{
"description": "A LaboratoryTestResult as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 4.1, release 2017.",
"_filename": "zib-LaboratoryTestResult-DiagnosticReport.json",
"package_name": "nictiz.fhir.nl.stu3.zib2017",
"date": null,
"derivation": "constraint",
"publisher": "Nictiz",
"fhirVersion": "3.0.1",
"name": "Zib LaboratoryTestResult DiagnosticReport",
"mapping": [ {
"uri": "https://zibs.nl/wiki/LaboratoryTestResultForTransfer-v1.2.2(2015EN)",
"name": "HCIM LaboratoryTestResultForTransfer-v1.2.2(2015EN)",
"identity": "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN"
}, {
"uri": "https://zibs.nl/wiki/LaboratoryTestResultForTransfer-v3.0(2016EN)",
"name": "HCIM LaboratoryTestResultForTransfer-v3.0(2016EN)",
"identity": "hcim-laboratorytestresultfortransfer-v3.0-2016EN"
}, {
"uri": "https://zibs.nl/wiki/LaboratoryTestResult-v4.1(2017EN)",
"name": "HCIM LaboratoryTestResult-v4.1(2017EN)",
"identity": "hcim-laboratorytestresult-v4.1-2017EN"
}, {
"uri": "https://zibs.nl/wiki/HealthProfessional-v1.2.1(2015EN)",
"name": "HCIM HealthProfessional-v1.2.1(2015EN)",
"identity": "hcim-healthprofessional-v1.2.1-2015EN"
}, {
"uri": "https://zibs.nl/wiki/HealthProfessional-v3.0(2016EN)",
"name": "HCIM HealthProfessional-v3.0(2016EN)",
"identity": "hcim-healthprofessional-v3.0-2016EN"
}, {
"uri": "https://zibs.nl/wiki/HealthProfessional-v3.2(2017EN)",
"name": "HCIM HealthProfessional-v3.2(2017EN)",
"identity": "hcim-healthprofessional-v3.2-2017EN"
}, {
"uri": "https://zibs.nl/wiki/BasicElements-v1.0(2017EN)",
"name": "HCIM BasicElements-v1.0(2017EN)",
"identity": "hcim-basicelements-v1.0-2017EN"
} ],
"abstract": false,
"copyright": "CC0",
"type": "DiagnosticReport",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "HCIM LaboratoryTestResult DiagnosticReport",
"package_version": "1.3.0",
"status": "active",
"id": "2ef9f76b-753f-4dc0-8dd2-1a0f419096c8",
"kind": "resource",
"url": "http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-DiagnosticReport",
"version": "2.1.1",
"differential": {
"element": [ {
"id": "DiagnosticReport",
"path": "DiagnosticReport",
"alias": [ "LaboratoriumUitslag" ],
"short": "LaboratoryTestResult",
"mapping": [ {
"map": "NL-CM:13.1.1",
"comment": "LaboratoryTestResult",
"identity": "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN"
}, {
"map": "NL-CM:13.1.1",
"comment": "LaboratoryTestResult",
"identity": "hcim-laboratorytestresultfortransfer-v3.0-2016EN"
}, {
"map": "NL-CM:13.1.1",
"comment": "LaboratoryTestResult",
"identity": "hcim-laboratorytestresult-v4.1-2017EN"
} ],
"definition": "The findings and interpretation of diagnostic tests performed on patients, groups of patients, devices, and locations, and/or specimens derived from these. The report includes clinical context such as requesting and provider information, and some mix of atomic results, images, textual and coded interpretations, and formatted representation of diagnostic reports. \r\nThe HCIM LaboratoryResult also supports simple and more complex situations. For a simple result there will be a single LaboratoryTestResult.LaboratoryTest.TestName in Observation.code and no LaboratoryTestresult.Test. For a more complex situation there will be a LaboratoryTestResult.Test and any number of related LaboratoryTestResult.LaboratoryTest, e.g. parts of a panel or battery. Each related LaboratoryTest shall be conveyed in Observation.related or Observation.component. The deciding factor in choosing between related or component is: does the observation have use as independent observation (Observation.related) or is the observation only relevant in the context of its parent (Observation.component).\r\nNote that (textual) reports on individual (panels of) observations, like conclusions, go into a different resource DiagnosticReport. The DiagnosticReport then contains the references to the Observation resources it concerns."
