	1..1	code	Código de la clasificación de diagnóstico
display	ΣC	1..1	string	Descripción de la clasificación de diagnóstico
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
category:TipoDiagnostico	Σ	0..*	CodeableConcept	Tipo de diagnóstico Binding: Value set de Tipos de diagnósticos (required): Value set de Tipos de diagnósticos
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	URL del SNOMED CT. Extensión para España del SNS
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Código del tipo diagnóstico
display	ΣC	0..1	string	Descripción del tipo diagnóstico
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
code	Σ	1..1	CodeableConcept	Diagnóstico Binding: Value set de Diagnósticos (preferred): Value set de Diagnósticos
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Concepto de diagnóstico. Pueden ser codificados utilizando las terminologías de SNOMED CT. Extensión para España del SNS, CIE-10-ES. Diagnósticos, ORPHA y OMIM
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	URL del SNOMED CT. Extensión para España del SNS | OID del CIE-10-ES. Diagnósticos | OID del ORPHA | OID del OMIM
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	1..1	code	Código del diagnóstico
display	ΣC	1..1	string	Descripción del diagnóstico
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Descripción narrativa, registrada por el professional
subject	Σ	1..1	Reference(Patient Paciente ÚNICAS)	Referencia al paciente
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type	Σ	1..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	1..1	Identifier	Identificador de paciente CIP-SNS. Cuando no tengamos recurso Patient, se debera informar el identificador de paciente mediante CIP-SNS
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	URL del SNOMED CT. Extensión para España del SNS
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Código del identificador
display	ΣC	0..1	string	Decripción del identificador
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	OID registro de número de CIP-SNS Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:oid:2.16.724.4.40
value	ΣC	0..1	string	Número CIP-SNS Example General: 123456 Example ÚNICAS: BBBBBBBBQR648597
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	ΣC	0..1	string	Nombre completo del paciente
encounter	Σ	0..1	Reference(Encounter Interacción Clínica ÚNICAS)	Referencia a la interacción clínica
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Referencia recurso FHIR
type	Σ	0..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	0..1	Identifier	Identificador del recurso FHIR
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	Sistema para identificar el origen Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:regcess:0123456789
value	ΣC	0..1	string	Identificador interno del sistema para la interacción clínica Example General: 123456 Example ÚNICAS: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	ΣC	0..1	string	Text alternative for the resource
effective[x]	Σ	1..1	dateTime	Fecha de diagnóstico
issued	Σ	0..1	instant	DateTime this version was made
performer	Σ	1..*	Reference(PractitionerRole Profesional Sanitario ÚNICAS | Practitioner Profesional Sanitario ÚNICAS | Organization Institución ÚNICAS)	Referencia al profesional sanitario
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type	Σ	1..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	1..1	Identifier	Identificadores del profesional sanitario. Cuando no tengamos recurso Practitioner, se debera informar el identificador del profesional sanitario mediante DNI como dato mínimo. Adicionalmente, se puede informar el número colegiado del profesional sanitario como dato recomendado
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:numeroColegiadoProfesionalSanitario		0..*	Identifier	Número de colegiado del profesional sanitario URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/NumeroColegiadoProfesionalSanitario
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	URL del refset Tipos de documento para identificación personal de SNOMED CT. Extensión para España del SNS
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Código del identificador
display	ΣC	0..1	string	Decripción del identificador
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	OID registro de DNI Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:oid:1.3.6.1.4.1.19126.3
value	ΣC	0..1	string	Número del DNI Example General: 123456 Example ÚNICAS: 0000001X
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	ΣC	0..1	string	Nombre completo del profesional sanitario
resultsInterpreter	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter
specimen		0..*	Reference(Specimen)	Specimens this report is based on
result	C	0..*	Reference(Observation)	Observations
note		0..*	Annotation	Comentario
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	Σ	1..1	markdown	Comentario
study		0..*	Reference(GenomicStudy | ImagingStudy)	Reference to full details of an analysis associated with the diagnostic report
supportingInfo		0..*	BackboneElement	Additional information supporting the diagnostic report
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	CodeableConcept	Supporting information role code Binding: hl7VS-VS-observationType (example): The code value for the role of the supporting information in the diagnostic report.
reference		1..1	Reference(Procedure | Observation | DiagnosticReport | Citation)	Supporting information reference
media	Σ	0..*	BackboneElement	Key images or data associated with this report
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
comment		0..1	string	Comment about the image or data (e.g. explanation)
link	Σ	1..1	Reference(DocumentReference)	Reference to the image or data source
composition	C	0..1	Reference(Composition)	Reference to a Composition resource for the DiagnosticReport structure
conclusion		0..1	markdown	Clinical conclusion (interpretation) of test results
Slices for conclusionCode		0..*	CodeableConcept	Codes for the clinical conclusion of test results Slice: Unordered, Open by value:$this Binding: SNOMEDCTClinicalFindings (example): SNOMED CT Clinical Findings
conclusionCode:GradoSospecha		0..*	CodeableConcept	Grado de sospecha Binding: Value set de Grados de sospecha del diagnóstico (required): Value set de Grados de sospecha del diagnostico
id		0..1	id	Unique id for inter-element referencing
