<StructureDefinition xmlns="http://hl7.org/fhir">
  <url value="https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASDiagnosticReport" />
  <name value="UNICASDiagnosticReport" />
  <title value="DiagnosticReport Formulario de Enrolamiento ÚNICAS" />
  <status value="draft" />
  <description value="Este profile define las restricciones del recurso DiagnosticReport para representar el registro de un estudio diagnóstico en el contexto del caso de uso de ÚNICAS." />
  <fhirVersion value="5.0.0" />
  <kind value="resource" />
  <abstract value="false" />
  <type value="DiagnosticReport" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport" />
  <derivation value="constraint" />
  <differential>
    <element id="DiagnosticReport.identifier">
      <path value="DiagnosticReport.identifier" />
      <short value="Identificador único" />
      <definition value="Business identifier for report. Identifiers assigned to this report by the performer or other systems." />
    </element>
    <element id="DiagnosticReport.identifier.system">
      <path value="DiagnosticReport.identifier.system" />
      <short value="Sistema de identificador" />
      <definition value="The namespace for the identifier value. Establishes the namespace for the value - that is, an absolute URL that describes a set values that are unique." />
    </element>
    <element id="DiagnosticReport.identifier.value">
      <path value="DiagnosticReport.identifier.value" />
      <short value="Valor de identificador" />
      <definition value="The value that is unique. The portion of the identifier typically relevant to the user and which is unique within the context of the system." />
    </element>
    <element id="DiagnosticReport.category">
      <path value="DiagnosticReport.category" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="$this" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <min value="1" />
    </element>
    <element id="DiagnosticReport.category:ClasificacionDiagnostico">
      <path value="DiagnosticReport.category" />
      <sliceName value="ClasificacionDiagnostico" />
      <short value="Clasificación de diagnóstico" />
      <definition value="Service category. A code that classifies the clinical discipline, department or diagnostic service that created the report (e.g. cardiology, biochemistry, hematology, MRI). This is used for searching, sorting and display purposes." />
      <min value="1" />
      <binding>
        <strength value="required" />
        <description value="Value set de Clasificaciones de diagnósticos" />
        <valueSet value="https://unicas-fhir.sanidad.gob.es/ValueSet/ClasificacionesDiagnosticos" />
      </binding>
    </element>
    <element id="DiagnosticReport.category:ClasificacionDiagnostico.coding.system">
      <path value="DiagnosticReport.category.coding.system" />
      <short value="URL del SNOMED CT. Extensión para España del SNS" />
      <definition value="Posible URL de terminología utilizada para indicar la clasificación de diagnóstico y su descripción correspondiente:&#xD;&#xA;&#xD;&#xA;- SNOMED CT. Extensión para España del SNS: http://snomed.info/sct/900000001000122104" />
      <min value="1" />
    </element>
    <element id="DiagnosticReport.category:ClasificacionDiagnostico.coding.code">
      <path value="DiagnosticReport.category.coding.code" />
      <short value="Código de la clasificación de diagnóstico" />
      <min value="1" />
    </element>
    <element id="DiagnosticReport.category:ClasificacionDiagnostico.coding.display">
      <path value="DiagnosticReport.category.coding.display" />
      <short value="Descripción de la clasificación de diagnóstico" />
      <definition value="Representation defined by the system. A representation of the meaning of the code in the system, following the rules of the system." />
      <min value="1" />
    </element>
    <element id="DiagnosticReport.category:TipoDiagnostico">
      <path value="DiagnosticReport.category" />
      <sliceName value="TipoDiagnostico" />
      <short value="Tipo de diagnóstico" />
      <definition value="Service category. A code that classifies the clinical discipline, department or diagnostic service that created the report (e.g. cardiology, biochemistry, hematology, MRI). This is used for searching, sorting and display purposes." />
      <binding>
        <strength value="required" />
        <description value="Value set de Tipos de diagnósticos" />
        <valueSet value="https://unicas-fhir.sanidad.gob.es/ValueSet/TiposDiagnosticos" />
      </binding>
    </element>
    <element id="DiagnosticReport.category:TipoDiagnostico.coding.system">
