{ "resourceType": "StructureDefinition", "id": "mii-pr-lungenfunktion-befund", "extension": [ { "url": "https://www.medizininformatik-initiative.de/fhir/modul-meta/StructureDefinition/mii-ex-meta-license-codeable", "valueCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/spdx-license", "code": "CC-BY-4.0", "display": "Creative Commons Attribution 4.0 International" } ] } } ], "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-lungenfunktion/StructureDefinition/mii-pr-lungenfunktion-befund", "version": "2027.0.0-preview", "name": "MII_PR_Lungenfunktion_Befund", "_name": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "MII_PR_Lungfunction_Report" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "title": "MII PR Lungenfunktion Template", "_title": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "MII PR Lungfunction Report" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "status": "active", "date": "2027-01-01", "publisher": "Medizininformatik Initiative", "contact": [ { "telecom": [ { "system": "url", "value": "https://www.medizininformatik-initiative.de" } ] } ], "description": "Diese Ressource beschreibt einen Befunde eines Lungenfunktionstest", "_description": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "The profile describes a diagnostic report for a lung functiontesting." } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "fhirVersion": "4.0.1", "kind": "resource", "abstract": false, "type": "DiagnosticReport", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport", "derivation": "constraint", "snapshot": { "element": [ { "id": "DiagnosticReport", "path": "DiagnosticReport", "short": "A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports", "definition": "The findings and interpretation of diagnostic tests performed on patients, groups of patients, devices, and locations, and/or specimens derived from these. The report includes clinical context such as requesting and provider information, and some mix of atomic results, images, textual and coded interpretations, and formatted representation of diagnostic reports.", "comment": "This is intended to capture a single report and is not suitable for use in displaying summary information that covers multiple reports. For example, this resource has not been designed for laboratory cumulative reporting formats nor detailed structured reports for sequencing.", "alias": [ "Report", "Test", "Result", "Results", "Labs", "Laboratory" ], "min": 0, "max": "*", "base": { "path": "DiagnosticReport", "min": 0, "max": "*" }, "constraint": [ { "key": "dom-2", "severity": "error", "human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources", "expression": "contained.contained.empty()", "xpath": "not(parent::f:contained and f:contained)", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key": "dom-4", "severity": "error", "human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated", "expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()", "xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key": "dom-3", "severity": "error", "human": "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource", "expression": "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()", "xpath": "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice", "valueBoolean": true }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation", "valueMarkdown": "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." } ], "key": "dom-6", "severity": "warning", "human": "A resource should have narrative for robust management", "expression": "text.`div`.exists()", "xpath": "exists(f:text/h:div)", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key": "dom-5", "severity": "error", "human": "If a resource is contained in another resource, it SHALL NOT have a security label", "expression": "contained.meta.security.empty()", "xpath": "not(exists(f:contained/*/f:meta/f:security))", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" } ], "mapping": [ { "identity": "rim", "map": "Entity. Role, or Act" }, { "identity": "workflow", "map": "Event" }, { "identity": "v2", "map": "ORU -> OBR" }, { "identity": "rim", "map": "Observation[classCode=OBS, moodCode=EVN]" } ] }, { "id": "DiagnosticReport.id", "path": "DiagnosticReport.id", "short": "Logical id of this artifact", "definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.", "comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.", "min": 0, "max": "1", "base": { "path": "Resource.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mustSupport": true, "isSummary": true }, { "id": "DiagnosticReport.meta", "path": "DiagnosticReport.meta", "short": "Metadata about the resource", "definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.", "min": 0, "max": "1", "base": { "path": "Resource.meta", "min": 0, "max": "1" }, "type": [ { "code": "Meta" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "DiagnosticReport.meta.id", "path": "DiagnosticReport.meta.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "DiagnosticReport.meta.extension", "path": "DiagnosticReport.meta.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "DiagnosticReport.meta.versionId", "path": "DiagnosticReport.meta.versionId", "short": "Version specific identifier", "definition": "The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.", "comment": "The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.", "min": 0, "max": "1", "base": { "path": "Meta.versionId", "min": 0, "max": "1" }, "type": [ { "code": "id" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "DiagnosticReport.meta.lastUpdated", "path": "DiagnosticReport.meta.lastUpdated", "short": "When the resource version last changed", "definition": "When the resource last changed - e.g. when the version changed.", "comment": "This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a [read](http.html#read) interaction.", "min": 0, "max": "1", "base": { "path": "Meta.lastUpdated", "min": 0, "max": "1" }, "type": [ { "code": "instant" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "DiagnosticReport.meta.source", "path": "DiagnosticReport.meta.source", "short": "Identifies where the resource comes from", "definition": "A uri that identifies the source system of the resource. This provides a minimal amount of [Provenance](provenance.html#) information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.", "comment": "In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. \n\nThis element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.", "min": 0, "max": "1", "base": { "path": "Meta.source", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "DiagnosticReport.meta.profile", "path": "DiagnosticReport.meta.profile", "short": "Profiles this resource claims to conform to", "definition": "A list of profiles (references to [StructureDefinition](structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](structuredefinition-definitions.html#StructureDefinition.url).", "comment": "It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.", "min": 0, "max": "*", "base": { "path": "Meta.profile", "min": 0, "max": "*" }, "type": [ { "code": "canonical", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/StructureDefinition" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "DiagnosticReport.meta.security", "path": "DiagnosticReport.meta.security", "short": "Security Labels applied to this resource", "definition": "Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.", "comment": "The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.", "min": 0, "max": "*", "base": { "path": "Meta.security", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "SecurityLabels" } ], "strength": "extensible", "description": "Security