{
  "description": "Belgian profile for a laboratory report",
  "_filename": "structuredefinition-be-laboratory-report.json",
  "package_name": "ehealthplatform.be.r4.federalprofiles",
  "date": "2020-09-07T12:54:23+00:00",
  "derivation": "constraint",
  "publisher": "HL7 Belgium",
  "fhirVersion": "4.0.1",
  "jurisdiction": [ {
    "coding": [ {
      "code": "001",
      "system": "http://unstats.un.org/unsd/methods/m49/m49.htm"
    } ]
  } ],
  "name": "BeLaboratoryReport",
  "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": "Be Laboratory Report",
  "package_version": "1.1.12-beta",
  "status": "draft",
  "id": "a5b19636-515f-4dff-af20-aba5a30dc7e7",
  "kind": "resource",
  "url": "https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-laboratory-report",
  "version": "0.2.0",
  "differential": {
    "element": [ {
      "id": "DiagnosticReport.meta",
      "path": "DiagnosticReport.meta",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.language",
      "min": 1,
      "path": "DiagnosticReport.language",
      "definition": "The base language in which the resource is written. The base language in which the resource is written, typically this will be fr-BE, nl-BE, en or de. It is RECOMMENDED to only declare the language here.",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.text",
      "min": 1,
      "path": "DiagnosticReport.text",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension",
      "path": "DiagnosticReport.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "DiagnosticReport.extension:Replaces",
      "path": "DiagnosticReport.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/diagnosticReport-replaces" ]
      } ],
      "short": "The report replaces the target resource.",
      "sliceName": "Replaces",
      "definition": "The report replaces the target resource. For example, when a final anatomic pathology report replaces a preliminary anatomic pathology report replaces where the subsequent observation of case and report may be on more or different material (specimen). Note that this is not same concept asDiagnosticReport.status = preliminary of final, but industry definition of preliminary and final.",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:Replaces.value[x]:valueReference",
      "path": "DiagnosticReport.extension.value[x]",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-laboratory-report" ]
      } ],
      "sliceName": "valueReference"
    }, {
      "id": "DiagnosticReport.identifier",
      "min": 1,
      "path": "DiagnosticReport.identifier",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.identifier.system",
      "min": 1,
      "path": "DiagnosticReport.identifier.system",
      "mustSupport": false
    }, {
      "id": "DiagnosticReport.identifier.value",
      "min": 1,
      "path": "DiagnosticReport.identifier.value",
      "mustSupport": false
    }, {
      "id": "DiagnosticReport.basedOn",
      "max": "1",
      "min": 1,
      "path": "DiagnosticReport.basedOn",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/ServiceRequest" ]
      } ],
      "short": "A reference to a ServiceRequest SHALL be given here that minimally includes the time of prescription.",
      "definition": "Details concerning the prescription this laboratory report fullfills. A reference to a ServiceRequest SHALL be given here that includes the time of prescription in its .authoredOn element. It is RECOMMENDED to also use the .identifier element of the ServiceRequest to refer to the original order number. Note, within the Observation resource it is possible to define they were defined on a different serviceRequest (e.g. to clarify it was a sub ordering)",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.status",
      "path": "DiagnosticReport.status",
      "short": "Status of the report: consult the HL7 list of permitted values",
      "definition": "The status of the diagnostic report. Consult the HL7 list of allowed values here. Note when a report should actually replace a previous one, use the Replaces extension.",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.category",
      "min": 1,
      "path": "DiagnosticReport.category",
      "short": "The subject of this specialty, expressed in a LOINC code.",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "coding.code",
          "type": "value"
        } ]
      },
      "definition": "The subject of this specialty, expressed in a LOINC code.\r\n\r\nThe choice of what observations to categorize under what specialty are left ultimately to the discretion of the laboratory sending the results. Some non-restrictive guidelines:\r\n*18721-1 (THERAPEUTIC DRUG MONITORING STUDIES) will be used for a section carrying pharmacologyobservations on a patient.\r\n*Mycology and parasitology, as well as bacteriology, are part of the 18725-2 (MICROBIOLOGY STUDIES) specialty.\r\n*665 Virology MAY be included in 18725-2 (MICROBIOLOGY STUDIES) specialty or 18727-8 (SEROLOGY STUDIES)or split between both specialties, depending upon the Content Creator Actor’s choice",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.category.coding",
