<status value="active" /> <publisher value="Nictiz" /> <contact> <name value="Nictiz" /> <telecom> <system value="url" /> <value value="https://www.nictiz.nl" /> <use value="work" /> </telecom> </contact> <description value="A LaboratoryTestResult as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 4.1, release 2017." /> <purpose value="# Purpose of HCIM Laboratory tests are done for the purpose of diagnosing and preventing disease and follow-up on the effects of treatment." /> <copyright value="CC0" /> <fhirVersion value="3.0.2" /> <mapping> <identity value="hcim-healthprofessional-v3.2-2017EN" /> <uri value="https://zibs.nl/wiki/HealthProfessional-v3.2(2017EN)" /> <name value="HCIM HealthProfessional-v3.2(2017EN)" /> </mapping> <mapping> <identity value="hcim-basicelements-v1.0-2017EN" /> <uri value="https://zibs.nl/wiki/BasicElements-v1.0(2017EN)" /> <name value="HCIM BasicElements-v1.0(2017EN)" /> </mapping> <mapping> <identity value="hcim-laboratorytestresult-v4.1-2017EN" /> <uri value="https://zibs.nl/wiki/LaboratoryTestResult-v4.1(2017EN)" /> <name value="HCIM LaboratoryTestResult-v4.1(2017EN)" /> </mapping> <mapping> <identity value="hcim-healthprofessional-v3.0-2016EN" /> <uri value="https://zibs.nl/wiki/HealthProfessional-v3.0(2016EN)" /> <name value="HCIM HealthProfessional-v3.0(2016EN)" /> </mapping> <mapping> <identity value="hcim-laboratorytestresultfortransfer-v3.0-2016EN" /> <uri value="https://zibs.nl/wiki/LaboratoryTestResultForTransfer-v3.0(2016EN)" /> <name value="HCIM LaboratoryTestResultForTransfer-v3.0(2016EN)" /> </mapping> <mapping> <identity value="hcim-laboratorytestresultfortransfer-v1.2.2-2015EN" /> <uri value="https://zibs.nl/wiki/LaboratoryTestResultForTransfer-v1.2.2(2015EN)" /> <name value="HCIM LaboratoryTestResultForTransfer-v1.2.2(2015EN)" /> </mapping> <mapping> <identity value="hcim-healthprofessional-v1.2.1-2015EN" /> <uri value="https://zibs.nl/wiki/HealthProfessional-v1.2.1(2015EN)" /> <name value="HCIM HealthProfessional-v1.2.1(2015EN)" /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="DiagnosticReport" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport" /> <derivation value="constraint" /> <differential> <element id="DiagnosticReport"> <path value="DiagnosticReport" /> <short value="LaboratoryTestResult" /> <definition value="A laboratory result describes the result of a laboratory analysis. These are specimen-oriented tests as performed in laboratories such as Clinical Chemistry, Serology, Microbiology, etc. In addition to the results of tests with a singular result, this concept can also contain the results of more complex tests with multiple results or a ‘panel’." /> <comment value="The HCIM LaboratoryTestResult supports simple and more complex situations. This profile is used for (textual) reports on individual (panels of) observations, like conclusions. The actual tests are captured using the profile [zib-LaboratoryTestResult-Observation](http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Observation), which should be referenced from this resource." /> <alias value="LaboratoriumUitslag" /> <mapping> <identity value="hcim-laboratorytestresultfortransfer-v1.2.2-2015EN" /> <map value="NL-CM:13.1.1" /> <comment value="LaboratoryTestResult" /> </mapping> <mapping> <identity value="hcim-laboratorytestresultfortransfer-v3.0-2016EN" /> <map value="NL-CM:13.1.1" /> <comment value="LaboratoryTestResult" /> </mapping> <mapping> <identity value="hcim-laboratorytestresult-v4.1-2017EN" /> <map value="NL-CM:13.1.1" /> <comment value="LaboratoryTestResult" /> </mapping> </element> <element id="DiagnosticReport.identifier"> <path value="DiagnosticReport.identifier" /> <short value="Identifier" /> <alias value="Identificatie" /> <mapping> <identity value="hcim-basicelements-v1.0-2017EN" /> <map value="NL-CM:0.0.6" /> <comment value="IdentificationNumber" /> </mapping> </element> <element