<status value="draft" /> <date value="2026-01-09" /> <publisher value="HL7 Canada - FHIR Implementation Work Group" /> <contact> <telecom> <system value="url" /> <value value="https://infocentral.infoway-inforoute.ca/en/collaboration/wg/fhir-implementations" /> </telecom> </contact> <description value="Proposed constraints on the DiagnosticReport resource for the minimal set of data to query and retrieve diagnostic reports associated with laboratory and other results" /> <jurisdiction> <coding> <system value="urn:iso:std:iso:3166" /> <code value="CA" /> </coding> </jurisdiction> <fhirVersion value="4.0.1" /> <mapping> <identity value="workflow" /> <uri value="http://hl7.org/fhir/workflow" /> <name value="Workflow Pattern" /> </mapping> <mapping> <identity value="v2" /> <uri value="http://hl7.org/v2" /> <name value="HL7 v2 Mapping" /> </mapping> <mapping> <identity value="rim" /> <uri value="http://hl7.org/v3" /> <name value="RIM Mapping" /> </mapping> <mapping> <identity value="w5" /> <uri value="http://hl7.org/fhir/fivews" /> <name value="FiveWs Pattern Mapping" /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="DiagnosticReport" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport" /> <derivation value="constraint" /> <differential> <element id="DiagnosticReport"> <path value="DiagnosticReport" /> <short value="DiagnosticReport Profile" /> <definition value="Diagnostic Report Profile is based upon the core FHIR DiagnosticReport resource and created to meet the Laboratory test(s) and Laboratory value(s)/result(s) requirements." /> </element> <element id="DiagnosticReport.extension:note"> <path value="DiagnosticReport.extension" /> <sliceName value="note" /> <comment value="This extension is used to pre-adopt the DiagnosticReport.note element that was introduced in FHIR R5. This was done to socialize a standardized method for conveying notes that apply to the entirety of a diagnostic report as is seen in some Canadian implementations (e.g., OLIS). Before using this extension in your implementation, consider if its fit-for-purpose/fit-for-use applicable for your needs. Users are encouraged to review the https://build.fhir.org/versions.html#extensions." /> <min value="0" /> <max value="*" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note" /> </type> </element> <element id="DiagnosticReport.category"> <path value="DiagnosticReport.category" /> <slicing> <discriminator> <type value="value" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> <type> <code value="CodeableConcept" /> </type> </element> <element id="DiagnosticReport.category:LabResult"> <path value="DiagnosticReport.category" /> <sliceName value="LabResult" /> <definition value="A code that classifies the Laboratory test(s) and Laboratory result(s). This is used for searching, sorting and display purposes." /> <comment value="Multiple categories are allowed using various categorization schemes but at least one SHALL come from the FHIR defined value set that includes codes from HL7v2 Table 0074" /> <type> <code value="CodeableConcept" /> </type> </element> <element id="DiagnosticReport.category:LabResult.coding.system"> <path value="DiagnosticReport.category.coding.system" /> <min value="1" /> <patternUri value="http://terminology.hl7.org/CodeSystem/v2-0074" /> </element> <element id="DiagnosticReport.code"> <path value="DiagnosticReport.code" /> <binding> <strength value="preferred" /> <valueSet value="https://fhir.infoway-inforoute.ca/ValueSet/pCLOCD" /> </binding> </element> <element id="DiagnosticReport.code.coding"> <path value="DiagnosticReport.code.coding" /> </element> <element id="DiagnosticReport.code.coding.system"> <path value="DiagnosticReport.code.coding.system" /> <min value="1" /> </element> <element id="DiagnosticReport.code.coding.code"> <path value="DiagnosticReport.code.coding.code" /> <min value="1" /> </element> <element id="DiagnosticReport.subject"> <path value="DiagnosticReport.subject" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-patient" /> <targetProfile value="http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-device" /> <targetProfile value="http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-location" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device" /> </type> </element> <element id="DiagnosticReport.encounter"> <path value="DiagnosticReport.encounter" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-encounter" /> </type> </element> <element id="DiagnosticReport.effective[x]"> <path value="DiagnosticReport.effective[x]" /> <type> <code value="dateTime" /> </type> <type> <code value="Period" /> </type> </element> <element id="DiagnosticReport.performer"> <path value="DiagnosticReport.performer" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-practitioner" /> <targetProfile value="http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-practitionerrole" /> <targetProfile value="http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-organization" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/CareTeam" /> </type> </element> <element id="DiagnosticReport.resultsInterpreter"> <path value="DiagnosticReport.resultsInterpreter" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-practitioner" /> <targetProfile value="http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-practitionerrole" /> <targetProfile value="http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-organization" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/CareTeam" /> </type> </element> <element id="DiagnosticReport.result"> <path value="DiagnosticReport.result" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-observation-results" /> <targetProfile value="http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-observation" /> </type> </element> <element id="DiagnosticReport.conclusionCode"> <path value="DiagnosticReport.conclusionCode" /> <short value="CHI identification of the condition, problem or diagnosis" /> <definition value="The code that represents relevant clinical problems, conditions, diagnoses, symptoms, findings and complaints taken from [CHI Health Concern Code](https://fhir.infoway-inforoute.ca/ValueSet/healthconcerncode)" /> <comment value="The binding strength of this element is [Example](https://www.hl7.org/fhir/terminologies.html#strength), meaning that the Canada Health Infoway Health Concern Code value set provides examples of the types of concepts intended to be included" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="example" /> <description value="Represents the patient's relevant clinical problems, conditions, diagnoses, symptoms, findings and complaints, as interpreted by the provider." /> <valueSet value="https://fhir.infoway-inforoute.ca/ValueSet/healthconcerncode" /> </binding> </element> </differential> </StructureDefinition>