{
  "description": "This profile represents a report for diagnostic test and procedure for the needs of the national Cyprus EHR system.",
  "_filename": "CYEHRSDDiagnosticReport.StructureDefinition.json",
  "package_name": "ehealth4u.package",
  "date": null,
  "derivation": "constraint",
  "publisher": "eHealth4U",
  "fhirVersion": "4.0.1",
  "name": "CYEHRSDDiagnosticReport",
  "abstract": false,
  "type": "DiagnosticReport",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "Cyprus Diagnostic Report profile",
  "package_version": "1.0.0",
  "extension": [ {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger": 2,
    "_valueInteger": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical": "http://hl7.org/fhir/uv/ips/ImplementationGuide/ig-uv-ips"
      } ]
    }
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode": "trial-use",
    "_valueCode": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical": "http://hl7.org/fhir/uv/ips/ImplementationGuide/ig-uv-ips"
      } ]
    }
  } ],
  "status": "draft",
  "id": "4657fc1b-0acd-4b1a-b638-17c2b7e108d9",
  "kind": "resource",
  "url": "http://ig.ehealth4u.eu/fhir/StructureDefinition/cyehr-sd-diagnosticreport-r4",
  "version": null,
  "differential": {
    "element": [ {
      "id": "DiagnosticReport.basedOn",
      "path": "DiagnosticReport.basedOn",
      "comment": "Note: Usually there is one test request for each result, however in some circumstances multiple test requests may be represented using a single test result resource. Note that there are also cases where one request leads to multiple reports.\r\n\r\nCyprusEHR: Not to be used in the context of Cyprus EHR."
    }, {
      "id": "DiagnosticReport.status",
      "path": "DiagnosticReport.status",
      "fixedCode": "final"
    }, {
      "id": "DiagnosticReport.category",
      "max": "1",
      "min": 1,
      "path": "DiagnosticReport.category",
      "type": [ {
        "code": "CodeableConcept",
        "profile": [ "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips" ]
      } ],
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.category.coding.system",
      "min": 1,
      "path": "DiagnosticReport.category.coding.system"
    }, {
      "id": "DiagnosticReport.category.coding.code",
      "min": 1,
      "path": "DiagnosticReport.category.coding.code"
    }, {
      "id": "DiagnosticReport.category.coding.display",
      "min": 1,
      "path": "DiagnosticReport.category.coding.display"
    }, {
      "id": "DiagnosticReport.code",
      "path": "DiagnosticReport.code",
      "type": [ {
        "code": "CodeableConcept",
        "profile": [ "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips" ]
      } ],
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.code.coding",
      "path": "DiagnosticReport.code.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      }
    }, {
      "id": "DiagnosticReport.code.coding.system",
      "min": 1,
      "path": "DiagnosticReport.code.coding.system"
    }, {
      "id": "DiagnosticReport.code.coding.code",
      "min": 1,
      "path": "DiagnosticReport.code.coding.code"
    }, {
      "id": "DiagnosticReport.code.coding.display",
      "min": 1,
      "path": "DiagnosticReport.code.coding.display"
    }, {
      "id": "DiagnosticReport.code.coding:codeXeHealthLaboratory",
      "max": "1",
      "min": 1,
      "path": "DiagnosticReport.code.coding",
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.eu/fhir/ig/xeh/ValueSet/lab-studyType-xeh"
      },
      "sliceName": "codeXeHealthLaboratory"
    }, {
      "id": "DiagnosticReport.subject",
      "min": 1,
      "path": "DiagnosticReport.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Group", "http://ig.ehealth4u.eu/fhir/StructureDefinition/cyehr-sd-patient" ]
      } ],
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.subject.reference",
      "min": 1,
      "path": "DiagnosticReport.subject.reference",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.encounter",
      "path": "DiagnosticReport.encounter",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.effective[x]",
      "min": 1,
      "path": "DiagnosticReport.effective[x]",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.effective[x].extension",
      "min": 0,
      "path": "DiagnosticReport.effective[x].extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "DiagnosticReport.effective[x].extension:data-absent-reason",
      "min": 0,
      "path": "DiagnosticReport.effective[x].extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/data-absent-reason" ]
      } ],
      "short": "effective[x] absence reason",
      "sliceName": "data-absent-reason",
      "definition": "Provides a reason why the effectiveTime is missing.",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.performer",
      "path": "DiagnosticReport.performer",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/Organization", "http://hl7.org/fhir/StructureDefinition/CareTeam", "http://ig.ehealth4u.eu/fhir/StructureDefinition/cyehr-sd-practitionerrolehealthcareassociate-r4" ]
      } ],
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.performer.reference",
      "min": 1,
      "path": "DiagnosticReport.performer.reference"
    }, {
      "id": "DiagnosticReport.resultsInterpreter",
      "path": "DiagnosticReport.resultsInterpreter",
      "comment": "Might not be the same entity that takes responsibility for the clinical report.\r\n\r\nCyprusEHR: Not to be used in the context of Cyprus EHR."
    }, {
      "id": "DiagnosticReport.specimen",
      "path": "DiagnosticReport.specimen",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Specimen", "http://ig.ehealth4u.eu/fhir/StructureDefinition/cyehr-sd-specimen-r4" ]
      } ],
      "mustSupport": false
    }, {
      "id": "DiagnosticReport.specimen.reference",
      "min": 1,
      "path": "DiagnosticReport.specimen.reference"
    }, {
      "id": "DiagnosticReport.result",
      "path": "DiagnosticReport.result",
      "short": "Observation results included in the diagnostic report.",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "resolve()",
          "type": "profile"
        } ]
      },
      "definition": "Observation results included in the diagnostic report.",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.result:observation-results",
      "path": "DiagnosticReport.result",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://ig.ehealth4u.eu/fhir/StructureDefinition/cyehr-sd-observationresults" ]
      } ],
      "sliceName": "observation-results",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.result:observation-results.reference",
      "min": 1,
      "path": "DiagnosticReport.result.reference"
    }, {
      "id": "DiagnosticReport.imagingStudy.reference",
      "min": 1,
      "path": "DiagnosticReport.imagingStudy.reference"
    }, {
      "id": "DiagnosticReport.media",
      "path": "DiagnosticReport.media",
      "comment": "CyprusEHR: Not to be used in the context of Cyprus EHR."
    }, {
      "id": "DiagnosticReport.conclusion",
      "path": "DiagnosticReport.conclusion",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.presentedForm",
      "path": "DiagnosticReport.presentedForm",
      "comment": "\"application/pdf\" is recommended as the most reliable and interoperable in this context.\r\n\r\nCyprusEHR: For Phase II all laboratory/imaging reports will be given as pdf files by using this field. For Phase III the results and conclusion elements shall be used instead."
    } ]
  },
  "contact": [ {
    "name": "eHealth Lab (University of Cyprus)",
    "telecom": [ {
      "use": "work",
      "value": "ehealthl@ucy.ac.cy",
      "system": "email"
    } ]
  } ],
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport"
}