Labels from the Healthcare Privacy and Security Classification System.", "valueSet": "http://hl7.org/fhir/ValueSet/security-labels" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" } ] }, { "id": "DiagnosticReport.meta.tag", "path": "DiagnosticReport.meta.tag", "short": "Tags applied to this resource", "definition": "Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.", "comment": "The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.", "min": 0, "max": "*", "base": { "path": "Meta.tag", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "Tags" } ], "strength": "example", "description": "Codes that represent various types of tags, commonly workflow-related; e.g. \"Needs review by Dr. Jones\".", "valueSet": "http://hl7.org/fhir/ValueSet/common-tags" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" } ] }, { "id": "DiagnosticReport.implicitRules", "path": "DiagnosticReport.implicitRules", "short": "A set of rules under which this content was created", "definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.", "comment": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.", "min": 0, "max": "1", "base": { "path": "Resource.implicitRules", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isModifierReason": "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation", "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "DiagnosticReport.language", "path": "DiagnosticReport.language", "short": "Language of the resource content", "definition": "The base language in which the resource is written.", "comment": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).", "min": 0, "max": "1", "base": { "path": "Resource.language", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet", "valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "Language" } ], "strength": "preferred", "description": "A human language.", "valueSet": "http://hl7.org/fhir/ValueSet/languages" }, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "DiagnosticReport.text", "path": "DiagnosticReport.text", "short": "Text summary of the resource, for human interpretation", "definition": "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.", "comment": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.", "alias": [ "narrative", "html", "xhtml", "display" ], "min": 0, "max": "1", "base": { "path": "DomainResource.text", "min": 0, "max": "1" }, "type": [ { "code": "Narrative" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" }, { "identity": "rim", "map": "Act.text?" } ] }, { "id": "DiagnosticReport.contained", "path": "DiagnosticReport.contained", "short": "Contained, inline Resources", "definition": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.", "comment": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.", "alias": [ "inline resources", "anonymous resources", "contained resources" ], "min": 0, "max": "*", "base": { "path": "DomainResource.contained", "min": 0, "max": "*" }, "type": [ { "code": "Resource" } ], "mapping": [ { "identity": "rim", "map": "Entity. Role, or Act" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "DiagnosticReport.extension", "path": "DiagnosticReport.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "DomainResource.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "DiagnosticReport.modifierExtension", "path": "DiagnosticReport.modifierExtension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Extensions that cannot be ignored", "definition": "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "DomainResource.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them", "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "DiagnosticReport.identifier", "path": "DiagnosticReport.identifier", "short": "Business identifier for report", "definition": "Identifiers assigned to this report by the performer or other systems.", "comment": "Usually assigned by the Information System of the diagnostic service provider (filler id).", "requirements": "Need to know what identifier to use when making queries about this report from the source laboratory, and for linking to the report outside FHIR context.", "alias": [ "ReportID", "Filler ID", "Placer ID" ], "min": 0, "max": "*", "base": { "path": "DiagnosticReport.identifier", "min": 0, "max": "*" }, "type": [ { "code": "Identifier" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)" }, { "identity": "rim", "map": "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" }, { "identity": "servd", "map": "Identifier" }, { "identity": "workflow", "map": "Event.identifier" }, { "identity": "w5", "map": "FiveWs.identifier" }, { "identity": "v2", "map": "OBR-51/ for globally unique filler ID - OBR-3 , For non-globally unique filler-id the flller/placer number must be combined with the universal service Id - OBR-2(if present)+OBR-3+OBR-4" }, { "identity": "rim", "map": "id" } ] }, { "id": "DiagnosticReport.basedOn", "path": "DiagnosticReport.basedOn", "short": "What was requested", "definition": "Details concerning a service requested.", "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.", "requirements": "This allows tracing of authorization for the report and tracking whether proposals/recommendations were acted upon.", "alias": [ "Request" ], "min": 0, "max": "*", "base": { "path": "DiagnosticReport.basedOn", "min": 0, "max": "*" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/CarePlan", "http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation", "http://hl7.org/fhir/StructureDefinition/MedicationRequest", "http://hl7.org/fhir/StructureDefinition/NutritionOrder", "http://hl7.org/fhir/StructureDefinition/ServiceRequest" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "workflow", "map": "Event.basedOn" }, { "identity": "v2", "map": "ORC? OBR-2/3?" }, { "identity": "rim", "map": "outboundRelationship[typeCode=FLFS].target" } ] }, { "id": "DiagnosticReport.status", "path": "DiagnosticReport.status", "short": "Status", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Status" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "status" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "angemeldet | unvollständig | vorläufig | endgültig | geändert | korrigiert | angefügt | abgebrochen | fehlerhafte Eingabe | unbekannt", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "angemeldet | unvollständig | vorläufig | endgültig | geändert | korrigiert | angefügt | abgebrochen | fehlerhafte Eingabe | unbekannt" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | unknown" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements": "Diagnostic services routinely issue provisional/incomplete reports, and sometimes withdraw previously released reports.", "min": 1, "max": "1", "base": { "path": "DiagnosticReport.status", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isModifier": true, "isModifierReason": "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid", "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "DiagnosticReportStatus" } ], "strength": "required", "description": "The status of the diagnostic report.", "valueSet": "http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "workflow", "map": "Event.status" }, { "identity": "w5", "map": "FiveWs.status" }, { "identity": "v2", "map": "OBR-25 (not 1:1 mapping)" }, { "identity": "rim", "map": "statusCode Note: final and amended are distinguished by whether observation is the subject of a ControlAct event of type \"revise\"" } ] }, { "id": "DiagnosticReport.category", "path": "DiagnosticReport.category", "short": "Kategorie", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Kategorie" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "category" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Klassifikation