{
  "description": "OCRE DiagnosticReport Profile (Submission)",
  "_filename": "StructureDefinition-profile-diagnosticReport-submission.json",
  "package_name": "ca.on.hrm.r4",
  "date": null,
  "derivation": "constraint",
  "publisher": null,
  "fhirVersion": "4.0.1",
  "name": "DiagnosticReportOCRESubmission",
  "abstract": false,
  "type": "DiagnosticReport",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "OCRE DiagnosticReport Profile (Submission)",
  "package_version": "1.0.1-snapshot2",
  "status": "active",
  "id": "beb0215c-8686-4f8d-b16e-2e7fb396ba4e",
  "kind": "resource",
  "url": "http://ontariohealth.ca/fhir/ocre/StructureDefinition/profile-diagnosticReport-submission",
  "version": "1.0.0-Ballot",
  "differential": {
    "element": [ {
      "id": "DiagnosticReport.language",
      "path": "DiagnosticReport.language",
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/ValueSet/languages"
      },
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension",
      "path": "DiagnosticReport.extension",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "DiagnosticReport.extension:ext-di-addendum-of",
      "max": "*",
      "min": 0,
      "path": "DiagnosticReport.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/diagnosticReport-addendumOf" ]
      } ],
      "sliceName": "ext-di-addendum-of",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:copiedParticipants",
      "max": "*",
      "min": 0,
      "path": "DiagnosticReport.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://ontariohealth.ca/StructureDefinition/oh-ehr-copied-participants-EXT" ]
      } ],
      "sliceName": "copiedParticipants",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:Recipients",
      "max": "*",
      "min": 0,
      "path": "DiagnosticReport.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://ontariohealth.ca/fhir/ehr/StructureDefinition/ext-recipient" ]
      } ],
      "sliceName": "Recipients",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:Recipients.value[x].identifier",
      "path": "DiagnosticReport.extension.value[x].identifier",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.identifier",
      "min": 1,
      "path": "DiagnosticReport.identifier",
      "slicing": {
        "rules": "open",
        "description": "must contain one repetition of an accession number.",
        "discriminator": [ {
          "path": "type",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.identifier.type",
      "path": "DiagnosticReport.identifier.type",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.identifier.type.coding",
      "path": "DiagnosticReport.identifier.type.coding",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.identifier.type.coding.system",
      "path": "DiagnosticReport.identifier.type.coding.system",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.identifier.type.coding.code",
      "path": "DiagnosticReport.identifier.type.coding.code",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.identifier.value",
      "path": "DiagnosticReport.identifier.value",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.identifier:identifier-accession",
      "max": "1",
      "min": 1,
      "path": "DiagnosticReport.identifier",
      "short": "Filler/Accession ID",
      "sliceName": "identifier-accession",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.identifier:identifier-accession.type",
      "min": 1,
      "path": "DiagnosticReport.identifier.type",
      "fixedCodeableConcept": {
        "coding": [ {
          "code": "ACSN",
          "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
          "display": "Accession ID"
        } ]
      }
    }, {
      "id": "DiagnosticReport.identifier:identifier-accession.type.coding",
      "max": "1",
      "min": 1,
      "path": "DiagnosticReport.identifier.type.coding"
    }, {
      "id": "DiagnosticReport.identifier:identifier-accession.type.coding.system",
      "min": 1,
      "path": "DiagnosticReport.identifier.type.coding.system"
    }, {
      "id": "DiagnosticReport.identifier:identifier-accession.type.coding.code",
      "min": 1,
      "path": "DiagnosticReport.identifier.type.coding.code"
    }, {
      "id": "DiagnosticReport.identifier:identifier-accession.type.coding.display",
      "min": 1,
      "path": "DiagnosticReport.identifier.type.coding.display",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.identifier:identifier-accession.system",
      "min": 1,
      "path": "DiagnosticReport.identifier.system",
      "comment": "MI uses source organization specific URIs for this field.",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.identifier:identifier-accession.value",
      "min": 1,
      "path": "DiagnosticReport.identifier.value"
    }, {
      "id": "DiagnosticReport.identifier:identifier-placerOrderNumber",
      "max": "1",
      "min": 0,
      "path": "DiagnosticReport.identifier",
      "sliceName": "identifier-placerOrderNumber",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.identifier:identifier-placerOrderNumber.type",
      "min": 1,
      "path": "DiagnosticReport.identifier.type",
      "fixedCodeableConcept": {
        "coding": [ {
          "code": "PLAC",
          "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
          "display": "Placer Identifier"
        } ]
      }
    }, {
      "id": "DiagnosticReport.identifier:identifier-placerOrderNumber.type.coding",
      "max": "1",
      "min": 1,
      "path": "DiagnosticReport.identifier.type.coding"
    }, {
      "id": "DiagnosticReport.identifier:identifier-placerOrderNumber.type.coding.system",
      "min": 1,
