Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
recorded-date	S	1..1	dateTime	BeExtRecordedDate URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-recorded-date
recorder	S	1..1	Reference(BePatient | BePractitioner | BeOrganization | BePractitionerRole)	BeExtRecorder URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-recorder
device	S	0..1	(Complex)	BeExtCodeableReference URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeable-reference
Slices for extension				Content/Rules for all slices
extension:concept		0..1	Extension	Extension
value[x]	S	1..1	CodeableConcept	Value of extension
coding
system		0..1	uri	Identity of the terminology system Required Pattern: https://www.ehealth.fgov.be/standards/fhir/core-clinical/NamingSystem/be-ns-diabetes-device-type
note	S	0..*	Annotation	BeExtSimpleNote URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-simple-note
supportingInfo	S	0..*	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo
Slices for identifier		1..*	Identifier	Business identifier for report Slice: Unordered, Open by value:system
identifier:UUID	S	1..1	Identifier	Business identifier for report
system		1..1	uri	The namespace for the identifier value Required Pattern: https://www.ehealth.fgov.be/standards/fhir/core-clinical/NamingSystem/be-ns-diagnostic-report-diabetes
status	S	1..1	code	registered | partial | preliminary | final + Binding: BeVSDiabetesReportStatus (required)
category	S	1..*	CodeableConcept	Service category Binding: BeVSDiabetesReportCategory (required)
code	S	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: BeVSDiabetesReportCode (required)
effective[x]	S	0..1	Period	Clinically relevant time/time-period for report
start	S	1..1	dateTime	Starting time with inclusive boundary
end	S	1..1	dateTime	End time with inclusive boundary, if not ongoing
resultsInterpreter	S	0..1	Reference(BePractitionerRole | BePractitioner)	Primary result interpreter
result	S	0..*	Reference(BeObservation)	Observations Slice: Unordered, Open by value:reference.resolve().code
conclusion	S	0..1	string	Clinical conclusion (interpretation) of test results
presentedForm	S	0..*	Attachment	Entire report as issued
contentType		0..1	code	Mime type of the content, with charset etc. Required Pattern: application/pdf
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
DiagnosticReport.status	required	BeVSDiabetesReportStatus https://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-diabetes-report-status from this IG
DiagnosticReport.category	required	BeVSDiabetesReportCategory https://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-diabetes-report-category from this IG
DiagnosticReport.code	required	BeVSDiabetesReportCode https://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-diabetes-report-code from this IG

