FHIR IG analytics
| Package | medmij.fhir.nl.r4.pathology |
| Resource Type | StructureDefinition |
| Id | StructureDefinition-path-Report.json |
| FHIR Version | R4 |
| Source | https://simplifier.net/resolve?scope=medmij.fhir.nl.r4.pathology@1.0.0-alpha.3&canonical=http://medmij.nl/fhir/StructureDefinition/path-Report |
| URL | http://medmij.nl/fhir/StructureDefinition/path-Report |
| Version | 1.0.0-alpha.3 |
| Status | draft |
| Name | PathReport |
| Title | path Report |
| Realm | nl |
| Description | Pathology report which contains the findings and interpretation of a pathology study. |
| Purpose | This DiagnosticReport resource represents the Report Clinical Information Model (CIM) for patient use cases in the context of Pathology. |
| Copyright | Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise. |
| Type | DiagnosticReport |
| Kind | resource |
Resources that use this resource
| CapabilityStatement |
| medmij.fhir.nl.r4.pathology#1.0.0-alpha.3 | path-Retrieve | path Retrieve |
| medmij.fhir.nl.r4.pathology#1.0.0-alpha.3 | path-Serve | path Serve |
Resources that this resource uses
Narrative
Note: links and images are rebased to the (stated) source
No narrative is provided for definitional resources. A human-readable rendering can be found in the implementation guide(s) where this resource is used.
Source1
{
"resourceType": "StructureDefinition",
"id": "path-Report",
"text": {
"status": "empty",
"div": "<!-- snip (see above) -->"
},
"url": "http://medmij.nl/fhir/StructureDefinition/path-Report",
"version": "1.0.0-alpha.3",
"name": "PathReport",
"title": "path Report",
"status": "draft",
"publisher": "MedMij",
"contact": [
{
"name": "MedMij",
"telecom": [
{
"system": "email",
"value": "info@medmij.nl",
"use": "work"
}
]
}
],
"description": "Pathology report which contains the findings and interpretation of a pathology study.",
"purpose": "This DiagnosticReport resource represents the Report Clinical Information Model (CIM) for patient use cases in the context of Pathology.",
"copyright": "Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise.",
"fhirVersion": "4.0.1",
"mapping": [
{
"identity": "mercurius-core-dataset-2-0",
"name": "Mercurius Core Dataset 2.0"
},
{
"identity": "medmij-core-dataset-120-20260923",
"name": "Dataset MedMij R4 Core 1.2.0 20260923"
},
{
"identity": "path-dataset-100-alpha3-20260923",
"name": "Dataset Pathologie MedMij 1.0.0-alpha.3 20260923"
}
],
"kind": "resource",
"abstract": false,
"type": "DiagnosticReport",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
"derivation": "constraint",
"differential": {
"element": [
{
"id": "DiagnosticReport",
"path": "DiagnosticReport",
"short": "Report",
"definition": "Pathology report which contains the findings and interpretation of a pathology study.",
"alias": [
"Verslag",
"Test",
"Result",
"Results",
"Labs",
"Laboratory"
],
"constraint": [
{
"key": "path-Report-1",
"severity": "error",
"human": "Either a code for cytology or histology is present.",
"expression": "code.coding.where(system = 'http://snomed.info/sct' and code = '1348332002').exists() xor code.coding.where(system = 'http://snomed.info/sct' and code = '252416005').exists()",
"source": "http://medmij.nl/fhir/StructureDefinition/path-Report"
}
],
"mapping": [
{
"identity": "path-dataset-100-alpha3-20260923",
"map": "path-dataelement-10",
"comment": "Report"
}
]
},
{
"id": "DiagnosticReport.meta",
"path": "DiagnosticReport.meta",
"min": 1
},
{
"id": "DiagnosticReport.meta.tag",
"path": "DiagnosticReport.meta.tag",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "$this"
}
],
"rules": "open"
},
"min": 1
},
{
"id": "DiagnosticReport.meta.tag:careType",
"path": "DiagnosticReport.meta.tag",
"sliceName": "careType",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "$this"
}
],
"rules": "open"
},
"short": "CareType",
"definition": "The type of the healthcare provider responsible for the delivered care, or more specifically, the specialty of the department and/or health professional that delivered care. It enables patients and systems to interpret the origin and context of medical data.",
"comment": "Note that the `careType` slice is a slice on `.meta.tag`, which might not be immediately clear based on the rendering.",
