{
"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": "3.0.2",
"purpose": "# Purpose of HCIM\r\n\r\nLaboratory tests are done for the purpose of diagnosing and preventing disease and follow-up on the effects of treatment.",
"name": "Zib LaboratoryTestResult DiagnosticReport",
"mapping": [ {
"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"
}, {
"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-v3.0(2016EN)",
"name": "HCIM HealthProfessional-v3.0(2016EN)",
"identity": "hcim-healthprofessional-v3.0-2016EN"
}, {
"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/LaboratoryTestResultForTransfer-v1.2.2(2015EN)",
"name": "HCIM LaboratoryTestResultForTransfer-v1.2.2(2015EN)",
"identity": "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN"
}, {
"uri": "https://zibs.nl/wiki/HealthProfessional-v1.2.1(2015EN)",
"name": "HCIM HealthProfessional-v1.2.1(2015EN)",
"identity": "hcim-healthprofessional-v1.2.1-2015EN"
} ],
"abstract": false,
"copyright": "CC0",
"type": "DiagnosticReport",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "HCIM LaboratoryTestResult DiagnosticReport",
"package_version": "2.3.1",
"snapshot": {
"element": [ {
"constraint": [ {
"key": "dom-2",
"human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
"xpath": "not(parent::f:contained and f:contained)",
"source": "DomainResource",
"severity": "error",
"expression": "contained.contained.empty()"
}, {
"key": "dom-1",
"human": "If the resource is contained in another resource, it SHALL NOT contain any narrative",
"xpath": "not(parent::f:contained and f:text)",
"source": "DomainResource",
"severity": "error",
"expression": "contained.text.empty()"
}, {
"key": "dom-4",
"human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
"source": "DomainResource",
"severity": "error",
"expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"
}, {
"key": "dom-3",
"human": "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource",
"xpath": "not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))",
"source": "DomainResource",
"severity": "error",
"expression": "contained.where(('#'+id in %resource.descendants().reference).not()).empty()"
} ],
"path": "DiagnosticReport",
"min": 0,
"definition": "A laboratory result describes the result of a laboratory analysis.\r\nThese are specimen-oriented tests as performed in laboratories such as Clinical Chemistry, Serology, Microbiology, etc.\r\nIn addition to the results of tests with a singular result, this concept can also contain the results of more complex tests with multiple results or a ‘panel’.",
"short": "LaboratoryTestResult",
"mapping": [ {
"map": "Entity. Role, or Act",
"identity": "rim"
}, {
"map": "Event",
"identity": "workflow"
}, {
"map": "ORU -> OBR",
"identity": "v2"
}, {
"map": "Observation[classCode=OBS, moodCode=EVN]",
"identity": "rim"
}, {
"map": "clinical.diagnostics",
"identity": "w5"
}, {
"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"
} ],
"alias": [ "Report", "Test", "Result", "Results", "Labs", "Laboratory", "LaboratoriumUitslag" ],
"max": "*",
"id": "DiagnosticReport",
"comment": "The HCIM LaboratoryTestResult supports simple and more complex situations. This profile is used for (textual) reports on individual (panels of) observations, like conclusions. The actual tests are captured using the profile [zib-LaboratoryTestResult-Observation](http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Observation), which should be referenced from this resource.",
"base": {
"max": "*",
"min": 0,
"path": "Resource"
}
}, {
"path": "DiagnosticReport.id",
"min": 0,
"definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"short": "Logical id of this artifact",
"type": [ {
"code": "id"
} ],
"max": "1",
"id": "DiagnosticReport.id",
"comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
"base": {
"max": "1",
"min": 0,
"path": "Resource.id"
},
"isSummary": true
}, {
"path": "DiagnosticReport.meta",
"min": 0,
"definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.",
"short": "Metadata about the resource",
"type": [ {
"code": "Meta"
} ],
"max": "1",
"id": "DiagnosticReport.meta",
"base": {
"max": "1",
"min": 0,
"path": "Resource.meta"
},
"isSummary": true
}, {
"path": "DiagnosticReport.implicitRules",
"min": 0,
"definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.",
"isModifier": true,
"short": "A set of rules under which this content was created",
"type": [ {
"code": "uri"
} ],
"max": "1",
"id": "DiagnosticReport.implicitRules",
"comment": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. \n\nThis element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.",
"base": {
"max": "1",
"min": 0,
"path": "Resource.implicitRules"
},
"isSummary": true
}, {
"path": "DiagnosticReport.language",
"min": 0,
"definition": "The base language in which the resource is written.",
"short": "Language of the resource content",
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "extensible",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueReference": {
"reference": "http://hl7.org/fhir/ValueSet/all-languages"
}
}, {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "Language"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean": true
} ],
"description": "A human language.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/languages"
}
},
"max": "1",
"id": "DiagnosticReport.language",
"comment": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
"base": {
"max": "1",
"min": 0,
"path": "Resource.language"
}
}, {
"path": "DiagnosticReport.text",
"min": 0,
"definition": "A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
"short": "Text summary of the resource, for human interpretation",
"mapping": [ {
"map": "Act.text?",
"identity": "rim"
} ],
"type": [ {
"code": "Narrative"
} ],
"alias": [ "narrative", "html", "xhtml", "display" ],
"max": "1",
"id": "DiagnosticReport.text",
"condition": [ "dom-1" ],
"comment": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded in formation is added later.",
