{
  "description": "Proposed constraints on the DiagnosticReport resource for the minimal set of data to query and retrieve diagnostic reports associated with laboratory and other results",
  "_filename": "structuredefinition-profile-diagnosticreport.json",
  "package_name": "hl7.fhir.ca.baseline",
  "date": "2024-12-27",
  "derivation": "constraint",
  "publisher": "HL7 Canada - FHIR Implementation Work Group",
  "fhirVersion": "4.0.1",
  "jurisdiction": [ {
    "coding": [ {
      "code": "CA",
      "system": "urn:iso:std:iso:3166"
    } ]
  } ],
  "name": "DiagnosticReportProfile",
  "mapping": [ {
    "uri": "http://hl7.org/fhir/workflow",
    "name": "Workflow Pattern",
    "identity": "workflow"
  }, {
    "uri": "http://hl7.org/v2",
    "name": "HL7 v2 Mapping",
    "identity": "v2"
  }, {
    "uri": "http://hl7.org/v3",
    "name": "RIM Mapping",
    "identity": "rim"
  }, {
    "uri": "http://hl7.org/fhir/fivews",
    "name": "FiveWs Pattern Mapping",
    "identity": "w5"
  } ],
  "abstract": false,
  "type": "DiagnosticReport",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "DiagnosticReport Profile for Laboratory Results Reporting",
  "package_version": "1.2.0",
  "status": "draft",
  "id": "61fa7cc0-3aa8-4d0a-bda6-548a1422b598",
  "kind": "resource",
  "url": "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-diagnosticreport",
  "version": "1.0.1",
  "differential": {
    "element": [ {
      "id": "DiagnosticReport",
      "path": "DiagnosticReport",
      "short": "DiagnosticReport Profile",
      "definition": "Diagnostic Report Profile is based upon the core FHIR DiagnosticReport resource and created to meet the Laboratory test(s) and Laboratory value(s)/result(s) requirements."
    }, {
      "id": "DiagnosticReport.extension:note",
      "max": "*",
      "min": 0,
      "path": "DiagnosticReport.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note" ]
      } ],
      "comment": "This extension is used to preadopt the DiagnosticReport.note element that was introduced in FHIR R5. This was done to socialize a standardized method for conveying notes that apply to the entirety of a diagnostic report as is seen in some Canadian implementations (e.g., OLIS). Before using this extension in your implementation, consider if its fit-for-purpose/fit-for-use applicable for your needs. Users are encouraged to review the https://build.fhir.org/versions.html#extensions.",
      "sliceName": "note"
    }, {
      "id": "DiagnosticReport.category",
      "path": "DiagnosticReport.category",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.category:LabResult",
      "path": "DiagnosticReport.category",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "comment": "Multiple categories are allowed using various categorization schemes but at least one SHALL come from the FHIR defined value set that includes codes from HL7v2 Table 0074",
      "sliceName": "LabResult",
      "definition": "A code that classifies the Laboratory test(s) and Laboratory result(s). This is used for searching, sorting and display purposes."
    }, {
      "id": "DiagnosticReport.category:LabResult.coding.system",
      "min": 1,
      "path": "DiagnosticReport.category.coding.system",
      "fixedUri": "http://terminology.hl7.org/CodeSystem/v2-0074"
    }, {
      "id": "DiagnosticReport.code",
      "path": "DiagnosticReport.code",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.code.coding",
      "path": "DiagnosticReport.code.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      }
    }, {
      "id": "DiagnosticReport.code.coding:LabResult",
      "path": "DiagnosticReport.code.coding",
      "comment": "The code SHALL be LOINC 11502-2 'Laboratory report' code",
      "sliceName": "LabResult",
      "definition": "A code that classifies the Laboratory test(s) and Laboratory result(s). This is used for searching, sorting and display purposes."