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:GradoSospecha-code	Σ	0..*	Coding	Concepto "grado de sospecha de enfermedad minoritaria" Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct/900000001000122104
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 2095221000122101
display		1..1	string	Representation defined by the system Fixed Value: grado de sospecha de enfermedad minoritaria
userSelected		0..0	boolean	If this coding was chosen directly by the user
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	URL del SNOMED CT. Extensión para España del SNS
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Código del concepto: 2095221000122101
display	ΣC	0..1	string	Descripción del concepto: grado de sospecha de enfermedad minoritaria
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:GradoSospecha-valor	Σ	0..*	Coding	Valor del grado de sospecha (sospecha alta de enfermedad minoritaria | sospecha media de enfermedad minoritaria | sospecha baja de enfermedad minoritaria) Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct/900000001000122104
version		0..0	string	Version of the system - if relevant
code		0..0	code	Symbol in syntax defined by the system
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	URL del SNOMED CT. Extensión para España del SNS
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Código del grado de sospecha: 2095291000122104 | 2095301000122103 | 2095311000122100
display	ΣC	0..1	string	Descripción del grado de sospecha: sospecha alta de enfermedad minoritaria | sospecha media de enfermedad minoritaria | sospecha baja de enfermedad minoritaria
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Comentario
conclusionCode:CriteriosSospecha		0..*	CodeableConcept	Criterios de sospecha (criterio de diagnóstico clínico, criterio de prueba genética, criterio de prueba bioquímica, criterio de prueba hematológica, criterio de prueba histológica, criterio de prueba inmunológica, criterio de prueba de imagen) Binding: Value set de Criterios de sospecha del diagnóstico (required): Value set de Criterios de sospecha del diagnostico
id		0..1	id	Unique id for inter-element referencing
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:CriteriosSospecha-code	Σ	0..*	Coding	Concepto de "criterio de diagnóstico clínico" | "criterio de prueba genética" | "criterio de prueba bioquímica" | "criterio de prueba hematológica" | "criterio de prueba histológica" | "criterio de prueba inmunológica" | "criterio de prueba de imagen" Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct/900000001000122104
version		0..0	string	Version of the system - if relevant
code		0..0	code	Symbol in syntax defined by the system
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	URL del SNOMED CT. Extensión para España del SNS
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Código del concepto: 2095231000122103 | 2095241000122106 | 2095251000122108 | 2095271000122100 | 2095261000122105 | 2095281000122102
display	ΣC	0..1	string	Descripción del concepto: criterio de diagnóstico clínico | criterio de prueba genética | criterio de prueba bioquímica | criterio de prueba hematológica | criterio de prueba inmunológica | criterio de prueba de imagen
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:CriteriosSospecha-valor	Σ	0..*	Coding	Valor del criterio (verdadero | falso) Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct/900000001000122104
version		0..0	string	Version of the system - if relevant
code		0..0	code	Symbol in syntax defined by the system
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	URL del SNOMED CT. Extensión para España del SNS
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Código del criterio: 31874001 | 64100000
display	ΣC	0..1	string	Descripción del criterio: verdadero | falso
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Comentario
presentedForm		0..*	Attachment	Entire report as issued
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.language	Base	required	All Languages	📍5.0.0	FHIR Std.
DiagnosticReport.identifier.​use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
DiagnosticReport.identifier.​type	Base	extensible	Identifier Type Codes	📍5.0.0	FHIR Std.
DiagnosticReport.status	Base	required	Diagnostic Report Status	📍5.0.0	FHIR Std.
DiagnosticReport.category	Base	example	Diagnostic Service Section Codes	📍5.0.0	FHIR Std.
DiagnosticReport.category:ClasificacionDiagnostico	Base	required	Value set de Clasificaciones de diagnósticos	📦0.0.2	This IG
DiagnosticReport.category:TipoDiagnostico	Base	required	Value set de Tipos de diagnósticos	📦0.0.2	This IG
DiagnosticReport.code	Base	preferred	Value set de Diagnósticos	📦0.0.2	This IG
DiagnosticReport.subject.​type	Base	extensible	Resource Types	📍5.0.0	FHIR Std.
DiagnosticReport.subject.​identifier.use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
DiagnosticReport.subject.​identifier.type	Base	extensible	Identifier Type Codes	📦5.0.0	FHIR Std.
DiagnosticReport.encounter.​type	Base	extensible	Resource Types	📍5.0.0	FHIR Std.
DiagnosticReport.encounter.​identifier.use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
DiagnosticReport.encounter.​identifier.type	Base	extensible	Identifier Type Codes	📍5.0.0	FHIR Std.
DiagnosticReport.performer.​type	Base	extensible	Resource Types	📍5.0.0	FHIR Std.
DiagnosticReport.performer.​identifier.use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
DiagnosticReport.performer.​identifier.type	Base	extensible	Identifier Type Codes	📦5.0.0	FHIR Std.
DiagnosticReport.supportingInfo.​type	Base	example	hl7VS-VS-observationType	📦2.0.0	THO v6.5
DiagnosticReport.conclusionCode	Base	example	SNOMED CT Clinical Findings	📍5.0.0	FHIR Std.
DiagnosticReport.conclusionCode:GradoSospecha	Base	required	Value set de Grados de sospecha del diagnóstico	📦0.0.2	This IG
DiagnosticReport.conclusionCode:CriteriosSospecha	Base	required	Value set de Criterios de sospecha del diagnóstico	📦0.0.2	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
dgr-1	error	DiagnosticReport	When a Composition is referenced in `Diagnostic.composition`, all Observation resources referenced in `Composition.entry` must also be referenced in `Diagnostic.entry` or in the references Observations in `Observation.hasMember`	composition.exists() implies (composition.resolve().section.entry.reference.where(resolve() is Observation) in (result.reference|result.reference.resolve().hasMember.reference))
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	DiagnosticReport	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from DiagnosticReport