"base": {
"max": "1",
"min": 0,
"path": "DomainResource.text"
}
}, {
"path": "DiagnosticReport.contained",
"min": 0,
"definition": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
"short": "Contained, inline Resources",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Resource"
} ],
"alias": [ "inline resources", "anonymous resources", "contained resources" ],
"max": "*",
"id": "DiagnosticReport.contained",
"comment": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.",
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.contained"
}
}, {
"path": "DiagnosticReport.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "DiagnosticReport.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.extension"
}
}, {
"path": "DiagnosticReport.modifierExtension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "DiagnosticReport.modifierExtension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.modifierExtension"
}
}, {
"path": "DiagnosticReport.identifier",
"requirements": "Need to know what identifier to use when making queries about this report from the source laboratory, and for linking to the report outside FHIR context.",
"min": 0,
"definition": "Identifiers assigned to this report by the performer or other systems.",
"short": "Identifier",
"mapping": [ {
"map": "Event.identifier",
"identity": "workflow"
}, {
"map": "OBR-51",
"identity": "v2"
}, {
"map": "id",
"identity": "rim"
}, {
"map": "id",
"identity": "w5"
}, {
"map": "NL-CM:0.0.6",
"comment": "IdentificationNumber",
"identity": "hcim-basicelements-v1.0-2017EN"
} ],
"type": [ {
"code": "Identifier"
} ],
"alias": [ "ReportID", "Filler ID", "Placer ID", "Identificatie" ],
"max": "*",
"id": "DiagnosticReport.identifier",
"comment": "Usually assigned by the Information System of the diagnostic service provider (filler id).",
"base": {
"max": "*",
"min": 0,
"path": "DiagnosticReport.identifier"
},
"isSummary": true
}, {
"path": "DiagnosticReport.basedOn",
"requirements": "This allows tracing of authorization for the report and tracking whether proposals/recommendations were acted upon.",
"min": 0,
"definition": "Details concerning a test or procedure requested.",
"short": "Fulfills plan, proposal or order including requester information.",
"mapping": [ {
"map": "Event.basedOn",
"identity": "workflow"
}, {
"map": "ORC? OBR-2/3?",
"identity": "v2"
}, {
"map": "outboundRelationship[typeCode=FLFS].target",
"identity": "rim"
}, {
"map": "NL-CM:13.1.34",
"comment": "Contains Requester::HealthProfessional",
"identity": "hcim-laboratorytestresult-v4.1-2017EN"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/CarePlan"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/MedicationRequest"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/NutritionOrder"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/ProcedureRequest"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/ReferralRequest"
} ],
"alias": [ "Request", "Aanvrager" ],
"max": "*",
"id": "DiagnosticReport.basedOn",
"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 with `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)",
"base": {
"max": "*",
"min": 0,
"path": "DiagnosticReport.basedOn"
}
}, {
"path": "DiagnosticReport.status",
"requirements": "Diagnostic services routinely issue provisional/incomplete reports, and sometimes withdraw previously released reports.",
"min": 1,
"definition": "The status of the diagnostic report as a whole.",
"isModifier": true,
"short": "ResultStatus",
"mapping": [ {
"map": "Event.status",
"identity": "workflow"
}, {
"map": "OBR-25 (not 1:1 mapping)",
"identity": "v2"
}, {
"map": "statusCode Note: final and amended are distinguished by whether observation is the subject of a ControlAct event of type \"revise\"",
"identity": "rim"
}, {
"map": "status",
"identity": "w5"
} ],
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "required",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "DiagnosticReportStatus"
} ],
"description": "The status of the diagnostic report as a whole.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/diagnostic-report-status"
}
},
"alias": [ "ResultaatStatus" ],
"max": "1",
"id": "DiagnosticReport.status",
"comment": "This is labeled as \"Is Modifier\" because applications need to take appropriate action if a report is withdrawn.",
"base": {
"max": "1",
"min": 1,
"path": "DiagnosticReport.status"
},
"isSummary": true
}, {
"path": "DiagnosticReport.status.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references)",
"short": "xml:id (or equivalent in JSON)",
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "DiagnosticReport.status.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"path": "DiagnosticReport.status.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "DiagnosticReport.status.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://nictiz.nl/fhir/StructureDefinition/code-specification",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "DiagnosticReport.status.extension",
"min": 0,
"definition": "Defines a more specific value for a code. Especially useful for FHIRs required ValueSets.",
"short": "Provides the specific HCIM code for ResultStatus",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/code-specification"
} ],
"sliceName": "ResultStatus",
"alias": [ "extensions", "user content", "Bevat de specifieke code conform de zib, bij een FHIR-element die een verplichte koppeling heeft met een bepaalde FHIR waardelijst of een FHIR element die niet gecodeerd is gedefinieerd, terwijl de zib dit wel doet.", "ResultaatStatus" ],
"max": "1",
"id": "DiagnosticReport.status.extension:ResultStatus",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "DiagnosticReport.status.extension.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "DiagnosticReport.status.extension:ResultStatus.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"path": "DiagnosticReport.status.extension.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "0",