      "path": "DiagnosticReport.identifier.type.coding.system"
    }, {
      "id": "DiagnosticReport.identifier:identifier-placerOrderNumber.type.coding.code",
      "min": 1,
      "path": "DiagnosticReport.identifier.type.coding.code"
    }, {
      "id": "DiagnosticReport.identifier:identifier-placerOrderNumber.type.coding.display",
      "min": 1,
      "path": "DiagnosticReport.identifier.type.coding.display",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.identifier:identifier-placerOrderNumber.system",
      "min": 1,
      "path": "DiagnosticReport.identifier.system",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.identifier:identifier-placerOrderNumber.value",
      "min": 1,
      "path": "DiagnosticReport.identifier.value"
    }, {
      "id": "DiagnosticReport.basedOn",
      "path": "DiagnosticReport.basedOn",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://ontariohealth.ca/fhir/ocre/StructureDefinition/profile-serviceRequest-submission" ]
      } ],
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.basedOn.reference",
      "min": 1,
      "path": "DiagnosticReport.basedOn.reference",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.status",
      "path": "DiagnosticReport.status",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.category",
      "min": 1,
      "path": "DiagnosticReport.category",
      "type": [ {
        "code": "CodeableConcept",
        "profile": [ "http://ontariohealth.ca/fhir/ehr/StructureDefinition/CodeableConcept-oh-ehr" ]
      } ],
      "binding": {
        "strength": "extensible",
        "valueSet": "http://ontariohealth.ca/fhir/ehr/ValueSet/procedure-service-type"
      },
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.category.coding",
      "min": 1,
      "path": "DiagnosticReport.category.coding"
    }, {
      "id": "DiagnosticReport.category.coding.system",
      "min": 1,
      "path": "DiagnosticReport.category.coding.system"
    }, {
      "id": "DiagnosticReport.code",
      "path": "DiagnosticReport.code",
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        "code": "CodeableConcept",
        "profile": [ "http://ontariohealth.ca/fhir/ehr/StructureDefinition/CodeableConcept-oh-ehr" ]
      } ],
      "binding": {
        "strength": "extensible",
        "valueSet": "http://ontariohealth.ca/fhir/ehr/ValueSet/diagnostic-report-code",
        "extension": [ {
          "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
          "extension": [ {
            "url": "purpose",
            "valueCode": "extensible"
          }, {
            "url": "valueSet",
            "valueCanonical": "http://ontariohealth.ca/fhir/ehr/ValueSet/local-imaging-procedure-code"
          }, {
            "url": "documentation",
            "valueMarkdown": "This value set contains example local procedure codes contributed by sites to DIRs in HL7v2 OBR-4 to identify the procedure of the MI order or MI report."
          }, {
            "url": "key",
            "valueId": "imagingProcedureCode"
          } ]
        } ]
      },
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.code.coding",
      "min": 1,
      "path": "DiagnosticReport.code.coding"
    }, {
      "id": "DiagnosticReport.code.coding.system",
      "min": 1,
      "path": "DiagnosticReport.code.coding.system"
    }, {
      "id": "DiagnosticReport.subject",
      "path": "DiagnosticReport.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://ontariohealth.ca/fhir/ocre/StructureDefinition/profile-patient-submission" ]
      } ]
    }, {
      "id": "DiagnosticReport.encounter",
      "path": "DiagnosticReport.encounter",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://ontariohealth.ca/fhir/ocre/StructureDefinition/profile-encounter-submission" ]
      } ],
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.encounter.reference",
      "path": "DiagnosticReport.encounter.reference",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.effective[x]",
      "min": 1,
      "path": "DiagnosticReport.effective[x]",
      "type": [ {
        "code": "dateTime"
      } ],
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.effective[x]:effectiveDateTime",
      "max": "1",
      "min": 1,
      "path": "DiagnosticReport.effective[x]",
      "type": [ {
        "code": "dateTime"
      } ],
      "sliceName": "effectiveDateTime",
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    }, {
      "id": "DiagnosticReport.issued",
      "min": 1,
      "path": "DiagnosticReport.issued",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.performer",
      "min": 1,
      "path": "DiagnosticReport.performer",
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        "code": "Reference",
        "targetProfile": [ "http://ontariohealth.ca/fhir/ocre/StructureDefinition/profile-practitionerRole-submission", "http://ontariohealth.ca/fhir/ocre/StructureDefinition/profile-practitioner-submission" ]
      } ],
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.performer.extension:performerFunction",
      "max": "1",
      "min": 0,
      "path": "DiagnosticReport.performer.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/event-performerFunction" ]
      } ],
      "sliceName": "performerFunction",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.performer.extension:performerFunction.value[x]",
      "path": "DiagnosticReport.performer.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.performer.extension:performerFunction.value[x].coding",
      "max": "1",
      "min": 1,
      "path": "DiagnosticReport.performer.extension.value[x].coding",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.performer.extension:performerFunction.value[x].coding.system",
