ÚNICAS Rare Diseases HL7 FHIR Implementation Guide
0.0.1 - draft

ÚNICAS Rare Diseases HL7 FHIR Implementation Guide - Local Development build (v0.0.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: DiagnosticReport Formulario de Enrolamiento ÚNICAS

Official URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASDiagnosticReport Version: 0.0.1
Draft as of 2025-08-12 Computable Name: UNICASDiagnosticReport

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:

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.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
.... 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: urn:regcess:0123456789
.... value ΣC 0..1 string Valor de identificador
Example General: 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 BindingsPurposeDocumentation
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: urn:oid:2.16.724.4.40
..... value ΣC 0..1 string Número CIP-SNS
Example General: 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: urn:regcess:0123456789
..... value ΣC 0..1 string Identificador interno del sistema para la interacción clínica
Example General: 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 BindingsPurposeDocumentation
Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
..... system Σ 0..1 uri OID registro de DNI
Example General: urn:oid:1.3.6.1.4.1.19126.3
..... value ΣC 0..1 string Número del DNI
Example General: 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DiagnosticReport.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|5.0.0
From the FHIR Standard
DiagnosticReport.statusrequiredDiagnosticReportStatus
http://hl7.org/fhir/ValueSet/diagnostic-report-status|5.0.0
From the FHIR Standard
DiagnosticReport.categoryexampleDiagnosticServiceSectionCodes
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
From the FHIR Standard
DiagnosticReport.category:ClasificacionDiagnosticorequiredValuesetClasificacionesDiagnosticos
https://unicas-fhir.sanidad.gob.es/ValueSet/ClasificacionesDiagnosticos
From this IG
DiagnosticReport.category:TipoDiagnosticorequiredValuesetTiposDiagnosticos
https://unicas-fhir.sanidad.gob.es/ValueSet/TiposDiagnosticos
From this IG
DiagnosticReport.codepreferredValuesetDiagnosticos
https://unicas-fhir.sanidad.gob.es/ValueSet/Diagnosticos
From this IG
DiagnosticReport.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
From the FHIR Standard
DiagnosticReport.subject.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|5.0.0
From the FHIR Standard
DiagnosticReport.subject.identifier.typeextensibleIdentifierTypeCodes
http://hl7.org/fhir/ValueSet/identifier-type
From the FHIR Standard
DiagnosticReport.encounter.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
From the FHIR Standard
DiagnosticReport.encounter.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|5.0.0
From the FHIR Standard
DiagnosticReport.performer.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
From the FHIR Standard
DiagnosticReport.performer.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|5.0.0
From the FHIR Standard
DiagnosticReport.performer.identifier.typeextensibleIdentifierTypeCodes
http://hl7.org/fhir/ValueSet/identifier-type
From the FHIR Standard
DiagnosticReport.conclusionCodeexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings
From the FHIR Standard
DiagnosticReport.conclusionCode:GradoSospecharequiredValuesetGradosSospechaDiagnostico
https://unicas-fhir.sanidad.gob.es/ValueSet/GradosSospechaDiagnostico
From this IG
DiagnosticReport.conclusionCode:CriteriosSospecharequiredValuesetCriteriosSospechaDiagnosticos
https://unicas-fhir.sanidad.gob.es/ValueSet/CriteriosSospechaDiagnosticos
From this IG

Constraints

IdGradePath(s)DetailsRequirements
dgr-1errorDiagnosticReportWhen 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-2errorDiagnosticReportIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDiagnosticReportIf 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-4errorDiagnosticReportIf 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-5errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDiagnosticReportA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from DiagnosticReport

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport DiagnosticReport
... identifier 0..* Identifier Identificador único
.... system 0..1 uri Sistema de identificador
.... value 0..1 string Valor de identificador
... 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
.... 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 BindingsPurposeDocumentation
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
..... value 0..1 string Número CIP-SNS
.... 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
..... value 0..1 string Identificador interno del sistema para la interacción clínica
... 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 BindingsPurposeDocumentation
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
..... value 0..1 string Número del DNI
.... 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