"id": "DiagnosticReport.status.extension:ResultStatus.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "DiagnosticReport.status.extension.url",
"min": 1,
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"short": "identifies the meaning of the extension",
"fixedUri": "http://nictiz.nl/fhir/StructureDefinition/code-specification",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "uri"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "DiagnosticReport.status.extension:ResultStatus.url",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"base": {
"max": "1",
"min": 1,
"path": "Extension.url"
}
}, {
"path": "DiagnosticReport.status.extension.value[x]",
"min": 1,
"definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
"short": "Value of extension",
"mapping": [ {
"map": "N/A",
"identity": "rim"
}, {
"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": "CodeableConcept"
} ],
"sliceName": "valueCodeableConcept",
"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"
}
},
"max": "1",
"id": "DiagnosticReport.status.extension:ResultStatus.valueCodeableConcept:valueCodeableConcept",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
}
}, {
"path": "DiagnosticReport.status.value",
"min": 0,
"definition": "Primitive value for code",
"short": "Primitive value for code",
"type": [ {
"_code": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-json-type",
"valueString": "string"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-xml-type",
"valueString": "xsd:token"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-rdf-type",
"valueString": "xsd:token"
} ]
},
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-regex",
"valueString": "[^\\s]+([\\s]?[^\\s]+)*"
} ]
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "DiagnosticReport.status.value",
"base": {
"max": "1",
"min": 0,
"path": "string.value"
}
}, {
"path": "DiagnosticReport.category",
"min": 1,
"definition": "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.",
"short": "Service category",
"mapping": [ {
"map": "OBR-24",
"identity": "v2"
}, {
"map": "inboundRelationship[typeCode=COMP].source[classCode=LIST, moodCode=EVN, code < LabService].code",
"identity": "rim"
}, {
"map": "class",
"identity": "w5"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "example",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "DiagnosticServiceSection"
} ],
"description": "Codes for diagnostic service sections.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/diagnostic-service-sections"
}
},
"alias": [ "Department", "Sub-department", "Service", "Discipline" ],
"max": "1",
"id": "DiagnosticReport.category",
"comment": "The level of granularity is defined by the category concepts in the value set. More fine-grained filtering can be performed using the metadata and/or terminology hierarchy in DiagnosticReport.code.",
"base": {
"max": "1",
"min": 0,
"path": "DiagnosticReport.category"
},
"isSummary": true
}, {
"path": "DiagnosticReport.category.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "DiagnosticReport.category.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"path": "DiagnosticReport.category.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "DiagnosticReport.category.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "DiagnosticReport.category.coding",
"requirements": "Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.",
"min": 1,
"definition": "A reference to a code defined by a terminology system.",
"short": "Code defined by a terminology system",
"mapping": [ {
"map": "C*E.1-8, C*E.10-22",
"identity": "v2"
}, {
"map": "union(., ./translation)",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding",
"identity": "orim"
} ],
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "$this",
"type": "value"
} ]
},
"type": [ {
"code": "Coding"
} ],
"max": "*",
"id": "DiagnosticReport.category.coding",
"comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",
"base": {
"max": "*",
"min": 0,
"path": "CodeableConcept.coding"
},
"isSummary": true
}, {
"path": "DiagnosticReport.category.coding",
"requirements": "Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.",
"min": 1,
"definition": "Category SNOMED code used for indexing/retrieval of the HCIM LaboratoryTestResult. The system, code and display values are fixed.",
"short": "LaboratoryTestResultCode",
"mapping": [ {
"map": "C*E.1-8, C*E.10-22",
"identity": "v2"
}, {
"map": "union(., ./translation)",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding",
"identity": "orim"
} ],
"type": [ {
"code": "Coding"
} ],
"sliceName": "laboratoryTestResultCode",
"max": "1",
"id": "DiagnosticReport.category.coding:laboratoryTestResultCode",
"comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",
"patternCoding": {
"code": "4241000179101",
"system": "http://snomed.info/sct"
},
"base": {
"max": "*",
"min": 0,
"path": "CodeableConcept.coding"
},
"isSummary": true
}, {
"path": "DiagnosticReport.category.coding.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "DiagnosticReport.category.coding:laboratoryTestResultCode.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"path": "DiagnosticReport.category.coding.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "DiagnosticReport.category.coding:laboratoryTestResultCode.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "DiagnosticReport.category.coding.system",
"requirements": "Need to be unambiguous about the source of the definition of the symbol.",
"min": 0,
"definition": "The identification of the code system that defines the meaning of the symbol in the code.",
"short": "Identity of the terminology system",
"mapping": [ {
"map": "C*E.3",
"identity": "v2"
}, {
"map": "./codeSystem",
"identity": "rim"
}, {
"map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem",
"identity": "orim"
} ],
"type": [ {
"code": "uri"
} ],
"max": "1",