Summary

Mandatory: 13 elements(3 nested mandatory elements)
Fixed: 4 elements

Structures

This structure refers to these other structures:

• Patient Paciente ÚNICAS (https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASPatient)
• Encounter Interacción Clínica ÚNICAS (https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASEncounter)
• PractitionerRole Profesional Sanitario ÚNICAS (https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASPractitionerRole)
• Practitioner Profesional Sanitario ÚNICAS (https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASPractitioner)
• Organization Institución ÚNICAS (https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASOrganization)

Extensions

This structure refers to these extensions:

• https://unicas-fhir.sanidad.gob.es/StructureDefinition/NumeroColegiadoProfesionalSanitario

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the values of DiagnosticReport.category
• The element 1 is sliced based on the values of DiagnosticReport.conclusionCode
• The element 1 is sliced based on the values of DiagnosticReport.conclusionCode.coding

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport	C	0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: dgr-1
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		0..*	Resource	Contained, inline Resources
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Identificador único
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	0..1	uri	Sistema de identificador Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:regcess:0123456789
value	ΣC	0..1	string	Valor de identificador Example General: 123456 Example ÚNICAS: 123456
status	?!Σ	1..1	code	registered | partial | preliminary | modified | final | amended | corrected | appended | cancelled | entered-in-error | unknown Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
Slices for category	Σ	1..*	CodeableConcept	Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074
category:ClasificacionDiagnostico	Σ	1..*	CodeableConcept	Clasificación de diagnóstico Binding: Value set de Clasificaciones de diagnósticos (required): Value set de Clasificaciones de diagnósticos
category:TipoDiagnostico	Σ	0..*	CodeableConcept	Tipo de diagnóstico Binding: Value set de Tipos de diagnósticos (required): Value set de Tipos de diagnósticos
code	Σ	1..1	CodeableConcept	Diagnóstico Binding: Value set de Diagnósticos (preferred): Value set de Diagnósticos
coding	Σ	1..*	Coding	Concepto de diagnóstico. Pueden ser codificados utilizando las terminologías de SNOMED CT. Extensión para España del SNS, CIE-10-ES. Diagnósticos, ORPHA y OMIM
system	Σ	1..1	uri	URL del SNOMED CT. Extensión para España del SNS | OID del CIE-10-ES. Diagnósticos | OID del ORPHA | OID del OMIM
code	ΣC	1..1	code	Código del diagnóstico
display	ΣC	1..1	string	Descripción del diagnóstico
text	Σ	0..1	string	Descripción narrativa, registrada por el professional
subject	Σ	1..1	Reference(Patient Paciente ÚNICAS)	Referencia al paciente
reference	ΣC	0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type	Σ	1..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	1..1	Identifier	Identificador de paciente CIP-SNS. Cuando no tengamos recurso Patient, se debera informar el identificador de paciente mediante CIP-SNS
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
system	Σ	0..1	uri	OID registro de número de CIP-SNS Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:oid:2.16.724.4.40
value	ΣC	0..1	string	Número CIP-SNS Example General: 123456 Example ÚNICAS: BBBBBBBBQR648597
display	ΣC	0..1	string	Nombre completo del paciente
encounter	Σ	0..1	Reference(Encounter Interacción Clínica ÚNICAS)	Referencia a la interacción clínica
reference	ΣC	0..1	string	Referencia recurso FHIR
type	Σ	0..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	0..1	Identifier	Identificador del recurso FHIR
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	0..1	uri	Sistema para identificar el origen Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:regcess:0123456789
value	ΣC	0..1	string	Identificador interno del sistema para la interacción clínica Example General: 123456 Example ÚNICAS: 123456
effective[x]	Σ	1..1	dateTime	Fecha de diagnóstico
performer	Σ	1..*	Reference(PractitionerRole Profesional Sanitario ÚNICAS | Practitioner Profesional Sanitario ÚNICAS | Organization Institución ÚNICAS)	Referencia al profesional sanitario
reference	ΣC	0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type	Σ	1..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	1..1	Identifier	Identificadores del profesional sanitario. Cuando no tengamos recurso Practitioner, se debera informar el identificador del profesional sanitario mediante DNI como dato mínimo. Adicionalmente, se puede informar el número colegiado del profesional sanitario como dato recomendado
Slices for extension				Content/Rules for all slices
extension:numeroColegiadoProfesionalSanitario		0..*	Identifier	Número de colegiado del profesional sanitario URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/NumeroColegiadoProfesionalSanitario
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
system	Σ	0..1	uri	OID registro de DNI Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:oid:1.3.6.1.4.1.19126.3
value	ΣC	0..1	string	Número del DNI Example General: 123456 Example ÚNICAS: 0000001X
display	ΣC	0..1	string	Nombre completo del profesional sanitario
note		0..*	Annotation	Comentario
text	Σ	1..1	markdown	Comentario
Slices for conclusionCode		0..*	CodeableConcept	Codes for the clinical conclusion of test results Slice: Unordered, Open by value:$this Binding: SNOMEDCTClinicalFindings (example): SNOMED CT Clinical Findings
conclusionCode:GradoSospecha		0..*	CodeableConcept	Grado de sospecha Binding: Value set de Grados de sospecha del diagnóstico (required): Value set de Grados de sospecha del diagnostico