id="DiagnosticReport.basedOn"> <path value="DiagnosticReport.basedOn" /> <short value="Fulfills plan, proposal or order including requester information." /> <comment value="Requester information should be captured and exchanged in the resource ProcedureRequest referenced by `basedOn`. Requester is the healthcare provider and/or organization where or by whom the LaboratoryTestResult was requested. There are a few required elements in ProcedureRequest: * `ProcedureRequest.status` (use fixed value _active_, unless you know what the actual value is) * `ProcedureRequest.intent` (use fixed value _order_, unless you know what the actual value is) * `ProcedureRequest.code` (use extension http://hl7.org/fhir/STU3/extension-iso21090-nullflavor.html with `valueCode` _UNK_, unless you know what the actual value is) * `ProcedureRequest.subject` (equal to `DiagnosticReport.subject`) * `ProcedureRequest.requester.agent` (contains the requesting HealthProfessional)" /> <alias value="Aanvrager" /> <mapping> <identity value="hcim-laboratorytestresult-v4.1-2017EN" /> <map value="NL-CM:13.1.34" /> <comment value="Contains Requester::HealthProfessional" /> </mapping> </element> <element id="DiagnosticReport.status"> <path value="DiagnosticReport.status" /> <short value="ResultStatus" /> <alias value="ResultaatStatus" /> </element> <element id="DiagnosticReport.status.extension"> <path value="DiagnosticReport.status.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="DiagnosticReport.status.extension:ResultStatus"> <path value="DiagnosticReport.status.extension" /> <sliceName value="ResultStatus" /> <short value="Provides the specific HCIM code for ResultStatus" /> <definition value="Defines a more specific value for a code. Especially useful for FHIRs required ValueSets." /> <alias value="ResultaatStatus" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/code-specification" /> </type> </element> <element id="DiagnosticReport.status.extension:ResultStatus.valueCodeableConcept:valueCodeableConcept"> <path value="DiagnosticReport.status.extension.valueCodeableConcept" /> <sliceName value="valueCodeableConcept" /> <binding> <strength value="extensible" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.8--20171231000000" /> <display value="ResultaatStatusCodelijst" /> </valueSetReference> </binding> <mapping> <identity value="hcim-laboratorytestresultfortransfer-v1.2.2-2015EN" /> <map value="NL-CM:13.1.6" /> <comment value="ResultStatus" /> </mapping> <mapping> <identity value="hcim-laboratorytestresultfortransfer-v3.0-2016EN" /> <map value="NL-CM:13.1.6" /> <comment value="ResultStatus" /> </mapping> <mapping> <identity value="hcim-laboratorytestresult-v4.1-2017EN" /> <map value="NL-CM:13.1.6" /> <comment value="ResultStatus" /> </mapping> </element> <element id="DiagnosticReport.category"> <path value="DiagnosticReport.category" /> <min value="1" /> </element> <element id="DiagnosticReport.category.coding"> <path value="DiagnosticReport.category.coding" /> <slicing> <discriminator> <type value="value" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> <min value="1" /> </element> <element id="DiagnosticReport.category.coding:laboratoryTestResultCode"> <path value="DiagnosticReport.category.coding" /> <sliceName value="laboratoryTestResultCode" /> <short value="LaboratoryTestResultCode" /> <definition value="Category SNOMED code used for indexing/retrieval of the HCIM LaboratoryTestResult. The system, code and display values are fixed." /> <min value="1" /> <max value="1" /> <patternCoding> <system value="http://snomed.info/sct" /> <code value="4241000179101" /> </patternCoding> </element> <element id="DiagnosticReport.category.coding:laboratoryTestResultCode.display"> <path value="DiagnosticReport.category.coding.display" /> <defaultValueString value="Laboratory report (record artifact)" /> </element> <element