"id": "DiagnosticReport.category.coding:laboratoryTestResultCode.system",
"comment": "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.",
"base": {
"max": "1",
"min": 0,
"path": "Coding.system"
},
"isSummary": true
}, {
"path": "DiagnosticReport.category.coding.version",
"min": 0,
"definition": "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.",
"short": "Version of the system - if relevant",
"mapping": [ {
"map": "C*E.7",
"identity": "v2"
}, {
"map": "./codeSystemVersion",
"identity": "rim"
}, {
"map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion",
"identity": "orim"
} ],
"type": [ {
"code": "string"
} ],
"max": "1",
"id": "DiagnosticReport.category.coding:laboratoryTestResultCode.version",
"comment": "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.",
"base": {
"max": "1",
"min": 0,
"path": "Coding.version"
},
"isSummary": true
}, {
"path": "DiagnosticReport.category.coding.code",
"requirements": "Need to refer to a particular code in the system.",
"min": 0,
"definition": "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).",
"short": "Symbol in syntax defined by the system",
"mapping": [ {
"map": "C*E.1",
"identity": "v2"
}, {
"map": "./code",
"identity": "rim"
}, {
"map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code",
"identity": "orim"
} ],
"type": [ {
"code": "code"
} ],
"max": "1",
"id": "DiagnosticReport.category.coding:laboratoryTestResultCode.code",
"base": {
"max": "1",
"min": 0,
"path": "Coding.code"
},
"isSummary": true
}, {
"path": "DiagnosticReport.category.coding.display",
"requirements": "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.",
"min": 0,
"definition": "A representation of the meaning of the code in the system, following the rules of the system.",
"short": "Representation defined by the system",
"mapping": [ {
"map": "C*E.2 - but note this is not well followed",
"identity": "v2"
}, {
"map": "CV.displayName",
"identity": "rim"
}, {
"map": "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName",
"identity": "orim"
} ],
"type": [ {
"code": "string"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"max": "1",
"id": "DiagnosticReport.category.coding:laboratoryTestResultCode.display",
"defaultValueString": "Laboratory report (record artifact)",
"base": {
"max": "1",
"min": 0,
"path": "Coding.display"
},
"isSummary": true
}, {
"path": "DiagnosticReport.category.coding.userSelected",
"requirements": "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.",
"min": 0,
"definition": "Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).",
"short": "If this coding was chosen directly by the user",
"mapping": [ {
"map": "Sometimes implied by being first",
"identity": "v2"
}, {
"map": "CD.codingRationale",
"identity": "rim"
}, {
"map": "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]",
"identity": "orim"
} ],
"type": [ {
"code": "boolean"
} ],
"max": "1",
"id": "DiagnosticReport.category.coding:laboratoryTestResultCode.userSelected",
"comment": "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.",
"base": {
"max": "1",
"min": 0,
"path": "Coding.userSelected"
},
"isSummary": true
}, {
"path": "DiagnosticReport.category.coding",
"requirements": "Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.",
"min": 0,
"definition": "The type of result defines the laboratory specialty under which the test is categorized.",
"short": "ResultType",
"mapping": [ {
"map": "C*E.1-8, C*E.10-22",
"identity": "v2"
}, {
"map": "union(., ./translation)",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding",
"identity": "orim"
}, {
"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"
} ],
"type": [ {
"code": "Coding"
} ],
"sliceName": "resultType",
"binding": {
"strength": "required",
"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",
"comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",
"base": {
"max": "*",
"min": 0,
"path": "CodeableConcept.coding"
},
"isSummary": true
}, {
"path": "DiagnosticReport.category.text",
"requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.",
"min": 0,
"definition": "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.",
"short": "Plain text representation of the concept",
"mapping": [ {
"map": "C*E.9. But note many systems use C*E.2 for this",
"identity": "v2"
}, {
"map": "./originalText[mediaType/code=\"text/plain\"]/data",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText",
"identity": "orim"
} ],
"type": [ {
"code": "string"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"max": "1",
"id": "DiagnosticReport.category.text",
"comment": "Very often the text is the same as a displayName of one of the codings.",
"base": {
"max": "1",
"min": 0,
"path": "CodeableConcept.text"
},
"isSummary": true
}, {
"path": "DiagnosticReport.code",
"min": 1,
"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.",
"short": "PanelOrBattery",
"mapping": [ {
"map": "Event.code",
"identity": "workflow"
}, {
"map": "OBR-4 (HL7 v2 doesn't provide an easy way to indicate both the ordered test and the performed panel)",
"identity": "v2"
}, {
"map": "code",
"identity": "rim"
}, {
"map": "what",
"identity": "w5"
}, {
"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"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "extensible",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "DiagnosticReportCodes"
} ],
"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"
}
},
"alias": [ "Type", "Onderzoek" ],
"max": "1",
"id": "DiagnosticReport.code",
"base": {
"max": "1",
"min": 1,
"path": "DiagnosticReport.code"
},
"isSummary": true
}, {
"path": "DiagnosticReport.subject",
"requirements": "SHALL know the subject context.",
"min": 0,
"definition": "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.",
"short": "The subject of the report - usually, but not always, the patient",
"mapping": [ {
"map": "Event.subject",
"identity": "workflow"
}, {
"map": "PID-3 (no HL7 v2 mapping for Group or Device)",
"identity": "v2"
}, {