in diagnostischen Fachbereich und Gruppe", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Klassifikation in diagnostischen Fachbereich und Gruppe" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "Classification of the diagnostic service section" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "comment": "Multiple categories are allowed using various categorization schemes. The level of granularity is defined by the category concepts in the value set. More fine-grained filtering can be performed using the metadata and/or terminology hierarchy in DiagnosticReport.code.", "alias": [ "Department", "Sub-department", "Service", "Discipline" ], "min": 1, "max": "*", "base": { "path": "DiagnosticReport.category", "min": 0, "max": "*" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "DiagnosticServiceSection" } ], "strength": "example", "description": "Codes for diagnostic service sections.", "valueSet": "http://hl7.org/fhir/ValueSet/diagnostic-service-sections" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "w5", "map": "FiveWs.class" }, { "identity": "v2", "map": "OBR-24" }, { "identity": "rim", "map": "inboundRelationship[typeCode=COMP].source[classCode=LIST, moodCode=EVN, code < LabService].code" } ] }, { "id": "DiagnosticReport.category.id", "path": "DiagnosticReport.category.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "DiagnosticReport.category.extension", "path": "DiagnosticReport.category.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "DiagnosticReport.category.coding", "path": "DiagnosticReport.category.coding", "slicing": { "discriminator": [ { "type": "pattern", "path": "$this" } ], "rules": "open" }, "short": "Code defined by a terminology system", "definition": "A reference to a code defined by a terminology system.", "comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 1, "max": "*", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "DiagnosticReport.category.coding:loinc", "path": "DiagnosticReport.category.coding", "sliceName": "loinc", "short": "LOINC Code", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "LOINC Code" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "LOINC code" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Ein Verweis auf einen vom LOINC definierten Code", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Ein Verweis auf einen von LOINC definierten Code" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "A reference to a code defined by LOINC" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 0, "max": "*", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "patternCoding": { "system": "http://loinc.org", "code": "58477-1", "display": "Pulmonary function study" }, "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "DiagnosticReport.category.coding:diagnostic-service-sections", "path": "DiagnosticReport.category.coding", "sliceName": "diagnostic-service-sections", "short": "Code defined by a terminology system", "definition": "A reference to a code defined by a terminology system.", "comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 0, "max": "*", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "patternCoding": { "system": "http://terminology.hl7.org/CodeSystem/v2-0074", "code": "PF" }, "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "DiagnosticReport.category.coding:sct", "path": "DiagnosticReport.category.coding", "sliceName": "sct", "short": "SNOMED CT Code", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "SNOMED CT Code" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "SNOMED CT code" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Ein Verweis auf einen von SNOMED CT definierten Code", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Ein Verweis auf einen von SNOMED CT definierten Code" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "A reference to a code defined by SNOMED CT" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 1, "max": "1", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "patternCoding": { "system": "http://snomed.info/sct", "code": "720449003", "display": "Pulmonary function report (record artifact)" }, "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "DiagnosticReport.category.text", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "DiagnosticReport.category.text", "short": "Plain text representation of the concept", "definition": "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.", "comment": "Very often the text is the same as a displayName of one of the codings.", "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min": 0, "max": "1", "base": { "path": "CodeableConcept.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.9. But note many systems use C*E.2 for this" }, { "identity": "rim", "map": "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity": "orim", "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" } ] }, { "id": "DiagnosticReport.code", "path": "DiagnosticReport.code", "short": "Code", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Code" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "code" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Ein Code des Berichts", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Code des Berichts" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "code of the diagnostic report" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.", "alias": [ "Type" ], "min": 1, "max": "1", "base": { "path": "DiagnosticReport.code", "min": 1, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "DiagnosticReportCodes" } ], "strength": "preferred", "description": "Codes that describe Diagnostic Reports.", "valueSet": "http://hl7.org/fhir/ValueSet/report-codes" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "workflow", "map": "Event.code" }, { "identity": "w5", "map": "FiveWs.what[x]" }, { "identity": "v2", "map": "OBR-4 (HL7 v2 doesn't provide an easy way to indicate both the ordered test and the performed panel)" }, { "identity": "rim", "map": "code" } ] }, { "id": "DiagnosticReport.code.id", "path": "DiagnosticReport.code.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "DiagnosticReport.code.extension", "path": "DiagnosticReport.code.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "DiagnosticReport.code.coding", "path": "DiagnosticReport.code.coding", "slicing": { "discriminator": [ { "type": "value", "path": "$this" } ], "rules": "open" }, "short": "Code defined by a terminology system", "definition": "A reference to a code defined by a terminology system.", "comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 0, "max": "*", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "DiagnosticReport.code.coding:sct", "path": "DiagnosticReport.code.coding", "sliceName": "sct", "short": "SNOMED CT Code", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "SNOMED CT Code" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "SNOMED CT code" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Ein Verweis auf einen von SNOMED CT definierten Code", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Ein Verweis auf einen von SNOMED CT definierten Code" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "A reference to a code defined by SNOMED CT" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 0, "max": "1", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isSummary": true, "binding": { "strength": "required", "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-lungenfunktion/ValueSet/mii-vs-lufu-sct-procedure" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "DiagnosticReport.code.coding:loinc", "path": "DiagnosticReport.code.coding", "sliceName": "loinc", "short": "LOINC