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 dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-3: 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 dom-6: A resource should have narrative for robust management dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension	N	1..*	Extension	疾病資訊 Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:condition	SN	1..1	Reference(基因定序檢測報告之疾病資訊-Condition TWNGS)	Optional Extensions Element URL: https://www.ghd.tw/cdm-fhir/StructureDefinition/extension-DiagnosticReport-condition ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
basedOn	SCN	1..*	Reference(基因定序檢測申請項目-ServiceRequest TWNGS)	基因定序檢測申請項目 ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
status	?!Σ	1..1	code	registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. ele-1: All FHIR elements must have a @value or children
code	ΣN	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 51969-4
display		1..1	string	Representation defined by the system Fixed Value: Genetic analysis report
subject	ΣCN	0..1	Reference(病人資訊-Patient TWNGS)	病人資訊 ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
Slices for effective[x]	ΣN	1..1		Clinically relevant time/time-period for report Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	SΣN	1..1	dateTime	費用年月 ele-1: All FHIR elements must have a @value or children
performer	ΣCN	1..*	Reference(基因檢測機構-Organization Gene TWNGS)	基因檢測機構 ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
result	CN	1..*	Reference(基因資訊-Observation TWNGS)	基因資訊 ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 from the FHIR Standard
DiagnosticReport.code	preferred	Pattern: LOINC Code 51969-4("Genetic analysis report") http://hl7.org/fhir/ValueSet/report-codes 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()
ref-1	error	DiagnosticReport.basedOn, DiagnosticReport.subject, DiagnosticReport.performer, DiagnosticReport.result	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport			DiagnosticReport
extension		1..		疾病資訊
Slices for extension				Content/Rules for all slices
extension:condition	S	1..1	Reference(基因定序檢測報告之疾病資訊-Condition TWNGS)	Extension URL: https://www.ghd.tw/cdm-fhir/StructureDefinition/extension-DiagnosticReport-condition
basedOn	S	1..	Reference(基因定序檢測申請項目-ServiceRequest TWNGS)	基因定序檢測申請項目
code				Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 51969-4
display		1..1	string	Representation defined by the system Fixed Value: Genetic analysis report
subject			Reference(病人資訊-Patient TWNGS)	病人資訊
Slices for effective[x]		1..		Slice: Unordered, Open by type:$this
effective[x]:effectiveDateTime	S	1..	dateTime	費用年月
performer		1..	Reference(基因檢測機構-Organization Gene TWNGS)	基因檢測機構
result		1..	Reference(基因資訊-Observation TWNGS)	基因資訊
Documentation for this format

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	string	Logical id of this artifact
meta	ΣN	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	N	0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension	N	1..*	Extension	疾病資訊 Slice: Unordered, Open by value:url
extension:condition	SN	1..1	Reference(基因定序檢測報告之疾病資訊-Condition TWNGS)	Optional Extensions Element URL: https://www.ghd.tw/cdm-fhir/StructureDefinition/extension-DiagnosticReport-condition
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier	ΣN	0..*	Identifier	Business identifier for report
basedOn	SCN	1..*	Reference(基因定序檢測申請項目-ServiceRequest TWNGS)	基因定序檢測申請項目 ref-1: SHALL have a contained resource if a local reference is provided
status	?!Σ	1..1	code	registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
category	ΣN	0..*	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
code	ΣN	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 51969-4
display		1..1	string	Representation defined by the system Fixed Value: Genetic analysis report
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
subject	ΣCN	0..1	Reference(病人資訊-Patient TWNGS)	病人資訊 ref-1: SHALL have a contained resource if a local reference is provided
encounter	ΣCN	0..1	Reference(Encounter)	Health care event when test ordered ref-1: SHALL have a contained resource if a local reference is provided
Slices for effective[x]	ΣN	1..1		Clinically relevant time/time-period for report Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	SΣN	1..1	dateTime	費用年月
issued	Σ	0..1	instant	DateTime this version was made
performer	ΣCN	1..*	Reference(基因檢測機構-Organization Gene TWNGS)	基因檢測機構 ref-1: SHALL have a contained resource if a local reference is provided
resultsInterpreter	ΣCN	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter ref-1: SHALL have a contained resource if a local reference is provided
specimen	CN	0..*	Reference(Specimen)	Specimens this report is based on ref-1: SHALL have a contained resource if a local reference is provided
result	CN	1..*	Reference(基因資訊-Observation TWNGS)	基因資訊 ref-1: SHALL have a contained resource if a local reference is provided
imagingStudy	CN	0..*	Reference(ImagingStudy)	Reference to full details of imaging associated with the diagnostic report ref-1: SHALL have a contained resource if a local reference is provided
media	ΣN	0..*	BackboneElement	Key images associated with this report
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!ΣN	0..*	Extension	Extensions that cannot be ignored even if unrecognized
comment		0..1	string	Comment about the image (e.g. explanation)
link	ΣCN	1..1	Reference(Media)	Reference to the image source ref-1: SHALL have a contained resource if a local reference is provided
conclusion		0..1	string	Clinical conclusion (interpretation) of test results
conclusionCode	N	0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
presentedForm	CN	0..*	Attachment	Entire report as issued att-1: If the Attachment has data, it SHALL have a contentType
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 from the FHIR Standard
DiagnosticReport.category	example	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard
DiagnosticReport.code	preferred	Pattern: LOINC Code 51969-4("Genetic analysis report") http://hl7.org/fhir/ValueSet/report-codes from the FHIR Standard
DiagnosticReport.conclusionCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
att-1	error	DiagnosticReport.presentedForm	If the Attachment has data, it SHALL have a contentType : data.empty() or contentType.exists()
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()
ref-1	error	DiagnosticReport.basedOn, DiagnosticReport.subject, DiagnosticReport.encounter, DiagnosticReport.performer, DiagnosticReport.resultsInterpreter, DiagnosticReport.specimen, DiagnosticReport.result, DiagnosticReport.imagingStudy, DiagnosticReport.media.link	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Summary

