<status value="active" /> <description value="OCRE DiagnosticReport Profile (Submission)" /> <fhirVersion value="4.0.1" /> <kind value="resource" /> <abstract value="false" /> <type value="DiagnosticReport" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport" /> <derivation value="constraint" /> <differential> <element id="DiagnosticReport.language"> <path value="DiagnosticReport.language" /> <mustSupport value="true" /> <binding> <strength value="required" /> <valueSet value="http://hl7.org/fhir/ValueSet/languages" /> </binding> </element> <element id="DiagnosticReport.extension"> <path value="DiagnosticReport.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <ordered value="false" /> <rules value="open" /> </slicing> </element> <element id="DiagnosticReport.extension:ext-di-addendum-of"> <path value="DiagnosticReport.extension" /> <sliceName value="ext-di-addendum-of" /> <min value="0" /> <max value="*" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/StructureDefinition/diagnosticReport-addendumOf" /> </type> <mustSupport value="true" /> </element> <element id="DiagnosticReport.extension:copiedParticipants"> <path value="DiagnosticReport.extension" /> <sliceName value="copiedParticipants" /> <min value="0" /> <max value="*" /> <type> <code value="Extension" /> <profile value="http://ontariohealth.ca/StructureDefinition/oh-ehr-copied-participants-EXT" /> </type> <mustSupport value="true" /> </element> <element id="DiagnosticReport.extension:Recipients"> <path value="DiagnosticReport.extension" /> <sliceName value="Recipients" /> <min value="0" /> <max value="*" /> <type> <code value="Extension" /> <profile value="http://ontariohealth.ca/fhir/ehr/StructureDefinition/ext-recipient" /> </type> <mustSupport value="true" /> </element> <element id="DiagnosticReport.extension:Recipients.value[x].identifier"> <path value="DiagnosticReport.extension.value[x].identifier" /> <mustSupport value="true" /> </element> <element id="DiagnosticReport.identifier"> <path value="DiagnosticReport.identifier" /> <slicing> <discriminator> <type value="pattern" /> <path value="type" /> </discriminator> <description value="must contain one repetition of an accession number." /> <rules value="open" /> </slicing> <min value="1" /> <mustSupport value="true" /> </element> <element id="DiagnosticReport.identifier.type"> <path value="DiagnosticReport.identifier.type" /> <mustSupport value="true" /> </element> <element id="DiagnosticReport.identifier.type.coding"> <path value="DiagnosticReport.identifier.type.coding" /> <mustSupport value="true" /> </element> <element id="DiagnosticReport.identifier.type.coding.system"> <path value="DiagnosticReport.identifier.type.coding.system" /> <mustSupport value="true" /> </element> <element id="DiagnosticReport.identifier.type.coding.code"> <path value="DiagnosticReport.identifier.type.coding.code" /> <mustSupport value="true" /> </element> <element id="DiagnosticReport.identifier.value"> <path value="DiagnosticReport.identifier.value" /> <mustSupport value="true" /> </element> <element id="DiagnosticReport.identifier:identifier-accession"> <path value="DiagnosticReport.identifier" /> <sliceName value="identifier-accession" /> <short value="Filler/Accession ID" /> <min value="1" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="DiagnosticReport.identifier:identifier-accession.type"> <path value="DiagnosticReport.identifier.type" /> <min value="1" /> <fixedCodeableConcept> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0203" /> <code value="ACSN" /> <display value="Accession ID" /> </coding> </fixedCodeableConcept> </element> <element id="DiagnosticReport.identifier:identifier-accession.type.coding"> <path value="DiagnosticReport.identifier.type.coding" /> <min value="1" /> <max value="1" /> </element> <element id="DiagnosticReport.identifier:identifier-accession.type.coding.system"> <path value="DiagnosticReport.identifier.type.coding.system" /> <min value="1" /> </element> <element id="DiagnosticReport.identifier:identifier-accession.type.coding.code"> <path value="DiagnosticReport.identifier.type.coding.code" /> <min value="1" /> </element> <element