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:GradoSospecha-code	Σ	0..*	Coding	Concepto "grado de sospecha de enfermedad minoritaria" Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct/900000001000122104
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 2095221000122101
display		1..1	string	Representation defined by the system Fixed Value: grado de sospecha de enfermedad minoritaria
userSelected		0..0	boolean	If this coding was chosen directly by the user
system	Σ	0..1	uri	URL del SNOMED CT. Extensión para España del SNS
code	ΣC	0..1	code	Código del concepto: 2095221000122101
display	ΣC	0..1	string	Descripción del concepto: grado de sospecha de enfermedad minoritaria
coding:GradoSospecha-valor	Σ	0..*	Coding	Valor del grado de sospecha (sospecha alta de enfermedad minoritaria | sospecha media de enfermedad minoritaria | sospecha baja de enfermedad minoritaria) Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct/900000001000122104
version		0..0	string	Version of the system - if relevant
code		0..0	code	Symbol in syntax defined by the system
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
system	Σ	0..1	uri	URL del SNOMED CT. Extensión para España del SNS
code	ΣC	0..1	code	Código del grado de sospecha: 2095291000122104 | 2095301000122103 | 2095311000122100
display	ΣC	0..1	string	Descripción del grado de sospecha: sospecha alta de enfermedad minoritaria | sospecha media de enfermedad minoritaria | sospecha baja de enfermedad minoritaria
text	Σ	0..1	string	Comentario
conclusionCode:CriteriosSospecha		0..*	CodeableConcept	Criterios de sospecha (criterio de diagnóstico clínico, criterio de prueba genética, criterio de prueba bioquímica, criterio de prueba hematológica, criterio de prueba histológica, criterio de prueba inmunológica, criterio de prueba de imagen) Binding: Value set de Criterios de sospecha del diagnóstico (required): Value set de Criterios de sospecha del diagnostico
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:CriteriosSospecha-code	Σ	0..*	Coding	Concepto de "criterio de diagnóstico clínico" | "criterio de prueba genética" | "criterio de prueba bioquímica" | "criterio de prueba hematológica" | "criterio de prueba histológica" | "criterio de prueba inmunológica" | "criterio de prueba de imagen" Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct/900000001000122104
version		0..0	string	Version of the system - if relevant
code		0..0	code	Symbol in syntax defined by the system
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
system	Σ	0..1	uri	URL del SNOMED CT. Extensión para España del SNS
code	ΣC	0..1	code	Código del concepto: 2095231000122103 | 2095241000122106 | 2095251000122108 | 2095271000122100 | 2095261000122105 | 2095281000122102
display	ΣC	0..1	string	Descripción del concepto: criterio de diagnóstico clínico | criterio de prueba genética | criterio de prueba bioquímica | criterio de prueba hematológica | criterio de prueba inmunológica | criterio de prueba de imagen
coding:CriteriosSospecha-valor	Σ	0..*	Coding	Valor del criterio (verdadero | falso) Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct/900000001000122104
version		0..0	string	Version of the system - if relevant
code		0..0	code	Symbol in syntax defined by the system
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
system	Σ	0..1	uri	URL del SNOMED CT. Extensión para España del SNS
code	ΣC	0..1	code	Código del criterio: 31874001 | 64100000
display	ΣC	0..1	string	Descripción del criterio: verdadero | falso
text	Σ	0..1	string	Comentario
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.identifier.​use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
DiagnosticReport.status	Base	required	Diagnostic Report Status	📍5.0.0	FHIR Std.
DiagnosticReport.category	Base	example	Diagnostic Service Section Codes	📍5.0.0	FHIR Std.
DiagnosticReport.category:ClasificacionDiagnostico	Base	required	Value set de Clasificaciones de diagnósticos	📦0.0.2	This IG
DiagnosticReport.category:TipoDiagnostico	Base	required	Value set de Tipos de diagnósticos	📦0.0.2	This IG
DiagnosticReport.code	Base	preferred	Value set de Diagnósticos	📦0.0.2	This IG
DiagnosticReport.subject.​type	Base	extensible	Resource Types	📍5.0.0	FHIR Std.
DiagnosticReport.subject.​identifier.use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
DiagnosticReport.subject.​identifier.type	Base	extensible	Identifier Type Codes	📦5.0.0	FHIR Std.
DiagnosticReport.encounter.​type	Base	extensible	Resource Types	📍5.0.0	FHIR Std.
DiagnosticReport.encounter.​identifier.use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
DiagnosticReport.performer.​type	Base	extensible	Resource Types	📍5.0.0	FHIR Std.
DiagnosticReport.performer.​identifier.use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
DiagnosticReport.performer.​identifier.type	Base	extensible	Identifier Type Codes	📦5.0.0	FHIR Std.
DiagnosticReport.conclusionCode	Base	example	SNOMED CT Clinical Findings	📍5.0.0	FHIR Std.
DiagnosticReport.conclusionCode:GradoSospecha	Base	required	Value set de Grados de sospecha del diagnóstico	📦0.0.2	This IG
DiagnosticReport.conclusionCode:CriteriosSospecha	Base	required	Value set de Criterios de sospecha del diagnóstico	📦0.0.2	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
dgr-1	error	DiagnosticReport	When a Composition is referenced in `Diagnostic.composition`, all Observation resources referenced in `Composition.entry` must also be referenced in `Diagnostic.entry` or in the references Observations in `Observation.hasMember`	composition.exists() implies (composition.resolve().section.entry.reference.where(resolve() is Observation) in (result.reference|result.reference.resolve().hasMember.reference))
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	DiagnosticReport	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Differential View