"map": "participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": "who.focus",
"identity": "w5"
}, {
"map": "NL-CM:0.0.11",
"comment": "Subject",
"identity": "hcim-basicelements-v1.0-2017EN"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient"
} ],
"alias": [ "Patient" ],
"max": "1",
"id": "DiagnosticReport.subject",
"base": {
"max": "1",
"min": 0,
"path": "DiagnosticReport.subject"
},
"isSummary": true
}, {
"path": "DiagnosticReport.context",
"requirements": "Links the request to the Encounter context.",
"min": 0,
"definition": "The healthcare event (e.g. a patient and healthcare provider interaction) which this DiagnosticReport per is about.",
"short": "Health care event when test ordered",
"mapping": [ {
"map": "Event.context",
"identity": "workflow"
}, {
"map": "PV1-19",
"identity": "v2"
}, {
"map": "inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]",
"identity": "rim"
}, {
"map": "context",
"identity": "w5"
} ],
"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"
} ],
"alias": [ "Encounter" ],
"max": "1",
"id": "DiagnosticReport.context",
"comment": "This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter or episode but still be tied to the context of the encounter or episode (e.g. pre-admission lab tests).",
"base": {
"max": "1",
"min": 0,
"path": "DiagnosticReport.context"
},
"isSummary": true
}, {
"path": "DiagnosticReport.effective[x]",
"requirements": "Need to know where in the patient history to file/present this report.",
"min": 0,
"definition": "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.",
"short": "Clinically relevant time/time-period for report",
"mapping": [ {
"map": "Event.occurrence[x]",
"identity": "workflow"
}, {
"map": "OBR-7",
"identity": "v2"
}, {
"map": "effectiveTime",
"identity": "rim"
}, {
"map": "when.done",
"identity": "w5"
}, {
"map": "NL-CM:0.0.14",
"comment": "DateTime",
"identity": "hcim-basicelements-v1.0-2017EN"
} ],
"type": [ {
"code": "dateTime"
}, {
"code": "Period"
} ],
"alias": [ "Observation time", "Effective Time", "Occurrence" ],
"max": "1",
"id": "DiagnosticReport.effective[x]",
"comment": "If the diagnostic procedure was performed on the patient, this is the time it was performed. If there are specimens, the diagnostically relevant time can be derived from the specimen collection times, but the specimen information is not always available, and the exact relationship between the specimens and the diagnostically relevant time is not always automatic.",
"base": {
"max": "1",
"min": 0,
"path": "DiagnosticReport.effective[x]"
},
"isSummary": true
}, {
"path": "DiagnosticReport.issued",
"requirements": "Clinicians need to be able to check the date that the report was released.",
"min": 0,
"definition": "The date and time that this version of the report was released from the source diagnostic service.",
"short": "DateTime this version was released",
"mapping": [ {
"map": "OBR-22",
"identity": "v2"
}, {
"map": "participation[typeCode=VRF or AUT].time",
"identity": "rim"
}, {
"map": "when.recorded",
"identity": "w5"
} ],
"type": [ {
"code": "instant"
} ],
"alias": [ "Date Created", "Date published", "Date Issued" ],
"max": "1",
"id": "DiagnosticReport.issued",
"comment": "May be different from the update time of the resource itself, because that is the status of the record (potentially a secondary copy), not the actual release time of the report.",
"base": {
"max": "1",
"min": 0,
"path": "DiagnosticReport.issued"
},
"isSummary": true
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "DiagnosticReport.performer",
"min": 0,
"definition": "Indicates who or what participated in producing the report.",
"short": "Participants in producing the report",
"mapping": [ {
"map": "Event.performer",
"identity": "workflow"
}, {
"map": "PRT-8 (where this PRT-4-Participation = \"PO\")",
"identity": "v2"
}, {
"map": ".participation[typeCode=PRF]",
"identity": "rim"
}, {
"map": "who.witness",
"identity": "w5"
}, {
"map": "NL-CM:0.0.7",
"comment": "Author",
"identity": "hcim-basicelements-v1.0-2017EN"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"alias": [ "Laboratory", "Service", "Practitioner", "Department", "Company" ],
"max": "*",
"id": "DiagnosticReport.performer",
"base": {
"max": "*",
"min": 0,
"path": "DiagnosticReport.performer"
},
"isSummary": true
}, {
"path": "DiagnosticReport.performer.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "DiagnosticReport.performer.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"path": "DiagnosticReport.performer.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "DiagnosticReport.performer.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "DiagnosticReport.performer.modifierExtension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "DiagnosticReport.performer.modifierExtension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isSummary": true
}, {
"path": "DiagnosticReport.performer.role",
"min": 0,
"definition": "Describes the type of participation (e.g. a responsible party, author, or verifier).",
"short": "Type of performer",
"mapping": [ {
"map": "Event.performer.role",
"identity": "workflow"
}, {
"map": "PRT-8 (where this PRT-4-Participation = \"PO\")",
"identity": "v2"
}, {
"map": ".functionCode",
"identity": "rim"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "example",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "Role"
} ],
"description": "Indicate a role of diagnostic report performer",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/performer-role"
}
},
"max": "1",
"id": "DiagnosticReport.performer.role",
"base": {
"max": "1",
"min": 0,
"path": "DiagnosticReport.performer.role"
},
"isSummary": true
}, {
"path": "DiagnosticReport.performer.role.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "DiagnosticReport.performer.role.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"path": "DiagnosticReport.performer.role.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "DiagnosticReport.performer.role.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "DiagnosticReport.performer.role.coding",
