{
  "resourceType": "StructureDefinition",
  "id": "diagnosticreport-ca-core",
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 2
    }
  ],
  "url": "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/diagnosticreport-ca-core",
  "version": "1.1.0",
  "name": "DiagnosticReportCACore",
  "title": "DiagnosticReport (CA-Core)",
  "status": "active",
  "experimental": false,
  "date": "2025-03-06",
  "publisher": "Canada Health Infoway",
  "contact": [
    {
      "name": "National Standards Release Centre",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.infoway-inforoute.ca"
        },
        {
          "system": "email",
          "value": "standards@infoway-inforoute.ca"
        }
      ]
    }
  ],
  "description": "This profile applies constraints to the DiagnosticReport resource for CA Core+ to support diagnostic summaries such as lab and imaging reports in the pan-Canadian context.",
  "jurisdiction": [
    {
      "coding": [
        {
          "code": "CA",
          "system": "urn:iso:std:iso:3166"
        }
      ]
    }
  ],
  "copyright": "Copyright © 2025+ 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).",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "DiagnosticReport",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "DiagnosticReport.basedOn",
        "path": "DiagnosticReport.basedOn",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/CarePlan",
              "http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation",
              "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/medicationrequest-ca-core",
              "http://hl7.org/fhir/StructureDefinition/NutritionOrder",
              "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/servicerequest-ca-core"
            ]
          }
        ]
      },
      {
        "id": "DiagnosticReport.category",
        "path": "DiagnosticReport.category",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/codeableconcept-ca-core"
            ]
          }
        ]
      },
      {
        "id": "DiagnosticReport.code",
        "path": "DiagnosticReport.code",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/codeableconcept-ca-core"
            ]
          }
        ],
        "binding": {
          "strength": "preferred",
          "valueSet": "https://fhir.infoway-inforoute.ca/ValueSet/pCLOCD"
        }
      },
      {
        "id": "DiagnosticReport.subject",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:populate-if-known"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
              }
            ]
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:no-error"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path": "DiagnosticReport.subject",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/patient-ca-core",
              "http://hl7.org/fhir/StructureDefinition/Group",
              "http://hl7.org/fhir/StructureDefinition/Device",
              "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/location-ca-core"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.encounter",
        "path": "DiagnosticReport.encounter",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/encounter-ca-core"
            ]
          }
        ]
      },
      {
        "id": "DiagnosticReport.performer",
        "path": "DiagnosticReport.performer",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/practitioner-ca-core",
              "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/practitionerRole-ca-core",
              "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/organization-ca-core",
              "http://hl7.org/fhir/StructureDefinition/CareTeam"
            ]
          }
        ]
      },
      {
        "id": "DiagnosticReport.resultsInterpreter",
        "path": "DiagnosticReport.resultsInterpreter",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/practitioner-ca-core",
              "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/practitionerRole-ca-core",
              "http://fhir.infoway-inforoute.ca/cacore/StructureDefinition/organization-ca-core",
              "http://hl7.org/fhir/StructureDefinition/CareTeam"
            ]
          }
        ]
      },
      {
        "id": "DiagnosticReport.result",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:populate-if-known"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/producer"
              }
            ]
          },
          {
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:no-error"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/ca-core/ActorDefinition/consumer"
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/obligation"
          }
        ],
        "path": "DiagnosticReport.result",
        "mustSupport": true
      }
    ]
  }
}