"alias": [
"Zorgtype"
],
"min": 1,
"max": "*",
"binding": {
"strength": "required",
"valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.17.2.4--20200901000000"
},
"mapping": [
{
"identity": "medmij-core-dataset-120-20260923",
"map": "medmij-core-dataelement-123",
"comment": "CareType"
}
]
},
{
"id": "DiagnosticReport.meta.tag:careType/pathology",
"path": "DiagnosticReport.meta.tag",
"sliceName": "careType/pathology",
"comment": "Note that the `pathology` slice is a reslice of the `careType` slice, which might not be immediately clear based on the rendering.",
"min": 1,
"max": "1",
"patternCoding": {
"system": "urn:oid:2.16.840.1.113883.2.4.6.7",
"code": "0388"
}
},
{
"id": "DiagnosticReport.identifier",
"path": "DiagnosticReport.identifier",
"slicing": {
"discriminator": [
{
"type": "profile",
"path": "$this"
}
],
"rules": "open"
},
"min": 1
},
{
"id": "DiagnosticReport.identifier:reportIdentifier",
"path": "DiagnosticReport.identifier",
"sliceName": "reportIdentifier",
"min": 1,
"max": "1",
"type": [
{
"code": "Identifier",
"profile": [
"http://medmij.nl/fhir/StructureDefinition/path-Report.ReportIdentifier"
]
}
]
},
{
"id": "DiagnosticReport.basedOn",
"path": "DiagnosticReport.basedOn",
"min": 1,
"max": "1",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/ServiceRequest",
"http://medmij.nl/fhir/StructureDefinition/path-Request"
]
}
]
},
{
"id": "DiagnosticReport.status",
"path": "DiagnosticReport.status",
"patternCode": "final"
},
{
"id": "DiagnosticReport.category",
"path": "DiagnosticReport.category",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "$this"
}
],
"rules": "open"
},
"min": 1
},
{
"id": "DiagnosticReport.category:pathology",
"path": "DiagnosticReport.category",
"sliceName": "pathology",
"min": 1,
"max": "1",
"patternCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "108257001"
}
]
}
},
{
"id": "DiagnosticReport.code",
"path": "DiagnosticReport.code",
"comment": "If the pathology study is of type cytology (which means that the ReportIdentifier (i.e. _rapnaam_, mercurius-core-rubriek-3) starts with either _B_ or _C_, corresponding to cervical cytology and other cytology, respectively), SNOMED CT code _1348332002_ SHALL be used as `.code`. Likewise, if the study is of type histology (in which case the ReportIdentifier starts with _T_), SNOMED CT code _252416005_ SHALL be used instead. Studies for which the ReportIdentifier starts with _S_ (i.e. autopsies) are out of scope."
},
{
"id": "DiagnosticReport.code.coding",
"path": "DiagnosticReport.code.coding",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "$this"
}
],
"rules": "open"
},
"min": 1
},
{
"id": "DiagnosticReport.code.coding:cytology",
"path": "DiagnosticReport.code.coding",
"sliceName": "cytology",
"min": 0,
"max": "1",
"patternCoding": {
"system": "http://snomed.info/sct",
"code": "1348332002"
},
"condition": [
"path-Report-1"
]
},
{
"id": "DiagnosticReport.code.coding:histology",
"path": "DiagnosticReport.code.coding",
"sliceName": "histology",
"min": 0,
"max": "1",
"patternCoding": {
"system": "http://snomed.info/sct",
"code": "252416005"
},
"condition": [
"path-Report-1"
]
},
{
"id": "DiagnosticReport.subject",
"path": "DiagnosticReport.subject",
"short": "Patient",
"definition": "The patient as subject of the information.",
"alias": [
"Patiënt"
],
"min": 1,
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Patient",
"http://medmij.nl/fhir/StructureDefinition/path-Patient"
]
}
],
"mapping": [
{
"identity": "medmij-core-dataset-120-20260923",
"map": "medmij-core-dataelement-116",
"comment": "Patient"
}
]
},
{
"id": "DiagnosticReport.effective[x]",
"path": "DiagnosticReport.effective[x]",
"slicing": {
"discriminator": [
{
"type": "type",
"path": "$this"
}
],
"ordered": false,
"rules": "open"
},
"min": 1
},
{
"id": "DiagnosticReport.effective[x]:effectivePeriod",
"path": "DiagnosticReport.effective[x]",
"sliceName": "effectivePeriod",
"min": 1,
"max": "1",
"type": [
{
"code": "Period"
}
]
},
{
"id": "DiagnosticReport.effective[x]:effectivePeriod.start",
"path": "DiagnosticReport.effective[x].start",
"short": "ReceivedDate",
"definition": "Date when specimen is received at the laboratory.",
"alias": [