"requirements": "Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.",
"min": 0,
"definition": "A reference to a code defined by a terminology system.",
"short": "Code defined by a terminology system",
"mapping": [ {
"map": "C*E.1-8, C*E.10-22",
"identity": "v2"
}, {
"map": "union(., ./translation)",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding",
"identity": "orim"
} ],
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "$this",
"type": "value"
} ]
},
"type": [ {
"code": "Coding"
} ],
"max": "*",
"id": "DiagnosticReport.performer.role.coding",
"comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",
"base": {
"max": "*",
"min": 0,
"path": "CodeableConcept.coding"
},
"isSummary": true
}, {
"path": "DiagnosticReport.performer.role.coding",
"requirements": "Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.",
"min": 0,
"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.",
"short": "HealthProfessionalRole",
"mapping": [ {
"map": "C*E.1-8, C*E.10-22",
"identity": "v2"
}, {
"map": "union(., ./translation)",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding",
"identity": "orim"
}, {
"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"
} ],
"type": [ {
"code": "Coding"
} ],
"sliceName": "healthProfessionalRole",
"binding": {
"strength": "required",
"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"
}
},
"alias": [ "ZorgverlenerRol" ],
"max": "*",
"id": "DiagnosticReport.performer.role.coding:healthProfessionalRole",
"comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",
"base": {
"max": "*",
"min": 0,
"path": "CodeableConcept.coding"
},
"isSummary": true
}, {
"path": "DiagnosticReport.performer.role.text",
"requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.",
"min": 0,
"definition": "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.",
"short": "Plain text representation of the concept",
"mapping": [ {
"map": "C*E.9. But note many systems use C*E.2 for this",
"identity": "v2"
}, {
"map": "./originalText[mediaType/code=\"text/plain\"]/data",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText",
"identity": "orim"
} ],
"type": [ {
"code": "string"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"max": "1",
"id": "DiagnosticReport.performer.role.text",
"comment": "Very often the text is the same as a displayName of one of the codings.",
"base": {
"max": "1",
"min": 0,
"path": "CodeableConcept.text"
},
"isSummary": true
}, {
"path": "DiagnosticReport.performer.actor",
"requirements": "Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis.",
"min": 1,
"definition": "The reference to the practitioner or organization involved in producing the report. For example, the diagnostic service that is responsible for issuing the report.",
"short": "Practitioner or Organization participant",
"mapping": [ {
"map": "Event.performer.actor",
"identity": "workflow"
}, {
"map": "PRT-8 (where this PRT-4-Participation = \"PO\")",
"identity": "v2"
}, {
"map": ".role",
"identity": "rim"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-organization"
}, {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner"
} ],
"max": "1",
"id": "DiagnosticReport.performer.actor",
"comment": "This is not necessarily the source of the atomic data items. It is the entity that takes responsibility for the clinical report.",
"base": {
"max": "1",
"min": 1,
"path": "DiagnosticReport.performer.actor"
},
"isSummary": true
}, {
"path": "DiagnosticReport.performer.actor.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "DiagnosticReport.performer.actor.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"path": "DiagnosticReport.performer.actor.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "DiagnosticReport.performer.actor.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "DiagnosticReport.performer.actor.extension",
"min": 0,
"definition": "Optional Extension Element - found in all resources.",
"short": "Optional Extensions Element",
"mapping": [ {
"map": "n/a",
"identity": "rim"
}, {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference"
} ],
"sliceName": "practitionerRole",
"alias": [ "extensions", "user content" ],
"max": "1",
"id": "DiagnosticReport.performer.actor.extension:practitionerRole",
"condition": [ "ele-1" ],
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "DiagnosticReport.performer.actor.reference",
"min": 0,
"definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
"short": "Literal reference, Relative, internal or absolute URL",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"max": "1",
"id": "DiagnosticReport.performer.actor.reference",
"condition": [ "ref-1" ],
"comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
"base": {
"max": "1",
"min": 0,
"path": "Reference.reference"
},
"isSummary": true
}, {
"path": "DiagnosticReport.performer.actor.identifier",
"min": 0,
"definition": "An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity 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.",
"short": "Logical reference, when literal reference is not known",
"mapping": [ {
"map": ".identifier",
"identity": "rim"
} ],
"type": [ {
"code": "Identifier"
} ],
"max": "1",
"id": "DiagnosticReport.performer.actor.identifier",
"comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.",
"base": {
"max": "1",
"min": 0,
"path": "Reference.identifier"
},
"isSummary": true
}, {
"path": "DiagnosticReport.performer.actor.display",
"min": 0,
"definition": "Plain text narrative that identifies the resource in addition to the resource reference.",
"short": "Text alternative for the resource",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"max": "1",
"id": "DiagnosticReport.performer.actor.display",
"comment": "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.",
"base": {
"max": "1",
"min": 0,
"path": "Reference.display"
},
