{
  "description": "Defines the general pathology report structure for German hospitals with the defined terms by the Medical Informatics Initiative",
  "_filename": "StructureDefinition-sd-mii-patho-report.json",
  "package_name": "de.medizininformatikinitiative.kerndatensatz.patho",
  "date": "2022-07-18",
  "derivation": "constraint",
  "publisher": null,
  "fhirVersion": "4.0.1",
  "name": "SD_MII_Patho_Report",
  "mapping": [ {
    "uri": "http://hl7.org/fhir/workflow",
    "name": "Workflow Pattern",
    "identity": "workflow"
  }, {
    "uri": "http://hl7.org/v2",
    "name": "HL7 v2 Mapping",
    "identity": "v2"
  }, {
    "uri": "http://hl7.org/v3",
    "name": "RIM Mapping",
    "identity": "rim"
  }, {
    "uri": "http://hl7.org/fhir/fivews",
    "name": "FiveWs Pattern Mapping",
    "identity": "w5"
  } ],
  "abstract": false,
  "type": "DiagnosticReport",
  "experimental": "false",
  "resourceType": "StructureDefinition",
  "title": "SD MII Patho Report",
  "package_version": "0.9.0",
  "extension": [ {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
    "valueString": "Clinical.Diagnostics"
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
    "valueCode": "patient"
  } ],
  "status": "draft",
  "id": "02980b96-97fb-41a4-8085-9f8d998749f3",
  "kind": "resource",
  "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/sd-mii-patho-report",
  "version": "1.0.0-ballot1",
  "differential": {
    "element": [ {
      "id": "DiagnosticReport.id",
      "path": "DiagnosticReport.id",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.meta",
      "path": "DiagnosticReport.meta",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.meta.versionId",
      "path": "DiagnosticReport.meta.versionId",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.meta.lastUpdated",
      "path": "DiagnosticReport.meta.lastUpdated",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.meta.source",
      "path": "DiagnosticReport.meta.source",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.meta.profile",
      "path": "DiagnosticReport.meta.profile",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.text",
      "path": "DiagnosticReport.text",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.identifier",
      "min": 1,
      "path": "DiagnosticReport.identifier",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this.type.coding",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.identifier:Set-ID",
      "max": "1",
      "min": 1,
      "path": "DiagnosticReport.identifier",
      "sliceName": "Set-ID",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.identifier:Set-ID.extension:original-text",
      "max": "1",
      "min": 0,
      "path": "DiagnosticReport.identifier.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/originalText" ]
      } ],
      "sliceName": "original-text",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.identifier:Set-ID.type",
      "min": 1,
      "path": "DiagnosticReport.identifier.type",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.identifier:Set-ID.type.coding",
      "path": "DiagnosticReport.identifier.type.coding",
      "patternCoding": {
        "code": "ACSN",
        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
        "display": "Accession ID"
      }
    }, {
      "id": "DiagnosticReport.identifier:Set-ID.system",
      "min": 1,
      "path": "DiagnosticReport.identifier.system",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.identifier:Set-ID.value",
      "min": 1,
      "path": "DiagnosticReport.identifier.value",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.basedOn",
      "min": 1,
      "path": "DiagnosticReport.basedOn",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/sd-mii-patho-service-request" ]
      } ],
      "short": "Reference to respective SD_MII_Patho_Service_Request",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.status",
      "path": "DiagnosticReport.status",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.category",
      "path": "DiagnosticReport.category",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.code",
      "path": "DiagnosticReport.code",
      "short": "Pathology report code",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.code.coding",
      "min": 1,
      "path": "DiagnosticReport.code.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      }
    }, {
      "id": "DiagnosticReport.code.coding:pathology-report",
      "max": "1",
      "min": 1,
      "path": "DiagnosticReport.code.coding",
      "sliceName": "pathology-report",
      "mustSupport": true,
      "patternCoding": {
        "code": "60568-3",
        "system": "http://loinc.org",
        "display": "Pathology Synoptic report"
      }
    }, {
      "id": "DiagnosticReport.code.coding:pathology-report.system",
      "min": 1,
      "path": "DiagnosticReport.code.coding.system",
      "fixedUri": "http://loinc.org",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.code.coding:pathology-report.code",