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
DiagnosticReport.category:ClasificacionDiagnosticorequiredValuesetClasificacionesDiagnosticos
https://unicas-fhir.sanidad.gob.es/ValueSet/ClasificacionesDiagnosticos
From this IG
DiagnosticReport.category:TipoDiagnosticorequiredValuesetTiposDiagnosticos
https://unicas-fhir.sanidad.gob.es/ValueSet/TiposDiagnosticos
From this IG
DiagnosticReport.codepreferredValuesetDiagnosticos
https://unicas-fhir.sanidad.gob.es/ValueSet/Diagnosticos
From this IG
DiagnosticReport.subject.identifier.typeextensibleIdentifierTypeCodes
http://hl7.org/fhir/ValueSet/identifier-type
From the FHIR Standard
DiagnosticReport.performer.identifier.typeextensibleIdentifierTypeCodes
http://hl7.org/fhir/ValueSet/identifier-type
From the FHIR Standard
DiagnosticReport.conclusionCode:GradoSospecharequiredValuesetGradosSospechaDiagnostico
https://unicas-fhir.sanidad.gob.es/ValueSet/GradosSospechaDiagnostico
From this IG
DiagnosticReport.conclusionCode:CriteriosSospecharequiredValuesetCriteriosSospechaDiagnosticos
https://unicas-fhir.sanidad.gob.es/ValueSet/CriteriosSospechaDiagnosticos
From this IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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 BindingsPurpose
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: urn:regcess:0123456789
.... value ΣC 0..1 string Valor de identificador
Example General: 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 BindingsPurposeDocumentation
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: urn:oid:2.16.724.4.40
..... value ΣC 0..1 string Número CIP-SNS
Example General: 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: urn:regcess:0123456789
..... value ΣC 0..1 string Identificador interno del sistema para la interacción clínica
Example General: 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 BindingsPurposeDocumentation
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: urn:oid:1.3.6.1.4.1.19126.3
..... value ΣC 0..1 string Número del DNI
Example General: 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DiagnosticReport.languagerequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages|5.0.0
From the FHIR Standard
DiagnosticReport.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|5.0.0
From the FHIR Standard
DiagnosticReport.identifier.typeextensibleIdentifierTypeCodes
http://hl7.org/fhir/ValueSet/identifier-type
From the FHIR Standard
DiagnosticReport.statusrequiredDiagnosticReportStatus
http://hl7.org/fhir/ValueSet/diagnostic-report-status|5.0.0
From the FHIR Standard
DiagnosticReport.categoryexampleDiagnosticServiceSectionCodes
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
From the FHIR Standard
DiagnosticReport.category:ClasificacionDiagnosticorequiredValuesetClasificacionesDiagnosticos
https://unicas-fhir.sanidad.gob.es/ValueSet/ClasificacionesDiagnosticos
From this IG
DiagnosticReport.category:TipoDiagnosticorequiredValuesetTiposDiagnosticos
https://unicas-fhir.sanidad.gob.es/ValueSet/TiposDiagnosticos
From this IG
DiagnosticReport.codepreferredValuesetDiagnosticos
https://unicas-fhir.sanidad.gob.es/ValueSet/Diagnosticos
From this IG
DiagnosticReport.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
From the FHIR Standard
DiagnosticReport.subject.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|5.0.0
From the FHIR Standard
DiagnosticReport.subject.identifier.typeextensibleIdentifierTypeCodes
http://hl7.org/fhir/ValueSet/identifier-type
From the FHIR Standard
DiagnosticReport.encounter.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
From the FHIR Standard
DiagnosticReport.encounter.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|5.0.0
From the FHIR Standard
DiagnosticReport.encounter.identifier.typeextensibleIdentifierTypeCodes
http://hl7.org/fhir/ValueSet/identifier-type
From the FHIR Standard
DiagnosticReport.performer.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
From the FHIR Standard
DiagnosticReport.performer.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|5.0.0
From the FHIR Standard
DiagnosticReport.performer.identifier.typeextensibleIdentifierTypeCodes
http://hl7.org/fhir/ValueSet/identifier-type
From the FHIR Standard
DiagnosticReport.supportingInfo.typeexampleHl7VSVSObservationType
http://terminology.hl7.org/ValueSet/v2-0936
DiagnosticReport.conclusionCodeexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings
From the FHIR Standard
DiagnosticReport.conclusionCode:GradoSospecharequiredValuesetGradosSospechaDiagnostico
https://unicas-fhir.sanidad.gob.es/ValueSet/GradosSospechaDiagnostico
From this IG
DiagnosticReport.conclusionCode:CriteriosSospecharequiredValuesetCriteriosSospechaDiagnosticos
https://unicas-fhir.sanidad.gob.es/ValueSet/CriteriosSospechaDiagnosticos
From this IG

Constraints

IdGradePath(s)DetailsRequirements
dgr-1errorDiagnosticReportWhen 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-2errorDiagnosticReportIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDiagnosticReportIf 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-4errorDiagnosticReportIf 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-5errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDiagnosticReportA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust 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:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

