{
  "description": "This profile represents the constraints applied to the DiagnosticReport resource by the PS-CA project to represent diagnostic test and procedure reports in a patient summary. It is informed by the constraints of the [DiagnosticReport IPS-UV profile](http://hl7.org/fhir/uv/ips/StructureDefinition-DiagnosticReport-uv-ips.html) to allow for cross-border and cross-jurisdiction sharing of Diagnostic Result information. Notably this profile is broader in scope than the [Canadian Baseline DiagnosticReport Profile](http://build.fhir.org/ig/HL7-Canada/ca-baseline/branches/master/StructureDefinition-profile-diagnosticreport.html)",
  "_filename": "structuredefinition-profile-diagnosticreport-ca-ps.json",
  "package_name": "ca.infoway.io.psca",
  "date": "2023-12-06T00:00:00-08:00",
  "derivation": "constraint",
  "publisher": null,
  "fhirVersion": "4.0.1",
  "name": "DiagnosticReportPSCA",
  "abstract": false,
  "copyright": "Copyright © 2024+ Canada Health Infoway. All rights reserved. [Terms of Use and License Agreements](https://ic.infoway-inforoute.ca/en/about/tou). [Privacy Policy](https://www.infoway-inforoute.ca/en/legal/privacy-policy).",
  "type": "DiagnosticReport",
  "experimental": "false",
  "resourceType": "StructureDefinition",
  "title": "DiagnosticReport (PS-CA)",
  "package_version": "2.0.0-DFT-preBallot",
  "status": "draft",
  "id": "e831bd71-b136-446c-9d3e-874f3590f35e",
  "kind": "resource",
  "url": "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/diagnosticreport-ca-ps",
  "version": null,
  "differential": {
    "element": [ {
      "id": "DiagnosticReport.status",
      "path": "DiagnosticReport.status",
      "comment": "Only diagnostic results with a status of \"final\" may be included in a patient summary.\n\nFeedback is requested on whether this is too restrictive, and, e.g. \"registered\", \"partial\" or \"preliminary\" should also be allowed.",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint",
        "valueString": "default: final"
      } ],
      "fixedCode": "final"
    }, {
      "id": "DiagnosticReport.category",
      "max": "1",
      "min": 1,
      "path": "DiagnosticReport.category",
      "type": [ {
        "code": "CodeableConcept",
        "profile": [ "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/CodeableConcept-ca-ps" ]
      } ],
      "comment": "The IPS-UV specification considers this a Must Support element with minimum cardinality of 1. Further feedback is required on whether these systems are still expected to be able to demonstrate they can construct this element when developing the patient summary instance",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.code",
      "path": "DiagnosticReport.code",
      "type": [ {
        "code": "CodeableConcept",
        "profile": [ "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/CodeableConcept-ca-ps" ]
      } ],
      "binding": {
        "strength": "example",
        "valueSet": "http://fhir.infoway-inforoute.ca/io/psca/ValueSet/pCLOCD",
        "description": "Work is underway to define the pan-Canadian terminology that will be preferred and/or socialized for this element. A stub value set pointing to pCLOCD code system is put forth in the meantime to encourage implementers to utilize the Canadian localization of LOINC"
      },
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.subject",
      "min": 1,
      "path": "DiagnosticReport.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/patient-ca-ps", "http://hl7.org/fhir/StructureDefinition/Group" ]
      } ],
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.subject.reference",
      "min": 1,
      "path": "DiagnosticReport.subject.reference",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.effective[x]",
      "max": "1",
      "min": 1,
      "path": "DiagnosticReport.effective[x]",
      "type": [ {
        "code": "dateTime"
      }, {
        "code": "Period"
      } ],
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.effective[x].extension",
      "path": "DiagnosticReport.effective[x].extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "path": "DiagnosticReport.effective[x].extension",
      "definition": "Provides a reason why the effectiveTime is missing.",
      "short": "effective[x] absence reason",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/data-absent-reason" ]
      } ],
      "mustSupport": true,
      "sliceName": "data-absent-reason",
      "max": "1",
      "id": "DiagnosticReport.effective[x].extension:data-absent-reason",
      "comment": "Systems that have requirements to always populate .effective[X] do not need to demonstrate this element. Receiving systems are expected not to error if they receive a patient summary with a data absent reason on this element."
    }, {
      "id": "DiagnosticReport.performer",
      "path": "DiagnosticReport.performer",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/practitioner-lab-ca-ps", "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/practitionerrole-lab-ca-ps", "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/organization-lab-ca-ps", "http://hl7.org/fhir/StructureDefinition/CareTeam" ]
      } ],
      "comment": "The IPS-UV specification considers this a Must Support element. Further feedback is required on whether these systems are still expected to be able to demonstrate they can construct this element when developing the patient summary instance",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.result",
      "path": "DiagnosticReport.result",
      "short": "Observation results included in the diagnostic report.",
      "comment": "The IPS-UV specification considers this a Must Support element. Further feedback is required on whether these systems are still expected to be able to demonstrate they can construct this element when developing the patient summary instance",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this.resolve()",
          "type": "profile"
        } ]
      },
      "definition": "Observation results included in the diagnostic report.",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.result:observation-results",
      "path": "DiagnosticReport.result",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/observation-results-laboratory-pathology-ca-ps", "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/observation-results-radiology-ca-ps" ]
      } ],
      "sliceName": "observation-results",
      "mustSupport": true
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport"
}