"isSummary": true
}, {
"path": "DiagnosticReport.specimen",
"requirements": "Need to be able to report information about the collected specimens on which the report is based.",
"min": 0,
"definition": "Details about the specimens on which this diagnostic report is based.",
"short": "Specimen",
"mapping": [ {
"map": "SPM",
"identity": "v2"
}, {
"map": "participation[typeCode=SBJ]",
"identity": "rim"
}, {
"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"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Specimen"
}, {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Specimen-Isolate"
} ],
"alias": [ "Monster" ],
"max": "*",
"id": "DiagnosticReport.specimen",
"comment": "If the specimen is sufficiently specified with a code in the test result name, then this additional data may be redundant. If there are multiple specimens, these may be represented per observation or group.",
"base": {
"max": "*",
"min": 0,
"path": "DiagnosticReport.specimen"
}
}, {
"path": "DiagnosticReport.result",
"requirements": "Need to support individual results, or report groups of results, where the result grouping is arbitrary, but meaningful. This structure is recursive - observations can contain observations.",
"min": 0,
"definition": "Observations that are part of this diagnostic report. Observations can be simple name/value pairs (e.g. \"atomic\" results), or they can be grouping observations that include references to other members of the group (e.g. \"panels\").",
"short": "Observations - simple, or complex nested groups",
"mapping": [ {
"map": "OBXs",
"identity": "v2"
}, {
"map": "outboundRelationship[typeCode=COMP].target",
"identity": "rim"
}, {
"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"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Observation"
} ],
"alias": [ "Data", "Atomic Value", "Result", "Atomic result", "Data", "Test", "Analyte", "Battery", "Organizer" ],
"max": "*",
"id": "DiagnosticReport.result",
"base": {
"max": "*",
"min": 0,
"path": "DiagnosticReport.result"
}
}, {
"path": "DiagnosticReport.imagingStudy",
"min": 0,
"definition": "One or more links to full details of any imaging performed during the diagnostic investigation. Typically, this is imaging performed by DICOM enabled modalities, but this is not required. A fully enabled PACS viewer can use this information to provide views of the source images.",
"short": "Reference to full details of imaging associated with the diagnostic report",
"mapping": [ {
"map": "outboundRelationship[typeCode=COMP].target[classsCode=DGIMG, moodCode=EVN]",
"identity": "rim"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/ImagingStudy"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/ImagingManifest"
} ],
"max": "*",
"id": "DiagnosticReport.imagingStudy",
"comment": "ImagingStudy and ImageManifest and the image element are somewhat overlapping - typically, the list of image references in the image element will also be found in one of the imaging study resources. However each caters to different types of displays for different types of purposes. Neither, either, or both may be provided.",
"base": {
"max": "*",
"min": 0,
"path": "DiagnosticReport.imagingStudy"
}
}, {
"constraint": [ {
"key": "ele-1",
"human": "All FHIR elements must have a @value or children",
"xpath": "@value|f:*|h:div",
"source": "Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
} ],
"path": "DiagnosticReport.image",
"requirements": "Many diagnostic services include images in the report as part of their service.",
"min": 0,
"definition": "A list of key images associated with this report. The images are generally created during the diagnostic process, and may be directly of the patient, or of treated specimens (i.e. slides of interest).",
"short": "Key images associated with this report",
"mapping": [ {
"map": "OBX?",
"identity": "v2"
}, {
"map": "outboundRelationship[typeCode=COMP].target",
"identity": "rim"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"alias": [ "DICOM", "Slides", "Scans" ],
"max": "*",
"id": "DiagnosticReport.image",
"base": {
"max": "*",
"min": 0,
"path": "DiagnosticReport.image"
},
"isSummary": true
}, {
"path": "DiagnosticReport.image.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "DiagnosticReport.image.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"path": "DiagnosticReport.image.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "DiagnosticReport.image.extension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "DiagnosticReport.image.modifierExtension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "DiagnosticReport.image.modifierExtension",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isSummary": true
}, {
"path": "DiagnosticReport.image.comment",
"requirements": "The provider of the report should make a comment about each image included in the report.",
"min": 0,
"definition": "A comment about the image. Typically, this is used to provide an explanation for why the image is included, or to draw the viewer's attention to important features.",
"short": "Comment about the image (e.g. explanation)",
"mapping": [ {
"map": ".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"max": "1",
"id": "DiagnosticReport.image.comment",
"comment": "The comment should be displayed with the image. It would be common for the report to include additional discussion of the image contents in other sections such as the conclusion.",
"base": {
"max": "1",
"min": 0,
"path": "DiagnosticReport.image.comment"
}
}, {
"path": "DiagnosticReport.image.link",
"min": 1,
"definition": "Reference to the image source.",
"short": "Reference to the image source",
"mapping": [ {
"map": ".value.reference",
"identity": "rim"
} ],
"type": [ {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Media"
} ],
"max": "1",
"id": "DiagnosticReport.image.link",
"base": {
"max": "1",
"min": 1,
"path": "DiagnosticReport.image.link"
},
"isSummary": true
}, {