id="DiagnosticReport.identifier:identifier-accession.type.coding.display"> <path value="DiagnosticReport.identifier.type.coding.display" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="DiagnosticReport.identifier:identifier-accession.system"> <path value="DiagnosticReport.identifier.system" /> <comment value="MI uses source organization specific URIs for this field." /> <min value="1" /> <mustSupport value="true" /> </element> <element id="DiagnosticReport.identifier:identifier-accession.value"> <path value="DiagnosticReport.identifier.value" /> <min value="1" /> </element> <element id="DiagnosticReport.identifier:identifier-placerOrderNumber"> <path value="DiagnosticReport.identifier" /> <sliceName value="identifier-placerOrderNumber" /> <min value="0" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="DiagnosticReport.identifier:identifier-placerOrderNumber.type"> <path value="DiagnosticReport.identifier.type" /> <min value="1" /> <fixedCodeableConcept> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0203" /> <code value="PLAC" /> <display value="Placer Identifier" /> </coding> </fixedCodeableConcept> </element> <element id="DiagnosticReport.identifier:identifier-placerOrderNumber.type.coding"> <path value="DiagnosticReport.identifier.type.coding" /> <min value="1" /> <max value="1" /> </element> <element id="DiagnosticReport.identifier:identifier-placerOrderNumber.type.coding.system"> <path value="DiagnosticReport.identifier.type.coding.system" /> <min value="1" /> </element> <element id="DiagnosticReport.identifier:identifier-placerOrderNumber.type.coding.code"> <path value="DiagnosticReport.identifier.type.coding.code" /> <min value="1" /> </element> <element id="DiagnosticReport.identifier:identifier-placerOrderNumber.type.coding.display"> <path value="DiagnosticReport.identifier.type.coding.display" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="DiagnosticReport.identifier:identifier-placerOrderNumber.system"> <path value="DiagnosticReport.identifier.system" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="DiagnosticReport.identifier:identifier-placerOrderNumber.value"> <path value="DiagnosticReport.identifier.value" /> <min value="1" /> </element> <element id="DiagnosticReport.basedOn"> <path value="DiagnosticReport.basedOn" /> <type> <code value="Reference" /> <targetProfile value="http://ontariohealth.ca/fhir/ocre/StructureDefinition/profile-serviceRequest-submission" /> </type> <mustSupport value="true" /> </element> <element id="DiagnosticReport.basedOn.reference"> <path value="DiagnosticReport.basedOn.reference" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="DiagnosticReport.status"> <path value="DiagnosticReport.status" /> <mustSupport value="true" /> </element> <element id="DiagnosticReport.category"> <path value="DiagnosticReport.category" /> <min value="1" /> <type> <code value="CodeableConcept" /> <profile value="http://ontariohealth.ca/fhir/ehr/StructureDefinition/CodeableConcept-oh-ehr" /> </type> <mustSupport value="true" /> <binding> <strength value="extensible" /> <valueSet value="http://ontariohealth.ca/fhir/ehr/ValueSet/procedure-service-type" /> </binding> </element> <element id="DiagnosticReport.category.coding"> <path value="DiagnosticReport.category.coding" /> <min value="1" /> </element> <element id="DiagnosticReport.category.coding.system"> <path value="DiagnosticReport.category.coding.system" /> <min value="1" /> </element> <element id="DiagnosticReport.code"> <path value="DiagnosticReport.code" /> <type> <code value="CodeableConcept" /> <profile value="http://ontariohealth.ca/fhir/ehr/StructureDefinition/CodeableConcept-oh-ehr" /> </type> <mustSupport value="true" /> <binding> <extension url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding"> <extension url="purpose"> <valueCode value="extensible" /> </extension> <extension url="valueSet"> <valueCanonical value="http://ontariohealth.ca/fhir/ehr/ValueSet/local-imaging-procedure-code" /> </extension> <extension url="documentation"> <valueMarkdown value="This value set contains example local procedure codes contributed by sites to DIRs in HL7v2 OBR-4 to identify the procedure of the MI order or MI