description: Profile for laboratory reports in the Irish healthcare system, aligned with the HL7 Europe Laboratory Report IG (hl7.fhir.eu.laboratory) and the Xt-EHR EHDSLaboratoryReport logical model. Supports both national laboratory workflows and cross-border laboratory result exchange via MyHealth@EU.
package_name: nostalgic-ie.fhir.core
derivation: constraint
name: IECoreLaboratoryReport
type: DiagnosticReport
elements:
  category:
    mustSupport: true
    index: 3
    slicing:
      rules: open
      discriminator:
      - {path: $this, type: pattern}
      min: 1
      slices:
        laboratory:
          match:
            coding:
            - {code: LAB, system: 'http://terminology.hl7.org/CodeSystem/v2-0074'}
          schema:
            mustSupport: true
            pattern:
              type: CodeableConcept
              value:
                coding:
                - {code: LAB, system: 'http://terminology.hl7.org/CodeSystem/v2-0074'}
            _required: true
            index: 4
          min: 1
          max: 1
  conclusionCode: {mustSupport: true, index: 16}
  conclusion: {short: Clinical conclusion / interpretation, mustSupport: true, index: 15}
  encounter: {mustSupport: true, index: 7}
  specimen:
    type: Reference
    mustSupport: true
    refers: ['https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-specimen']
    index: 13
  resultsInterpreter: {short: Clinician who interpreted the results, mustSupport: true, index: 12}
  status: {mustSupport: true, index: 2}
  result:
    type: Reference
    short: Individual test results within this report
    mustSupport: true
    refers: ['https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-laboratory-result-observation']
    index: 14
  effective:
    short: Diagnostically relevant time (specimen collection)
    mustSupport: true
    choices: []
    index: 9
  code: {short: Report type (LOINC), mustSupport: true, index: 5}
  identifier: {short: Report identifier (lab accession number), mustSupport: true, index: 0}
  issued: {short: Date/time the report was issued, mustSupport: true, index: 10}
  basedOn:
    type: Reference
    short: Reference to the order that initiated this report
    mustSupport: true
    refers: ['https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-servicerequest']
    index: 1
  subject:
    type: Reference
    mustSupport: true
    refers: ['https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-patient']
    index: 6
  performer:
    type: Reference
    short: Laboratory / pathologist responsible for the report
    mustSupport: true
    refers: ['https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-organization', 'https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-practitioner', 'https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-practitionerrole']
    index: 11
package_version: 0.2.0
class: profile
kind: resource
url: https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-laboratory-report
base: http://hl7.org/fhir/StructureDefinition/DiagnosticReport
version: 0.2.0
required: [subject, category]