}, {
"id": "DiagnosticReport.identifier",
"path": "DiagnosticReport.identifier",
"alias": [ "Identificatie" ],
"short": "Identifier",
"mapping": [ {
"map": "NL-CM:0.0.6",
"comment": "IdentificationNumber",
"identity": "hcim-basicelements-v1.0-2017EN"
} ]
}, {
"id": "DiagnosticReport.basedOn",
"path": "DiagnosticReport.basedOn",
"alias": [ "Aanvrager" ],
"short": "Fulfills plan, proposal or order including requester information.",
"comment": "Requester information should be captured and exchanged in the resource ProcedureRequest referenced by basedOn. Requester is the healthcare provider and/or organization where or by whom the LaboratoryTestResult was requested. There are a few required elements in ProcedureRequest\r\n - ProcedureRequest.status (use fixed value \"active\", unless you know what the actual value is)\r\n - ProcedureRequest.intent (use fixed value \"order\", unless you know what the actual value is)\r\n - ProcedureRequest.code (use extension http://hl7.org/fhir/STU3/extension-iso21090-nullflavor.html met valueCode UNK, unless you know what the actual value is)\r\n - ProcedureRequest.subject (equal to DiagnosticReport.subject)\r\n - ProcedureRequest.requester.agent (contains the requesting HealthProfessional)",
"mapping": [ {
"map": "NL-CM:13.1.34",
"comment": "Contains Requester::HealthProfessional",
"identity": "hcim-laboratorytestresult-v4.1-2017EN"
} ]
}, {
"id": "DiagnosticReport.status",
"path": "DiagnosticReport.status",
"alias": [ "ResultaatStatus" ],
"short": "ResultStatus",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint",
"valueString": "default: final"
} ]
}, {
"id": "DiagnosticReport.status.extension",
"path": "DiagnosticReport.status.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"path": "DiagnosticReport.status.extension",
"definition": "Defines a more specific value to a code. Especially useful for FHIRs required ValueSets.",
"short": "Provides the specific HCIM code for ResultStatus",
"mapping": [ {
"map": "NL-CM:13.1.6",
"comment": "ResultStatus",
"identity": "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN"
}, {
"map": "NL-CM:13.1.6",
"comment": "ResultStatus",
"identity": "hcim-laboratorytestresultfortransfer-v3.0-2016EN"
}, {
"map": "NL-CM:13.1.6",
"comment": "ResultStatus",
"identity": "hcim-laboratorytestresult-v4.1-2017EN"
} ],
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/code-specification"
} ],
"sliceName": "ResultStatus",
"binding": {
"strength": "extensible",
"valueSetReference": {
"display": "ResultaatStatusCodelijst",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.8--20171231000000"
}
},
"alias": [ "ResultaatStatus" ],
"max": "1",
"id": "DiagnosticReport.status.extension:ResultStatus"
}, {
"id": "DiagnosticReport.category",
"min": 1,
"path": "DiagnosticReport.category"
}, {
"id": "DiagnosticReport.category.coding",
"min": 2,
"path": "DiagnosticReport.category.coding",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "code",
"type": "value"
} ]
}
}, {
"id": "DiagnosticReport.category.coding:laboratoryTestResultCode",
"max": "1",
"min": 1,
"path": "DiagnosticReport.category.coding",
"short": "LaboratoryTestResultCode",
"sliceName": "laboratoryTestResultCode",
"definition": "Category code used for indexing/retrieval of the ZIB LaboratoryTestResult. The system and code and display values are fixed."