Code", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "LOINC Code" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "LOINC code" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Ein Verweis auf einen vom LOINC definierten Code", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Ein Verweis auf einen von LOINC definierten Code" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "A reference to a code defined by LOINC" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 0, "max": "1", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isSummary": true, "binding": { "strength": "required", "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-lungenfunktion/ValueSet/mii-vs-lufu-lnc-procedure" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "DiagnosticReport.code.text", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "DiagnosticReport.code.text", "short": "Plain text representation of the concept", "definition": "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.", "comment": "Very often the text is the same as a displayName of one of the codings.", "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min": 0, "max": "1", "base": { "path": "CodeableConcept.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.9. But note many systems use C*E.2 for this" }, { "identity": "rim", "map": "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity": "orim", "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" } ] }, { "id": "DiagnosticReport.subject", "path": "DiagnosticReport.subject", "short": "Person", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Person" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "person" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Person, auf die sich die Bericht bezieht", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Person, auf die sich die Befundbericht bezieht" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "person, which this report is about" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.", "requirements": "SHALL know the subject context.", "alias": [ "Patient" ], "min": 1, "max": "1", "base": { "path": "DiagnosticReport.subject", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "mustSupport": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "workflow", "map": "Event.subject" }, { "identity": "w5", "map": "FiveWs.subject[x]" }, { "identity": "v2", "map": "PID-3 (no HL7 v2 mapping for Group or Device)" }, { "identity": "rim", "map": "participation[typeCode=SBJ]" }, { "identity": "w5", "map": "FiveWs.subject" } ] }, { "id": "DiagnosticReport.encounter", "path": "DiagnosticReport.encounter", "short": "Versorgungssstellenkontakt", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Versorgungssstellenkontakt" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "Encounter" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Fall-Referenz auf den Versorgungssstellenkontakt", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Fall-Referenz auf den Versorgungssstellenkontakt" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "encounter reference" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "comment": "This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission laboratory tests).", "requirements": "Links the request to the Encounter context.", "alias": [ "Context" ], "min": 0, "max": "1", "base": { "path": "DiagnosticReport.encounter", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "mustSupport": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "workflow", "map": "Event.encounter" }, { "identity": "w5", "map": "FiveWs.context" }, { "identity": "v2", "map": "PV1-19" }, { "identity": "rim", "map": "inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]" } ] }, { "id": "DiagnosticReport.effective[x]", "path": "DiagnosticReport.effective[x]", "slicing": { "discriminator": [ { "type": "type", "path": "$this" } ], "ordered": false, "rules": "open" }, "short": "Untersuchungszeitpunkt", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Untersuchungszeitpunkt" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "examinationtime" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Zeitpunkt der klinischen Untersuchung", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Zeitpunkt der klinischen Untersuchung" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "time of the clinical examination" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "comment": "If the diagnostic procedure was performed on the patient, this is the time it was performed. If there are specimens, the diagnostically relevant time can be derived from the specimen collection times, but the specimen information is not always available, and the exact relationship between the specimens and the diagnostically relevant time is not always automatic.", "requirements": "Need to know where in the patient history to file/present this report.", "alias": [ "Observation time", "Effective Time", "Occurrence" ], "min": 0, "max": "1", "base": { "path": "DiagnosticReport.effective[x]", "min": 0, "max": "1" }, "type": [ { "code": "dateTime" }, { "code": "Period" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "workflow", "map": "Event.occurrence[x]" }, { "identity": "w5", "map": "FiveWs.done[x]" }, { "identity": "v2", "map": "OBR-7" }, { "identity": "rim", "map": "effectiveTime" } ] }, { "id": "DiagnosticReport.effective[x]:effectiveDateTime", "path": "DiagnosticReport.effective[x]", "sliceName": "effectiveDateTime", "short": "Durchführungsdatum", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Durchführungsdatum" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "examination date" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Durchführungsdatum der Untersuchung.", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Durchführungsdatum der Untersuchung." } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "The date the examination was performed." } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "comment": "If the diagnostic procedure was performed on the patient, this is the time it was performed. If there are specimens, the diagnostically relevant time can be derived from the specimen collection times, but the specimen information is not always available, and the exact relationship between the specimens and the diagnostically relevant time is not always automatic.", "requirements": "Need to know where in the patient history to file/present this report.", "alias": [ "Observation time", "Effective Time", "Occurrence" ], "min": 0, "max": "1", "base": { "path": "DiagnosticReport.effective[x]", "min": 0, "max": "1" }, "type": [ { "code": "dateTime" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "workflow", "map": "Event.occurrence[x]" }, { "identity": "w5", "map": "FiveWs.done[x]" }, { "identity": "v2", "map": "OBR-7" }, { "identity": "rim", "map": "effectiveTime" } ] }, { "id": "DiagnosticReport.effective[x]:effectivePeriod", "path": "DiagnosticReport.effective[x]", "sliceName": "effectivePeriod", "short": "Durchführungszeitraum", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Durchführungszeitraum" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "examination period" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Zeitraum, in dem die Untersuchung durchgeführt wurde.", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Zeitraum, in dem die Untersuchung durchgeführt wurde." } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "The period of time the examination was performed." } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "comment": "If the diagnostic procedure was performed on the patient, this is the time it was performed. If there are