"path": "DiagnosticReport.conclusion",
"requirements": "Need to be able to provide a conclusion that is not lost among the basic result data.",
"min": 0,
"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.",
"short": "ResultInterpretation and/or Comment",
"mapping": [ {
"map": "OBX",
"identity": "v2"
}, {
"map": "inboundRelationship[typeCode=\"SPRT\"].source[classCode=OBS, moodCode=EVN, code=LOINC:48767-8].value (type=ST)",
"identity": "rim"
}, {
"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"
} ],
"type": [ {
"code": "string"
} ],
"alias": [ "Report", "UitslagInterpretatie en/of Toelichting" ],
"max": "1",
"id": "DiagnosticReport.conclusion",
"base": {
"max": "1",
"min": 0,
"path": "DiagnosticReport.conclusion"
}
}, {
"path": "DiagnosticReport.codedDiagnosis",
"min": 0,
"definition": "Codes for the conclusion.",
"short": "Codes for the conclusion",
"mapping": [ {
"map": "OBX",
"identity": "v2"
}, {
"map": "inboundRelationship[typeCode=SPRT].source[classCode=OBS, moodCode=EVN, code=LOINC:54531-9].value (type=CD)",
"identity": "rim"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "example",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "AdjunctDiagnosis"
} ],
"description": "Diagnosis codes provided as adjuncts to the report.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/clinical-findings"
}
},
"max": "*",
"id": "DiagnosticReport.codedDiagnosis",
"base": {
"max": "*",
"min": 0,
"path": "DiagnosticReport.codedDiagnosis"
}
}, {
"path": "DiagnosticReport.presentedForm",
"requirements": "Gives laboratory the ability to provide its own fully formatted report for clinical fidelity.",
"min": 0,
"definition": "Rich text representation of the entire result as issued by the diagnostic service. Multiple formats are allowed but they SHALL be semantically equivalent.",
"short": "Entire report as issued",
"mapping": [ {
"map": "OBX",
"identity": "v2"
}, {
"map": "text (type=ED)",
"identity": "rim"
} ],
"type": [ {
"code": "Attachment"
} ],
"max": "*",
"id": "DiagnosticReport.presentedForm",
"comment": "\"application/pdf\" is recommended as the most reliable and interoperable in this context.",
"base": {
"max": "*",
"min": 0,
"path": "DiagnosticReport.presentedForm"
}
} ]
},
"status": "active",
"id": "54024768-412e-4131-99b2-55169e372dee",
"kind": "resource",
"url": "http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-DiagnosticReport",
"version": "2.1.6",
"differential": {
"element": [ {
"id": "DiagnosticReport",
"path": "DiagnosticReport",
"alias": [ "LaboratoriumUitslag" ],
"short": "LaboratoryTestResult",
"comment": "The HCIM LaboratoryTestResult supports simple and more complex situations. This profile is used for (textual) reports on individual (panels of) observations, like conclusions. The actual tests are captured using the profile [zib-LaboratoryTestResult-Observation](http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Observation), which should be referenced from this resource.",
"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": "A laboratory result describes the result of a laboratory analysis.\r\nThese are specimen-oriented tests as performed in laboratories such as Clinical Chemistry, Serology, Microbiology, etc.\r\nIn addition to the results of tests with a singular result, this concept can also contain the results of more complex tests with multiple results or a ‘panel’."
}, {
"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 with `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"
}, {
"id": "DiagnosticReport.status.extension",
"path": "DiagnosticReport.status.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "DiagnosticReport.status.extension:ResultStatus",
"max": "1",
"path": "DiagnosticReport.status.extension",
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/code-specification"
} ],
"alias": [ "ResultaatStatus" ],
"short": "Provides the specific HCIM code for ResultStatus",
"sliceName": "ResultStatus",
"definition": "Defines a more specific value for a code. Especially useful for FHIRs required ValueSets."
}, {
"id": "DiagnosticReport.status.extension:ResultStatus.valueCodeableConcept:valueCodeableConcept",
"path": "DiagnosticReport.status.extension.valueCodeableConcept",
"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"
}
},
"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"
} ],
"sliceName": "valueCodeableConcept"
}, {
"id": "DiagnosticReport.category",
"min": 1,
"path": "DiagnosticReport.category"
}, {
"id": "DiagnosticReport.category.coding",
"min": 1,
"path": "DiagnosticReport.category.coding",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "$this",
"type": "value"
} ]
}
}, {
"id": "DiagnosticReport.category.coding:laboratoryTestResultCode",
"max": "1",
"min": 1,
"path": "DiagnosticReport.category.coding",
"short": "LaboratoryTestResultCode",
"sliceName": "laboratoryTestResultCode",
"definition": "Category SNOMED code used for indexing/retrieval of the HCIM LaboratoryTestResult. The system, code and display values are fixed.",
"patternCoding": {
"code": "4241000179101",
"system": "http://snomed.info/sct"
}
}, {
"id": "DiagnosticReport.category.coding:laboratoryTestResultCode.display",
"path": "DiagnosticReport.category.coding.display",
"defaultValueString": "Laboratory report (record artifact)"
}, {
"path": "DiagnosticReport.category.coding",
"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": "required",
"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": "$this",
"type": "value"
} ]
}
}, {
"id": "DiagnosticReport.performer.role.coding:healthProfessionalRole",
"path": "DiagnosticReport.performer.role.coding",
"alias": [ "ZorgverlenerRol" ],
"short": "HealthProfessionalRole",
"binding": {
"strength": "required",
"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-Specimen-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": "https://www.nictiz.nl",
"system": "url"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport"
}