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
recorded-date	S	1..1	dateTime	BeExtRecordedDate URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-recorded-date
recorder	S	1..1	Reference(BePatient | BePractitioner | BeOrganization | BePractitionerRole)	BeExtRecorder URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-recorder
device	S	0..1	(Complex)	BeExtCodeableReference URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeable-reference
Slices for extension				Content/Rules for all slices
extension:reference		0..1	Extension	Extension
extension		0..0
url		1..1	uri	"reference"
extension:concept		0..1	Extension	Extension
extension		0..0
url		1..1	uri	"concept"
value[x]	S	1..1	CodeableConcept	Value of extension
url		1..1	uri	"https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeable-reference"
note	S	0..*	Annotation	BeExtSimpleNote URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-simple-note
supportingInfo	S	0..*	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..*	Identifier	Business identifier for report Slice: Unordered, Open by value:system
identifier:UUID	SΣ	1..1	Identifier	Business identifier for report
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	1..1	uri	The namespace for the identifier value Required Pattern: https://www.ehealth.fgov.be/standards/fhir/core-clinical/NamingSystem/be-ns-diagnostic-report-diabetes
status	?!SΣ	1..1	code	registered | partial | preliminary | final + Binding: BeVSDiabetesReportStatus (required)
category	SΣ	1..*	CodeableConcept	Service category Binding: BeVSDiabetesReportCategory (required)
code	SΣ	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: BeVSDiabetesReportCode (required)
effective[x]	SΣ	0..1	Period	Clinically relevant time/time-period for report
start	SΣC	1..1	dateTime	Starting time with inclusive boundary
end	SΣC	1..1	dateTime	End time with inclusive boundary, if not ongoing
resultsInterpreter	SΣ	0..1	Reference(BePractitionerRole | BePractitioner)	Primary result interpreter
result	S	0..*	Reference(BeObservation)	Observations Slice: Unordered, Open by value:reference.resolve().code
conclusion	S	0..1	string	Clinical conclusion (interpretation) of test results
presentedForm	S	0..*	Attachment	Entire report as issued
contentType	Σ	0..1	code	Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Required Pattern: application/pdf
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.identifier:UUID.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
DiagnosticReport.status	required	BeVSDiabetesReportStatus https://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-diabetes-report-status from this IG
DiagnosticReport.category	required	BeVSDiabetesReportCategory https://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-diabetes-report-category from this IG
DiagnosticReport.code	required	BeVSDiabetesReportCode https://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-diabetes-report-code from this IG
DiagnosticReport.presentedForm.contentType	required	Pattern: application/pdf http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DiagnosticReport	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
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: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
recorded-date	S	1..1	dateTime	BeExtRecordedDate URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-recorded-date
recorder	S	1..1	Reference(BePatient | BePractitioner | BeOrganization | BePractitionerRole)	BeExtRecorder URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-recorder
device	S	0..1	(Complex)	BeExtCodeableReference URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeable-reference
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:reference		0..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"reference"
value[x]		0..1	Reference()	Value of extension
extension:concept		0..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"concept"
value[x]	S	1..1	CodeableConcept	Value of extension
id		0..1	string	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	string	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	Identity of the terminology system Required Pattern: https://www.ehealth.fgov.be/standards/fhir/core-clinical/NamingSystem/be-ns-diabetes-device-type
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
url		1..1	uri	"https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeable-reference"
note	S	0..*	Annotation	BeExtSimpleNote URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-simple-note
supportingInfo	S	0..*	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..*	Identifier	Business identifier for report Slice: Unordered, Open by value:system
identifier:UUID	SΣ	1..1	Identifier	Business identifier for report
id		0..1	string	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: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: https://www.ehealth.fgov.be/standards/fhir/core-clinical/NamingSystem/be-ns-diagnostic-report-diabetes
value	Σ	0..1	string	The value that is unique 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	?!SΣ	1..1	code	registered | partial | preliminary | final + Binding: BeVSDiabetesReportStatus (required)
category	SΣ	1..*	CodeableConcept	Service category Binding: BeVSDiabetesReportCategory (required)
code	SΣ	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: BeVSDiabetesReportCode (required)
subject	Σ	0..1	Reference(Patient | Group | Device | Location)	The subject of the report - usually, but not always, the patient
encounter	Σ	0..1	Reference(Encounter)	Health care event when test ordered
effective[x]	SΣ	0..1	Period	Clinically relevant time/time-period for report
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣC	1..1	dateTime	Starting time with inclusive boundary
end	SΣC	1..1	dateTime	End time with inclusive boundary, if not ongoing
issued	Σ	0..1	instant	DateTime this version was made
performer	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service
resultsInterpreter	SΣ	0..1	Reference(BePractitionerRole | BePractitioner)	Primary result interpreter
specimen		0..*	Reference(Specimen)	Specimens this report is based on
result	S	0..*	Reference(BeObservation)	Observations Slice: Unordered, Open by value:reference.resolve().code
imagingStudy		0..*	Reference(ImagingStudy)	Reference to full details of imaging associated with the diagnostic report
media	Σ	0..*	BackboneElement	Key images 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 (e.g. explanation)
link	Σ	1..1	Reference(Media)	Reference to the image source
conclusion	S	0..1	string	Clinical conclusion (interpretation) of test results
conclusionCode		0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
presentedForm	S	0..*	Attachment	Entire report as issued
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
contentType	Σ	0..1	code	Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Required Pattern: application/pdf
language	Σ	0..1	code	Human language of the content (BCP-47) Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding Example General: en-AU
data		0..1	base64Binary	Data inline, base64ed
url	Σ	0..1	url	Uri where the data can be found Example General: http://www.acme.com/logo-small.png
size	Σ	0..1	unsignedInt	Number of bytes of content (if url provided)
hash	Σ	0..1	base64Binary	Hash of the data (sha-1, base64ed)
title	Σ	0..1	string	Label to display in place of the data Example General: Official Corporate Logo
creation	Σ	0..1	dateTime	Date attachment was first created
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
DiagnosticReport.identifier:UUID.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
DiagnosticReport.identifier:UUID.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
DiagnosticReport.status	required	BeVSDiabetesReportStatus https://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-diabetes-report-status from this IG
DiagnosticReport.category	required	BeVSDiabetesReportCategory https://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-diabetes-report-category from this IG
DiagnosticReport.code	required	BeVSDiabetesReportCode https://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-diabetes-report-code from this IG
DiagnosticReport.conclusionCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard
DiagnosticReport.presentedForm.contentType	required	Pattern: application/pdf http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 from the FHIR Standard
DiagnosticReport.presentedForm.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DiagnosticReport	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Summary