specimens, the diagnostically relevant time can be derived from the specimen collection times, but the specimen information is not always available, and the exact relationship between the specimens and the diagnostically relevant time is not always automatic.", "requirements": "Need to know where in the patient history to file/present this report.", "alias": [ "Observation time", "Effective Time", "Occurrence" ], "min": 0, "max": "1", "base": { "path": "DiagnosticReport.effective[x]", "min": 0, "max": "1" }, "type": [ { "code": "Period" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "workflow", "map": "Event.occurrence[x]" }, { "identity": "w5", "map": "FiveWs.done[x]" }, { "identity": "v2", "map": "OBR-7" }, { "identity": "rim", "map": "effectiveTime" } ] }, { "id": "DiagnosticReport.issued", "path": "DiagnosticReport.issued", "short": "Erstellungszeitpunkt", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Erstellungszeitpunkt" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "time of creation" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Zeit an der der Bericht erstellt wurde", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Zeit an der der Bericht erstellt wurde" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "timestamp of creation of the report" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "comment": "May be different from the update time of the resource itself, because that is the status of the record (potentially a secondary copy), not the actual release time of the report.", "requirements": "Clinicians need to be able to check the date that the report was released.", "alias": [ "Date published", "Date Issued", "Date Verified" ], "min": 0, "max": "1", "base": { "path": "DiagnosticReport.issued", "min": 0, "max": "1" }, "type": [ { "code": "instant" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "w5", "map": "FiveWs.recorded" }, { "identity": "v2", "map": "OBR-22" }, { "identity": "rim", "map": "participation[typeCode=VRF or AUT].time" } ] }, { "id": "DiagnosticReport.performer", "path": "DiagnosticReport.performer", "short": "Responsible Diagnostic Service", "definition": "The diagnostic service that is responsible for issuing the report.", "comment": "This is not necessarily the source of the atomic data items or the entity that interpreted the results. It is the entity that takes responsibility for the clinical report.", "requirements": "Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis.", "alias": [ "Laboratory", "Service", "Practitioner", "Department", "Company", "Authorized by", "Director" ], "min": 0, "max": "*", "base": { "path": "DiagnosticReport.performer", "min": 0, "max": "*" }, "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" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "workflow", "map": "Event.performer.actor" }, { "identity": "w5", "map": "FiveWs.actor" }, { "identity": "v2", "map": "PRT-8 (where this PRT-4-Participation = \"PO\")" }, { "identity": "rim", "map": ".participation[typeCode=PRF]" } ] }, { "id": "DiagnosticReport.resultsInterpreter", "path": "DiagnosticReport.resultsInterpreter", "short": "Primary result interpreter", "definition": "The practitioner or organization that is responsible for the report's conclusions and interpretations.", "comment": "Might not be the same entity that takes responsibility for the clinical report.", "requirements": "Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis.", "alias": [ "Analyzed by", "Reported by" ], "min": 0, "max": "*", "base": { "path": "DiagnosticReport.resultsInterpreter", "min": 0, "max": "*" }, "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" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "workflow", "map": "Event.performer.actor" }, { "identity": "w5", "map": "FiveWs.actor" }, { "identity": "v2", "map": "OBR-32, PRT-8 (where this PRT-4-Participation = \"PI\")" }, { "identity": "rim", "map": ".participation[typeCode=PRF]" } ] }, { "id": "DiagnosticReport.specimen", "path": "DiagnosticReport.specimen", "short": "Specimens this report is based on", "definition": "Details about the specimens on which this diagnostic report is based.", "comment": "If the specimen is sufficiently specified with a code in the test result name, then this additional data may be redundant. If there are multiple specimens, these may be represented per observation or group.", "requirements": "Need to be able to report information about the collected specimens on which the report is based.", "min": 0, "max": "*", "base": { "path": "DiagnosticReport.specimen", "min": 0, "max": "*" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Specimen" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "v2", "map": "SPM" }, { "identity": "rim", "map": "participation[typeCode=SBJ]" } ] }, { "id": "DiagnosticReport.result", "path": "DiagnosticReport.result", "short": "Ergebnis", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Ergebnis" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "result" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Ergebnis einer Beobachtung", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Ergebnis einer Beobachtung" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "result of an observation" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "comment": "Observations can contain observations.", "requirements": "Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.", "alias": [ "Data", "Atomic Value", "Result", "Atomic result", "Data", "Test", "Analyte", "Battery", "Organizer" ], "min": 0, "max": "*", "base": { "path": "DiagnosticReport.result", "min": 0, "max": "*" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Observation" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "mustSupport": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "v2", "map": "OBXs" }, { "identity": "rim", "map": "outboundRelationship[typeCode=COMP].target" } ] }, { "id": "DiagnosticReport.imagingStudy", "path": "DiagnosticReport.imagingStudy", "short": "Reference to full details of imaging associated with the diagnostic report", "definition": "One or more links to full details of any imaging performed during the diagnostic investigation. Typically, this is imaging performed by DICOM enabled modalities, but this is not required. A fully enabled PACS viewer can use this information to provide views of the source images.", "comment": "ImagingStudy and the image element are somewhat overlapping - typically, the list of image references in the image element will also be found in one of the imaging study resources. However, each caters to different types of displays for different types of purposes. Neither, either, or both may be provided.", "min": 0, "max": "*", "base": { "path": "DiagnosticReport.imagingStudy", "min": 0, "max": "*" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/ImagingStudy" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "rim", "map": "outboundRelationship[typeCode=COMP].target[classsCode=DGIMG, moodCode=EVN]" } ] }, { "id": "DiagnosticReport.media", "path": "DiagnosticReport.media", "short": "Key images associated with this report", "definition": "A list of key images associated with this report. The images are generally created during the diagnostic process, and may be directly of the patient, or of treated specimens (i.e. slides of interest).", "requirements": "Many diagnostic services include images in the report as part of their service.", "alias": [ "DICOM", "Slides", "Scans" ], "min": 0, "max": "*", "base": { "path": "DiagnosticReport.media", "min": 0, "max": "*" }, "type": [ { "code": "BackboneElement" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "OBX?" }, { "identity": "rim", "map": "outboundRelationship[typeCode=COMP].target" } ] }, { "id": "DiagnosticReport.media.id", "path": "DiagnosticReport.media.