{
"description": "Pathology report which contains the findings and interpretation of a pathology study.",
"_filename": "StructureDefinition-path-lm-Report.json",
"package_name": "medmij.fhir.nl.r4.pathology",
"date": null,
"derivation": "specialization",
"publisher": "MedMij",
"fhirVersion": "4.0.1",
"purpose": "This LogicalModel represents the Report Clinical Information Model (CIM) for patient use cases in the context of Pathology.",
"name": "PathLmReport",
"mapping": [ {
"name": "Mercurius Core Dataset 2.0",
"identity": "mercurius-core-dataset-2-0"
}, {
"name": "Dataset Pathologie MedMij 1.0.0-alpha.3 20260923",
"identity": "path-dataset-100-alpha3-20260923"
}, {
"uri": "https://www.xt-ehr.eu/fhir/models/1.0.0/en/StructureDefinition-EHDSImagingReport.html",
"name": "EHDS ImagingReport v1.0.0",
"identity": "ehds-imagingreport-v1.0.0"
} ],
"abstract": false,
"copyright": "Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise.",
"type": "http://medmij.nl/fhir/StructureDefinition/path-lm-Report",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "Report",
"package_version": "1.0.0-alpha.3",
"status": "draft",
"id": "ebcd28aa-19de-45fe-af25-f1d5e880a09b",
"kind": "logical",
"url": "http://medmij.nl/fhir/StructureDefinition/path-lm-Report",
"identifier": [ {
"use": "official",
"value": "urn:oid:2.16.528.1.1023.3.5.3",
"system": "urn:ietf:rfc:3986"
} ],
"version": "1.0.0-alpha.3",
"differential": {
"element": [ {
"id": "path-lm-Report",
"path": "path-lm-Report",
"alias": [ "Verslag" ],
"short": "Report",
"mapping": [ {
"map": "path-dataelement-10",
"comment": "Report",
"identity": "path-dataset-100-alpha3-20260923"
}, {
"map": "EHDSImagingReport",
"comment": "EHDSImagingReport",
"identity": "ehds-imagingreport-v1.0.0"
} ],
"definition": "Pathology report which contains the findings and interpretation of a pathology study."
}, {
"id": "path-lm-Report.IdentificationNumber",
"max": "1",
"path": "path-lm-Report.IdentificationNumber",
"alias": [ "VerslagIdentificatienummer" ],
"short": "Report identifier",
"comment": "This concept is often referred to as ReportIdentifier.\n\nThis identifier attains a value of the form _[TCSB]YY-nnnnn_ or _[TCSB]YY-nnnnnn_ (based on the laboratory the report originates from), e.g. T26-012345.",
"mapping": [ {
"map": "mercurius-core-rubriek-3",
"comment": "rapnaam",
"identity": "mercurius-core-dataset-2-0"
}, {
"map": "EHDSImagingReport.header.identifier",
"comment": "identifier",
"identity": "ehds-imagingreport-v1.0.0"
} ],
"definition": "Identifier of the pathology report assigned by the laboratory doing the analysis."
}, {
"id": "path-lm-Report.Patient",
"path": "path-lm-Report.Patient",
"type": [ {
"code": "Reference",
"targetProfile": [ "http://medmij.nl/fhir/StructureDefinition/path-lm-Patient" ]
} ],
"mapping": [ {
"map": "EHDSImagingReport.header.subject",
"comment": "subject",
"identity": "ehds-imagingreport-v1.0.0"
} ]
}, {
"id": "path-lm-Report.HealthcareProvider",
"max": "0",
"path": "path-lm-Report.HealthcareProvider"
}, {
"id": "path-lm-Report.Effective[x]",
"min": 1,
"path": "path-lm-Report.Effective[x]"
}, {
"path": "path-lm-Report.Effective[x]",
"min": 1,
"definition": "Date of authorization.",
"short": "Authorization date",
"mapping": [ {
"map": "mercurius-core-rubriek-44",
"comment": "datumautorisatie",
"identity": "mercurius-core-dataset-2-0"
}, {
"map": "EHDSImagingReport.header.date",
"comment": "date",
"identity": "ehds-imagingreport-v1.0.0"
} ],
"type": [ {
"code": "dateTime"
} ],
"sliceName": "EffectiveDateTime",
"alias": [ "DatumAutorisatie" ],
"id": "path-lm-Report.Effective[x]:EffectiveDateTime",
"comment": "This concept is often referred to as AuthorizationDate.\n\nEven though this element has data type dateTime, in practice only dates (without time) will be conveyed."
