{
  "description": "Defines the general pathology report structure for German hospitals with the defined terms by the Medical Informatics Initiative",
  "_filename": "StructureDefinition-mii-pr-patho-report.json",
  "package_name": "de.medizininformatikinitiative.kerndatensatz.patho",
  "date": null,
  "derivation": "constraint",
  "publisher": "Medizininformatik Initiative",
  "fhirVersion": "4.0.1",
  "name": "MII_PR_Patho_Report",
  "abstract": false,
  "type": "DiagnosticReport",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "MII PR Patho Report",
  "package_version": "2025.0.0-alpha2",
  "status": "active",
  "id": "e95f4ad8-1cf2-4556-ad01-7e12e2f37021",
  "kind": "resource",
  "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-report",
  "version": "2025.0.0",
  "differential": {
    "element": [ {
      "id": "DiagnosticReport.id",
      "path": "DiagnosticReport.id",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.meta.lastUpdated",
      "path": "DiagnosticReport.meta.lastUpdated",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.meta.profile",
      "path": "DiagnosticReport.meta.profile",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.text",
      "path": "DiagnosticReport.text",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension",
      "path": "DiagnosticReport.extension",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "DiagnosticReport.extension:related-report",
      "max": "*",
      "min": 0,
      "path": "DiagnosticReport.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/workflow-relatedArtifact" ]
      } ],
      "sliceName": "related-report",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.identifier",
      "min": 1,
      "path": "DiagnosticReport.identifier",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this.type",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.identifier:Set-ID",
      "max": "1",
      "min": 1,
      "path": "DiagnosticReport.identifier",
      "sliceName": "Set-ID",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.identifier:Set-ID.type",
      "min": 1,
      "path": "DiagnosticReport.identifier.type",
      "mustSupport": true,
      "patternCodeableConcept": {
        "coding": [ {
          "code": "ACSN",
          "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
          "display": "Accession ID"
        } ]
      }
    }, {
      "id": "DiagnosticReport.identifier:Set-ID.system",
      "min": 1,
      "path": "DiagnosticReport.identifier.system",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.identifier:Set-ID.value",
      "min": 1,
      "path": "DiagnosticReport.identifier.value",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.basedOn",
      "min": 1,
      "path": "DiagnosticReport.basedOn",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-service-request" ]
      } ],
      "short": "Reference to respective MII_PR_Patho_Service_Request",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.status",
      "path": "DiagnosticReport.status",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.category",
      "path": "DiagnosticReport.category",
      "binding": {
        "strength": "extensible",
        "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/ValueSet/mii-vs-patho-report-category-hl7"
      },
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.code",
      "path": "DiagnosticReport.code",
      "short": "Pathology report code",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.code.coding",
      "min": 1,
      "path": "DiagnosticReport.code.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      }
    }, {
      "id": "DiagnosticReport.code.coding:pathology-report",
      "max": "1",
      "min": 1,
      "path": "DiagnosticReport.code.coding",
      "sliceName": "pathology-report",
      "mustSupport": true,
      "patternCoding": {
        "code": "60568-3",
        "system": "http://loinc.org"
      }
    }, {
      "id": "DiagnosticReport.code.coding:pathology-report.system",
      "min": 1,
      "path": "DiagnosticReport.code.coding.system",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.code.coding:pathology-report.code",
      "min": 1,
      "path": "DiagnosticReport.code.coding.code",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.subject",
      "min": 1,
      "path": "DiagnosticReport.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ]
      } ],
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.encounter",
      "path": "DiagnosticReport.encounter",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.effective[x]",
      "path": "DiagnosticReport.effective[x]",
      "type": [ {
        "code": "dateTime"
      } ],
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.performer",
      "min": 1,
      "path": "DiagnosticReport.performer",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.specimen",
      "min": 1,
      "path": "DiagnosticReport.specimen",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.result",
      "min": 1,
      "path": "DiagnosticReport.result",
      "slicing": {
        "rules": "closed",
        "ordered": true,
        "discriminator": [ {
          "path": "resolve().code",
          "type": "value"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.result:intraoperative-observations",
      "max": "*",
      "min": 0,
      "path": "DiagnosticReport.result",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-intraoperative-grouper" ]
      } ],
      "short": "Reference to intraoperative Observation grouper(s)",
      "sliceName": "intraoperative-observations",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.result:intraoperative-observations.reference",
      "min": 1,
      "path": "DiagnosticReport.result.reference",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.result:macroscopic-observations",
      "max": "*",
      "min": 0,
      "path": "DiagnosticReport.result",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-macroscopic-grouper" ]
      } ],
      "short": "Reference to macroscopic Observation grouper(s)",
      "sliceName": "macroscopic-observations",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.result:macroscopic-observations.reference",
      "min": 1,
      "path": "DiagnosticReport.result.reference",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.result:microscopic-observations",
      "max": "*",
      "min": 0,
      "path": "DiagnosticReport.result",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-microscopic-grouper" ]
      } ],
      "short": "Reference to microscopic Observation grouper(s)",
      "sliceName": "microscopic-observations",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.result:microscopic-observations.reference",
      "min": 1,
      "path": "DiagnosticReport.result.reference",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.result:additional-observations",
      "max": "*",
      "min": 0,
      "path": "DiagnosticReport.result",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-additional-specified-grouper" ]
      } ],
      "short": "Reference to any additional Observation grouper(s)",
      "sliceName": "additional-observations",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.result:additional-observations.reference",
      "min": 1,
      "path": "DiagnosticReport.result.reference",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.result:diagnostic-conclusion",
      "max": "*",
      "min": 1,
      "path": "DiagnosticReport.result",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-diagnostic-conclusion-grouper" ]
      } ],
      "short": "Reference to the 'Diagnostic Conclusion' grouper(s)",
      "sliceName": "diagnostic-conclusion",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.result:diagnostic-conclusion.reference",
      "min": 1,
      "path": "DiagnosticReport.result.reference",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.imagingStudy",
      "path": "DiagnosticReport.imagingStudy",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.media",
      "path": "DiagnosticReport.media",
      "short": "Reference to single attached images",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.media.link",
      "path": "DiagnosticReport.media.link",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://www.medizininformatik-initiative.de/fhir/ext/modul-patho/StructureDefinition/mii-pr-patho-attached-image" ]
      } ],
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.conclusionCode",
      "path": "DiagnosticReport.conclusionCode",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.presentedForm",
      "path": "DiagnosticReport.presentedForm",
      "mustSupport": true
    } ]
  },
  "contact": [ {
    "telecom": [ {
      "value": "https://www.medizininformatik-initiative.de",
      "system": "url"
    } ]
  } ],
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport"
}