      "min": 1,
      "path": "DiagnosticReport.performer.extension.value[x].coding.system",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.performer.extension:performerFunction.value[x].coding.code",
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      "path": "DiagnosticReport.performer.extension.value[x].coding.code",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.performer.extension:performerFunction.value[x].coding.display",
      "min": 1,
      "path": "DiagnosticReport.performer.extension.value[x].coding.display",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.performer.reference",
      "path": "DiagnosticReport.performer.reference",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.resultsInterpreter",
      "path": "DiagnosticReport.resultsInterpreter",
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        "code": "Reference",
        "targetProfile": [ "http://ontariohealth.ca/fhir/ocre/StructureDefinition/profile-practitionerRole-submission", "http://ontariohealth.ca/fhir/ocre/StructureDefinition/profile-practitioner-submission" ]
      } ],
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.resultsInterpreter.reference",
      "path": "DiagnosticReport.resultsInterpreter.reference",
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    }, {
      "id": "DiagnosticReport.result",
      "min": 1,
      "path": "DiagnosticReport.result",
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        "code": "Reference",
        "targetProfile": [ "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-observation-imaging" ]
      } ],
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.result.reference",
      "min": 1,
      "path": "DiagnosticReport.result.reference",
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    }, {
      "id": "DiagnosticReport.conclusion",
      "path": "DiagnosticReport.conclusion",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.conclusionCode",
      "path": "DiagnosticReport.conclusionCode",
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        "code": "CodeableConcept",
        "profile": [ "http://ontariohealth.ca/fhir/ehr/StructureDefinition/CodeableConcept-oh-ehr" ]
      } ],
      "binding": {
        "strength": "preferred",
        "valueSet": "https://fhir.infoway-inforoute.ca/ValueSet/clinicalfindingcode",
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          "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
          "extension": [ {
            "url": "purpose",
            "valueCode": "candidate"
          }, {
            "url": "valueSet",
            "valueCanonical": "http://fhir.infoway-inforoute.ca/io/cacore/ValueSet/ICD9CM"
          }, {
            "url": "documentation",
            "valueMarkdown": "Any code from ICD-9 CM."
          }, {
            "url": "key",
            "valueId": "icd9cmBinding"
          } ]
        }, {
          "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
          "extension": [ {
            "url": "purpose",
            "valueCode": "candidate"
          }, {
            "url": "valueSet",
            "valueCanonical": "http://fhir.infoway-inforoute.ca/io/cacore/ValueSet/ICD10CA"
          }, {
            "url": "documentation",
            "valueMarkdown": "Any Code from ICD-10 CA."
          }, {
            "url": "key",
            "valueId": "icd10caBinding"
          } ]
        }, {
          "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
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            "url": "purpose",
            "valueCode": "candidate"
          }, {
            "url": "valueSet",
            "valueCanonical": "http://hl7.org/fhir/uv/ips/ValueSet/absent-or-unknown-problems-uv-ips"
          }, {
            "url": "documentation",
            "valueMarkdown": "Absent or Unknown Problems"
          }, {
            "url": "key",
            "valueId": "absentUnknownProblemsIPS"
          } ]
        } ]
      },
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.presentedForm",
      "min": 1,
      "path": "DiagnosticReport.presentedForm",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.presentedForm.contentType",
      "min": 1,
      "path": "DiagnosticReport.presentedForm.contentType",
      "binding": {
        "strength": "required",
        "valueSet": "http://ontariohealth.ca/fhir/ocre/ValueSet/mime-type",
        "description": "Supported mime types from OH EHR"
      },
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.presentedForm.language",
      "path": "DiagnosticReport.presentedForm.language",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.presentedForm.data",
      "min": 1,
      "path": "DiagnosticReport.presentedForm.data",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.presentedForm.data.extension",
      "min": 1,
      "path": "DiagnosticReport.presentedForm.data.extension",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "DiagnosticReport.presentedForm.data.extension:ext-attachment-metadata",
      "max": "1",
      "min": 1,
      "path": "DiagnosticReport.presentedForm.data.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://ontariohealth.ca/fhir/ehr/StructureDefinition/ext-attachment-metadata" ]
      } ],
      "sliceName": "ext-attachment-metadata",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.presentedForm.title",
      "path": "DiagnosticReport.presentedForm.title",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.presentedForm.creation",
      "path": "DiagnosticReport.presentedForm.creation",
      "mustSupport": true
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport"
}