      <path value="DiagnosticReport.category.coding.system" />
      <short value="URL del SNOMED CT. Extensión para España del SNS" />
      <definition value="Posible URL de terminología utilizada para indicar el tipo de diagnóstico y su descripción correspondiente:&#xD;&#xA;&#xD;&#xA;- SNOMED CT. Extensión para España del SNS: http://snomed.info/sct/900000001000122104" />
    </element>
    <element id="DiagnosticReport.category:TipoDiagnostico.coding.code">
      <path value="DiagnosticReport.category.coding.code" />
      <short value="Código del tipo diagnóstico" />
    </element>
    <element id="DiagnosticReport.category:TipoDiagnostico.coding.display">
      <path value="DiagnosticReport.category.coding.display" />
      <short value="Descripción del tipo diagnóstico" />
      <definition value="Representation defined by the system. A representation of the meaning of the code in the system, following the rules of the system." />
    </element>
    <element id="DiagnosticReport.code">
      <path value="DiagnosticReport.code" />
      <short value="Diagnóstico" />
      <definition value="Name/Code for this diagnostic report. A code or name that describes this diagnostic report." />
      <binding>
        <strength value="extensible" />
        <description value="Value set de Diagnósticos" />
        <valueSet value="https://unicas-fhir.sanidad.gob.es/ValueSet/Diagnosticos" />
      </binding>
    </element>
    <element id="DiagnosticReport.code.coding">
      <path value="DiagnosticReport.code.coding" />
      <short value="Concepto de diagnóstico. Pueden ser codificados utilizando las terminologías de SNOMED CT. Extensión para España del SNS, CIE-10-ES. Diagnósticos, ORPHA y OMIM" />
      <definition value="Code defined by a terminology system. A reference to a code defined by a terminology system." />
      <min value="1" />
    </element>
    <element id="DiagnosticReport.code.coding.system">
      <path value="DiagnosticReport.code.coding.system" />
      <short value="URL del SNOMED CT. Extensión para España del SNS | OID del CIE-10-ES. Diagnósticos | OID del ORPHA | OID del OMIM" />
      <definition value="Posibles URLs y/o OIDs de terminologías utilizadas para indicar el diagnóstico y su descripción correspondiente:&#xD;&#xA;&#xA;- SNOMED CT. Extensión para España del SNS con filtro aplicado al eje hallazgo: http://snomed.info/sct/900000001000122104&#xA;- CIE-10-ES. Diagnósticos: urn:oid:2.16.724.4.21.5.29&#xD;&#xA;- ORPHA: urn:oid:2.16.724.4.21.5.22&#xD;&#xA;- OMIM: urn:oid:2.16.724.4.21.5.31" />
      <min value="1" />
    </element>
    <element id="DiagnosticReport.code.coding.code">
      <path value="DiagnosticReport.code.coding.code" />
      <short value="Código del diagnóstico" />
      <min value="1" />
    </element>
    <element id="DiagnosticReport.code.coding.display">
      <path value="DiagnosticReport.code.coding.display" />
      <short value="Descripción del diagnóstico" />
      <definition value="Representation defined by the system. A representation of the meaning of the code in the system, following the rules of the system." />
      <min value="1" />
    </element>
    <element id="DiagnosticReport.code.text">
      <path value="DiagnosticReport.code.text" />
      <short value="Descripción narrativa, registrada por el professional" />
    </element>
    <element id="DiagnosticReport.subject">
      <path value="DiagnosticReport.subject" />
      <short value="Referencia al paciente" />
      <definition value="The subject of the report - usually, but not always, the patient. The subject of the report. Usually, but not always, this is a patient. However, diagnostic services also perform analyses on specimens collected from a variety of other sources." />
      <min value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASPatient" />
      </type>
    </element>
    <element id="DiagnosticReport.subject.reference">
      <path value="DiagnosticReport.subject.reference" />
      <short value="Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR" />
      <definition value="Formato: [base]/Patient?identifier=[OID registro de número de CIP-SNS]|[Número CIP-SNS]" />
    </element>
    <element id="DiagnosticReport.subject.type">
      <path value="DiagnosticReport.subject.type" />
      <short value="Tipo de recurso FHIR" />
      <definition value="Type the reference refers to (e.g. &quot;Patient&quot;) - must be a resource in resources. The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.&#xD;&#xA;&#xD;&#xA;The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. &quot;Patient&quot; is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources)." />