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

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
.... 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: urn:regcess:0123456789
.... value ΣC 0..1 string Valor de identificador
Example General: 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 BindingsPurposeDocumentation
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: urn:oid:2.16.724.4.40
..... value ΣC 0..1 string Número CIP-SNS
Example General: 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: urn:regcess:0123456789
..... value ΣC 0..1 string Identificador interno del sistema para la interacción clínica
Example General: 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 BindingsPurposeDocumentation
Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
..... system Σ 0..1 uri OID registro de DNI
Example General: urn:oid:1.3.6.1.4.1.19126.3
..... value ΣC 0..1 string Número del DNI
Example General: 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DiagnosticReport.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|5.0.0
From the FHIR Standard
DiagnosticReport.statusrequiredDiagnosticReportStatus
http://hl7.org/fhir/ValueSet/diagnostic-report-status|5.0.0
From the FHIR Standard
DiagnosticReport.categoryexampleDiagnosticServiceSectionCodes
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
From the FHIR Standard
DiagnosticReport.category:ClasificacionDiagnosticorequiredValuesetClasificacionesDiagnosticos
https://unicas-fhir.sanidad.gob.es/ValueSet/ClasificacionesDiagnosticos
From this IG
DiagnosticReport.category:TipoDiagnosticorequiredValuesetTiposDiagnosticos
https://unicas-fhir.sanidad.gob.es/ValueSet/TiposDiagnosticos
From this IG
DiagnosticReport.codepreferredValuesetDiagnosticos
https://unicas-fhir.sanidad.gob.es/ValueSet/Diagnosticos
From this IG
DiagnosticReport.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
From the FHIR Standard
DiagnosticReport.subject.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|5.0.0
From the FHIR Standard
DiagnosticReport.subject.identifier.typeextensibleIdentifierTypeCodes
http://hl7.org/fhir/ValueSet/identifier-type
From the FHIR Standard
DiagnosticReport.encounter.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
From the FHIR Standard
DiagnosticReport.encounter.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|5.0.0
From the FHIR Standard
DiagnosticReport.performer.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
From the FHIR Standard
DiagnosticReport.performer.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|5.0.0
From the FHIR Standard
DiagnosticReport.performer.identifier.typeextensibleIdentifierTypeCodes
http://hl7.org/fhir/ValueSet/identifier-type
From the FHIR Standard
DiagnosticReport.conclusionCodeexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings
From the FHIR Standard
DiagnosticReport.conclusionCode:GradoSospecharequiredValuesetGradosSospechaDiagnostico
https://unicas-fhir.sanidad.gob.es/ValueSet/GradosSospechaDiagnostico
From this IG
DiagnosticReport.conclusionCode:CriteriosSospecharequiredValuesetCriteriosSospechaDiagnosticos
https://unicas-fhir.sanidad.gob.es/ValueSet/CriteriosSospechaDiagnosticos
From this IG

Constraints

IdGradePath(s)DetailsRequirements
dgr-1errorDiagnosticReportWhen 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-2errorDiagnosticReportIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDiagnosticReportIf 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-4errorDiagnosticReportIf 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-5errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDiagnosticReportA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Differential View

This structure is derived from DiagnosticReport

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport DiagnosticReport
... identifier 0..* Identifier Identificador único
.... system 0..1 uri Sistema de identificador
.... value 0..1 string Valor de identificador
... 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
.... 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 BindingsPurposeDocumentation
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
..... value 0..1 string Número CIP-SNS
.... 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
..... value 0..1 string Identificador interno del sistema para la interacción clínica
... 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 BindingsPurposeDocumentation
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
..... value 0..1 string Número del DNI
.... 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