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "DiagnosticReport.media.extension", "path": "DiagnosticReport.media.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "DiagnosticReport.media.modifierExtension", "path": "DiagnosticReport.media.modifierExtension", "short": "Extensions that cannot be ignored even if unrecognized", "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "base": { "path": "BackboneElement.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "DiagnosticReport.media.comment", "path": "DiagnosticReport.media.comment", "short": "Comment about the image (e.g. explanation)", "definition": "A comment about the image. Typically, this is used to provide an explanation for why the image is included, or to draw the viewer's attention to important features.", "comment": "The comment should be displayed with the image. It would be common for the report to include additional discussion of the image contents in other sections such as the conclusion.", "requirements": "The provider of the report should make a comment about each image included in the report.", "min": 0, "max": "1", "base": { "path": "DiagnosticReport.media.comment", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": ".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value" } ] }, { "id": "DiagnosticReport.media.link", "path": "DiagnosticReport.media.link", "short": "Reference to the image source", "definition": "Reference to the image source.", "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.", "min": 1, "max": "1", "base": { "path": "DiagnosticReport.media.link", "min": 1, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Media" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "rim", "map": ".value.reference" } ] }, { "id": "DiagnosticReport.conclusion", "path": "DiagnosticReport.conclusion", "short": "Fazit", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Fazit" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "conclusion" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Fazit zur aktuellen Befundung", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Fazit zur aktuellen Befundung" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "conclusion of the actual report" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "requirements": "Need to be able to provide a conclusion that is not lost among the basic result data.", "alias": [ "Report" ], "min": 0, "max": "1", "base": { "path": "DiagnosticReport.conclusion", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "OBX" }, { "identity": "rim", "map": "inboundRelationship[typeCode=\"SPRT\"].source[classCode=OBS, moodCode=EVN, code=LOINC:48767-8].value (type=ST)" } ] }, { "id": "DiagnosticReport.conclusionCode", "path": "DiagnosticReport.conclusionCode", "short": "Strukturiertes Fazit", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Strukturiertes Fazit" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "structured conclusion" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Fazit, welches strukturiert über Codes dargestellt wird", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Fazit, welches strukturiert über Codes dargestellt wird" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "conclusion presented with structured codes" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.", "min": 0, "max": "*", "base": { "path": "DiagnosticReport.conclusionCode", "min": 0, "max": "*" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "AdjunctDiagnosis" } ], "strength": "example", "description": "Diagnosis codes provided as adjuncts to the report.", "valueSet": "http://hl7.org/fhir/ValueSet/clinical-findings" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "v2", "map": "OBX" }, { "identity": "rim", "map": "inboundRelationship[typeCode=SPRT].source[classCode=OBS, moodCode=EVN, code=LOINC:54531-9].value (type=CD)" } ] }, { "id": "DiagnosticReport.conclusionCode.id", "path": "DiagnosticReport.conclusionCode.id", "representation": [ "xmlAttr" ], "short": "Unique id for inter-element referencing", "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "DiagnosticReport.conclusionCode.extension", "path": "DiagnosticReport.conclusionCode.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "DiagnosticReport.conclusionCode.coding", "path": "DiagnosticReport.conclusionCode.coding", "slicing": { "discriminator": [ { "type": "pattern", "path": "$this" } ], "rules": "open" }, "short": "Code defined by a terminology system", "definition": "A reference to a code defined by a terminology system.", "comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 0, "max": "*", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "DiagnosticReport.conclusionCode.coding:icd10-gm", "path": "DiagnosticReport.conclusionCode.coding", "sliceName": "icd10-gm", "short": "Code defined by a terminology system", "definition": "A reference to a code defined by a terminology system.", "comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 0, "max": "*", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "patternCoding": { "system": "http://fhir.de/CodeSystem/bfarm/icd-10-gm" }, "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "DiagnosticReport.conclusionCode.coding:sct", "path": "DiagnosticReport.conclusionCode.coding", "sliceName": "sct", "short": "SNOMED CT Code", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "SNOMED CT Code" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "SNOMED CT code" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Ein Verweis auf einen von SNOMED CT definierten Code", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Ein Verweis auf einen von SNOMED CT definierten Code" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "A reference to a code defined by SNOMED CT" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.", "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.", "min": 0, "max": "*", "base": { "path": "CodeableConcept.coding", "min": 0, "max": "*" }, "type": [ { "code": "Coding" } ], "patternCoding": { "system": "http://snomed.info/sct" }, "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mustSupport": true, "isSummary": true, "binding": { "strength": "required", "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-lungenfunktion/ValueSet/mii-vs-lufu-sct-findings" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6" }, { "identity": "rim", "map": "CV" }, { "identity": "orim", "map": "fhir:Coding rdfs:subClassOf dt:CDCoding" }, { "identity": "v2", "map": "C*E.1-8, C*E.10-22" }, { "identity": "rim", "map": "union(., ./translation)" }, { "identity": "orim", "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" } ] }, { "id": "DiagnosticReport.conclusionCode.text", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean": true } ], "path": "DiagnosticReport.conclusionCode.text", "short": "Plain text representation of the concept", "definition": "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.", "comment": "Very often the text is the same as a displayName of one of the codings.", "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min": 0, "max": "1", "base": { "path": "CodeableConcept.text", "min": 0, "max": "1" }, "type": [ { "code": "string" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "C*E.9. But note many systems use C*E.2 for this" }, { "identity": "rim", "map": "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity": "orim", "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" } ] }, { "id": "DiagnosticReport.presentedForm", "path": "DiagnosticReport.presentedForm", "short": "Anhang", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Anhang" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "Attachment" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "zusätzlicher