      <min value="1" />
    </element>
    <element id="DiagnosticReport.subject.identifier">
      <path value="DiagnosticReport.subject.identifier" />
      <short value="Identificador de paciente CIP-SNS. Cuando no tengamos recurso Patient, se debera informar el identificador de paciente mediante CIP-SNS" />
      <definition value="Logical reference, when literal reference is not known. An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference." />
      <min value="1" />
    </element>
    <element id="DiagnosticReport.subject.identifier.type">
      <path value="DiagnosticReport.subject.identifier.type" />
      <short value="Tipos de documentos de identificación para persona ÚNICAS" />
      <definition value="Description of identifier. A coded type for the identifier that can be used to determine which identifier to use for a specific purpose." />
      <binding>
        <strength value="extensible" />
        <description value="Value set de Tipos de documentos de identificación para persona ÚNICAS" />
        <valueSet value="https://unicas-fhir.sanidad.gob.es/ValueSet/TiposDocumentosIdentificacionPersona" />
      </binding>
    </element>
    <element id="DiagnosticReport.subject.identifier.type.coding.system">
      <path value="DiagnosticReport.subject.identifier.type.coding.system" />
      <short value="URL del SNOMED CT. Extensión para España del SNS" />
      <definition value="Posible URL de terminología utilizada para indicar el tipo de documentos de identificación y su descripción correspondiente:&#xD;&#xA;&#xD;&#xA;- SNOMED CT. Extensión para España del SNS: http://snomed.info/sct/900000001000122104" />
    </element>
    <element id="DiagnosticReport.subject.identifier.type.coding.code">
      <path value="DiagnosticReport.subject.identifier.type.coding.code" />
      <short value="Código del identificador" />
    </element>
    <element id="DiagnosticReport.subject.identifier.type.coding.display">
      <path value="DiagnosticReport.subject.identifier.type.coding.display" />
      <short value="Decripción del identificador" />
      <definition value="Representation defined by the system. A representation of the meaning of the code in the system, following the rules of the system." />
    </element>
    <element id="DiagnosticReport.subject.identifier.system">
      <path value="DiagnosticReport.subject.identifier.system" />
      <short value="OID registro de número de CIP-SNS" />
      <definition value="The namespace for the identifier value. Establishes the namespace for the value - that is, an absolute URL that describes a set values that are unique." />
    </element>
    <element id="DiagnosticReport.subject.identifier.value">
      <path value="DiagnosticReport.subject.identifier.value" />
      <short value="Número CIP-SNS" />
      <definition value="The namespace for the identifier value. Establishes the namespace for the value - that is, an absolute URL that describes a set values that are unique." />
    </element>
    <element id="DiagnosticReport.subject.display">
      <path value="DiagnosticReport.subject.display" />
      <short value="Nombre completo del paciente" />
      <definition value="Text alternative for the resource. Plain text narrative that identifies the resource in addition to the resource reference." />
    </element>
    <element id="DiagnosticReport.encounter">
      <path value="DiagnosticReport.encounter" />
      <short value="Referencia a la interacción clínica" />
      <definition value="Health care event when test ordered. The healthcare event  (e.g. a patient and healthcare provider interaction) which this DiagnosticReport is about." />
      <type>
        <code value="Reference" />
        <targetProfile value="https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASEncounter" />
      </type>
    </element>
    <element id="DiagnosticReport.encounter.reference">
      <path value="DiagnosticReport.encounter.reference" />
      <short value="Referencia recurso FHIR" />
      <definition value="Formato: [base]/Encounter?identifier=urn:regcess:[CódigoREGCESS]|[Id interno del sistema para la interacción clínica]" />
    </element>
    <element id="DiagnosticReport.encounter.type">
      <path value="DiagnosticReport.encounter.type" />
      <short value="Tipo de recurso FHIR" />
      <definition value="Type the reference refers to (e.g. &quot;Patient&quot;) - must be a resource in resources. The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.&#xD;&#xA;&#xD;&#xA;The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. &quot;Patient&quot; is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources)." />
