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{
  "resourceType": "StructureDefinition",
  "id": "profile-diagnosticreport-imaging",
  "url": "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-diagnosticReport-imaging",
  "version": "1.0.0",
  "name": "DiagnosticReportImagingEHR",
  "title": "DiagnosticReport Imaging EHR",
  "status": "active",
  "date": "2025-06-06T20:59:08.2660252+00:00",
  "fhirVersion": "4.0.1",
  "mapping": [
    {
      "identity": "workflow",
      "uri": "http://hl7.org/fhir/workflow",
      "name": "Workflow Pattern"
    },
    {
      "identity": "v2",
      "uri": "http://hl7.org/v2",
      "name": "HL7 v2 Mapping"
    },
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    },
    {
      "identity": "w5",
      "uri": "http://hl7.org/fhir/fivews",
      "name": "FiveWs Pattern Mapping"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "DiagnosticReport",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "DiagnosticReport.language",
        "path": "DiagnosticReport.language",
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.extension:ext-di-addendum-of",
        "path": "DiagnosticReport.extension",
        "sliceName": "ext-di-addendum-of",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/diagnosticReport-addendumOf"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.extension:copiedParticipants",
        "path": "DiagnosticReport.extension",
        "sliceName": "copiedParticipants",
        "definition": "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": "Extension",
            "profile": [
              "http://ontariohealth.ca/StructureDefinition/oh-ehr-copied-participants-EXT"
            ]
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "mapping": [
          {
            "identity": "v2",
            "map": "OBR.28"
          }
        ]
      },
      {
        "id": "DiagnosticReport.extension:Recipients",
        "path": "DiagnosticReport.extension",
        "sliceName": "Recipients",
        "short": "Report Recipient Extension",
        "definition": "Recipient - Identify practitioners (physicians and/or nurse practitioners) who are identified by the sending system as intended recipients of the report/document",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://ontariohealth.ca/fhir/ehr/StructureDefinition/ext-recipient"
            ]
          }
        ],
        "mustSupport": true,
        "isModifier": false,
        "mapping": [
          {
            "identity": "v2",
            "map": "ZDR.1 (HRM only)"
          }
        ]
      },
      {
        "id": "DiagnosticReport.identifier",
        "path": "DiagnosticReport.identifier",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "type"
            }
          ],
          "description": "must contain one repetition of an accession number.",
          "rules": "open"
        },
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.identifier:identifier-accession",
        "path": "DiagnosticReport.identifier",
        "sliceName": "identifier-accession",
        "short": "Filler/Accession ID",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.identifier:identifier-accession.type",
        "path": "DiagnosticReport.identifier.type",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
              "code": "ACSN",
              "display": "Accession ID"
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.identifier:identifier-accession.system",
        "path": "DiagnosticReport.identifier.system",
        "comment": "MI uses source organization specific URIs for this field.",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.identifier:identifier-accession.value",
        "path": "DiagnosticReport.identifier.value",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.identifier:identifier-placerOrderNumber",
        "path": "DiagnosticReport.identifier",
        "sliceName": "identifier-placerOrderNumber",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.identifier:identifier-placerOrderNumber.type",
        "path": "DiagnosticReport.identifier.type",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
              "code": "PLAC",
              "display": "Placer Identifier"
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.identifier:identifier-placerOrderNumber.system",
        "path": "DiagnosticReport.identifier.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.identifier:identifier-placerOrderNumber.value",
        "path": "DiagnosticReport.identifier.value",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.basedOn",
        "path": "DiagnosticReport.basedOn",
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-serviceRequest"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.basedOn.reference",
        "path": "DiagnosticReport.basedOn.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.status",
        "path": "DiagnosticReport.status",
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.category",
        "path": "DiagnosticReport.category",
        "min": 1,
        "mustSupport": true,
        "binding": {
          "strength": "extensible",
          "description": "Service type of the procedure",
          "valueSet": "http://ontariohealth.ca/fhir/ehr/ValueSet/procedure-service-type"
        }
      },
      {
        "id": "DiagnosticReport.category.coding",
        "path": "DiagnosticReport.category.coding",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.category.coding.system",
        "path": "DiagnosticReport.category.coding.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.category.coding.code",
        "path": "DiagnosticReport.category.coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.category.coding.display",
        "path": "DiagnosticReport.category.coding.display",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.code",
        "path": "DiagnosticReport.code",
        "type": [
          {
            "code": "CodeableConcept",
            "profile": [
              "http://ontariohealth.ca/fhir/ehr/StructureDefinition/CodeableConcept-oh-ehr"
            ]
          }
        ],
        "mustSupport": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
              "extension": [
                {
                  "url": "purpose",
                  "valueCode": "candidate"
                },
                {
                  "url": "valueSet",
                  "valueCanonical": "http://ontariohealth.ca/fhir/ehr/ValueSet/provincial-imaging-report-type"
                },
                {
                  "url": "documentation",
                  "valueMarkdown": "provincial ConnectingOntario diagnostic imaging report codes used in OH assets."