id="DiagnosticReport.category.coding:resultType"> <path value="DiagnosticReport.category.coding" /> <sliceName value="resultType" /> <short value="ResultType" /> <definition value="The type of result defines the laboratory specialty under which the test is categorized." /> <alias value="ResultaatType" /> <max value="1" /> <binding> <strength value="required" /> <description value="ResultaatTypeCodelijst" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.1--20171231000000" /> <display value="ResultaatTypeCodelijst" /> </valueSetReference> </binding> <mapping> <identity value="hcim-laboratorytestresultfortransfer-v1.2.2-2015EN" /> <map value="NL-CM:13.1.7" /> <comment value="ResultType" /> </mapping> <mapping> <identity value="hcim-laboratorytestresultfortransfer-v3.0-2016EN" /> <map value="NL-CM:13.1.7" /> <comment value="ResultType" /> </mapping> <mapping> <identity value="hcim-laboratorytestresult-v4.1-2017EN" /> <map value="NL-CM:13.1.7" /> <comment value="ResultType" /> </mapping> </element> <element id="DiagnosticReport.code"> <path value="DiagnosticReport.code" /> <short value="PanelOrBattery" /> <definition value="For laboratory tests comprising multiple subtests and often requested together as a whole, this concept contains the name of the compound request (often indicated as a ‘panel’, ‘battery’ or ‘cluster’). Examples include: blood gases and EBV serology." /> <alias value="Onderzoek" /> <binding> <strength value="extensible" /> <description value="PanelOrBatteryCodelist" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.5--20171231000000" /> <display value="OnderzoekCodelijst" /> </valueSetReference> </binding> <mapping> <identity value="hcim-laboratorytestresultfortransfer-v1.2.2-2015EN" /> <map value="NL-CM:13.1.4" /> <comment value="Test" /> </mapping> <mapping> <identity value="hcim-laboratorytestresultfortransfer-v3.0-2016EN" /> <map value="NL-CM:13.1.4" /> <comment value="Test" /> </mapping> <mapping> <identity value="hcim-laboratorytestresult-v4.1-2017EN" /> <map value="NL-CM:13.1.4" /> <comment value="PanelOrBattery" /> </mapping> </element> <element id="DiagnosticReport.subject"> <path value="DiagnosticReport.subject" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-patient" /> </type> <mapping> <identity value="hcim-basicelements-v1.0-2017EN" /> <map value="NL-CM:0.0.11" /> <comment value="Subject" /> </mapping> </element> <element id="DiagnosticReport.context"> <path value="DiagnosticReport.context" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-episodeofcare" /> </type> <type> <code value="Reference" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/zib-Encounter" /> </type> <type> <code value="Reference" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/gp-Encounter" /> </type> </element> <element id="DiagnosticReport.effective[x]"> <path value="DiagnosticReport.effective[x]" /> <mapping> <identity value="hcim-basicelements-v1.0-2017EN" /> <map value="NL-CM:0.0.14" /> <comment value="DateTime" /> </mapping> </element> <element id="DiagnosticReport.performer"> <path value="DiagnosticReport.performer" /> <mapping> <identity value="hcim-basicelements-v1.0-2017EN" /> <map value="NL-CM:0.0.7" /> <comment value="Author" /> </mapping> </element> <element id="DiagnosticReport.performer.role.coding"> <path value="DiagnosticReport.performer.role.coding" /> <slicing> <discriminator> <type value="value" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="DiagnosticReport.performer.role.coding:healthProfessionalRole"> <path value="DiagnosticReport.performer.role.coding" /> <sliceName value="healthProfessionalRole" /> <short value="HealthProfessionalRole" /> <definition value="The role the healthcare provider fulfils in the healthcare process. For healthcare providers, this could be for example main practitioner, referrer or general practitioner." /> <alias value="ZorgverlenerRol" /> <binding> <strength