    </element>
    <element id="DiagnosticReport.encounter.identifier">
      <path value="DiagnosticReport.encounter.identifier" />
      <short value="Identificador del recurso FHIR" />
      <definition value="Logical reference, when literal reference is not known. An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference." />
    </element>
    <element id="DiagnosticReport.encounter.identifier.system">
      <path value="DiagnosticReport.encounter.identifier.system" />
      <short value="Sistema para identificar el origen" />
      <definition value="Formato: urn:regcess:[CódigoREGCESS]&#xD;&#xA;Debe incluir el código REGCESS después de urn:regcess:" />
    </element>
    <element id="DiagnosticReport.encounter.identifier.value">
      <path value="DiagnosticReport.encounter.identifier.value" />
      <short value="Identificador interno del sistema para la interacción clínica" />
      <definition value="Debe indicar el ID interno del sistema de origen utilizado para la interacción clínica" />
    </element>
    <element id="DiagnosticReport.effective[x]">
      <path value="DiagnosticReport.effective[x]" />
      <short value="Fecha de diagnóstico" />
      <definition value="Clinically relevant time/time-period for report. The time or time-period the observed values are related to. When the subject of the report is a patient, this is usually either the time of the procedure or of specimen collection(s), but very often the source of the date/time is not known, only the date/time itself." />
      <min value="1" />
      <type>
        <code value="dateTime" />
      </type>
    </element>
    <element id="DiagnosticReport.performer">
      <path value="DiagnosticReport.performer" />
      <short value="Referencia al profesional sanitario" />
      <definition value="Responsible Diagnostic Service. The diagnostic service that is responsible for issuing the report." />
      <min value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASPractitionerRole" />
        <targetProfile value="https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASPractitioner" />
        <targetProfile value="https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASOrganization" />
      </type>
    </element>
    <element id="DiagnosticReport.performer.reference">
      <path value="DiagnosticReport.performer.reference" />
      <short value="Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR" />
      <definition value="Formato: [base]/Practitioner?identifier=[OID registro de DNI]|[Número DNI]" />
    </element>
    <element id="DiagnosticReport.performer.type">
      <path value="DiagnosticReport.performer.type" />
      <short value="Tipo de recurso FHIR" />
      <definition value="Type the reference refers to (e.g. &quot;Patient&quot;) - must be a resource in resources. The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.&#xA;&#xA;The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. &quot;Patient&quot; is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources)." />
      <min value="1" />
    </element>
    <element id="DiagnosticReport.performer.identifier">
      <path value="DiagnosticReport.performer.identifier" />
      <short value="Identificadores del profesional sanitario. Cuando no tengamos recurso Practitioner, se debera informar el identificador del profesional sanitario mediante DNI como dato mínimo. Adicionalmente, se puede informar el número colegiado del profesional sanitario como dato recomendado" />
      <definition value="Logical reference, when literal reference is not known. An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference." />
      <min value="1" />
    </element>
    <element id="DiagnosticReport.performer.identifier.extension:numeroColegiadoProfesionalSanitario">
      <path value="DiagnosticReport.performer.identifier.extension" />
      <sliceName value="numeroColegiadoProfesionalSanitario" />
      <type>
        <code value="Extension" />
        <profile value="https://unicas-fhir.sanidad.gob.es/StructureDefinition/NumeroColegiadoProfesionalSanitario" />
      </type>
      <isModifier value="false" />
    </element>
    <element id="DiagnosticReport.performer.identifier.type">
      <path value="DiagnosticReport.performer.identifier.type" />
      <short value="Tipos de documentos de identificación para persona ÚNICAS" />
      <definition value="Description of identifier. A coded type for the identifier that can be used to determine which identifier to use for a specific purpose." />
      <binding>
        <strength value="extensible" />
        <description value="Value set de Tipos de documentos de identificación para persona ÚNICAS" />