This structure is derived from DiagnosticReport

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
identifier		0..*	Identifier	Identificador único
system		0..1	uri	Sistema de identificador Example ÚNICAS: urn:regcess:0123456789
value		0..1	string	Valor de identificador Example ÚNICAS: 123456
Slices for category		1..*	CodeableConcept	Service category Slice: Unordered, Open by value:$this
category:ClasificacionDiagnostico		1..*	CodeableConcept	Clasificación de diagnóstico Binding: Value set de Clasificaciones de diagnósticos (required): Value set de Clasificaciones de diagnósticos
coding
system		1..1	uri	URL del SNOMED CT. Extensión para España del SNS
code		1..1	code	Código de la clasificación de diagnóstico
display		1..1	string	Descripción de la clasificación de diagnóstico
category:TipoDiagnostico		0..*	CodeableConcept	Tipo de diagnóstico Binding: Value set de Tipos de diagnósticos (required): Value set de Tipos de diagnósticos
coding
system		0..1	uri	URL del SNOMED CT. Extensión para España del SNS
code		0..1	code	Código del tipo diagnóstico
display		0..1	string	Descripción del tipo diagnóstico
code		1..1	CodeableConcept	Diagnóstico Binding: Value set de Diagnósticos (preferred): Value set de Diagnósticos
coding		1..*	Coding	Concepto de diagnóstico. Pueden ser codificados utilizando las terminologías de SNOMED CT. Extensión para España del SNS, CIE-10-ES. Diagnósticos, ORPHA y OMIM
system		1..1	uri	URL del SNOMED CT. Extensión para España del SNS | OID del CIE-10-ES. Diagnósticos | OID del ORPHA | OID del OMIM
code		1..1	code	Código del diagnóstico
display		1..1	string	Descripción del diagnóstico
text		0..1	string	Descripción narrativa, registrada por el professional
subject		1..1	Reference(Patient Paciente ÚNICAS)	Referencia al paciente
reference		0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type		1..1	uri	Tipo de recurso FHIR
identifier		1..1	Identifier	Identificador de paciente CIP-SNS. Cuando no tengamos recurso Patient, se debera informar el identificador de paciente mediante CIP-SNS
type		0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
coding
system		0..1	uri	URL del SNOMED CT. Extensión para España del SNS
code		0..1	code	Código del identificador
display		0..1	string	Decripción del identificador
system		0..1	uri	OID registro de número de CIP-SNS Example ÚNICAS: urn:oid:2.16.724.4.40
value		0..1	string	Número CIP-SNS Example ÚNICAS: BBBBBBBBQR648597
display		0..1	string	Nombre completo del paciente
encounter		0..1	Reference(Encounter Interacción Clínica ÚNICAS)	Referencia a la interacción clínica
reference		0..1	string	Referencia recurso FHIR
type		0..1	uri	Tipo de recurso FHIR
identifier		0..1	Identifier	Identificador del recurso FHIR
system		0..1	uri	Sistema para identificar el origen Example ÚNICAS: urn:regcess:0123456789
value		0..1	string	Identificador interno del sistema para la interacción clínica Example ÚNICAS: 123456
effective[x]		1..1	dateTime	Fecha de diagnóstico
performer		1..*	Reference(PractitionerRole Profesional Sanitario ÚNICAS | Practitioner Profesional Sanitario ÚNICAS | Organization Institución ÚNICAS)	Referencia al profesional sanitario
reference		0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type		1..1	uri	Tipo de recurso FHIR
identifier		1..1	Identifier	Identificadores del profesional sanitario. Cuando no tengamos recurso Practitioner, se debera informar el identificador del profesional sanitario mediante DNI como dato mínimo. Adicionalmente, se puede informar el número colegiado del profesional sanitario como dato recomendado
Slices for extension				Content/Rules for all slices
extension:numeroColegiadoProfesionalSanitario		0..*	Identifier	Número de colegiado del profesional sanitario URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/NumeroColegiadoProfesionalSanitario
type		0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
coding
system		0..1	uri	URL del refset Tipos de documento para identificación personal de SNOMED CT. Extensión para España del SNS
code		0..1	code	Código del identificador
display		0..1	string	Decripción del identificador
system		0..1	uri	OID registro de DNI Example ÚNICAS: urn:oid:1.3.6.1.4.1.19126.3
value		0..1	string	Número del DNI Example ÚNICAS: 0000001X
display		0..1	string	Nombre completo del profesional sanitario
note		0..*	Annotation	Comentario
text		1..1	markdown	Comentario
Slices for conclusionCode		0..*	CodeableConcept	Codes for the clinical conclusion of test results Slice: Unordered, Open by value:$this
conclusionCode:GradoSospecha		0..*	CodeableConcept	Grado de sospecha Binding: Value set de Grados de sospecha del diagnóstico (required): Value set de Grados de sospecha del diagnostico
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:GradoSospecha-code		0..*	Coding	Concepto "grado de sospecha de enfermedad minoritaria" Fixed Value: As shown
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct/900000001000122104
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 2095221000122101
display		1..1	string	Representation defined by the system Fixed Value: grado de sospecha de enfermedad minoritaria
system		0..1	uri	URL del SNOMED CT. Extensión para España del SNS
code		0..1	code	Código del concepto: 2095221000122101
display		0..1	string	Descripción del concepto: grado de sospecha de enfermedad minoritaria
coding:GradoSospecha-valor		0..*	Coding	Valor del grado de sospecha (sospecha alta de enfermedad minoritaria | sospecha media de enfermedad minoritaria | sospecha baja de enfermedad minoritaria) Fixed Value: As shown
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct/900000001000122104
system		0..1	uri	URL del SNOMED CT. Extensión para España del SNS
code		0..1	code	Código del grado de sospecha: 2095291000122104 | 2095301000122103 | 2095311000122100
display		0..1	string	Descripción del grado de sospecha: sospecha alta de enfermedad minoritaria | sospecha media de enfermedad minoritaria | sospecha baja de enfermedad minoritaria
text		0..1	string	Comentario
