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{
  "resourceType": "StructureDefinition",
  "id": "cyehr-sd-diagnosticreport-r4",
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 2,
      "_valueInteger": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://hl7.org/fhir/uv/ips/ImplementationGuide/ig-uv-ips"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "trial-use",
      "_valueCode": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://hl7.org/fhir/uv/ips/ImplementationGuide/ig-uv-ips"
          }
        ]
      }
    }
  ],
  "url": "http://ig.ehealth4u.eu/fhir/StructureDefinition/cyehr-sd-diagnosticreport-r4",
  "name": "CYEHRSDDiagnosticReport",
  "title": "Cyprus Diagnostic Report profile",
  "status": "draft",
  "publisher": "eHealth4U",
  "contact": [
    {
      "name": "eHealth Lab (University of Cyprus)",
      "telecom": [
        {
          "system": "email",
          "value": "ehealthl@ucy.ac.cy",
          "use": "work"
        }
      ]
    }
  ],
  "description": "This profile represents a report for diagnostic test and procedure for the needs of the national Cyprus EHR system.",
  "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",
        "comment": "Note: Usually there is one test request for each result, however in some circumstances multiple test requests may be represented using a single test result resource. Note that there are also cases where one request leads to multiple reports.\r\n\r\nCyprusEHR: Not to be used in the context of Cyprus EHR."
      },
      {
        "id": "DiagnosticReport.status",
        "path": "DiagnosticReport.status",
        "fixedCode": "final"
      },
      {
        "id": "DiagnosticReport.category",
        "path": "DiagnosticReport.category",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.category.coding.system",
        "path": "DiagnosticReport.category.coding.system",
        "min": 1
      },
      {
        "id": "DiagnosticReport.category.coding.code",
        "path": "DiagnosticReport.category.coding.code",
        "min": 1
      },
      {
        "id": "DiagnosticReport.category.coding.display",
        "path": "DiagnosticReport.category.coding.display",
        "min": 1
      },
      {
        "id": "DiagnosticReport.code",
        "path": "DiagnosticReport.code",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.code.coding",
        "path": "DiagnosticReport.code.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "$this"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "DiagnosticReport.code.coding.system",
        "path": "DiagnosticReport.code.coding.system",
        "min": 1
      },
      {
        "id": "DiagnosticReport.code.coding.code",
        "path": "DiagnosticReport.code.coding.code",
        "min": 1
      },
      {
        "id": "DiagnosticReport.code.coding.display",
        "path": "DiagnosticReport.code.coding.display",
        "min": 1
      },
      {
        "id": "DiagnosticReport.code.coding:codeXeHealthLaboratory",
        "path": "DiagnosticReport.code.coding",
        "sliceName": "codeXeHealthLaboratory",
        "min": 1,
        "max": "1",
        "binding": {
          "strength": "required",
          "valueSet": "http://hl7.eu/fhir/ig/xeh/ValueSet/lab-studyType-xeh"
        }
      },
      {
        "id": "DiagnosticReport.subject",
        "path": "DiagnosticReport.subject",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/Group",
              "http://ig.ehealth4u.eu/fhir/StructureDefinition/cyehr-sd-patient"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.subject.reference",
        "path": "DiagnosticReport.subject.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.encounter",
        "path": "DiagnosticReport.encounter",
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.effective[x]",
        "path": "DiagnosticReport.effective[x]",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.effective[x].extension",
        "path": "DiagnosticReport.effective[x].extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        },
        "min": 0
      },
      {
        "id": "DiagnosticReport.effective[x].extension:data-absent-reason",
        "path": "DiagnosticReport.effective[x].extension",
        "sliceName": "data-absent-reason",
        "short": "effective[x] absence reason",
        "definition": "Provides a reason why the effectiveTime is missing.",
        "min": 0,
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/data-absent-reason"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.performer",
        "path": "DiagnosticReport.performer",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
              "http://hl7.org/fhir/StructureDefinition/Organization",
              "http://hl7.org/fhir/StructureDefinition/CareTeam",
              "http://ig.ehealth4u.eu/fhir/StructureDefinition/cyehr-sd-practitionerrolehealthcareassociate-r4"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.performer.reference",
        "path": "DiagnosticReport.performer.reference",
        "min": 1
      },
      {
        "id": "DiagnosticReport.resultsInterpreter",
        "path": "DiagnosticReport.resultsInterpreter",
        "comment": "Might not be the same entity that takes responsibility for the clinical report.\r\n\r\nCyprusEHR: Not to be used in the context of Cyprus EHR."
      },
      {
        "id": "DiagnosticReport.specimen",
        "path": "DiagnosticReport.specimen",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Specimen",
              "http://ig.ehealth4u.eu/fhir/StructureDefinition/cyehr-sd-specimen-r4"
            ]
          }
        ],
        "mustSupport": false
      },
      {
        "id": "DiagnosticReport.specimen.reference",
        "path": "DiagnosticReport.specimen.reference",
        "min": 1
      },
      {
        "id": "DiagnosticReport.result",
        "path": "DiagnosticReport.result",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "resolve()"
            }
          ],
          "rules": "open"
        },
        "short": "Observation results included in the diagnostic report.",
        "definition": "Observation results included in the diagnostic report.",
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.result:observation-results",
        "path": "DiagnosticReport.result",
        "sliceName": "observation-results",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ig.ehealth4u.eu/fhir/StructureDefinition/cyehr-sd-observationresults"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.result:observation-results.reference",
        "path": "DiagnosticReport.result.reference",
        "min": 1
      },
      {
        "id": "DiagnosticReport.imagingStudy.reference",
        "path": "DiagnosticReport.imagingStudy.reference",
        "min": 1
      },
      {
        "id": "DiagnosticReport.media",
        "path": "DiagnosticReport.media",
        "comment": "CyprusEHR: Not to be used in the context of Cyprus EHR."
      },
      {
        "id": "DiagnosticReport.conclusion",
        "path": "DiagnosticReport.conclusion",
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.presentedForm",
        "path": "DiagnosticReport.presentedForm",
        "comment": "\"application/pdf\" is recommended as the most reliable and interoperable in this context.\r\n\r\nCyprusEHR: For Phase II all laboratory/imaging reports will be given as pdf files by using this field. For Phase III the results and conclusion elements shall be used instead."
      }
    ]
  }
}

name : CYEHRSDDiagnosticReport

{

}