}, {
"id": "DiagnosticReport.category.coding:laboratoryTestResultCode.system",
"path": "DiagnosticReport.category.coding.system",
"fixedUri": "http://snomed.info/sct"
}, {
"id": "DiagnosticReport.category.coding:laboratoryTestResultCode.code",
"path": "DiagnosticReport.category.coding.code",
"fixedCode": "4241000179101"
}, {
"id": "DiagnosticReport.category.coding:laboratoryTestResultCode.display",
"path": "DiagnosticReport.category.coding.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"defaultValueString": "Laboratory report (record artifact)"
}, {
"path": "DiagnosticReport.category.coding",
"min": 1,
"definition": "The type of result defines the laboratory specialty under which the test is categorized.",
"short": "ResultType",
"mapping": [ {
"map": "NL-CM:13.1.7",
"comment": "ResultType",
"identity": "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN"
}, {
"map": "NL-CM:13.1.7",
"comment": "ResultType",
"identity": "hcim-laboratorytestresultfortransfer-v3.0-2016EN"
}, {
"map": "NL-CM:13.1.7",
"comment": "ResultType",
"identity": "hcim-laboratorytestresult-v4.1-2017EN"
} ],
"sliceName": "resultType",
"binding": {
"strength": "extensible",
"description": "ResultaatTypeCodelijst",
"valueSetReference": {
"display": "ResultaatTypeCodelijst",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.1--20171231000000"
}
},
"alias": [ "ResultaatType" ],
"max": "1",
"id": "DiagnosticReport.category.coding:resultType"
}, {
"id": "DiagnosticReport.code",
"path": "DiagnosticReport.code",
"alias": [ "Onderzoek" ],
"short": "PanelOrBattery",
"binding": {
"strength": "extensible",
"description": "PanelOrBatteryCodelist",
"valueSetReference": {
"display": "OnderzoekCodelijst",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.5--20171231000000"
}
},
"mapping": [ {
"map": "NL-CM:13.1.4",
"comment": "Test",
"identity": "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN"
}, {
"map": "NL-CM:13.1.4",
"comment": "Test",
"identity": "hcim-laboratorytestresultfortransfer-v3.0-2016EN"
}, {
"map": "NL-CM:13.1.4",
"comment": "PanelOrBattery",
"identity": "hcim-laboratorytestresult-v4.1-2017EN"
} ],
"definition": "For laboratory tests comprising multiple subtests and often requested together as a whole, this concept contains the name of the compound request (often indicated as a ‘panel’, ‘battery’ or ‘cluster’). Examples include: blood gases and EBV serology."
}, {
"id": "DiagnosticReport.subject",
"path": "DiagnosticReport.subject",
"type": [ {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient"
} ],
"mapping": [ {
"map": "NL-CM:0.0.11",
"comment": "Subject",
"identity": "hcim-basicelements-v1.0-2017EN"
} ]
}, {
"id": "DiagnosticReport.context",
"path": "DiagnosticReport.context",
"type": [ {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-episodeofcare"
}, {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-Encounter"
}, {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/gp-Encounter"
} ]
}, {
"id": "DiagnosticReport.effective[x]",
"path": "DiagnosticReport.effective[x]",
"mapping": [ {
"map": "NL-CM:0.0.14",
"comment": "DateTime",
"identity": "hcim-basicelements-v1.0-2017EN"
} ]
}, {
"id": "DiagnosticReport.performer",
"path": "DiagnosticReport.performer",
"mapping": [ {
"map": "NL-CM:0.0.7",
"comment": "Author",
"identity": "hcim-basicelements-v1.0-2017EN"
} ]
}, {
"id": "DiagnosticReport.performer.role.coding",
"path": "DiagnosticReport.performer.role.coding",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "system",
"type": "value"
} ]
}
}, {
"id": "DiagnosticReport.performer.role.coding:healthProfessionalRole",
"path": "DiagnosticReport.performer.role.coding",
"alias": [ "ZorgverlenerRol" ],
"short": "HealthProfessionalRole",
"binding": {
"strength": "extensible",
"valueSetReference": {
"display": "ZorgverlenerRolCodelijst",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.1.5--20171231000000"
}
},
"mapping": [ {
"map": "NL-CM:17.1.5",
"comment": "HealthcareProviderRole",
"identity": "hcim-healthprofessional-v1.2.1-2015EN"
}, {
"map": "NL-CM:17.1.5",
"comment": "HealthcareProviderRole",
"identity": "hcim-healthprofessional-v3.0-2016EN"
}, {
"map": "NL-CM:17.1.5",
"comment": "HealthProfessionalRole",
"identity": "hcim-healthprofessional-v3.2-2017EN"
} ],
"sliceName": "healthProfessionalRole",
"definition": "The role the healthcare provider fulfils in the healthcare process. For healthcare providers, this could be for example main practitioner, referrer or general practitioner."
