Scope and usage

This profile is intended to be uses as a diagnostic report in MedCom standards.

Attachments

In MedComCoreDiagnosticReport it is allowed to include attachments. When sending an attachment diagnosticReport.media shall be used. The DiagnosticReport.media.link reference to MedComCoreMedia resource where the atachment shall be added. It is up to the user to assess when it is relevant to send an attachment. Only an attachment of the permitted formats must be included. Click here to see the permitted formats of an attachment

Use of security labet on patient consent

If a patient gives a negative consent to sharing the observation results with other than the general practitioner a security labe shall be used. This mean that the meta.security.code shall be R, and in the user interface, it shall be clearly stated that consent has been refused.

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
id	SOΣ	1..1	id	Logical id of this artifact Obligations Actor SHALL:in-narrative Producer of FHIR resources
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text	S	1..1	Narrative	The narrative text SHALL always be included when exchanging a MedCom FHIR Bundle. This profile does not constrain the narrative in regard to content, language, or traceability to data elements
status	S	1..1	code	generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative.
div	SC	1..1	xhtml	Limited xhtml content Constraints: txt-1, txt-2
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SOΣ	1..1	code	registered | partial | preliminary | final | corrected | cancelled | entered-in-error Binding: MedComCoreDiagnosticReportStatus (required) Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	SOΣ	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: MedComDiagnosticReportCodesValueset (required) Obligations Actor SHALL:in-narrative Producer of FHIR resources
subject	SOΣ	1..1	Reference(MedComCorePatient) {b}	The subject of the report - usually, but not always, the patient Obligations Actor SHALL:in-narrative Producer of FHIR resources
performer	Σ	0..*	Reference(MedComCorePractitioner | MedComCorePractitionerRole | MedComCoreCareTeam)	Responsible Diagnostic Service
resultsInterpreter	Σ	0..*	Reference(MedComCorePractitioner | MedComCorePractitionerRole | MedComCoreOrganization | MedComCoreCareTeam)	Primary result interpreter
result		0..*	Reference(MedComCoreObservation) {b}	Observations
media	Σ	0..*	BackboneElement	Attachments that are relevant for assessment of the patient's condition.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	1..1	Reference(MedComMedia)	Reference to the image source
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.text.​status	Base	required	NarrativeStatus	📍4.0.1	FHIR Std.
DiagnosticReport.status	Base	required	MedComCoreDiagnosticReportStatus	📦1.8.1	DK MedCom Terminology v2.0
DiagnosticReport.code	Base	required	MedComDiagnosticReportCodesValueset	📦1.8.2	DK MedCom Terminology v2.0

Constraints

Id	Grade	Path(s)	Description	Expression
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()
txt-1	error	DiagnosticReport.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes	htmlChecks()
txt-2	error	DiagnosticReport.text.div	The narrative SHALL have some non-whitespace content	htmlChecks()

This structure is derived from DiagnosticReport

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
id	SO	1..1	id	Logical id of this artifact Obligations Actor SHALL:in-narrative Producer of FHIR resources
text	S	1..1	Narrative	The narrative text SHALL always be included when exchanging a MedCom FHIR Bundle.
status	S	1..1	code	generated | extensions | additional | empty
div	S	1..1	xhtml	Limited xhtml content
status	SO	1..1	code	registered | partial | preliminary | final | corrected | cancelled | entered-in-error Binding: MedComCoreDiagnosticReportStatus (required) Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	SO	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: MedComDiagnosticReportCodesValueset (required) Obligations Actor SHALL:in-narrative Producer of FHIR resources
subject	SO	1..1	Reference(MedComCorePatient) {b}	The subject of the report - usually, but not always, the patient Obligations Actor SHALL:in-narrative Producer of FHIR resources
performer		0..*	Reference(MedComCorePractitioner | MedComCorePractitionerRole | MedComCoreCareTeam)	Responsible Diagnostic Service
resultsInterpreter		0..*	Reference(MedComCorePractitioner | MedComCorePractitionerRole | MedComCoreOrganization | MedComCoreCareTeam)	Primary result interpreter
result		0..*	Reference(MedComCoreObservation) {b}	Observations
media		0..*	BackboneElement	Attachments that are relevant for assessment of the patient's condition.
link		1..1	Reference(MedComMedia)	Reference to the image source
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.status	Base	required	MedComCoreDiagnosticReportStatus	📦1.8.1	DK MedCom Terminology v2.0
DiagnosticReport.code	Base	required	MedComDiagnosticReportCodesValueset	📦1.8.2	DK MedCom Terminology v2.0