}, {
"id": "path-lm-Report.Effective[x]:EffectivePeriod",
"max": "0",
"path": "path-lm-Report.Effective[x]",
"type": [ {
"code": "Period"
} ],
"sliceName": "EffectivePeriod"
}, {
"id": "path-lm-Report.CareType",
"min": 1,
"path": "path-lm-Report.CareType",
"comment": "At least code _0388_ ('Medisch specialisten, pathologische anatomie') SHALL be conveyed as care type.",
"mapping": [ {
"map": "EHDSImagingReport.header.serviceSpecialty",
"comment": "serviceSpecialty",
"identity": "ehds-imagingreport-v1.0.0"
} ]
}, {
"path": "path-lm-Report.Authorizer",
"min": 1,
"definition": "Name of the pathologist who has authorized the report.",
"short": "Authorizer",
"mapping": [ {
"map": "mercurius-core-rubriek-41",
"comment": "autorisator",
"identity": "mercurius-core-dataset-2-0"
}, {
"map": "EHDSImagingReport.header.authorEHDSHealthProfessional",
"comment": "authorEHDSHealthProfessional (implicit, actual mapping is on authorEHDSHealthProfessional.name)",
"identity": "ehds-imagingreport-v1.0.0"
} ],
"type": [ {
"code": "string"
} ],
"alias": [ "Autorisator" ],
"max": "1",
"id": "path-lm-Report.Authorizer"
}, {
"path": "path-lm-Report.ClinicalInformation",
"min": 0,
"definition": "Clinical information section of the report.",
"short": "Clinical information",
"mapping": [ {
"map": "mercurius-core-rubriek-142",
"comment": "klinischegegevens",
"identity": "mercurius-core-dataset-2-0"
}, {
"map": "404684003",
"comment": "klinische bevinding",
"identity": "SNOMED"
}, {
"map": "EHDSImagingReport.body.examinationReport.resultsEHDSObservation",
"comment": "resultsEHDSObservation (implicit, actual mapping is on resultsEHDSObservation.result.valueString)",
"identity": "ehds-imagingreport-v1.0.0"
} ],
"type": [ {
"code": "string"
} ],
"alias": [ "KlinischeGegevens" ],
"max": "1",
"id": "path-lm-Report.ClinicalInformation"
}, {
"path": "path-lm-Report.Macroscopy",
"min": 0,
"definition": "Macroscopy-related results.",
"short": "Macroscopy",
"mapping": [ {
"map": "mercurius-core-rubriek-184",
"comment": "macroscopie",
"identity": "mercurius-core-dataset-2-0"
}, {
"map": "168126000",
"comment": "Sample macroscopy",
"identity": "SNOMED"
}, {
"map": "EHDSImagingReport.body.examinationReport.resultsEHDSObservation",
"comment": "resultsEHDSObservation (implicit, actual mapping is on resultsEHDSObservation.result.valueString)",
"identity": "ehds-imagingreport-v1.0.0"
} ],
"type": [ {
"code": "string"
} ],
"alias": [ "Macroscopie" ],
"max": "1",
"id": "path-lm-Report.Macroscopy"
}, {
"path": "path-lm-Report.Microscopy",
"min": 1,
"definition": "Microscopy-related results.",
"short": "Microscopy",
"mapping": [ {
"map": "mercurius-core-rubriek-222",
"comment": "microscopie",
"identity": "mercurius-core-dataset-2-0"
}, {
"map": "117259009",
"comment": "microscopisch onderzoek",
"identity": "SNOMED"
}, {
"map": "EHDSImagingReport.body.examinationReport.resultsEHDSObservation",
"comment": "resultsEHDSObservation (implicit, actual mapping is on resultsEHDSObservation.result.valueString)",
