{
  "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": "1.1.11-beta",
  "status": "draft",
  "id": "af74cc54-f96b-4028-a94a-d9bd2f38e26e",
  "kind": "resource",
  "url": "https://www.ehealth.fgov.be/standards/fhir/StructureDefinition/be-laboratory-report",
  "version": "0.2.0",
  "differential": {
    "element": [ {
      "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.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.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.",
      "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"
}