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
id	SOΣ	1..1	id	Logical id of this artifact Obligations Actor SHALL:in-narrative Producer of FHIR resources
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	S	1..1	Narrative	The narrative text SHALL always be included when exchanging a MedCom FHIR Bundle. This profile does not constrain the narrative in regard to content, language, or traceability to data elements
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
status	S	1..1	code	generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative.
div	SC	1..1	xhtml	Limited xhtml content Constraints: txt-1, txt-2
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business identifier for report
basedOn		0..*	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested
status	?!SOΣ	1..1	code	registered | partial | preliminary | final | corrected | cancelled | entered-in-error Binding: MedComCoreDiagnosticReportStatus (required) Obligations Actor SHALL:in-narrative Producer of FHIR resources
category	Σ	0..*	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
code	SOΣ	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: MedComDiagnosticReportCodesValueset (required) Obligations Actor SHALL:in-narrative Producer of FHIR resources
subject	SOΣ	1..1	Reference(MedComCorePatient) {b}	The subject of the report - usually, but not always, the patient Obligations Actor SHALL:in-narrative Producer of FHIR resources
encounter	Σ	0..1	Reference(Encounter)	Health care event when test ordered
effective[x]	Σ	0..1		Clinically relevant time/time-period for report
effectiveDateTime			dateTime
effectivePeriod			Period
issued	Σ	0..1	instant	DateTime this version was made
performer	Σ	0..*	Reference(MedComCorePractitioner | MedComCorePractitionerRole | MedComCoreCareTeam)	Responsible Diagnostic Service
resultsInterpreter	Σ	0..*	Reference(MedComCorePractitioner | MedComCorePractitionerRole | MedComCoreOrganization | MedComCoreCareTeam)	Primary result interpreter
specimen		0..*	Reference(Specimen)	Specimens this report is based on
result		0..*	Reference(MedComCoreObservation) {b}	Observations
imagingStudy		0..*	Reference(ImagingStudy)	Reference to full details of imaging associated with the diagnostic report
media	Σ	0..*	BackboneElement	Attachments that are relevant for assessment of the patient's condition.
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(MedComMedia)	Reference to the image source
conclusion		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		0..*	Attachment	Entire report as issued
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
DiagnosticReport.text.​status	Base	required	NarrativeStatus	📍4.0.1	FHIR Std.
DiagnosticReport.status	Base	required	MedComCoreDiagnosticReportStatus	📦1.8.1	DK MedCom Terminology v2.0
DiagnosticReport.category	Base	example	Diagnostic Service Section Codes	📍4.0.1	FHIR Std.
DiagnosticReport.code	Base	required	MedComDiagnosticReportCodesValueset	📦1.8.2	DK MedCom Terminology v2.0
DiagnosticReport.conclusionCode	Base	example	SNOMED CT Clinical Findings	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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()
txt-1	error	DiagnosticReport.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes	htmlChecks()
txt-2	error	DiagnosticReport.text.div	The narrative SHALL have some non-whitespace content	htmlChecks()

