<status value="active" /> <date value="2025-06-06T20:59:08.2660252+00:00" /> <fhirVersion value="4.0.1" /> <mapping> <identity value="workflow" /> <uri value="http://hl7.org/fhir/workflow" /> <name value="Workflow Pattern" /> </mapping> <mapping> <identity value="v2" /> <uri value="http://hl7.org/v2" /> <name value="HL7 v2 Mapping" /> </mapping> <mapping> <identity value="rim" /> <uri value="http://hl7.org/v3" /> <name value="RIM Mapping" /> </mapping> <mapping> <identity value="w5" /> <uri value="http://hl7.org/fhir/fivews" /> <name value="FiveWs Pattern Mapping" /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="DiagnosticReport" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport" /> <derivation value="constraint" /> <differential> <element id="DiagnosticReport.language"> <path value="DiagnosticReport.language" /> <mustSupport value="true" /> </element> <element id="DiagnosticReport.extension:ext-di-addendum-of"> <path value="DiagnosticReport.extension" /> <sliceName value="ext-di-addendum-of" /> <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" /> <definition value="CopiedParticipants - Identify practitioners who are involved in the patient care and who have been identified as those who should be copied to on the report. Note that this does not guarantee delivery of the report to them." /> <type> <code value="Extension" /> <profile value="http://ontariohealth.ca/StructureDefinition/oh-ehr-copied-participants-EXT" /> </type> <mustSupport value="true" /> <isModifier value="false" /> <mapping> <identity value="v2" /> <map value="OBR.28" /> </mapping> </element> <element id="DiagnosticReport.extension:Recipients"> <path value="DiagnosticReport.extension" /> <sliceName value="Recipients" /> <short value="Report Recipient Extension" /> <definition value="Recipient - Identify practitioners (physicians and/or nurse practitioners) who are identified by the sending system as intended recipients of the report/document" /> <type> <code value="Extension" /> <profile value="http://ontariohealth.ca/fhir/ehr/StructureDefinition/ext-recipient" /> </type> <mustSupport value="true" /> <isModifier value="false" /> <mapping> <identity value="v2" /> <map value="ZDR.1 (HRM only)" /> </mapping> </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: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" /> <patternCodeableConcept> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0203" /> <code value="ACSN" /> <display value="Accession ID" /> </coding> </patternCodeableConcept> <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" /> <mustSupport value="true" /> </element> <element id="DiagnosticReport.identifier:identifier-placerOrderNumber"> <path value="DiagnosticReport.identifier" /> <sliceName value="identifier-placerOrderNumber" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="DiagnosticReport.identifier:identifier-placerOrderNumber.type"> <path value="DiagnosticReport.identifier.type" /> <patternCodeableConcept> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0203" /> <code value="PLAC" /> <display value="Placer Identifier" /> </coding> </patternCodeableConcept> <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" /> <mustSupport value="true" /> </element> <element id="DiagnosticReport.basedOn"> <path value="DiagnosticReport.basedOn" /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-serviceRequest" /> </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" /> <mustSupport value="true" /> <binding> <strength value="extensible" /> <description value="Service type of the procedure" /> <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" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="DiagnosticReport.category.coding.system"> <path value="DiagnosticReport.category.coding.system" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="DiagnosticReport.category.coding.code"> <path value="DiagnosticReport.category.coding.code" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="DiagnosticReport.category.coding.display"> <path value="DiagnosticReport.category.coding.display" /> <min value="1" /> <mustSupport value="true" /> </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="candidate" /> </extension> <extension url="valueSet"> <valueCanonical value="http://ontariohealth.ca/fhir/ehr/ValueSet/provincial-imaging-report-type" /> </extension> <extension url="documentation"> <valueMarkdown value="provincial ConnectingOntario diagnostic imaging report codes used in OH assets." /> </extension> <extension url="key"> <valueId value="ProvincialImagingReportTypeEHR" /> </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://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="LocalimagingProcedureCode" /> </extension> </extension> <strength value="extensible" /> <valueSet value="http://ontariohealth.ca/fhir/ehr/ValueSet/diagnostic-report-code" /> </binding> </element> <element id="DiagnosticReport.code.coding.system"> <path value="DiagnosticReport.code.coding.system" /> <min value="1" /> </element> <element id="DiagnosticReport.code.coding.display.extension:translation"> <path value="DiagnosticReport.code.coding.display.extension" /> <sliceName value="translation" /> </element> <element id="DiagnosticReport.code.coding.display.extension:translation.extension"> <path value="DiagnosticReport.code.coding.display.extension.extension" /> <min value="2" /> </element> <element id="DiagnosticReport.subject"> <path value="DiagnosticReport.subject" /> <min value="1" /> <type> <code value="Reference" /> <targetProfile value="http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-patient" /> </type> <mustSupport value="true" /> </element> <element id="DiagnosticReport.subject.reference"> <path value="DiagnosticReport.subject.reference" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="DiagnosticReport.effective[x]"> <path value="DiagnosticReport.effective[x]" /> <type> <code value="dateTime" /> </type> <mustSupport value="true" /> </element> <element id="DiagnosticReport.issued"> <path value="DiagnosticReport.issued" /> <mustSupport value="true" /> </element> <element id="DiagnosticReport.performer"> <path value="DiagnosticReport.performer" /> <type> <code value="Reference" /> <targetProfile value="http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-practitionerRole" /> <targetProfile value="http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-practitioner" /> </type> <mustSupport value="true" /> </element> <element id="DiagnosticReport.performer.extension:performerFunction"> <path value="DiagnosticReport.performer.extension" /> <sliceName value="performerFunction" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/StructureDefinition/event-performerFunction" /> </type> <mustSupport value="true" /> <isModifier value="false" /> </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" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="DiagnosticReport.resultsInterpreter"> <path value="DiagnosticReport.resultsInterpreter" /> <type> <code value="Reference" /> <targetProfile value="http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-practitionerRole" /> <targetProfile value="http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-practitioner" /> </type> <mustSupport value="true" /> </element> <element id="DiagnosticReport.resultsInterpreter.reference"> <path value="DiagnosticReport.resultsInterpreter.reference" /> <min value="1" /> <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.imagingStudy"> <path value="DiagnosticReport.imagingStudy" /> <mustSupport value="true" /> </element> <element id="DiagnosticReport.imagingStudy.reference"> <path value="DiagnosticReport.imagingStudy.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" /> <mustSupport value="true" /> </element> <element id="DiagnosticReport.presentedForm"> <path value="DiagnosticReport.presentedForm" /> <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/ehr/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> </element> <element id="DiagnosticReport.presentedForm.data.extension:ext-attachment-metadata"> <path value="DiagnosticReport.presentedForm.data.extension" /> <sliceName value="ext-attachment-metadata" /> <min value="0" /> <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>