}, {
"id": "DiagnosticReport.performer.actor",
"path": "DiagnosticReport.performer.actor",
"type": [ {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-organization"
}, {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner"
} ]
}, {
"id": "DiagnosticReport.performer.actor.extension",
"path": "DiagnosticReport.performer.actor.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "DiagnosticReport.performer.actor.extension:practitionerRole",
"max": "1",
"path": "DiagnosticReport.performer.actor.extension",
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference"
} ],
"sliceName": "practitionerRole"
}, {
"id": "DiagnosticReport.specimen",
"path": "DiagnosticReport.specimen",
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Specimen"
}, {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Isolate"
} ],
"alias": [ "Monster" ],
"short": "Specimen",
"mapping": [ {
"map": "NL-CM:13.1.2",
"comment": "Specimen",
"identity": "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN"
}, {
"map": "NL-CM:13.1.2",
"comment": "Specimen",
"identity": "hcim-laboratorytestresultfortransfer-v3.0-2016EN"
}, {
"map": "NL-CM:13.1.2",
"comment": "Specimen",
"identity": "hcim-laboratorytestresult-v4.1-2017EN"
} ]
}, {
"id": "DiagnosticReport.result",
"path": "DiagnosticReport.result",
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Observation"
} ],
"mapping": [ {
"map": "NL-CM:13.1.3",
"comment": "LaboratoryTest",
"identity": "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN"
}, {
"map": "NL-CM:13.1.3",
"comment": "LaboratoryTest",
"identity": "hcim-laboratorytestresultfortransfer-v3.0-2016EN"
}, {
"map": "NL-CM:13.1.3",
"comment": "LaboratoryTest",
"identity": "hcim-laboratorytestresult-v4.1-2017EN"
} ]
}, {
"id": "DiagnosticReport.conclusion",
"path": "DiagnosticReport.conclusion",
"alias": [ "UitslagInterpretatie en/of Toelichting" ],
"short": "ResultInterpretation and/or Comment",
"mapping": [ {
"map": "NL-CM:13.1.5",
"comment": "Explanation",
"identity": "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN"
}, {
"map": "NL-CM:13.1.5",
"comment": "Explanation",
"identity": "hcim-laboratorytestresultfortransfer-v3.0-2016EN"
}, {
"map": "NL-CM:13.1.5",
"comment": "Comment",
"identity": "hcim-laboratorytestresult-v4.1-2017EN"
}, {
"map": "NL-CM:13.1.32",
"comment": "ResultInterpretation",
"identity": "hcim-laboratorytestresult-v4.1-2017EN"
} ],
"definition": "Concise and clinically contextualized impression / summary of the diagnostic report.\r\nComments, such as a textual interpretation or advice accompanying the result, for example."
} ]
},
"contact": [ {
"name": "Nictiz",
"telecom": [ {
"use": "work",
"value": "info@nictiz.nl",
"system": "email"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport"
}