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
id	SOΣ	1..1	id	Logical id of this artifact Obligations Actor SHALL:in-narrative Producer of FHIR resources
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text	S	1..1	Narrative	The narrative text SHALL always be included when exchanging a MedCom FHIR Bundle. This profile does not constrain the narrative in regard to content, language, or traceability to data elements
status	S	1..1	code	generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative.
div	SC	1..1	xhtml	Limited xhtml content Constraints: txt-1, txt-2
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SOΣ	1..1	code	registered | partial | preliminary | final | corrected | cancelled | entered-in-error Binding: MedComCoreDiagnosticReportStatus (required) Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	SOΣ	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: MedComDiagnosticReportCodesValueset (required) Obligations Actor SHALL:in-narrative Producer of FHIR resources
subject	SOΣ	1..1	Reference(MedComCorePatient) {b}	The subject of the report - usually, but not always, the patient Obligations Actor SHALL:in-narrative Producer of FHIR resources
performer	Σ	0..*	Reference(MedComCorePractitioner | MedComCorePractitionerRole | MedComCoreCareTeam)	Responsible Diagnostic Service
resultsInterpreter	Σ	0..*	Reference(MedComCorePractitioner | MedComCorePractitionerRole | MedComCoreOrganization | MedComCoreCareTeam)	Primary result interpreter
result		0..*	Reference(MedComCoreObservation) {b}	Observations
media	Σ	0..*	BackboneElement	Attachments that are relevant for assessment of the patient's condition.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	1..1	Reference(MedComMedia)	Reference to the image source
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.text.​status	Base	required	NarrativeStatus	📍4.0.1	FHIR Std.
DiagnosticReport.status	Base	required	MedComCoreDiagnosticReportStatus	📦1.8.1	DK MedCom Terminology v2.0
DiagnosticReport.code	Base	required	MedComDiagnosticReportCodesValueset	📦1.8.2	DK MedCom Terminology v2.0

Constraints

Id	Grade	Path(s)	Description	Expression
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()
txt-1	error	DiagnosticReport.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes	htmlChecks()
txt-2	error	DiagnosticReport.text.div	The narrative SHALL have some non-whitespace content	htmlChecks()

Differential View

This structure is derived from DiagnosticReport

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
id	SO	1..1	id	Logical id of this artifact Obligations Actor SHALL:in-narrative Producer of FHIR resources
text	S	1..1	Narrative	The narrative text SHALL always be included when exchanging a MedCom FHIR Bundle.
status	S	1..1	code	generated | extensions | additional | empty
div	S	1..1	xhtml	Limited xhtml content
status	SO	1..1	code	registered | partial | preliminary | final | corrected | cancelled | entered-in-error Binding: MedComCoreDiagnosticReportStatus (required) Obligations Actor SHALL:in-narrative Producer of FHIR resources
code	SO	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: MedComDiagnosticReportCodesValueset (required) Obligations Actor SHALL:in-narrative Producer of FHIR resources
subject	SO	1..1	Reference(MedComCorePatient) {b}	The subject of the report - usually, but not always, the patient Obligations Actor SHALL:in-narrative Producer of FHIR resources
performer		0..*	Reference(MedComCorePractitioner | MedComCorePractitionerRole | MedComCoreCareTeam)	Responsible Diagnostic Service
resultsInterpreter		0..*	Reference(MedComCorePractitioner | MedComCorePractitionerRole | MedComCoreOrganization | MedComCoreCareTeam)	Primary result interpreter
result		0..*	Reference(MedComCoreObservation) {b}	Observations
media		0..*	BackboneElement	Attachments that are relevant for assessment of the patient's condition.
link		1..1	Reference(MedComMedia)	Reference to the image source
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.status	Base	required	MedComCoreDiagnosticReportStatus	📦1.8.1	DK MedCom Terminology v2.0
DiagnosticReport.code	Base	required	MedComDiagnosticReportCodesValueset	📦1.8.2	DK MedCom Terminology v2.0