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
DiagnosticReport.category:ClasificacionDiagnosticorequiredValuesetClasificacionesDiagnosticos
https://unicas-fhir.sanidad.gob.es/ValueSet/ClasificacionesDiagnosticos
From this IG
DiagnosticReport.category:TipoDiagnosticorequiredValuesetTiposDiagnosticos
https://unicas-fhir.sanidad.gob.es/ValueSet/TiposDiagnosticos
From this IG
DiagnosticReport.codepreferredValuesetDiagnosticos
https://unicas-fhir.sanidad.gob.es/ValueSet/Diagnosticos
From this IG
DiagnosticReport.subject.identifier.typeextensibleIdentifierTypeCodes
http://hl7.org/fhir/ValueSet/identifier-type
From the FHIR Standard
DiagnosticReport.performer.identifier.typeextensibleIdentifierTypeCodes
http://hl7.org/fhir/ValueSet/identifier-type
From the FHIR Standard
DiagnosticReport.conclusionCode:GradoSospecharequiredValuesetGradosSospechaDiagnostico
https://unicas-fhir.sanidad.gob.es/ValueSet/GradosSospechaDiagnostico
From this IG
DiagnosticReport.conclusionCode:CriteriosSospecharequiredValuesetCriteriosSospechaDiagnosticos
https://unicas-fhir.sanidad.gob.es/ValueSet/CriteriosSospechaDiagnosticos
From this IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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 BindingsPurpose
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: urn:regcess:0123456789
.... value ΣC 0..1 string Valor de identificador
Example General: 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 BindingsPurposeDocumentation
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: urn:oid:2.16.724.4.40
..... value ΣC 0..1 string Número CIP-SNS
Example General: 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: urn:regcess:0123456789
..... value ΣC 0..1 string Identificador interno del sistema para la interacción clínica
Example General: 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 BindingsPurposeDocumentation
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: urn:oid:1.3.6.1.4.1.19126.3
..... value ΣC 0..1 string Número del DNI
Example General: 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DiagnosticReport.languagerequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages|5.0.0
From the FHIR Standard
DiagnosticReport.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|5.0.0
From the FHIR Standard
DiagnosticReport.identifier.typeextensibleIdentifierTypeCodes
http://hl7.org/fhir/ValueSet/identifier-type
From the FHIR Standard
DiagnosticReport.statusrequiredDiagnosticReportStatus
http://hl7.org/fhir/ValueSet/diagnostic-report-status|5.0.0
From the FHIR Standard
DiagnosticReport.categoryexampleDiagnosticServiceSectionCodes
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
From the FHIR Standard
DiagnosticReport.category:ClasificacionDiagnosticorequiredValuesetClasificacionesDiagnosticos
https://unicas-fhir.sanidad.gob.es/ValueSet/ClasificacionesDiagnosticos
From this IG
DiagnosticReport.category:TipoDiagnosticorequiredValuesetTiposDiagnosticos
https://unicas-fhir.sanidad.gob.es/ValueSet/TiposDiagnosticos
From this IG
DiagnosticReport.codepreferredValuesetDiagnosticos
https://unicas-fhir.sanidad.gob.es/ValueSet/Diagnosticos
From this IG
DiagnosticReport.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
From the FHIR Standard
DiagnosticReport.subject.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|5.0.0
From the FHIR Standard
DiagnosticReport.subject.identifier.typeextensibleIdentifierTypeCodes
http://hl7.org/fhir/ValueSet/identifier-type
From the FHIR Standard
DiagnosticReport.encounter.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
From the FHIR Standard
DiagnosticReport.encounter.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|5.0.0
From the FHIR Standard
DiagnosticReport.encounter.identifier.typeextensibleIdentifierTypeCodes
http://hl7.org/fhir/ValueSet/identifier-type
From the FHIR Standard
DiagnosticReport.performer.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
From the FHIR Standard
DiagnosticReport.performer.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|5.0.0
From the FHIR Standard
DiagnosticReport.performer.identifier.typeextensibleIdentifierTypeCodes
http://hl7.org/fhir/ValueSet/identifier-type
From the FHIR Standard
DiagnosticReport.supportingInfo.typeexampleHl7VSVSObservationType
http://terminology.hl7.org/ValueSet/v2-0936
DiagnosticReport.conclusionCodeexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings
From the FHIR Standard
DiagnosticReport.conclusionCode:GradoSospecharequiredValuesetGradosSospechaDiagnostico
https://unicas-fhir.sanidad.gob.es/ValueSet/GradosSospechaDiagnostico
From this IG
DiagnosticReport.conclusionCode:CriteriosSospecharequiredValuesetCriteriosSospechaDiagnosticos
https://unicas-fhir.sanidad.gob.es/ValueSet/CriteriosSospechaDiagnosticos
From this IG

Constraints

IdGradePath(s)DetailsRequirements
dgr-1errorDiagnosticReportWhen 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-2errorDiagnosticReportIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDiagnosticReportIf 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-4errorDiagnosticReportIf 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-5errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDiagnosticReportA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust 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:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

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

 

Other representations of profile: CSV, Excel, Schematron

ÚNICAS está impulsado por el Consejo Interterritorial del Sistema Nacional de Salud, y financiado con fondos Next Generation de la Unión Europea, en el marco del Plan de Recuperación, Transformación y Resiliencia del Gobierno de España. El Ministerio de Sanidad ejerce la coordinación del proyecto, y Cataluña lidera la parte del desarrollo de los activos tecnológicos para su implementación.