    }, {
      "id": "DiagnosticReport.code.coding:LabResult.system",
      "max": "1",
      "min": 1,
      "path": "DiagnosticReport.code.coding.system",
      "fixedUri": "http://loinc.org"
    }, {
      "id": "DiagnosticReport.code.coding:LabResult.code",
      "max": "1",
      "min": 1,
      "path": "DiagnosticReport.code.coding.code",
      "fixedCode": "11502-2"
    }, {
      "id": "DiagnosticReport.code.coding:@default",
      "path": "DiagnosticReport.code.coding",
      "comment": "It is preferrable that the coding comes from the LOINC code system",
      "sliceName": "@default",
      "definition": "A code that classifies the report(s) or result(s). This is used for searching, sorting and display purposes."
    }, {
      "id": "DiagnosticReport.code.coding:@default.system",
      "max": "1",
      "min": 1,
      "path": "DiagnosticReport.code.coding.system"
    }, {
      "id": "DiagnosticReport.code.coding:@default.code",
      "max": "1",
      "min": 1,
      "path": "DiagnosticReport.code.coding.code"
    }, {
      "id": "DiagnosticReport.subject",
      "path": "DiagnosticReport.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-patient", "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-device", "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-location" ]
      } ],
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.encounter",
      "path": "DiagnosticReport.encounter",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-encounter" ]
      } ]
    }, {
      "id": "DiagnosticReport.effective[x]",
      "path": "DiagnosticReport.effective[x]",
      "type": [ {
        "code": "dateTime"
      }, {
        "code": "Period"
      } ],
      "short": "Time of the report or note",
      "definition": "This is the Datetime or Period when the report or note was written."
    }, {
      "id": "DiagnosticReport.performer",
      "path": "DiagnosticReport.performer",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-practitioner", "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-practitionerrole", "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-organization" ]
      } ]
    }, {
      "id": "DiagnosticReport.resultsInterpreter",
      "path": "DiagnosticReport.resultsInterpreter",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-practitioner", "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-practitionerrole", "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-organization" ]
      } ]
    }, {
      "id": "DiagnosticReport.specimen",
      "path": "DiagnosticReport.specimen",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Specimen" ]
      } ],
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      }
    }, {
      "id": "DiagnosticReport.specimen:LabResult",
      "path": "DiagnosticReport.specimen",
      "comment": "Details about the specimen(s) on which this laboratory report is based on.",
      "sliceName": "LabResult"
    }, {
      "id": "DiagnosticReport.specimen:@default",
      "max": "*",
      "min": 0,
      "path": "DiagnosticReport.specimen",
      "comment": "Details about specimen(s) on which this report is based on.",
      "sliceName": "@default"
    }, {
      "id": "DiagnosticReport.result",
      "path": "DiagnosticReport.result",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "profile"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.result:LabResult",
      "max": "*",
      "min": 0,
      "path": "DiagnosticReport.result",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-observation-results" ]
      } ],
      "comment": "Observations that represent results produced by laboratory tests or panels/studies",
      "sliceName": "LabResult"
    }, {
      "id": "DiagnosticReport.result:@default",
      "max": "*",
      "min": 0,
      "path": "DiagnosticReport.result",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-observation" ]
      } ],
      "comment": "Observations that represent results produced for report",
      "sliceName": "@default",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.conclusionCode",
      "path": "DiagnosticReport.conclusionCode",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "short": "CHI identification of the condition, problem or diagnosis",
      "binding": {
        "strength": "example",
        "valueSet": "https://fhir.infoway-inforoute.ca/ValueSet/healthconcerncode",
        "description": "Represents the patient's relevant clinical problems, conditions, diagnoses, symptoms, findings and complaints, as interpreted by the provider."
      },
      "comment": "The binding strength of this element is [Example](https://www.hl7.org/fhir/terminologies.html#strength), meaning that the Canada Health Infoway Health Concern Code value set provides examples of the types of concepts intended to be included",
      "definition": "The code that represents relevant clinical problems, conditions, diagnoses, symptoms, findings and complaints taken from [CHI Health Concern Code](https://fhir.infoway-inforoute.ca/ValueSet/healthconcerncode)"
    } ]
  },
  "contact": [ {
    "telecom": [ {
      "value": "https://infocentral.infoway-inforoute.ca/en/collaboration/wg/fhir-implementations",
      "system": "url"
    } ]
  } ],
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport"
}