                },
                {
                  "url": "key",
                  "valueId": "ProvincialImagingReportTypeEHR"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding",
              "extension": [
                {
                  "url": "purpose",
                  "valueCode": "candidate"
                },
                {
                  "url": "valueSet",
                  "valueCanonical": "http://ontariohealth.ca/fhir/ehr/ValueSet/local-imaging-procedure-code"
                },
                {
                  "url": "documentation",
                  "valueMarkdown": "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."
                },
                {
                  "url": "key",
                  "valueId": "LocalimagingProcedureCode"
                }
              ]
            }
          ],
          "strength": "extensible",
          "valueSet": "http://ontariohealth.ca/fhir/ehr/ValueSet/diagnostic-report-code"
        }
      },
      {
        "id": "DiagnosticReport.code.coding.system",
        "path": "DiagnosticReport.code.coding.system",
        "min": 1
      },
      {
        "id": "DiagnosticReport.code.coding.display.extension:translation",
        "path": "DiagnosticReport.code.coding.display.extension",
        "sliceName": "translation"
      },
      {
        "id": "DiagnosticReport.code.coding.display.extension:translation.extension",
        "path": "DiagnosticReport.code.coding.display.extension.extension",
        "min": 2
      },
      {
        "id": "DiagnosticReport.subject",
        "path": "DiagnosticReport.subject",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-patient"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.subject.reference",
        "path": "DiagnosticReport.subject.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.effective[x]",
        "path": "DiagnosticReport.effective[x]",
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.issued",
        "path": "DiagnosticReport.issued",
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.performer",
        "path": "DiagnosticReport.performer",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-practitionerRole",
              "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-practitioner"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.performer.extension:performerFunction",
        "path": "DiagnosticReport.performer.extension",
        "sliceName": "performerFunction",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/event-performerFunction"
            ]
          }
        ],
        "mustSupport": true,
        "isModifier": false
      },
      {
        "id": "DiagnosticReport.performer.extension:performerFunction.value[x]",
        "path": "DiagnosticReport.performer.extension.value[x]",
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.performer.extension:performerFunction.value[x].coding",
        "path": "DiagnosticReport.performer.extension.value[x].coding",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.performer.extension:performerFunction.value[x].coding.system",
        "path": "DiagnosticReport.performer.extension.value[x].coding.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.performer.extension:performerFunction.value[x].coding.code",
        "path": "DiagnosticReport.performer.extension.value[x].coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.performer.extension:performerFunction.value[x].coding.display",
        "path": "DiagnosticReport.performer.extension.value[x].coding.display",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.performer.reference",
        "path": "DiagnosticReport.performer.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.resultsInterpreter",
        "path": "DiagnosticReport.resultsInterpreter",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-practitionerRole",
              "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-practitioner"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.resultsInterpreter.reference",
        "path": "DiagnosticReport.resultsInterpreter.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.result",
        "path": "DiagnosticReport.result",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ontariohealth.ca/fhir/ehr/StructureDefinition/profile-observation-imaging"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.result.reference",
        "path": "DiagnosticReport.result.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.imagingStudy",
        "path": "DiagnosticReport.imagingStudy",
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.imagingStudy.reference",
        "path": "DiagnosticReport.imagingStudy.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.conclusion",
        "path": "DiagnosticReport.conclusion",
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.conclusionCode",
        "path": "DiagnosticReport.conclusionCode",
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.presentedForm",
        "path": "DiagnosticReport.presentedForm",
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.presentedForm.contentType",
        "path": "DiagnosticReport.presentedForm.contentType",
        "min": 1,
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "description": "Supported mime types from OH EHR",
          "valueSet": "http://ontariohealth.ca/fhir/ehr/ValueSet/mime-type"
        }
      },
      {
        "id": "DiagnosticReport.presentedForm.language",
        "path": "DiagnosticReport.presentedForm.language",
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.presentedForm.data",
        "path": "DiagnosticReport.presentedForm.data",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.presentedForm.data.extension",
        "path": "DiagnosticReport.presentedForm.data.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        }
      },
      {
        "id": "DiagnosticReport.presentedForm.data.extension:ext-attachment-metadata",
        "path": "DiagnosticReport.presentedForm.data.extension",
        "sliceName": "ext-attachment-metadata",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://ontariohealth.ca/fhir/ehr/StructureDefinition/ext-attachment-metadata"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.presentedForm.title",
        "path": "DiagnosticReport.presentedForm.title",
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.presentedForm.creation",
        "path": "DiagnosticReport.presentedForm.creation",
        "mustSupport": true
      }
    ]
  }
}