"identity": "ehds-imagingreport-v1.0.0"
} ],
"type": [ {
"code": "string"
} ],
"alias": [ "Microscopie" ],
"max": "1",
"id": "path-lm-Report.Microscopy"
}, {
"path": "path-lm-Report.Conclusion",
"min": 1,
"definition": "Conclusion of the report.",
"short": "Conclusion",
"mapping": [ {
"map": "mercurius-core-rubriek-224",
"comment": "conclusie",
"identity": "mercurius-core-dataset-2-0"
}, {
"map": "EHDSImagingReport.body.examinationReport.conclusion.impression",
"comment": "impression",
"identity": "ehds-imagingreport-v1.0.0"
} ],
"type": [ {
"code": "string"
} ],
"alias": [ "Conclusie" ],
"max": "1",
"id": "path-lm-Report.Conclusion"
}, {
"path": "path-lm-Report.ProtocolData",
"min": 0,
"definition": "Data from National Palga Protocols, created in the Palga Protocol Module.",
"short": "Protocol data",
"mapping": [ {
"map": "mercurius-core-rubriek-308",
"comment": "protocoldata",
"identity": "mercurius-core-dataset-2-0"
}, {
"map": "EHDSImagingReport.body.examinationReport.resultsEHDSObservation",
"comment": "resultsEHDSObservation (implicit, actual mapping is on resultsEHDSObservation.result.value)",
"identity": "ehds-imagingreport-v1.0.0"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"alias": [ "Protocoldata" ],
"max": "*",
"id": "path-lm-Report.ProtocolData"
}, {
"path": "path-lm-Report.ProtocolData.ProtocolItemName",
"min": 1,
"definition": "Name of the protocol item, expressed by a SNOMED CT code.",
"short": "Protocol item name",
"mapping": [ {
"map": "path-dataelement-11",
"comment": "ProtocolItemName",
"identity": "path-dataset-100-alpha3-20260923"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"alias": [ "ProtocolitemNaam" ],
"max": "1",
"id": "path-lm-Report.ProtocolData.ProtocolItemName"
}, {
"path": "path-lm-Report.ProtocolData.ProtocolItemResult[x]",
"min": 1,
"definition": "Result of the protocol item.",
"short": "Protocol item result",
"mapping": [ {
"map": "path-dataelement-12",
"comment": "ProtocolItemResult[x]",
"identity": "path-dataset-100-alpha3-20260923"
} ],
"type": [ {
"code": "CodeableConcept"
}, {
"code": "string"
}, {
"code": "integer"
}, {
"code": "Quantity"
}, {
"code": "Range"
}, {
"code": "dateTime"
} ],
"alias": [ "ProtocolitemResultaat" ],
"max": "1",
"id": "path-lm-Report.ProtocolData.ProtocolItemResult[x]"
}, {
"path": "path-lm-Report.ProtocolData.SampleNumber",
"min": 0,
"definition": "The number of the sample to which this protocol item corresponds.",
"short": "Sample number",
"mapping": [ {
"map": "path-dataelement-13",
"comment": "SampleNumber",
"identity": "path-dataset-100-alpha3-20260923"
} ],
"type": [ {
"code": "integer"
} ],
"alias": [ "Samplenummer" ],
"max": "1",
"id": "path-lm-Report.ProtocolData.SampleNumber"
} ]
},
"contact": [ {
"name": "MedMij",
"telecom": [ {
"use": "work",
"value": "info@medmij.nl",
"system": "email"
} ]
} ],
"baseDefinition": "http://medmij.nl/fhir/StructureDefinition/medmij-core-lm-Base"
}