Mandatory: 6 elements(3 nested mandatory elements)
Must-Support: 17 elements

Structures

This structure refers to these other structures:

• BePractitionerRole (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitionerrole)
• BePractitioner (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitioner)
• BeObservation (https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-observation)

Extensions

This structure refers to these extensions:

• https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-recorded-date
• https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-recorder
• https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeable-reference
• https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-simple-note
• http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of DiagnosticReport.identifier
• The element 1 is sliced based on the value of DiagnosticReport.result

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
recorded-date	S	1..1	dateTime	BeExtRecordedDate URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-recorded-date
recorder	S	1..1	Reference(BePatient | BePractitioner | BeOrganization | BePractitionerRole)	BeExtRecorder URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-recorder
device	S	0..1	(Complex)	BeExtCodeableReference URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeable-reference
Slices for extension				Content/Rules for all slices
extension:concept		0..1	Extension	Extension
value[x]	S	1..1	CodeableConcept	Value of extension
coding
system		0..1	uri	Identity of the terminology system Required Pattern: https://www.ehealth.fgov.be/standards/fhir/core-clinical/NamingSystem/be-ns-diabetes-device-type
note	S	0..*	Annotation	BeExtSimpleNote URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-simple-note
supportingInfo	S	0..*	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo
Slices for identifier		1..*	Identifier	Business identifier for report Slice: Unordered, Open by value:system
identifier:UUID	S	1..1	Identifier	Business identifier for report
system		1..1	uri	The namespace for the identifier value Required Pattern: https://www.ehealth.fgov.be/standards/fhir/core-clinical/NamingSystem/be-ns-diagnostic-report-diabetes
status	S	1..1	code	registered | partial | preliminary | final + Binding: BeVSDiabetesReportStatus (required)
category	S	1..*	CodeableConcept	Service category Binding: BeVSDiabetesReportCategory (required)
code	S	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: BeVSDiabetesReportCode (required)
effective[x]	S	0..1	Period	Clinically relevant time/time-period for report
start	S	1..1	dateTime	Starting time with inclusive boundary
end	S	1..1	dateTime	End time with inclusive boundary, if not ongoing
resultsInterpreter	S	0..1	Reference(BePractitionerRole | BePractitioner)	Primary result interpreter
result	S	0..*	Reference(BeObservation)	Observations Slice: Unordered, Open by value:reference.resolve().code
conclusion	S	0..1	string	Clinical conclusion (interpretation) of test results
presentedForm	S	0..*	Attachment	Entire report as issued
contentType		0..1	code	Mime type of the content, with charset etc. Required Pattern: application/pdf
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
DiagnosticReport.status	required	BeVSDiabetesReportStatus https://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-diabetes-report-status from this IG
DiagnosticReport.category	required	BeVSDiabetesReportCategory https://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-diabetes-report-category from this IG
DiagnosticReport.code	required	BeVSDiabetesReportCode https://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-diabetes-report-code from this IG

