{
"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/LaboratoryTestResultForTransfer-v1.2.2(2015EN)",
"name": "HCIM LaboratoryTestResultForTransfer-v1.2.2(2015EN)",
"identity": "hcim-laboratorytestresultfortransfer-v1.2.2-2015EN"
}, {
"uri": "https://zibs.nl/wiki/LaboratoryTestResultForTransfer-v3.0(2016EN)",
"name": "HCIM LaboratoryTestResultForTransfer-v3.0(2016EN)",
"identity": "hcim-laboratorytestresultfortransfer-v3.0-2016EN"
}, {
"uri": "https://zibs.nl/wiki/LaboratoryTestResult-v4.1(2017EN)",
"name": "HCIM LaboratoryTestResult-v4.1(2017EN)",
"identity": "hcim-laboratorytestresult-v4.1-2017EN"
}, {
"uri": "https://zibs.nl/wiki/HealthProfessional-v1.2.1(2015EN)",
"name": "HCIM HealthProfessional-v1.2.1(2015EN)",
"identity": "hcim-healthprofessional-v1.2.1-2015EN"
}, {
"uri": "https://zibs.nl/wiki/HealthProfessional-v3.0(2016EN)",
"name": "HCIM HealthProfessional-v3.0(2016EN)",
"identity": "hcim-healthprofessional-v3.0-2016EN"
}, {
"uri": "https://zibs.nl/wiki/HealthProfessional-v3.2(2017EN)",
"name": "HCIM HealthProfessional-v3.2(2017EN)",
"identity": "hcim-healthprofessional-v3.2-2017EN"
}, {
"uri": "https://zibs.nl/wiki/BasicElements-v1.0(2017EN)",
"name": "HCIM BasicElements-v1.0(2017EN)",
"identity": "hcim-basicelements-v1.0-2017EN"
} ],
"abstract": false,
"copyright": "CC0",
"type": "DiagnosticReport",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "HCIM LaboratoryTestResult DiagnosticReport",
"package_version": "2.0.5",
"status": "active",
"id": "7c408c68-c823-49c8-8a41-282d164572ae",
"kind": "resource",
"url": "http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-DiagnosticReport",
"version": "2.1.3",
"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 met valueCode UNK, unless you know what the actual value is)\r\n - ProcedureRequest.subject (equal to DiagnosticReport.subject)\r\n - ProcedureRequest.requester.agent (contains the requesting HealthProfessional)",
"mapping": [ {
"map": "NL-CM:13.1.34",
"comment": "Contains Requester::HealthProfessional",
"identity": "hcim-laboratorytestresult-v4.1-2017EN"
} ]
}, {
"id": "DiagnosticReport.status",
"path": "DiagnosticReport.status",
"alias": [ "ResultaatStatus" ],
"short": "ResultStatus"
}, {
"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 code used for indexing/retrieval of the ZIB LaboratoryTestResult. The system and 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": "info@nictiz.nl",
"system": "email"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport"
}