Mandatory: 0 element(7 nested mandatory elements)
Must-Support: 3 elements

Structures

This structure refers to these other structures:

• 基因定序檢測申請項目-ServiceRequest TWNGS (https://www.ghd.tw/cdm-fhir/StructureDefinition/ServiceRequest-twngs)
• 病人資訊-Patient TWNGS (https://www.ghd.tw/cdm-fhir/StructureDefinition/Patient-twngs)
• 基因檢測機構-Organization Gene TWNGS (https://www.ghd.tw/cdm-fhir/StructureDefinition/Organization-gene-twngs)
• 基因資訊-Observation TWNGS (https://www.ghd.tw/cdm-fhir/StructureDefinition/Observation-twngs)

Extensions

This structure refers to these extensions:

• https://www.ghd.tw/cdm-fhir/StructureDefinition/extension-DiagnosticReport-condition

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of DiagnosticReport.effective[x]

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 dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-3: 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 dom-6: A resource should have narrative for robust management dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension	N	1..*	Extension	疾病資訊 Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:condition	SN	1..1	Reference(基因定序檢測報告之疾病資訊-Condition TWNGS)	Optional Extensions Element URL: https://www.ghd.tw/cdm-fhir/StructureDefinition/extension-DiagnosticReport-condition ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
basedOn	SCN	1..*	Reference(基因定序檢測申請項目-ServiceRequest TWNGS)	基因定序檢測申請項目 ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
status	?!Σ	1..1	code	registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. ele-1: All FHIR elements must have a @value or children
code	ΣN	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 51969-4
display		1..1	string	Representation defined by the system Fixed Value: Genetic analysis report
subject	ΣCN	0..1	Reference(病人資訊-Patient TWNGS)	病人資訊 ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
Slices for effective[x]	ΣN	1..1		Clinically relevant time/time-period for report Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	SΣN	1..1	dateTime	費用年月 ele-1: All FHIR elements must have a @value or children
performer	ΣCN	1..*	Reference(基因檢測機構-Organization Gene TWNGS)	基因檢測機構 ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
result	CN	1..*	Reference(基因資訊-Observation TWNGS)	基因資訊 ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 from the FHIR Standard
DiagnosticReport.code	preferred	Pattern: LOINC Code 51969-4("Genetic analysis report") http://hl7.org/fhir/ValueSet/report-codes 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()
ref-1	error	DiagnosticReport.basedOn, DiagnosticReport.subject, DiagnosticReport.performer, DiagnosticReport.result	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport			DiagnosticReport
extension		1..		疾病資訊
Slices for extension				Content/Rules for all slices
extension:condition	S	1..1	Reference(基因定序檢測報告之疾病資訊-Condition TWNGS)	Extension URL: https://www.ghd.tw/cdm-fhir/StructureDefinition/extension-DiagnosticReport-condition
basedOn	S	1..	Reference(基因定序檢測申請項目-ServiceRequest TWNGS)	基因定序檢測申請項目
code				Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 51969-4
display		1..1	string	Representation defined by the system Fixed Value: Genetic analysis report
subject			Reference(病人資訊-Patient TWNGS)	病人資訊
Slices for effective[x]		1..		Slice: Unordered, Open by type:$this
effective[x]:effectiveDateTime	S	1..	dateTime	費用年月
performer		1..	Reference(基因檢測機構-Organization Gene TWNGS)	基因檢測機構
result		1..	Reference(基因資訊-Observation TWNGS)	基因資訊
Documentation for this format