      "max": "1",
      "min": 1,
      "path": "DiagnosticReport.category.coding",
      "mustSupport": false
    }, {
      "id": "DiagnosticReport.category.coding.system",
      "min": 1,
      "path": "DiagnosticReport.category.coding.system"
    }, {
      "id": "DiagnosticReport.category.coding.code",
      "min": 1,
      "path": "DiagnosticReport.category.coding.code"
    }, {
      "id": "DiagnosticReport.category.coding.display",
      "min": 1,
      "path": "DiagnosticReport.category.coding.display"
    }, {
      "id": "DiagnosticReport.category:LABSTUDIES",
      "max": "1",
      "min": 1,
      "path": "DiagnosticReport.category",
      "sliceName": "LABSTUDIES",
      "mustSupport": false
    }, {
      "id": "DiagnosticReport.category:LABSTUDIES.coding",
      "max": "1",
      "min": 1,
      "path": "DiagnosticReport.category.coding",
      "mustSupport": false
    }, {
      "id": "DiagnosticReport.category:LABSTUDIES.coding.system",
      "min": 1,
      "path": "DiagnosticReport.category.coding.system",
      "fixedUri": "http://terminology.hl7.org/CodeSystem/v2-0074",
      "mustSupport": false
    }, {
      "id": "DiagnosticReport.category:LABSTUDIES.coding.code",
      "min": 1,
      "path": "DiagnosticReport.category.coding.code",
      "fixedCode": "LAB",
      "mustSupport": false
    }, {
      "id": "DiagnosticReport.category:LABSTUDIES.coding.display",
      "min": 1,
      "path": "DiagnosticReport.category.coding.display",
      "fixedString": "Laboratory",
      "mustSupport": false
    }, {
      "id": "DiagnosticReport.code",
      "path": "DiagnosticReport.code",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.subject",
      "min": 1,
      "path": "DiagnosticReport.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-patient", "http://hl7.org/fhir/StructureDefinition/Group", "http://hl7.org/fhir/StructureDefinition/Device", "http://hl7.org/fhir/StructureDefinition/Location" ]
      } ],
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.effective[x]",
      "path": "DiagnosticReport.effective[x]",
      "short": "Time of the specimen collection - is overruled when collection time is given in .specimen element.",
      "definition": "The time or time-period the observed values are related to. This is the time specimen collection(s)",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.issued",
      "min": 1,
      "path": "DiagnosticReport.issued",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.performer",
      "min": 1,
      "path": "DiagnosticReport.performer",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-organization", "https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-practitioner", "http://hl7.org/fhir/StructureDefinition/CareTeam", "https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-practitionerrole" ]
      } ],
      "short": "Entity that takes responsibility for the clinical report.",
      "definition": "The diagnostic service that is responsible for issuing the report. In the laboratory report, this is typically an organization (i.e. the laboratory)\r\nNote the Observation MAY have a different performer.",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.resultsInterpreter",
      "min": 1,
      "path": "DiagnosticReport.resultsInterpreter",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-practitioner", "https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-practitionerrole", "https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-organization", "http://hl7.org/fhir/StructureDefinition/CareTeam" ]
      } ],
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.specimen",
      "path": "DiagnosticReport.specimen",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.result",
      "path": "DiagnosticReport.result",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-observation" ]
      } ],
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.media",
      "path": "DiagnosticReport.media",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.conclusion",
      "path": "DiagnosticReport.conclusion",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.conclusionCode",
      "path": "DiagnosticReport.conclusionCode",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.presentedForm",
      "path": "DiagnosticReport.presentedForm",
      "mustSupport": true
    } ]
  },
  "contact": [ {
    "telecom": [ {
      "value": "http://hl7belgium.org",
      "system": "url"
    } ]
  } ],
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport"
}