        <valueSet value="https://unicas-fhir.sanidad.gob.es/ValueSet/TiposDocumentosIdentificacionPersona" />
      </binding>
    </element>
    <element id="DiagnosticReport.performer.identifier.type.coding.system">
      <path value="DiagnosticReport.performer.identifier.type.coding.system" />
      <short value="URL del refset Tipos de documento para identificación personal de SNOMED CT. Extensión para España del SNS" />
      <definition value="Posible URL de terminología utilizada para indicar el tipo de documentos de identificación y su descripción correspondiente:&#xD;&#xA;&#xD;&#xA;- Refset Tipos de documento para identificación personal del SNOMED CT. Extensión para España del SNS: http://snomed.info/sct/900000001000122104?fhir_vs-refset/900000251000122107" />
    </element>
    <element id="DiagnosticReport.performer.identifier.type.coding.code">
      <path value="DiagnosticReport.performer.identifier.type.coding.code" />
      <short value="Código del identificador" />
    </element>
    <element id="DiagnosticReport.performer.identifier.type.coding.display">
      <path value="DiagnosticReport.performer.identifier.type.coding.display" />
      <short value="Decripción del identificador" />
      <definition value="Representation defined by the system. A representation of the meaning of the code in the system, following the rules of the system." />
    </element>
    <element id="DiagnosticReport.performer.identifier.system">
      <path value="DiagnosticReport.performer.identifier.system" />
      <short value="OID registro de DNI" />
      <definition value="The namespace for the identifier value. Establishes the namespace for the value - that is, an absolute URL that describes a set values that are unique." />
    </element>
    <element id="DiagnosticReport.performer.identifier.value">
      <path value="DiagnosticReport.performer.identifier.value" />
      <short value="Número del DNI" />
      <definition value="The value that is unique. The portion of the identifier typically relevant to the user and which is unique within the context of the system." />
    </element>
    <element id="DiagnosticReport.performer.display">
      <path value="DiagnosticReport.performer.display" />
      <short value="Nombre completo del profesional sanitario" />
      <definition value="Text alternative for the resource. Plain text narrative that identifies the resource in addition to the resource reference." />
    </element>
    <element id="DiagnosticReport.note">
      <path value="DiagnosticReport.note" />
      <short value="Comentario" />
    </element>
    <element id="DiagnosticReport.note.text">
      <path value="DiagnosticReport.note.text" />
      <short value="Comentario" />
      <definition value="The annotation  - text content (as markdown). The text of the annotation in markdown format." />
    </element>
    <element id="DiagnosticReport.conclusionCode">
      <path value="DiagnosticReport.conclusionCode" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="$this" />
        </discriminator>
        <rules value="open" />
      </slicing>
    </element>
    <element id="DiagnosticReport.conclusionCode:GradoSospecha">
      <path value="DiagnosticReport.conclusionCode" />
      <sliceName value="GradoSospecha" />
      <short value="Grado de sospecha" />
      <definition value="Codes for the clinical conclusion of test results. One or more codes that represent the summary conclusion (interpretation/impression) of the diagnostic report." />
      <binding>
        <strength value="required" />
        <description value="Value set de Grados de sospecha del diagnostico" />
        <valueSet value="https://unicas-fhir.sanidad.gob.es/ValueSet/GradosSospechaDiagnostico" />
      </binding>
    </element>
    <element id="DiagnosticReport.conclusionCode:GradoSospecha.coding">
      <path value="DiagnosticReport.conclusionCode.coding" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="$this" />
        </discriminator>
        <rules value="open" />
      </slicing>
    </element>
    <element id="DiagnosticReport.conclusionCode:GradoSospecha.coding:GradoSospecha-code">
      <path value="DiagnosticReport.conclusionCode.coding" />
      <sliceName value="GradoSospecha-code" />
      <short value="Concepto &quot;grado de sospecha de enfermedad minoritaria&quot;" />
      <definition value="Code defined by a terminology system. A reference to a code defined by a terminology system." />
      <fixedCoding>
        <system value="http://snomed.info/sct/900000001000122104" />
        <code value="2095221000122101" />
        <display value="grado de sospecha de enfermedad minoritaria" />