report." /> </extension> <extension url="key"> <valueId value="imagingProcedureCode" /> </extension> </extension> <strength value="extensible" /> <valueSet value="http://ontariohealth.ca/fhir/ehr/ValueSet/diagnostic-report-code" /> </binding> </element> <element id="DiagnosticReport.code.coding"> <path value="DiagnosticReport.code.coding" /> <min value="1" /> </element> <element id="DiagnosticReport.code.coding.system"> <path value="DiagnosticReport.code.coding.system" /> <min value="1" /> </element> <element id="DiagnosticReport.subject"> <path value="DiagnosticReport.subject" /> <type> <code value="Reference" /> <targetProfile value="http://ontariohealth.ca/fhir/ocre/StructureDefinition/profile-patient-submission" /> </type> </element> <element id="DiagnosticReport.encounter"> <path value="DiagnosticReport.encounter" /> <type> <code value="Reference" /> <targetProfile value="http://ontariohealth.ca/fhir/ocre/StructureDefinition/profile-encounter-submission" /> </type> <mustSupport value="true" /> </element> <element id="DiagnosticReport.encounter.reference"> <path value="DiagnosticReport.encounter.reference" /> <mustSupport value="true" /> </element> <element id="DiagnosticReport.effective[x]"> <path value="DiagnosticReport.effective[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <ordered value="false" /> <rules value="open" /> </slicing> <min value="1" /> <type> <code value="dateTime" /> </type> <mustSupport value="true" /> </element> <element id="DiagnosticReport.effective[x]:effectiveDateTime"> <path value="DiagnosticReport.effective[x]" /> <sliceName value="effectiveDateTime" /> <min value="1" /> <max value="1" /> <type> <code value="dateTime" /> </type> <mustSupport value="true" /> </element> <element id="DiagnosticReport.issued"> <path value="DiagnosticReport.issued" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="DiagnosticReport.performer"> <path value="DiagnosticReport.performer" /> <min value="1" /> <type> <code value="Reference" /> <targetProfile value="http://ontariohealth.ca/fhir/ocre/StructureDefinition/profile-practitionerRole-submission" /> <targetProfile value="http://ontariohealth.ca/fhir/ocre/StructureDefinition/profile-practitioner-submission" /> </type> <mustSupport value="true" /> </element> <element id="DiagnosticReport.performer.extension:performerFunction"> <path value="DiagnosticReport.performer.extension" /> <sliceName value="performerFunction" /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/StructureDefinition/event-performerFunction" /> </type> <mustSupport value="true" /> </element> <element id="DiagnosticReport.performer.extension:performerFunction.value[x]"> <path value="DiagnosticReport.performer.extension.value[x]" /> <mustSupport value="true" /> </element> <element id="DiagnosticReport.performer.extension:performerFunction.value[x].coding"> <path value="DiagnosticReport.performer.extension.value[x].coding" /> <min value="1" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="DiagnosticReport.performer.extension:performerFunction.value[x].coding.system"> <path value="DiagnosticReport.performer.extension.value[x].coding.system" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="DiagnosticReport.performer.extension:performerFunction.value[x].coding.code"> <path value="DiagnosticReport.performer.extension.value[x].coding.code" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="DiagnosticReport.performer.extension:performerFunction.value[x].coding.display"> <path value="DiagnosticReport.performer.extension.value[x].coding.display" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="DiagnosticReport.performer.reference"> <path value="DiagnosticReport.performer.reference" /> <mustSupport value="true" /> </element> <element id="DiagnosticReport.resultsInterpreter"> <path value="DiagnosticReport.resultsInterpreter" /> <type> <code value="Reference" /> <targetProfile value="http://ontariohealth.ca/fhir/ocre/StructureDefinition/profile-practitionerRole-submission" /> <targetProfile value="http://ontariohealth.ca/fhir/ocre/StructureDefinition/profile-practitioner-submission" /> </type> <mustSupport value="true" /> </element> <element