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	string	Logical id of this artifact
meta	ΣN	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	N	0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension	N	1..*	Extension	疾病資訊 Slice: Unordered, Open by value:url
extension:condition	SN	1..1	Reference(基因定序檢測報告之疾病資訊-Condition TWNGS)	Optional Extensions Element URL: https://www.ghd.tw/cdm-fhir/StructureDefinition/extension-DiagnosticReport-condition
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier	ΣN	0..*	Identifier	Business identifier for report
basedOn	SCN	1..*	Reference(基因定序檢測申請項目-ServiceRequest TWNGS)	基因定序檢測申請項目 ref-1: SHALL have a contained resource if a local reference is provided
status	?!Σ	1..1	code	registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
category	ΣN	0..*	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
code	ΣN	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 51969-4
display		1..1	string	Representation defined by the system Fixed Value: Genetic analysis report
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
subject	ΣCN	0..1	Reference(病人資訊-Patient TWNGS)	病人資訊 ref-1: SHALL have a contained resource if a local reference is provided
encounter	ΣCN	0..1	Reference(Encounter)	Health care event when test ordered ref-1: SHALL have a contained resource if a local reference is provided
Slices for effective[x]	ΣN	1..1		Clinically relevant time/time-period for report Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	SΣN	1..1	dateTime	費用年月
issued	Σ	0..1	instant	DateTime this version was made
performer	ΣCN	1..*	Reference(基因檢測機構-Organization Gene TWNGS)	基因檢測機構 ref-1: SHALL have a contained resource if a local reference is provided
resultsInterpreter	ΣCN	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter ref-1: SHALL have a contained resource if a local reference is provided
specimen	CN	0..*	Reference(Specimen)	Specimens this report is based on ref-1: SHALL have a contained resource if a local reference is provided
result	CN	1..*	Reference(基因資訊-Observation TWNGS)	基因資訊 ref-1: SHALL have a contained resource if a local reference is provided
imagingStudy	CN	0..*	Reference(ImagingStudy)	Reference to full details of imaging associated with the diagnostic report ref-1: SHALL have a contained resource if a local reference is provided
media	ΣN	0..*	BackboneElement	Key images associated with this report
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!ΣN	0..*	Extension	Extensions that cannot be ignored even if unrecognized
comment		0..1	string	Comment about the image (e.g. explanation)
link	ΣCN	1..1	Reference(Media)	Reference to the image source ref-1: SHALL have a contained resource if a local reference is provided
conclusion		0..1	string	Clinical conclusion (interpretation) of test results
conclusionCode	N	0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
presentedForm	CN	0..*	Attachment	Entire report as issued att-1: If the Attachment has data, it SHALL have a contentType
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 from the FHIR Standard
DiagnosticReport.category	example	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard
DiagnosticReport.code	preferred	Pattern: LOINC Code 51969-4("Genetic analysis report") http://hl7.org/fhir/ValueSet/report-codes from the FHIR Standard
DiagnosticReport.conclusionCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
att-1	error	DiagnosticReport.presentedForm	If the Attachment has data, it SHALL have a contentType : data.empty() or contentType.exists()
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()
ref-1	error	DiagnosticReport.basedOn, DiagnosticReport.subject, DiagnosticReport.encounter, DiagnosticReport.performer, DiagnosticReport.resultsInterpreter, DiagnosticReport.specimen, DiagnosticReport.result, DiagnosticReport.imagingStudy, DiagnosticReport.media.link	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Summary

Mandatory: 0 element(7 nested mandatory elements)
Must-Support: 3 elements

Structures

This structure refers to these other structures:

• 基因定序檢測申請項目-ServiceRequest TWNGS (https://www.ghd.tw/cdm-fhir/StructureDefinition/ServiceRequest-twngs)
• 病人資訊-Patient TWNGS (https://www.ghd.tw/cdm-fhir/StructureDefinition/Patient-twngs)
• 基因檢測機構-Organization Gene TWNGS (https://www.ghd.tw/cdm-fhir/StructureDefinition/Organization-gene-twngs)
• 基因資訊-Observation TWNGS (https://www.ghd.tw/cdm-fhir/StructureDefinition/Observation-twngs)

Extensions

This structure refers to these extensions:

• https://www.ghd.tw/cdm-fhir/StructureDefinition/extension-DiagnosticReport-condition

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of DiagnosticReport.effective[x]