wichtiger Anhang", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "zusätzlicher wichtiger Anhang" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "additional attachment to the report" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "comment": "\"application/pdf\" is recommended as the most reliable and interoperable in this context.", "requirements": "Gives laboratory the ability to provide its own fully formatted report for clinical fidelity.", "min": 0, "max": "*", "base": { "path": "DiagnosticReport.presentedForm", "min": 0, "max": "*" }, "type": [ { "code": "Attachment" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "att-1", "severity": "error", "human": "If the Attachment has data, it SHALL have a contentType", "expression": "data.empty() or contentType.exists()", "xpath": "not(exists(f:data)) or exists(f:contentType)", "source": "http://hl7.org/fhir/StructureDefinition/Attachment" } ], "mustSupport": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "ED/RP" }, { "identity": "rim", "map": "ED" }, { "identity": "v2", "map": "OBX" }, { "identity": "rim", "map": "text (type=ED)" } ] } ] }, "differential": { "element": [ { "id": "DiagnosticReport.id", "path": "DiagnosticReport.id", "mustSupport": true }, { "id": "DiagnosticReport.meta", "path": "DiagnosticReport.meta", "mustSupport": true }, { "id": "DiagnosticReport.meta.source", "path": "DiagnosticReport.meta.source", "mustSupport": true }, { "id": "DiagnosticReport.meta.profile", "path": "DiagnosticReport.meta.profile", "mustSupport": true }, { "id": "DiagnosticReport.status", "path": "DiagnosticReport.status", "short": "Status", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Status" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "status" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "angemeldet | unvollständig | vorläufig | endgültig | geändert | korrigiert | angefügt | abgebrochen | fehlerhafte Eingabe | unbekannt", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "angemeldet | unvollständig | vorläufig | endgültig | geändert | korrigiert | angefügt | abgebrochen | fehlerhafte Eingabe | unbekannt" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | unknown" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "mustSupport": true }, { "id": "DiagnosticReport.category", "path": "DiagnosticReport.category", "short": "Kategorie", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Kategorie" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "category" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Klassifikation in diagnostischen Fachbereich und Gruppe", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Klassifikation in diagnostischen Fachbereich und Gruppe" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "Classification of the diagnostic service section" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "min": 1, "mustSupport": true }, { "id": "DiagnosticReport.category.coding", "path": "DiagnosticReport.category.coding", "slicing": { "discriminator": [ { "type": "pattern", "path": "$this" } ], "rules": "open" }, "min": 1, "mustSupport": true }, { "id": "DiagnosticReport.category.coding:loinc", "path": "DiagnosticReport.category.coding", "sliceName": "loinc", "short": "LOINC Code", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "LOINC Code" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "LOINC code" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Ein Verweis auf einen vom LOINC definierten Code", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Ein Verweis auf einen von LOINC definierten Code" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "A reference to a code defined by LOINC" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "min": 0, "max": "*", "patternCoding": { "system": "http://loinc.org", "code": "58477-1", "display": "Pulmonary function study" }, "mustSupport": true }, { "id": "DiagnosticReport.category.coding:diagnostic-service-sections", "path": "DiagnosticReport.category.coding", "sliceName": "diagnostic-service-sections", "min": 0, "max": "*", "patternCoding": { "system": "http://terminology.hl7.org/CodeSystem/v2-0074", "code": "PF" }, "mustSupport": true }, { "id": "DiagnosticReport.category.coding:sct", "path": "DiagnosticReport.category.coding", "sliceName": "sct", "short": "SNOMED CT Code", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "SNOMED CT Code" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "SNOMED CT code" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Ein Verweis auf einen von SNOMED CT definierten Code", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Ein Verweis auf einen von SNOMED CT definierten Code" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "A reference to a code defined by SNOMED CT" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "min": 1, "max": "1", "patternCoding": { "system": "http://snomed.info/sct", "code": "720449003", "display": "Pulmonary function report (record artifact)" }, "mustSupport": true }, { "id": "DiagnosticReport.code", "path": "DiagnosticReport.code", "short": "Code", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Code" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "code" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Ein Code des Berichts", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Code des Berichts" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "code of the diagnostic report" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "mustSupport": true }, { "id": "DiagnosticReport.code.coding", "path": "DiagnosticReport.code.coding", "slicing": { "discriminator": [ { "type": "value", "path": "$this" } ], "rules": "open" } }, { "id": "DiagnosticReport.code.coding:sct", "path": "DiagnosticReport.code.coding", "sliceName": "sct", "short": "SNOMED CT Code", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "SNOMED CT Code" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "SNOMED CT code" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Ein Verweis auf einen von SNOMED CT definierten Code", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Ein Verweis auf einen von SNOMED CT definierten Code" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "A reference to a code defined by SNOMED CT" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "min": 0, "max": "1", "mustSupport": true, "binding": { "strength": "required", "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-lungenfunktion/ValueSet/mii-vs-lufu-sct-procedure" } }, { "id": "DiagnosticReport.code.coding:loinc", "path": "DiagnosticReport.code.coding", "sliceName": "loinc", "short": "LOINC Code", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "LOINC Code" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "LOINC code" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Ein Verweis auf einen vom LOINC definierten Code", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Ein Verweis auf einen von LOINC definierten Code" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "A reference to a code defined by LOINC" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "min": 0, "max": "1", "mustSupport": true, "binding": { "strength": "required", "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-lungenfunktion/ValueSet/mii-vs-lufu-lnc-procedure" } }, { "id": "DiagnosticReport.subject", "path": "DiagnosticReport.subject", "short": "Person", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Person" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "person" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Person, auf