"DatumOntvangst"
],
"min": 1,
"mapping": [
{
"identity": "mercurius-core-dataset-2-0",
"map": "mercurius-core-rubriek-80",
"comment": "datumontvangst"
}
]
},
{
"id": "DiagnosticReport.effective[x]:effectivePeriod.end",
"path": "DiagnosticReport.effective[x].end",
"short": "EffectiveDateTime / AuthorizationDate",
"definition": "Date of authorization.",
"alias": [
"Tijdsindicatie",
"DatumTijd",
"DatumAutorisatie"
],
"min": 1,
"mapping": [
{
"identity": "mercurius-core-dataset-2-0",
"map": "mercurius-core-rubriek-44",
"comment": "datumautorisatie"
},
{
"identity": "medmij-core-dataset-120-20260923",
"map": "medmij-core-dataelement-119",
"comment": "EffectiveDateTime"
}
]
},
{
"id": "DiagnosticReport.resultsInterpreter",
"path": "DiagnosticReport.resultsInterpreter",
"short": "Authorizer",
"definition": "Name of the pathologist who has authorized the report.",
"comment": "The actual mapping of the Authorizer concept is on `Practitioner.name[nameInformation].text`.",
"alias": [
"Autorisator",
"Reported by"
],
"min": 1,
"max": "1",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Practitioner",
"http://hl7.org/fhir/StructureDefinition/PractitionerRole",
"http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-Practitioner",
"http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole"
]
}
],
"mapping": [
{
"identity": "mercurius-core-dataset-2-0",
"map": "mercurius-core-rubriek-41",
"comment": "autorisator (implicit, actual mapping is on Practitioner.name[nameInformation].text)"
}
]
},
{
"id": "DiagnosticReport.specimen",
"path": "DiagnosticReport.specimen",
"short": "Specimen",
"definition": "Specimen that will be examined by a laboratory.",
"comment": "Both the primary specimen as well as the individual samples taken from that specimen are referenced here. If only a single sample is taken, precisely one Specimen is referenced here, as the primary specimen and sample coincide in that case.",
"alias": [
"Monster"
],
"min": 1,
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Specimen",
"http://medmij.nl/fhir/StructureDefinition/path-Request.Specimen"
]
}
]
},
{
"id": "DiagnosticReport.result",
"path": "DiagnosticReport.result",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "resolve().code"
}
],
"rules": "open"
},
"short": "ProtocolData",
"definition": "Data from National Palga Protocols, created in the Palga Protocol Module.",
"comment": "Note that the protocol data has not been defined as a separate slice in this profile, as possibly any SNOMED CT code could be present in the `.code` element of an Observation corresponding to a protocol data item, which makes proper discrimination unfeasible.",
"alias": [
"Protocoldata",
"Atomic Value",
"Result",
"Atomic result",
"Data",
"Test",
"Analyte",
"Battery",
"Organizer"
],
"min": 1,
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Observation",
"http://medmij.nl/fhir/StructureDefinition/path-Report.ProtocolDataItem"
]
}
],
"mapping": [
{
"identity": "mercurius-core-dataset-2-0",
"map": "mercurius-core-rubriek-308",
"comment": "protocoldata"
}
]
},
{
"id": "DiagnosticReport.result:clinicalInformation",
"path": "DiagnosticReport.result",
"sliceName": "clinicalInformation",
"min": 0,
"max": "1",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://medmij.nl/fhir/StructureDefinition/path-Report.ClinicalInformation"
]
}
]
},
{
"id": "DiagnosticReport.result:macroscopy",
"path": "DiagnosticReport.result",
"sliceName": "macroscopy",
"min": 0,
"max": "1",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://medmij.nl/fhir/StructureDefinition/path-Report.Macroscopy"
]
}
]
},
{
"id": "DiagnosticReport.result:microscopy",
"path": "DiagnosticReport.result",
"sliceName": "microscopy",
"min": 1,
"max": "1",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://medmij.nl/fhir/StructureDefinition/path-Report.Microscopy"
]
}
]
},
{
"id": "DiagnosticReport.conclusion",
"path": "DiagnosticReport.conclusion",
"short": "Conclusion",
"definition": "Conclusion of the report.",
"alias": [
"Conclusie"
],
"min": 1,
"mapping": [
{
"identity": "mercurius-core-dataset-2-0",
"map": "mercurius-core-rubriek-224",
"comment": "conclusie"
}
]
}
]
}
}
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