id="DiagnosticReport.resultsInterpreter.reference"> <path value="DiagnosticReport.resultsInterpreter.reference" /> <mustSupport value="true" /> </element> <element id="DiagnosticReport.result"> <path value="DiagnosticReport.result" /> <min value="1" /> <type> <code value="Reference" /> <targetProfile value="http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-observation-imaging" /> </type> <mustSupport value="true" /> </element> <element id="DiagnosticReport.result.reference"> <path value="DiagnosticReport.result.reference" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="DiagnosticReport.conclusion"> <path value="DiagnosticReport.conclusion" /> <mustSupport value="true" /> </element> <element id="DiagnosticReport.conclusionCode"> <path value="DiagnosticReport.conclusionCode" /> <type> <code value="CodeableConcept" /> <profile value="http://ontariohealth.ca/fhir/ehr/StructureDefinition/CodeableConcept-oh-ehr" /> </type> <mustSupport value="true" /> <binding> <extension url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding"> <extension url="purpose"> <valueCode value="candidate" /> </extension> <extension url="valueSet"> <valueCanonical value="http://fhir.infoway-inforoute.ca/io/cacore/ValueSet/ICD9CM" /> </extension> <extension url="documentation"> <valueMarkdown value="Any code from ICD-9 CM." /> </extension> <extension url="key"> <valueId value="icd9cmBinding" /> </extension> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding"> <extension url="purpose"> <valueCode value="candidate" /> </extension> <extension url="valueSet"> <valueCanonical value="http://fhir.infoway-inforoute.ca/io/cacore/ValueSet/ICD10CA" /> </extension> <extension url="documentation"> <valueMarkdown value="Any Code from ICD-10 CA." /> </extension> <extension url="key"> <valueId value="icd10caBinding" /> </extension> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/additional-binding"> <extension url="purpose"> <valueCode value="candidate" /> </extension> <extension url="valueSet"> <valueCanonical value="http://hl7.org/fhir/uv/ips/ValueSet/absent-or-unknown-problems-uv-ips" /> </extension> <extension url="documentation"> <valueMarkdown value="Absent or Unknown Problems" /> </extension> <extension url="key"> <valueId value="absentUnknownProblemsIPS" /> </extension> </extension> <strength value="preferred" /> <valueSet value="https://fhir.infoway-inforoute.ca/ValueSet/clinicalfindingcode" /> </binding> </element> <element id="DiagnosticReport.presentedForm"> <path value="DiagnosticReport.presentedForm" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="DiagnosticReport.presentedForm.contentType"> <path value="DiagnosticReport.presentedForm.contentType" /> <min value="1" /> <mustSupport value="true" /> <binding> <strength value="required" /> <description value="Supported mime types from OH EHR" /> <valueSet value="http://ontariohealth.ca/fhir/ocre/ValueSet/mime-type" /> </binding> </element> <element id="DiagnosticReport.presentedForm.language"> <path value="DiagnosticReport.presentedForm.language" /> <mustSupport value="true" /> </element> <element id="DiagnosticReport.presentedForm.data"> <path value="DiagnosticReport.presentedForm.data" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="DiagnosticReport.presentedForm.data.extension"> <path value="DiagnosticReport.presentedForm.data.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <ordered value="false" /> <rules value="open" /> </slicing> <min value="1" /> </element> <element id="DiagnosticReport.presentedForm.data.extension:ext-attachment-metadata"> <path value="DiagnosticReport.presentedForm.data.extension" /> <sliceName value="ext-attachment-metadata" /> <min value="1" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://ontariohealth.ca/fhir/ehr/StructureDefinition/ext-attachment-metadata" /> </type> <mustSupport value="true" /> </element> <element id="DiagnosticReport.presentedForm.title"> <path value="DiagnosticReport.presentedForm.title" /> <mustSupport value="true" /> </element> <element id="DiagnosticReport.presentedForm.creation"> <path value="DiagnosticReport.presentedForm.creation" /> <mustSupport value="true" /> </element> </differential> </StructureDefinition>