      </fixedCoding>
    </element>
    <element id="DiagnosticReport.conclusionCode:GradoSospecha.coding:GradoSospecha-code.system">
      <path value="DiagnosticReport.conclusionCode.coding.system" />
      <short value="URL del SNOMED CT. Extensión para España del SNS" />
      <definition value="Posible URL de terminología utilizada para indicar el concepto &quot;grado de sospecha de enfermedad minoritaria&quot; y su descripción correspondiente:&#xD;&#xA;&#xD;&#xA;- SNOMED CT. Extensión para España del SNS: http://snomed.info/sct/900000001000122104" />
    </element>
    <element id="DiagnosticReport.conclusionCode:GradoSospecha.coding:GradoSospecha-code.code">
      <path value="DiagnosticReport.conclusionCode.coding.code" />
      <short value="Código del concepto: 2095221000122101" />
    </element>
    <element id="DiagnosticReport.conclusionCode:GradoSospecha.coding:GradoSospecha-code.display">
      <path value="DiagnosticReport.conclusionCode.coding.display" />
      <short value="Descripción del concepto: grado de sospecha de enfermedad minoritaria" />
      <definition value="Representation defined by the system. A representation of the meaning of the code in the system, following the rules of the system." />
    </element>
    <element id="DiagnosticReport.conclusionCode:GradoSospecha.coding:GradoSospecha-valor">
      <path value="DiagnosticReport.conclusionCode.coding" />
      <sliceName value="GradoSospecha-valor" />
      <short value="Valor del grado de sospecha (sospecha alta de enfermedad minoritaria | sospecha media de enfermedad minoritaria | sospecha baja de enfermedad minoritaria)" />
      <definition value="Code defined by a terminology system. A reference to a code defined by a terminology system." />
      <fixedCoding>
        <system value="http://snomed.info/sct/900000001000122104" />
      </fixedCoding>
    </element>
    <element id="DiagnosticReport.conclusionCode:GradoSospecha.coding:GradoSospecha-valor.system">
      <path value="DiagnosticReport.conclusionCode.coding.system" />
      <short value="URL del SNOMED CT. Extensión para España del SNS" />
      <definition value="Posible URL de terminología utilizada para indicar el valor del grado de sospecha y su descripción correspondiente:&#xD;&#xA;&#xD;&#xA;- SNOMED CT. Extensión para España del SNS: http://snomed.info/sct/900000001000122104" />
    </element>
    <element id="DiagnosticReport.conclusionCode:GradoSospecha.coding:GradoSospecha-valor.code">
      <path value="DiagnosticReport.conclusionCode.coding.code" />
      <short value="Código del grado de sospecha: 2095291000122104 | 2095301000122103 | 2095311000122100" />
    </element>
    <element id="DiagnosticReport.conclusionCode:GradoSospecha.coding:GradoSospecha-valor.display">
      <path value="DiagnosticReport.conclusionCode.coding.display" />
      <short value="Descripción del grado de sospecha: sospecha alta de enfermedad minoritaria | sospecha media de enfermedad minoritaria | sospecha baja de enfermedad minoritaria" />
      <definition value="Representation defined by the system. A representation of the meaning of the code in the system, following the rules of the system." />
    </element>
    <element id="DiagnosticReport.conclusionCode:GradoSospecha.text">
      <path value="DiagnosticReport.conclusionCode.text" />
      <short value="Comentario" />
      <definition value="Plain text representation of the concept. A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user." />
    </element>
    <element id="DiagnosticReport.conclusionCode:CriteriosSospecha">
      <path value="DiagnosticReport.conclusionCode" />
      <sliceName value="CriteriosSospecha" />
      <short value="Criterios de sospecha (criterio de diagnóstico clínico, criterio de prueba genética, criterio de prueba bioquímica, criterio de prueba hematológica, criterio de prueba histológica, criterio de prueba inmunológica, criterio de prueba de imagen)" />
      <definition value="Codes for the clinical conclusion of test results. One or more codes that represent the summary conclusion (interpretation/impression) of the diagnostic report." />
      <binding>
        <strength value="required" />
        <description value="Value set de Criterios de sospecha del diagnostico" />
        <valueSet value="https://unicas-fhir.sanidad.gob.es/ValueSet/CriteriosSospechaDiagnosticos" />
      </binding>
    </element>
    <element id="DiagnosticReport.conclusionCode:CriteriosSospecha.coding">
      <path value="DiagnosticReport.conclusionCode.coding" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="$this" />
        </discriminator>