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
id	SOΣ	1..1	id	Logical id of this artifact Obligations Actor SHALL:in-narrative Producer of FHIR resources
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	S	1..1	Narrative	The narrative text SHALL always be included when exchanging a MedCom FHIR Bundle. This profile does not constrain the narrative in regard to content, language, or traceability to data elements
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
status	S	1..1	code	generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative.
div	SC	1..1	xhtml	Limited xhtml content Constraints: txt-1, txt-2
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business identifier for report
basedOn		0..*	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested
status	?!SOΣ	1..1	code	registered | partial | preliminary | final | corrected | cancelled | entered-in-error Binding: MedComCoreDiagnosticReportStatus (required) Obligations Actor SHALL:in-narrative Producer of FHIR resources
category	Σ	0..*	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
code	SOΣ	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: MedComDiagnosticReportCodesValueset (required) Obligations Actor SHALL:in-narrative Producer of FHIR resources
subject	SOΣ	1..1	Reference(MedComCorePatient) {b}	The subject of the report - usually, but not always, the patient Obligations Actor SHALL:in-narrative Producer of FHIR resources
encounter	Σ	0..1	Reference(Encounter)	Health care event when test ordered
effective[x]	Σ	0..1		Clinically relevant time/time-period for report
effectiveDateTime			dateTime
effectivePeriod			Period
issued	Σ	0..1	instant	DateTime this version was made
performer	Σ	0..*	Reference(MedComCorePractitioner | MedComCorePractitionerRole | MedComCoreCareTeam)	Responsible Diagnostic Service
resultsInterpreter	Σ	0..*	Reference(MedComCorePractitioner | MedComCorePractitionerRole | MedComCoreOrganization | MedComCoreCareTeam)	Primary result interpreter
specimen		0..*	Reference(Specimen)	Specimens this report is based on
result		0..*	Reference(MedComCoreObservation) {b}	Observations
imagingStudy		0..*	Reference(ImagingStudy)	Reference to full details of imaging associated with the diagnostic report
media	Σ	0..*	BackboneElement	Attachments that are relevant for assessment of the patient's condition.
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(MedComMedia)	Reference to the image source
conclusion		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		0..*	Attachment	Entire report as issued
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
DiagnosticReport.text.​status	Base	required	NarrativeStatus	📍4.0.1	FHIR Std.
DiagnosticReport.status	Base	required	MedComCoreDiagnosticReportStatus	📦1.8.1	DK MedCom Terminology v2.0
DiagnosticReport.category	Base	example	Diagnostic Service Section Codes	📍4.0.1	FHIR Std.
DiagnosticReport.code	Base	required	MedComDiagnosticReportCodesValueset	📦1.8.2	DK MedCom Terminology v2.0
DiagnosticReport.conclusionCode	Base	example	SNOMED CT Clinical Findings	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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()
txt-1	error	DiagnosticReport.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes	htmlChecks()
txt-2	error	DiagnosticReport.text.div	The narrative SHALL have some non-whitespace content	htmlChecks()

This structure is derived from DiagnosticReport

Summary

Mandatory: 3 elements
Must-Support: 7 elements

Structures

This structure refers to these other structures:

• MedComCorePatient (http://medcomfhir.dk/ig/core/StructureDefinition/medcom-core-patient)
• MedComCorePractitioner (http://medcomfhir.dk/ig/core/StructureDefinition/medcom-core-practitioner)
• MedComCorePractitionerRole (http://medcomfhir.dk/ig/core/StructureDefinition/medcom-core-practitionerrole)
• MedComCoreCareTeam (http://medcomfhir.dk/ig/core/StructureDefinition/medcom-core-careteam)
• MedComCoreOrganization (http://medcomfhir.dk/ig/core/StructureDefinition/medcom-core-organization)
• MedComCoreObservation (http://medcomfhir.dk/ig/core/StructureDefinition/medcom-core-observation)
• MedComMedia (http://medcomfhir.dk/ig/core/StructureDefinition/medcom-core-media)