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Source1

{
  "resourceType": "StructureDefinition",
  "id": "lu-LaboratoryTestResult-DiagnosticReport",
  "text": {
    "status": "empty",
    "div": "<!-- snip (see above) -->"
  },
  "url": "http://nictiz.nl/fhir/StructureDefinition/lu-LaboratoryTestResult-DiagnosticReport",
  "version": "4.0.0-beta.1",
  "name": "LuLaboratoryTestResultDiagnosticReport",
  "title": "lu LaboratoryTestResult DiagnosticReport",
  "status": "draft",
  "publisher": "Nictiz",
  "contact": [
    {
      "name": "Nictiz",
      "telecom": [
        {
          "system": "url",
          "value": "https://www.nictiz.nl",
          "use": "work"
        }
      ]
    }
  ],
  "description": "A laboratory result describes the result of a laboratory analysis. These are specimen-oriented tests as performed in laboratories such as Clinical Chemistry, Serology, Microbiology, etc. In addition to the results of tests with a singular result, this concept can also contain the results of more complex tests with multiple results or a ‘panel'.",
  "purpose": "This DiagnosticReport profile serves both a documentation and validation purpose for the Lab2Zorg transaction \"Health professional receives lab results resulting from a request\". The relevant elements in this profile contain mappings to the LabExchange dataset (https://decor.nictiz.nl/ad/#/lu-/datasets/dataset/2.16.840.1.113883.2.4.3.11.60.25.1.2/2021-02-22T00:00:00) as well as constrains as defined in the transaction (https://decor.nictiz.nl/ad/#/lu-/scenarios/scenarios/2.16.840.1.113883.2.4.3.11.60.25.4.35/2022-11-28T16:53:30) to give implementers guidance.",
  "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": "hcim-laboratorytestresult-v4.6-2020EN",
      "uri": "https://zibs.nl/wiki/LaboratoryTestResult-v4.6(2020EN)",
      "name": "HCIM LaboratoryTestResult-v4.6(2020EN)"
    },
    {
      "identity": "lu-dataset-laboratory-exchange-2021-02-22",
      "uri": "https://decor.nictiz.nl/ad/#/lu-/datasets/dataset/2.16.840.1.113883.2.4.3.11.60.25.1.2/2021-02-22T00:00:00",
      "name": "ART-DECOR Dataset Laboratory Exchange 2021-02-22"
    }
  ],
  "kind": "resource",
  "abstract": true,
  "type": "DiagnosticReport",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "DiagnosticReport",
        "path": "DiagnosticReport",
        "short": "LaboratoryTestResult",
        "definition": "At the time of creation, there is no nl-core DiagnosticReport profile available as there are no other use cases identified for a nl-core profile to be relevant. This profile shall only be used for the designated use cases (\"Health professional receives lab results resulting from a request\", \"Patient retrieves laboratory results in their PGO\").  It is derived from the FHIR R4 core and contains references to nl-core profiles.",
        "alias": [
          "LaboratoriumUitslag"
        ],
        "mapping": [
          {
            "identity": "lu-dataset-laboratory-exchange-2021-02-22",
            "map": "lu-concept-v2-4254",
            "comment": "LaboratoryTestResult"
          }
        ]
      },
      {
        "id": "DiagnosticReport.identifier",
        "path": "DiagnosticReport.identifier",
        "short": "OrderId",
        "definition": "Order identification number. This is a number/identification that is communicated in the order and is included in the result. The ordering provider assigns an identification to his order: this is also known as the Placer Order ID. The filler also assigns an identification to the order/result: this is also known as the Filler Order ID",
        "comment": "Usually the Placer ID.",
        "alias": [
          "Aanvraagnummer"
        ],
        "min": 1,
        "mustSupport": true,
        "mapping": [
          {
            "identity": "lu-dataset-laboratory-exchange-2021-02-22",
            "map": "lu-concept-v2-4473",
            "comment": "OrderId"
          }
        ]
      },
      {
        "id": "DiagnosticReport.basedOn",
        "path": "DiagnosticReport.basedOn",
        "short": "Order data",
        "definition": "Ordering provider and order data as part of the order request.",
        "alias": [
          "Aanvraaggegevens"
        ],
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/ServiceRequest",
              "http://nictiz.nl/fhir/StructureDefinition/lu-OrderData"
            ]
          }
        ],
        "mustSupport": true,
        "mapping": [
          {
            "identity": "lu-dataset-laboratory-exchange-2021-02-22",
            "map": "lu-concept-v2-4410",
            "comment": "OrderData"
          }
        ]
      },
      {
        "id": "DiagnosticReport.status",
        "path": "DiagnosticReport.status",
        "short": "ResultStatus",
        "definition": "The status of the laboratory test result. If the laboratory test is an panel/cluster, this status reflects the status of the whole panel/cluster. If the status item per subtest is used too, this status must be in accordance with these status values.",
        "alias": [
          "ResultaatStatus"
        ],
        "mustSupport": true,
        "mapping": [
          {
            "identity": "lu-dataset-laboratory-exchange-2021-02-22",
            "map": "lu-concept-v2-4287",
            "comment": "ResultStatus"
          }
        ]
      },
      {
        "id": "DiagnosticReport.category",