      "min": 1,
      "path": "DiagnosticReport.code.coding.code",
      "fixedCode": "60568-3",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.code.coding:pathology-report.display",
      "path": "DiagnosticReport.code.coding.display",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.subject",
      "min": 1,
      "path": "DiagnosticReport.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ]
      } ],
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.encounter",
      "path": "DiagnosticReport.encounter",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.effective[x]",
      "path": "DiagnosticReport.effective[x]",
      "type": [ {
        "code": "dateTime"
      } ],
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.issued",
      "path": "DiagnosticReport.issued",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.performer",
      "min": 1,
      "path": "DiagnosticReport.performer",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.specimen",
      "min": 1,
      "path": "DiagnosticReport.specimen",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.result",
      "min": 1,
      "path": "DiagnosticReport.result",
      "slicing": {
        "rules": "closed",
        "ordered": true,
        "discriminator": [ {
          "path": "resolve().code",
          "type": "value"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.result:intraoperative-grouper",
      "max": "*",
      "min": 0,
      "path": "DiagnosticReport.result",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/sd-mii-patho-intraoperative-grouper" ]
      } ],
      "short": "Reference to intraoperative Observations",
      "sliceName": "intraoperative-grouper",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.result:intraoperative-grouper.reference",
      "min": 1,
      "path": "DiagnosticReport.result.reference",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.result:macroscopic-grouper",
      "max": "*",
      "min": 0,
      "path": "DiagnosticReport.result",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/sd-mii-patho-macroscopic-grouper" ]
      } ],
      "short": "Reference to macroscopic Observations",
      "sliceName": "macroscopic-grouper",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.result:macroscopic-grouper.reference",
      "min": 1,
      "path": "DiagnosticReport.result.reference",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.result:microscopic-grouper",
      "max": "*",
      "min": 0,
      "path": "DiagnosticReport.result",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/sd-mii-patho-microscopic-grouper" ]
      } ],
      "short": "Reference to microscopic Observations",
      "sliceName": "microscopic-grouper",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.result:microscopic-grouper.reference",
      "min": 1,
      "path": "DiagnosticReport.result.reference",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.result:additional-observations",
      "max": "*",
      "min": 0,
      "path": "DiagnosticReport.result",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/sd-mii-patho-additional-specified-grouper" ]
      } ],
      "short": "Reference to any additional Observation",
      "sliceName": "additional-observations",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.result:additional-observations.reference",
      "min": 1,
      "path": "DiagnosticReport.result.reference",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.result:diagnostic-conclusion",
      "max": "*",
      "min": 1,
      "path": "DiagnosticReport.result",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/sd-mii-patho-diagnostic-conclusion-grouper" ]
      } ],
      "short": "Reference to the 'Diagnostic Conclusion' grouper(s)",
      "sliceName": "diagnostic-conclusion",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.result:diagnostic-conclusion.reference",
      "min": 1,
      "path": "DiagnosticReport.result.reference",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.imagingStudy",
      "path": "DiagnosticReport.imagingStudy",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.media",
      "path": "DiagnosticReport.media",
      "short": "Reference to single attached images",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.media.comment",
      "path": "DiagnosticReport.media.comment",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.media.link",
      "path": "DiagnosticReport.media.link",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/sd-mii-patho-attached-image" ]
      } ],
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.conclusion",
      "path": "DiagnosticReport.conclusion",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.conclusionCode",
      "path": "DiagnosticReport.conclusionCode",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.presentedForm",
      "path": "DiagnosticReport.presentedForm",
      "mustSupport": true
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport"
}