conclusionCode:CriteriosSospecha		0..*	CodeableConcept	Criterios de sospecha (criterio de diagnóstico clínico, criterio de prueba genética, criterio de prueba bioquímica, criterio de prueba hematológica, criterio de prueba histológica, criterio de prueba inmunológica, criterio de prueba de imagen) Binding: Value set de Criterios de sospecha del diagnóstico (required): Value set de Criterios de sospecha del diagnostico
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:CriteriosSospecha-code		0..*	Coding	Concepto de "criterio de diagnóstico clínico" | "criterio de prueba genética" | "criterio de prueba bioquímica" | "criterio de prueba hematológica" | "criterio de prueba histológica" | "criterio de prueba inmunológica" | "criterio de prueba de imagen" Fixed Value: As shown
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct/900000001000122104
system		0..1	uri	URL del SNOMED CT. Extensión para España del SNS
code		0..1	code	Código del concepto: 2095231000122103 | 2095241000122106 | 2095251000122108 | 2095271000122100 | 2095261000122105 | 2095281000122102
display		0..1	string	Descripción del concepto: criterio de diagnóstico clínico | criterio de prueba genética | criterio de prueba bioquímica | criterio de prueba hematológica | criterio de prueba inmunológica | criterio de prueba de imagen
coding:CriteriosSospecha-valor		0..*	Coding	Valor del criterio (verdadero | falso) Fixed Value: As shown
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct/900000001000122104
system		0..1	uri	URL del SNOMED CT. Extensión para España del SNS
code		0..1	code	Código del criterio: 31874001 | 64100000
display		0..1	string	Descripción del criterio: verdadero | falso
text		0..1	string	Comentario
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.category:ClasificacionDiagnostico	Base	required	Value set de Clasificaciones de diagnósticos	📦0.0.2	This IG
DiagnosticReport.category:TipoDiagnostico	Base	required	Value set de Tipos de diagnósticos	📦0.0.2	This IG
DiagnosticReport.code	Base	preferred	Value set de Diagnósticos	📦0.0.2	This IG
DiagnosticReport.subject.​identifier.type	Base	extensible	Identifier Type Codes	📦5.0.0	FHIR Std.
DiagnosticReport.performer.​identifier.type	Base	extensible	Identifier Type Codes	📦5.0.0	FHIR Std.
DiagnosticReport.conclusionCode:GradoSospecha	Base	required	Value set de Grados de sospecha del diagnóstico	📦0.0.2	This IG
DiagnosticReport.conclusionCode:CriteriosSospecha	Base	required	Value set de Criterios de sospecha del diagnóstico	📦0.0.2	This IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport	C	0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: dgr-1
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: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
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	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Identificador único
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	Sistema de identificador Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:regcess:0123456789
value	ΣC	0..1	string	Valor de identificador Example General: 123456 Example ÚNICAS: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
basedOn		0..*	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested
status	?!Σ	1..1	code	registered | partial | preliminary | modified | final | amended | corrected | appended | cancelled | entered-in-error | unknown Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
Slices for category	Σ	1..*	CodeableConcept	Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074
category:ClasificacionDiagnostico	Σ	1..*	CodeableConcept	Clasificación de diagnóstico Binding: Value set de Clasificaciones de diagnósticos (required): Value set de Clasificaciones de diagnósticos
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	URL del SNOMED CT. Extensión para España del SNS
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	1..1	code	Código de la clasificación de diagnóstico
display	ΣC	1..1	string	Descripción de la clasificación de diagnóstico
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
category:TipoDiagnostico	Σ	0..*	CodeableConcept	Tipo de diagnóstico Binding: Value set de Tipos de diagnósticos (required): Value set de Tipos de diagnósticos
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	URL del SNOMED CT. Extensión para España del SNS
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Código del tipo diagnóstico
display	ΣC	0..1	string	Descripción del tipo diagnóstico
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
code	Σ	1..1	CodeableConcept	Diagnóstico Binding: Value set de Diagnósticos (preferred): Value set de Diagnósticos
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..*	Coding	Concepto de diagnóstico. Pueden ser codificados utilizando las terminologías de SNOMED CT. Extensión para España del SNS, CIE-10-ES. Diagnósticos, ORPHA y OMIM
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	URL del SNOMED CT. Extensión para España del SNS | OID del CIE-10-ES. Diagnósticos | OID del ORPHA | OID del OMIM
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	1..1	code	Código del diagnóstico
display	ΣC	1..1	string	Descripción del diagnóstico
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Descripción narrativa, registrada por el professional
subject	Σ	1..1	Reference(Patient Paciente ÚNICAS)	Referencia al paciente
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type	Σ	1..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	1..1	Identifier	Identificador de paciente CIP-SNS. Cuando no tengamos recurso Patient, se debera informar el identificador de paciente mediante CIP-SNS
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	URL del SNOMED CT. Extensión para España del SNS
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Código del identificador
display	ΣC	0..1	string	Decripción del identificador
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	OID registro de número de CIP-SNS Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:oid:2.16.724.4.40
value	ΣC	0..1	string	Número CIP-SNS Example General: 123456 Example ÚNICAS: BBBBBBBBQR648597
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	ΣC	0..1	string	Nombre completo del paciente