        "path": "DiagnosticReport.category",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "$this"
            }
          ],
          "rules": "open"
        },
        "comment": "In addition to the required category valueset, this element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used at once. The level of granularity is defined by the category concepts in the value set.",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "DiagnosticReport.category:laboratoryCategory",
        "path": "DiagnosticReport.category",
        "sliceName": "laboratoryCategory",
        "short": "Classification of type of observation",
        "definition": "A code that classifies the general type of observation being made.",
        "min": 1,
        "max": "1",
        "binding": {
          "strength": "required"
        }
      },
      {
        "id": "DiagnosticReport.category:resultType",
        "path": "DiagnosticReport.category",
        "sliceName": "resultType",
        "short": "ResultType",
        "definition": "The type of result defines the laboratory specialty under which the test is categorized.",
        "alias": [
          "ResultaatType"
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.1--20200901000000"
        },
        "mapping": [
          {
            "identity": "lu-dataset-laboratory-exchange-2021-02-22",
            "map": "lu-concept-v2-4289",
            "comment": "ResultType"
          }
        ]
      },
      {
        "id": "DiagnosticReport.code",
        "path": "DiagnosticReport.code",
        "short": "PanelOrBattery",
        "definition": "For laboratory tests comprising multiple subtests and often requested together as a whole, this concept contains the name of the compound request (often indicated as a ‘panel’, ‘battery’ or ‘cluster’). Examples include: blood gases and EBV serology.",
        "alias": [
          "Onderzoek"
        ],
        "mustSupport": true,
        "binding": {
          "strength": "extensible",
          "description": "PanelOrBatteryCodelist",
          "valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.5--20200901000000"
        },
        "mapping": [
          {
            "identity": "lu-dataset-laboratory-exchange-2021-02-22",
            "map": "lu-concept-v2-4286",
            "comment": "PanelOrBattery"
          }
        ]
      },
      {
        "id": "DiagnosticReport.subject",
        "path": "DiagnosticReport.subject",
        "short": "Patient",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient"
            ]
          }
        ],
        "mustSupport": true,
        "mapping": [
          {
            "identity": "lu-dataset-laboratory-exchange-2021-02-22",
            "map": "lu-concept-v2-4303",
            "comment": "Patient"
          }
        ]
      },
      {
        "id": "DiagnosticReport.performer",
        "path": "DiagnosticReport.performer",
        "short": "Performer",
        "definition": "The organization where the LaboratoryTestResult was performed. This is not necessarily the actual performer of (all) laboratory tests.",
        "alias": [
          "Uitvoerder"
        ],
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthcareProvider-Organization"
            ]
          }
        ],
        "mustSupport": true,
        "mapping": [
          {
            "identity": "lu-dataset-laboratory-exchange-2021-02-22",
            "map": "lu-concept-v2-4294",
            "comment": "Performer"
          }
        ]
      },
      {
        "id": "DiagnosticReport.specimen",
        "path": "DiagnosticReport.specimen",
        "short": "Specimen",
        "definition": "Container of the Specimen concept. This container contains all data elements of the Specimen concept.",
        "alias": [
          "Monster"
        ],
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://nictiz.nl/fhir/StructureDefinition/nl-core-LaboratoryTestResult.Specimen"
            ]
          }
        ],
        "mustSupport": true,
        "mapping": [
          {
            "identity": "lu-dataset-laboratory-exchange-2021-02-22",
            "map": "lu-concept-v2-4266",
            "comment": "Specimen"
          }
        ]
      },
      {
        "id": "DiagnosticReport.result",
        "path": "DiagnosticReport.result",
        "short": "LaboratoryTest",
        "definition": "Container of the LaboratoryTest concept. This container contains all data elements of the LaboratoryTest concept.",
        "alias": [
          "LaboratoriumTest"
        ],
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://nictiz.nl/fhir/StructureDefinition/nl-core-LaboratoryTestResult"
            ]
          }
        ],
        "mustSupport": true,
        "mapping": [
          {
            "identity": "lu-dataset-laboratory-exchange-2021-02-22",
            "map": "lu-concept-v2-4255",
            "comment": "LaboratoryTest"
          }
        ]
      },
      {
        "id": "DiagnosticReport.conclusion",
        "path": "DiagnosticReport.conclusion",
        "short": "Comment",
        "definition": "Comments, such as a textual interpretation or advice accompanying the result, for example.",
        "alias": [
          "Toelichting"
        ],
        "mustSupport": true,
        "mapping": [
          {
            "identity": "lu-dataset-laboratory-exchange-2021-02-22",
            "map": "lu-concept-v2-4288",
            "comment": "Comment"
          }
        ]
      }
    ]
  }
}