        <rules value="open" />
      </slicing>
    </element>
    <element id="DiagnosticReport.conclusionCode:CriteriosSospecha.coding:CriteriosSospecha-code">
      <path value="DiagnosticReport.conclusionCode.coding" />
      <sliceName value="CriteriosSospecha-code" />
      <short value="Concepto de &quot;criterio de diagnóstico clínico&quot; | &quot;criterio de prueba genética&quot; | &quot;criterio de prueba bioquímica&quot; | &quot;criterio de prueba hematológica&quot; | &quot;criterio de prueba histológica&quot; | &quot;criterio de prueba inmunológica&quot; | &quot;criterio de prueba de imagen&quot;" />
      <definition value="Code defined by a terminology system. A reference to a code defined by a terminology system." />
      <fixedCoding>
        <system value="http://snomed.info/sct/900000001000122104" />
      </fixedCoding>
    </element>
    <element id="DiagnosticReport.conclusionCode:CriteriosSospecha.coding:CriteriosSospecha-code.system">
      <path value="DiagnosticReport.conclusionCode.coding.system" />
      <short value="URL del SNOMED CT. Extensión para España del SNS" />
      <definition value="Posible URL de terminología utilizada para indicar el concepto &quot;criterio de diagnóstico clínico&quot; | &quot;criterio de prueba genética&quot; | &quot;criterio de prueba bioquímica&quot; | &quot;criterio de prueba hematológica&quot; | &quot;criterio de prueba histológica&quot; | &quot;criterio de prueba inmunológica&quot; | &quot;criterio de prueba de imagen&quot; y su descripción correspondiente:&#xD;&#xA;&#xD;&#xA;- SNOMED CT. Extensión para España del SNS: http://snomed.info/sct/900000001000122104" />
    </element>
    <element id="DiagnosticReport.conclusionCode:CriteriosSospecha.coding:CriteriosSospecha-code.code">
      <path value="DiagnosticReport.conclusionCode.coding.code" />
      <short value="Código del concepto: 2095231000122103 | 2095241000122106 | 2095251000122108 | 2095271000122100 | 2095261000122105 | 2095281000122102" />
    </element>
    <element id="DiagnosticReport.conclusionCode:CriteriosSospecha.coding:CriteriosSospecha-code.display">
      <path value="DiagnosticReport.conclusionCode.coding.display" />
      <short value="Descripción del concepto: criterio de diagnóstico clínico | criterio de prueba genética | criterio de prueba bioquímica | criterio de prueba hematológica | criterio de prueba inmunológica | criterio de prueba de imagen" />
      <definition value="Representation defined by the system. A representation of the meaning of the code in the system, following the rules of the system." />
    </element>
    <element id="DiagnosticReport.conclusionCode:CriteriosSospecha.coding:CriteriosSospecha-valor">
      <path value="DiagnosticReport.conclusionCode.coding" />
      <sliceName value="CriteriosSospecha-valor" />
      <short value="Valor del criterio (verdadero | falso)" />
      <definition value="Code defined by a terminology system. A reference to a code defined by a terminology system." />
      <fixedCoding>
        <system value="http://snomed.info/sct/900000001000122104" />
      </fixedCoding>
    </element>
    <element id="DiagnosticReport.conclusionCode:CriteriosSospecha.coding:CriteriosSospecha-valor.system">
      <path value="DiagnosticReport.conclusionCode.coding.system" />
      <short value="URL del SNOMED CT. Extensión para España del SNS" />
      <definition value="Posible URL de terminología utilizada para indicar el valor del criterio y su descripción correspondiente:&#xD;&#xA;&#xD;&#xA;- SNOMED CT. Extensión para España del SNS: http://snomed.info/sct/900000001000122104" />
    </element>
    <element id="DiagnosticReport.conclusionCode:CriteriosSospecha.coding:CriteriosSospecha-valor.code">
      <path value="DiagnosticReport.conclusionCode.coding.code" />
      <short value="Código del criterio: 31874001 | 64100000" />
    </element>
    <element id="DiagnosticReport.conclusionCode:CriteriosSospecha.coding:CriteriosSospecha-valor.display">
      <path value="DiagnosticReport.conclusionCode.coding.display" />
      <short value="Descripción del criterio: verdadero | falso" />
      <definition value="Representation defined by the system. A representation of the meaning of the code in the system, following the rules of the system." />
    </element>
    <element id="DiagnosticReport.conclusionCode:CriteriosSospecha.text">
      <path value="DiagnosticReport.conclusionCode.text" />
      <short value="Comentario" />
      <definition value="Plain text representation of the concept. A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user." />
    </element>
  </differential>
</StructureDefinition>