die sich die Bericht bezieht", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Person, auf die sich die Befundbericht bezieht" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "person, which this report is about" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "min": 1, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ] } ], "mustSupport": true }, { "id": "DiagnosticReport.encounter", "path": "DiagnosticReport.encounter", "short": "Versorgungssstellenkontakt", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Versorgungssstellenkontakt" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "Encounter" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Fall-Referenz auf den Versorgungssstellenkontakt", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Fall-Referenz auf den Versorgungssstellenkontakt" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "encounter reference" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "mustSupport": true }, { "id": "DiagnosticReport.effective[x]", "path": "DiagnosticReport.effective[x]", "slicing": { "discriminator": [ { "type": "type", "path": "$this" } ], "ordered": false, "rules": "open" }, "short": "Untersuchungszeitpunkt", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Untersuchungszeitpunkt" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "examinationtime" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Zeitpunkt der klinischen Untersuchung", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Zeitpunkt der klinischen Untersuchung" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "time of the clinical examination" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "mustSupport": true }, { "id": "DiagnosticReport.effective[x]:effectiveDateTime", "path": "DiagnosticReport.effective[x]", "sliceName": "effectiveDateTime", "short": "Durchführungsdatum", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Durchführungsdatum" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "examination date" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Durchführungsdatum der Untersuchung.", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Durchführungsdatum der Untersuchung." } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "The date the examination was performed." } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "min": 0, "max": "1", "type": [ { "code": "dateTime" } ], "mustSupport": true }, { "id": "DiagnosticReport.effective[x]:effectivePeriod", "path": "DiagnosticReport.effective[x]", "sliceName": "effectivePeriod", "short": "Durchführungszeitraum", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Durchführungszeitraum" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "examination period" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Zeitraum, in dem die Untersuchung durchgeführt wurde.", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Zeitraum, in dem die Untersuchung durchgeführt wurde." } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "The period of time the examination was performed." } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "min": 0, "max": "1", "type": [ { "code": "Period" } ], "mustSupport": true }, { "id": "DiagnosticReport.issued", "path": "DiagnosticReport.issued", "short": "Erstellungszeitpunkt", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Erstellungszeitpunkt" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "time of creation" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Zeit an der der Bericht erstellt wurde", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Zeit an der der Bericht erstellt wurde" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "timestamp of creation of the report" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "mustSupport": true }, { "id": "DiagnosticReport.result", "path": "DiagnosticReport.result", "short": "Ergebnis", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Ergebnis" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "result" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Ergebnis einer Beobachtung", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Ergebnis einer Beobachtung" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "result of an observation" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "mustSupport": true }, { "id": "DiagnosticReport.conclusion", "path": "DiagnosticReport.conclusion", "short": "Fazit", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Fazit" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "conclusion" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Fazit zur aktuellen Befundung", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Fazit zur aktuellen Befundung" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "conclusion of the actual report" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "mustSupport": true }, { "id": "DiagnosticReport.conclusionCode", "path": "DiagnosticReport.conclusionCode", "short": "Strukturiertes Fazit", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Strukturiertes Fazit" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "structured conclusion" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Fazit, welches strukturiert über Codes dargestellt wird", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Fazit, welches strukturiert über Codes dargestellt wird" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "conclusion presented with structured codes" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "mustSupport": true }, { "id": "DiagnosticReport.conclusionCode.coding", "path": "DiagnosticReport.conclusionCode.coding", "slicing": { "discriminator": [ { "type": "pattern", "path": "$this" } ], "rules": "open" }, "mustSupport": true }, { "id": "DiagnosticReport.conclusionCode.coding:icd10-gm", "path": "DiagnosticReport.conclusionCode.coding", "sliceName": "icd10-gm", "min": 0, "max": "*", "patternCoding": { "system": "http://fhir.de/CodeSystem/bfarm/icd-10-gm" }, "mustSupport": true }, { "id": "DiagnosticReport.conclusionCode.coding:sct", "path": "DiagnosticReport.conclusionCode.coding", "sliceName": "sct", "short": "SNOMED CT Code", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "SNOMED CT Code" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "SNOMED CT code" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "Ein Verweis auf einen von SNOMED CT definierten Code", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Ein Verweis auf einen von SNOMED CT definierten Code" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "A reference to a code defined by SNOMED CT" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "min": 0, "max": "*", "patternCoding": { "system": "http://snomed.info/sct" }, "mustSupport": true, "binding": { "strength": "required", "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-lungenfunktion/ValueSet/mii-vs-lufu-sct-findings" } }, { "id": "DiagnosticReport.presentedForm", "path": "DiagnosticReport.presentedForm", "short": "Anhang", "_short": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "Anhang" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "Attachment" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "definition": "zusätzlicher wichtiger Anhang", "_definition": { "extension": [ { "extension": [ { "url": "lang", "valueCode": "de-DE" }, { "url": "content", "valueString": "zusätzlicher wichtiger Anhang" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" }, { "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "additional attachment to the report" } ], "url": "http://hl7.org/fhir/StructureDefinition/translation" } ] }, "mustSupport": true } ] } }