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
recorded-date	S	1..1	dateTime	BeExtRecordedDate URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-recorded-date
recorder	S	1..1	Reference(BePatient | BePractitioner | BeOrganization | BePractitionerRole)	BeExtRecorder URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-recorder
device	S	0..1	(Complex)	BeExtCodeableReference URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeable-reference
Slices for extension				Content/Rules for all slices
extension:reference		0..1	Extension	Extension
extension		0..0
url		1..1	uri	"reference"
extension:concept		0..1	Extension	Extension
extension		0..0
url		1..1	uri	"concept"
value[x]	S	1..1	CodeableConcept	Value of extension
url		1..1	uri	"https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeable-reference"
note	S	0..*	Annotation	BeExtSimpleNote URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-simple-note
supportingInfo	S	0..*	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..*	Identifier	Business identifier for report Slice: Unordered, Open by value:system
identifier:UUID	SΣ	1..1	Identifier	Business identifier for report
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	1..1	uri	The namespace for the identifier value Required Pattern: https://www.ehealth.fgov.be/standards/fhir/core-clinical/NamingSystem/be-ns-diagnostic-report-diabetes
status	?!SΣ	1..1	code	registered | partial | preliminary | final + Binding: BeVSDiabetesReportStatus (required)
category	SΣ	1..*	CodeableConcept	Service category Binding: BeVSDiabetesReportCategory (required)
code	SΣ	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: BeVSDiabetesReportCode (required)
effective[x]	SΣ	0..1	Period	Clinically relevant time/time-period for report
start	SΣC	1..1	dateTime	Starting time with inclusive boundary
end	SΣC	1..1	dateTime	End time with inclusive boundary, if not ongoing
resultsInterpreter	SΣ	0..1	Reference(BePractitionerRole | BePractitioner)	Primary result interpreter
result	S	0..*	Reference(BeObservation)	Observations Slice: Unordered, Open by value:reference.resolve().code
conclusion	S	0..1	string	Clinical conclusion (interpretation) of test results
presentedForm	S	0..*	Attachment	Entire report as issued
contentType	Σ	0..1	code	Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Required Pattern: application/pdf
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.identifier:UUID.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
DiagnosticReport.status	required	BeVSDiabetesReportStatus https://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-diabetes-report-status from this IG
DiagnosticReport.category	required	BeVSDiabetesReportCategory https://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-diabetes-report-category from this IG
DiagnosticReport.code	required	BeVSDiabetesReportCode https://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-diabetes-report-code from this IG
DiagnosticReport.presentedForm.contentType	required	Pattern: application/pdf http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DiagnosticReport	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
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: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
recorded-date	S	1..1	dateTime	BeExtRecordedDate URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-recorded-date
recorder	S	1..1	Reference(BePatient | BePractitioner | BeOrganization | BePractitionerRole)	BeExtRecorder URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-recorder
device	S	0..1	(Complex)	BeExtCodeableReference URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeable-reference
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:reference		0..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"reference"
value[x]		0..1	Reference()	Value of extension
extension:concept		0..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"concept"
value[x]	S	1..1	CodeableConcept	Value of extension
id		0..1	string	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	string	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	Identity of the terminology system Required Pattern: https://www.ehealth.fgov.be/standards/fhir/core-clinical/NamingSystem/be-ns-diabetes-device-type
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
url		1..1	uri	"https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeable-reference"
note	S	0..*	Annotation	BeExtSimpleNote URL: https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-simple-note
supportingInfo	S	0..*	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..*	Identifier	Business identifier for report Slice: Unordered, Open by value:system
identifier:UUID	SΣ	1..1	Identifier	Business identifier for report