encounter	Σ	0..1	Reference(Encounter Interacción Clínica ÚNICAS)	Referencia a la interacción clínica
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Referencia recurso FHIR
type	Σ	0..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	0..1	Identifier	Identificador del recurso FHIR
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	Sistema para identificar el origen Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:regcess:0123456789
value	ΣC	0..1	string	Identificador interno del sistema para la interacción clínica Example General: 123456 Example ÚNICAS: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	ΣC	0..1	string	Text alternative for the resource
effective[x]	Σ	1..1	dateTime	Fecha de diagnóstico
issued	Σ	0..1	instant	DateTime this version was made
performer	Σ	1..*	Reference(PractitionerRole Profesional Sanitario ÚNICAS | Practitioner Profesional Sanitario ÚNICAS | Organization Institución ÚNICAS)	Referencia al profesional sanitario
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
type	Σ	1..1	uri	Tipo de recurso FHIR Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	1..1	Identifier	Identificadores del profesional sanitario. Cuando no tengamos recurso Practitioner, se debera informar el identificador del profesional sanitario mediante DNI como dato mínimo. Adicionalmente, se puede informar el número colegiado del profesional sanitario como dato recomendado
id		0..1	id	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:numeroColegiadoProfesionalSanitario		0..*	Identifier	Número de colegiado del profesional sanitario URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/NumeroColegiadoProfesionalSanitario
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Tipos de documentos de identificación para persona ÚNICAS Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Additional Bindings Purpose Documentation Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	URL del refset Tipos de documento para identificación personal de SNOMED CT. Extensión para España del SNS
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Código del identificador
display	ΣC	0..1	string	Decripción del identificador
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	OID registro de DNI Example General: http://www.acme.com/identifiers/patient Example ÚNICAS: urn:oid:1.3.6.1.4.1.19126.3
value	ΣC	0..1	string	Número del DNI Example General: 123456 Example ÚNICAS: 0000001X
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	ΣC	0..1	string	Nombre completo del profesional sanitario
resultsInterpreter	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter
specimen		0..*	Reference(Specimen)	Specimens this report is based on
result	C	0..*	Reference(Observation)	Observations
note		0..*	Annotation	Comentario
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	Σ	1..1	markdown	Comentario
study		0..*	Reference(GenomicStudy | ImagingStudy)	Reference to full details of an analysis associated with the diagnostic report
supportingInfo		0..*	BackboneElement	Additional information supporting the diagnostic report
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type		1..1	CodeableConcept	Supporting information role code Binding: hl7VS-VS-observationType (example): The code value for the role of the supporting information in the diagnostic report.
reference		1..1	Reference(Procedure | Observation | DiagnosticReport | Citation)	Supporting information reference
media	Σ	0..*	BackboneElement	Key images or data associated with this report
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
comment		0..1	string	Comment about the image or data (e.g. explanation)
link	Σ	1..1	Reference(DocumentReference)	Reference to the image or data source
composition	C	0..1	Reference(Composition)	Reference to a Composition resource for the DiagnosticReport structure
conclusion		0..1	markdown	Clinical conclusion (interpretation) of test results
Slices for conclusionCode		0..*	CodeableConcept	Codes for the clinical conclusion of test results Slice: Unordered, Open by value:$this Binding: SNOMEDCTClinicalFindings (example): SNOMED CT Clinical Findings
conclusionCode:GradoSospecha		0..*	CodeableConcept	Grado de sospecha Binding: Value set de Grados de sospecha del diagnóstico (required): Value set de Grados de sospecha del diagnostico
id		0..1	id	Unique id for inter-element referencing
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:GradoSospecha-code	Σ	0..*	Coding	Concepto "grado de sospecha de enfermedad minoritaria" Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct/900000001000122104
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 2095221000122101
display		1..1	string	Representation defined by the system Fixed Value: grado de sospecha de enfermedad minoritaria
userSelected		0..0	boolean	If this coding was chosen directly by the user
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	URL del SNOMED CT. Extensión para España del SNS
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Código del concepto: 2095221000122101
display	ΣC	0..1	string	Descripción del concepto: grado de sospecha de enfermedad minoritaria
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:GradoSospecha-valor	Σ	0..*	Coding	Valor del grado de sospecha (sospecha alta de enfermedad minoritaria | sospecha media de enfermedad minoritaria | sospecha baja de enfermedad minoritaria) Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct/900000001000122104
version		0..0	string	Version of the system - if relevant
code		0..0	code	Symbol in syntax defined by the system
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	URL del SNOMED CT. Extensión para España del SNS
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Código del grado de sospecha: 2095291000122104 | 2095301000122103 | 2095311000122100
display	ΣC	0..1	string	Descripción del grado de sospecha: sospecha alta de enfermedad minoritaria | sospecha media de enfermedad minoritaria | sospecha baja de enfermedad minoritaria
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Comentario
