{
  "resourceType": "StructureDefinition",
  "id": "diagnosticreport-ca-ps",
  "url": "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/diagnosticreport-ca-ps",
  "version": "2.2.0",
  "name": "DiagnosticReportPSCA",
  "title": "DiagnosticReport (PS-CA)",
  "status": "draft",
  "experimental": false,
  "date": "2023-12-06T08:00:00+00:00",
  "description": "This profile represents the constraints applied to the DiagnosticReport resource by the PS-CA project to represent diagnostic test and procedure reports in a patient summary. It allows for cross-border and cross-jurisdiction sharing of Diagnostic Result information.",
  "copyright": "Copyright © 2024+ Canada Health Infoway. All rights reserved. [Terms of Use and License Agreements](https://ic.infoway-inforoute.ca/en/about/tou). [Privacy Policy](https://www.infoway-inforoute.ca/en/legal/privacy-policy).",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "DiagnosticReport",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "DiagnosticReport.category",
        "path": "DiagnosticReport.category",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/CodeableConcept-ca-ps"
            ]
          }
        ]
      },
      {
        "id": "DiagnosticReport.code",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:populate"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/producer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:no-error"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHOULD:display"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          }
        ],
        "path": "DiagnosticReport.code",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/CodeableConcept-ca-ps"
            ]
          }
        ],
        "mustSupport": true,
        "binding": {
          "strength": "preferred",
          "valueSet": "http://fhir.infoway-inforoute.ca/io/psca/ValueSet/pCLOCD",
          "description": "Work is underway to define the pan-Canadian terminology that will be preferred and/or socialized for this element. A stub value set pointing to pCLOCD code system is put forth in the meantime to encourage implementers to utilize the Canadian localization of LOINC"
        }
      },
      {
        "id": "DiagnosticReport.subject",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:populate"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/producer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:no-error"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHOULD:display"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          }
        ],
        "path": "DiagnosticReport.subject",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/patient-ca-ps",
              "http://hl7.org/fhir/StructureDefinition/Group"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.subject.reference",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:populate"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/producer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:no-error"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHOULD:display"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          }
        ],
        "path": "DiagnosticReport.subject.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.effective[x]",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:populate"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/producer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:no-error"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHOULD:display"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          }
        ],
        "path": "DiagnosticReport.effective[x]",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.performer",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:able-to-populate"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/producer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:no-error"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHOULD:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          }
        ],
        "path": "DiagnosticReport.performer",
        "comment": "The IPS-UV specification considers this a Must Support element. Further feedback is required on whether these systems are still expected to be able to demonstrate they can construct this element when developing the patient summary instance",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/practitioner-lab-ca-ps",
              "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/practitionerrole-lab-ca-ps",
              "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/organization-lab-ca-ps",
              "http://hl7.org/fhir/StructureDefinition/CareTeam"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.result",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:able-to-populate"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/producer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHALL:no-error"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/obligation",
            "extension": [
              {
                "url": "code",
                "valueCode": "SHOULD:handle"
              },
              {
                "url": "actor",
                "valueCanonical": "http://fhir.infoway-inforoute.ca/io/psca/ActorDefinition/consumer"
              }
            ]
          }
        ],
        "path": "DiagnosticReport.result",
        "slicing": {
          "discriminator": [
            {
              "type": "profile",
              "path": "$this.resolve()"
            }
          ],
          "rules": "open"
        },
        "short": "Observation results included in the diagnostic report.",
        "definition": "Observation results included in the diagnostic report.",
        "comment": "The IPS-UV specification considers this a Must Support element. Further feedback is required on whether these systems are still expected to be able to demonstrate they can construct this element when developing the patient summary instance",
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.result:observation-results",
        "path": "DiagnosticReport.result",
        "sliceName": "observation-results",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/observation-results-laboratory-pathology-ca-ps",
              "http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/observation-results-radiology-ca-ps"
            ]
          }
        ]
      }
    ]
  }
}