value="required" /> <valueSetReference> <reference value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.1.5--20171231000000" /> <display value="ZorgverlenerRolCodelijst" /> </valueSetReference> </binding> <mapping> <identity value="hcim-healthprofessional-v1.2.1-2015EN" /> <map value="NL-CM:17.1.5" /> <comment value="HealthcareProviderRole" /> </mapping> <mapping> <identity value="hcim-healthprofessional-v3.0-2016EN" /> <map value="NL-CM:17.1.5" /> <comment value="HealthcareProviderRole" /> </mapping> <mapping> <identity value="hcim-healthprofessional-v3.2-2017EN" /> <map value="NL-CM:17.1.5" /> <comment value="HealthProfessionalRole" /> </mapping> </element> <element id="DiagnosticReport.performer.actor"> <path value="DiagnosticReport.performer.actor" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-organization" /> </type> <type> <code value="Reference" /> <targetProfile value="http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner" /> </type> </element> <element id="DiagnosticReport.performer.actor.extension"> <path value="DiagnosticReport.performer.actor.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="DiagnosticReport.performer.actor.extension:practitionerRole"> <path value="DiagnosticReport.performer.actor.extension" /> <sliceName value="practitionerRole" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference" /> </type> </element> <element id="DiagnosticReport.specimen"> <path value="DiagnosticReport.specimen" /> <short value="Specimen" /> <alias value="Monster" /> <type> <code value="Reference" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Specimen" /> </type> <type> <code value="Reference" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Specimen-Isolate" /> </type> <mapping> <identity value="hcim-laboratorytestresultfortransfer-v1.2.2-2015EN" /> <map value="NL-CM:13.1.2" /> <comment value="Specimen" /> </mapping> <mapping> <identity value="hcim-laboratorytestresultfortransfer-v3.0-2016EN" /> <map value="NL-CM:13.1.2" /> <comment value="Specimen" /> </mapping> <mapping> <identity value="hcim-laboratorytestresult-v4.1-2017EN" /> <map value="NL-CM:13.1.2" /> <comment value="Specimen" /> </mapping> </element> <element id="DiagnosticReport.result"> <path value="DiagnosticReport.result" /> <type> <code value="Reference" /> <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Observation" /> </type> <mapping> <identity value="hcim-laboratorytestresultfortransfer-v1.2.2-2015EN" /> <map value="NL-CM:13.1.3" /> <comment value="LaboratoryTest" /> </mapping> <mapping> <identity value="hcim-laboratorytestresultfortransfer-v3.0-2016EN" /> <map value="NL-CM:13.1.3" /> <comment value="LaboratoryTest" /> </mapping> <mapping> <identity value="hcim-laboratorytestresult-v4.1-2017EN" /> <map value="NL-CM:13.1.3" /> <comment value="LaboratoryTest" /> </mapping> </element> <element id="DiagnosticReport.conclusion"> <path value="DiagnosticReport.conclusion" /> <short value="ResultInterpretation and/or Comment" /> <definition value="Concise and clinically contextualized impression / summary of the diagnostic report. Comments, such as a textual interpretation or advice accompanying the result, for example." /> <alias value="UitslagInterpretatie en/of Toelichting" /> <mapping> <identity value="hcim-laboratorytestresultfortransfer-v1.2.2-2015EN" /> <map value="NL-CM:13.1.5" /> <comment value="Explanation" /> </mapping> <mapping> <identity value="hcim-laboratorytestresultfortransfer-v3.0-2016EN" /> <map value="NL-CM:13.1.5" /> <comment value="Explanation" /> </mapping> <mapping> <identity value="hcim-laboratorytestresult-v4.1-2017EN" /> <map value="NL-CM:13.1.5" /> <comment value="Comment" /> </mapping> <mapping> <identity value="hcim-laboratorytestresult-v4.1-2017EN" /> <map value="NL-CM:13.1.32" /> <comment value="ResultInterpretation" /> </mapping> </element> </differential> </StructureDefinition>