conclusionCode:CriteriosSospecha		0..*	CodeableConcept	Criterios de sospecha (criterio de diagnóstico clínico, criterio de prueba genética, criterio de prueba bioquímica, criterio de prueba hematológica, criterio de prueba histológica, criterio de prueba inmunológica, criterio de prueba de imagen) Binding: Value set de Criterios de sospecha del diagnóstico (required): Value set de Criterios de sospecha del diagnostico
id		0..1	id	Unique id for inter-element referencing
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:CriteriosSospecha-code	Σ	0..*	Coding	Concepto de "criterio de diagnóstico clínico" | "criterio de prueba genética" | "criterio de prueba bioquímica" | "criterio de prueba hematológica" | "criterio de prueba histológica" | "criterio de prueba inmunológica" | "criterio de prueba de imagen" Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct/900000001000122104
version		0..0	string	Version of the system - if relevant
code		0..0	code	Symbol in syntax defined by the system
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	URL del SNOMED CT. Extensión para España del SNS
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Código del concepto: 2095231000122103 | 2095241000122106 | 2095251000122108 | 2095271000122100 | 2095261000122105 | 2095281000122102
display	ΣC	0..1	string	Descripción del concepto: criterio de diagnóstico clínico | criterio de prueba genética | criterio de prueba bioquímica | criterio de prueba hematológica | criterio de prueba inmunológica | criterio de prueba de imagen
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:CriteriosSospecha-valor	Σ	0..*	Coding	Valor del criterio (verdadero | falso) Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct/900000001000122104
version		0..0	string	Version of the system - if relevant
code		0..0	code	Symbol in syntax defined by the system
display		0..0	string	Representation defined by the system
userSelected		0..0	boolean	If this coding was chosen directly by the user
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	URL del SNOMED CT. Extensión para España del SNS
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Código del criterio: 31874001 | 64100000
display	ΣC	0..1	string	Descripción del criterio: verdadero | falso
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Comentario
presentedForm		0..*	Attachment	Entire report as issued
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.language	Base	required	All Languages	📍5.0.0	FHIR Std.
DiagnosticReport.identifier.​use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
DiagnosticReport.identifier.​type	Base	extensible	Identifier Type Codes	📍5.0.0	FHIR Std.
DiagnosticReport.status	Base	required	Diagnostic Report Status	📍5.0.0	FHIR Std.
DiagnosticReport.category	Base	example	Diagnostic Service Section Codes	📍5.0.0	FHIR Std.
DiagnosticReport.category:ClasificacionDiagnostico	Base	required	Value set de Clasificaciones de diagnósticos	📦0.0.2	This IG
DiagnosticReport.category:TipoDiagnostico	Base	required	Value set de Tipos de diagnósticos	📦0.0.2	This IG
DiagnosticReport.code	Base	preferred	Value set de Diagnósticos	📦0.0.2	This IG
DiagnosticReport.subject.​type	Base	extensible	Resource Types	📍5.0.0	FHIR Std.
DiagnosticReport.subject.​identifier.use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
DiagnosticReport.subject.​identifier.type	Base	extensible	Identifier Type Codes	📦5.0.0	FHIR Std.
DiagnosticReport.encounter.​type	Base	extensible	Resource Types	📍5.0.0	FHIR Std.
DiagnosticReport.encounter.​identifier.use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
DiagnosticReport.encounter.​identifier.type	Base	extensible	Identifier Type Codes	📍5.0.0	FHIR Std.
DiagnosticReport.performer.​type	Base	extensible	Resource Types	📍5.0.0	FHIR Std.
DiagnosticReport.performer.​identifier.use	Base	required	IdentifierUse	📍5.0.0	FHIR Std.
DiagnosticReport.performer.​identifier.type	Base	extensible	Identifier Type Codes	📦5.0.0	FHIR Std.
DiagnosticReport.supportingInfo.​type	Base	example	hl7VS-VS-observationType	📦2.0.0	THO v6.5
DiagnosticReport.conclusionCode	Base	example	SNOMED CT Clinical Findings	📍5.0.0	FHIR Std.
DiagnosticReport.conclusionCode:GradoSospecha	Base	required	Value set de Grados de sospecha del diagnóstico	📦0.0.2	This IG
DiagnosticReport.conclusionCode:CriteriosSospecha	Base	required	Value set de Criterios de sospecha del diagnóstico	📦0.0.2	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
dgr-1	error	DiagnosticReport	When a Composition is referenced in `Diagnostic.composition`, all Observation resources referenced in `Composition.entry` must also be referenced in `Diagnostic.entry` or in the references Observations in `Observation.hasMember`	composition.exists() implies (composition.resolve().section.entry.reference.where(resolve() is Observation) in (result.reference|result.reference.resolve().hasMember.reference))
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	DiagnosticReport	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

This structure is derived from DiagnosticReport

Summary

Mandatory: 13 elements(3 nested mandatory elements)
Fixed: 4 elements

Structures

This structure refers to these other structures:

• Patient Paciente ÚNICAS (https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASPatient)
• Encounter Interacción Clínica ÚNICAS (https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASEncounter)
• PractitionerRole Profesional Sanitario ÚNICAS (https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASPractitionerRole)
• Practitioner Profesional Sanitario ÚNICAS (https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASPractitioner)
• Organization Institución ÚNICAS (https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASOrganization)

Extensions

This structure refers to these extensions:

• https://unicas-fhir.sanidad.gob.es/StructureDefinition/NumeroColegiadoProfesionalSanitario

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the values of DiagnosticReport.category
• The element 1 is sliced based on the values of DiagnosticReport.conclusionCode
• The element 1 is sliced based on the values of DiagnosticReport.conclusionCode.coding