{
  "resourceType": "StructureDefinition",
  "id": "profile-diagnosticreportnote",
  "url": "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-diagnosticreportnote",
  "version": "0.3.1",
  "name": "DiagnosticReportNoteProfile",
  "title": "Diagnostic Report for Report and Note Exchange Profile",
  "status": "draft",
  "date": "2026-01-09",
  "publisher": "HL7 Canada - FHIR Implementation Work Group",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "https://infocentral.infoway-inforoute.ca/en/collaboration/wg/fhir-implementations"
        }
      ]
    }
  ],
  "description": "Proposed constraints and extensions on the Diagnostic Report Resource to support collection of diagnostic report information for reports and notes.  Generated as a first step toward creating a set of Canadian Baseline FHIR profiles.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "CA"
        }
      ]
    }
  ],
  "fhirVersion": "4.0.1",
  "mapping": [
    {
      "identity": "workflow",
      "uri": "http://hl7.org/fhir/workflow",
      "name": "Workflow Pattern"
    },
    {
      "identity": "v2",
      "uri": "http://hl7.org/v2",
      "name": "HL7 v2 Mapping"
    },
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    },
    {
      "identity": "w5",
      "uri": "http://hl7.org/fhir/fivews",
      "name": "FiveWs Pattern Mapping"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "DiagnosticReport",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "DiagnosticReport",
        "path": "DiagnosticReport",
        "short": "DiagnosticReport for Report and Note Profile",
        "definition": "The DiagnosticReport Profile is based upon the core FHIR DiagnosticReport Resource"
      },
      {
        "id": "DiagnosticReport.status",
        "path": "DiagnosticReport.status",
        "binding": {
          "strength": "required",
          "description": "Codes providing the status of a DiagnosticReport.",
          "valueSet": "http://hl7.org/fhir/ValueSet/diagnostic-report-status"
        }
      },
      {
        "id": "DiagnosticReport.category",
        "path": "DiagnosticReport.category",
        "comment": "This profile does not currently put forth a Canadian value set for Diagnostic Report Categories. Further work is required to determine if this profile should align to the value set in use in US Core https://www.hl7.org/fhir/us/core/ValueSet-us-core-diagnosticreport-category.html or if a Canadian value set needs to be created."
      },
      {
        "id": "DiagnosticReport.code",
        "path": "DiagnosticReport.code",
        "comment": "This profile does not currently put forth a Canadian value set for Diagnostic Report Codes. Further work is required to determine if this profile should align to the value set in use in US Core https://www.hl7.org/fhir/us/core/ValueSet-us-core-diagnosticreport-report-and-note-codes.html or if a Canadian value set needs to be created."
      },
      {
        "id": "DiagnosticReport.subject",
        "path": "DiagnosticReport.subject",
        "short": "The patient that the diagnostic report refers to",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-patient"
            ]
          }
        ]
      },
      {
        "id": "DiagnosticReport.encounter",
        "path": "DiagnosticReport.encounter",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-encounter"
            ]
          }
        ]
      },
      {
        "id": "DiagnosticReport.effective[x]",
        "path": "DiagnosticReport.effective[x]",
        "short": "Time of report or note",
        "min": 1
      },
      {
        "id": "DiagnosticReport.performer",
        "path": "DiagnosticReport.performer",
        "short": "Responsible Diagnostic Service",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-practitioner",
              "http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-organization"
            ]
          }
        ]
      }
    ]
  }
}