id		0..1	string	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: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Required Pattern: https://www.ehealth.fgov.be/standards/fhir/core-clinical/NamingSystem/be-ns-diagnostic-report-diabetes
value	Σ	0..1	string	The value that is unique 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	?!SΣ	1..1	code	registered | partial | preliminary | final + Binding: BeVSDiabetesReportStatus (required)
category	SΣ	1..*	CodeableConcept	Service category Binding: BeVSDiabetesReportCategory (required)
code	SΣ	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: BeVSDiabetesReportCode (required)
subject	Σ	0..1	Reference(Patient | Group | Device | Location)	The subject of the report - usually, but not always, the patient
encounter	Σ	0..1	Reference(Encounter)	Health care event when test ordered
effective[x]	SΣ	0..1	Period	Clinically relevant time/time-period for report
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣC	1..1	dateTime	Starting time with inclusive boundary
end	SΣC	1..1	dateTime	End time with inclusive boundary, if not ongoing
issued	Σ	0..1	instant	DateTime this version was made
performer	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service
resultsInterpreter	SΣ	0..1	Reference(BePractitionerRole | BePractitioner)	Primary result interpreter
specimen		0..*	Reference(Specimen)	Specimens this report is based on
result	S	0..*	Reference(BeObservation)	Observations Slice: Unordered, Open by value:reference.resolve().code
imagingStudy		0..*	Reference(ImagingStudy)	Reference to full details of imaging associated with the diagnostic report
media	Σ	0..*	BackboneElement	Key images 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 (e.g. explanation)
link	Σ	1..1	Reference(Media)	Reference to the image source
conclusion	S	0..1	string	Clinical conclusion (interpretation) of test results
conclusionCode		0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
presentedForm	S	0..*	Attachment	Entire report as issued
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
contentType	Σ	0..1	code	Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Required Pattern: application/pdf
language	Σ	0..1	code	Human language of the content (BCP-47) Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding Example General: en-AU
data		0..1	base64Binary	Data inline, base64ed
url	Σ	0..1	url	Uri where the data can be found Example General: http://www.acme.com/logo-small.png
size	Σ	0..1	unsignedInt	Number of bytes of content (if url provided)
hash	Σ	0..1	base64Binary	Hash of the data (sha-1, base64ed)
title	Σ	0..1	string	Label to display in place of the data Example General: Official Corporate Logo
creation	Σ	0..1	dateTime	Date attachment was first created
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
DiagnosticReport.identifier:UUID.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
DiagnosticReport.identifier:UUID.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
DiagnosticReport.status	required	BeVSDiabetesReportStatus https://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-diabetes-report-status from this IG
DiagnosticReport.category	required	BeVSDiabetesReportCategory https://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-diabetes-report-category from this IG
DiagnosticReport.code	required	BeVSDiabetesReportCode https://www.ehealth.fgov.be/standards/fhir/core-clinical/ValueSet/be-vs-diabetes-report-code from this IG
DiagnosticReport.conclusionCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard
DiagnosticReport.presentedForm.contentType	required	Pattern: application/pdf http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 from the FHIR Standard
DiagnosticReport.presentedForm.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DiagnosticReport	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Summary

Mandatory: 6 elements(3 nested mandatory elements)
Must-Support: 17 elements

Structures

This structure refers to these other structures:

• BePractitionerRole (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitionerrole)
• BePractitioner (https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitioner)
• BeObservation (https://www.ehealth.fgov.be/standards/fhir/core-clinical/StructureDefinition/be-observation)

Extensions

This structure refers to these extensions:

• https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-recorded-date
• https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-recorder
• https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-codeable-reference
• https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-ext-simple-note
• http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of DiagnosticReport.identifier
• The element 1 is sliced based on the value of DiagnosticReport.result