{
"description": null,
"_filename": "StructureDefinition-daf-diagnosticreport.json",
"package_name": "hl7.fhir.us.daf",
"date": "2014-11-19",
"derivation": "constraint",
"publisher": "Health Level Seven International (Infrastructure and Messaging - Data Access Framework)",
"name": "Profile daf-diagnosticreport",
"mapping": [ {
"uri": "http://hl7.org/v2",
"name": "HL7 v2 Mapping",
"identity": "v2"
}, {
"uri": "http://hl7.org/v3",
"name": "RIM Mapping",
"identity": "rim"
}, {
"uri": "http://hl7.org/fhir/w5",
"name": "W5 Mapping",
"identity": "w5"
} ],
"abstract": false,
"type": "DiagnosticReport",
"experimental": null,
"resourceType": "StructureDefinition",
"title": null,
"package_version": "1.6.0",
"snapshot": {
"element": [ {
"constraint": [ {
"key": "dom-2",
"human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
"xpath": "not(parent::f:contained and f:contained)",
"severity": "error",
"expression": "contained.contained.empty()"
}, {
"key": "dom-1",
"human": "If the resource is contained in another resource, it SHALL NOT contain any narrative",
"xpath": "not(parent::f:contained and f:text)",
"severity": "error",
"expression": "contained.text.empty()"
}, {
"key": "dom-4",
"human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
"severity": "error",
"expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"
}, {
"key": "dom-3",
"human": "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource",
"xpath": "not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))",
"severity": "error",
"expression": "contained.where(('#'+id in %resource.descendants().reference).not()).empty()"
} ],
"path": "DiagnosticReport",
"min": 0,
"definition": "The scope is accessing a diagnostic report.",
"short": "A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports",
"name": "DAFDiagnosticReport",
"comments": "This is intended to capture a single report, and is not suitable for use in displaying summary information that covers multiple reports. For example, this resource has not been designed for laboratory cumulative reporting formats nor detailed structured reports for sequencing.",
"mapping": [ {
"map": "Entity. Role, or Act",
"identity": "rim"
}, {
"map": "ORU -> OBR",
"identity": "v2"
}, {
"map": "Observation[classCode=OBS, moodCode=EVN]",
"identity": "rim"
}, {
"map": "clinical.diagnostics",
"identity": "w5"
} ],
"mustSupport": false,
"alias": [ "Report", "Test", "Result", "Results", "Labs", "Laboratory", "Lab Result", "Lab Report" ],
"max": "*",
"id": "DiagnosticReport:dafdiagnosticreport",
"base": {
"max": "*",
"min": 0,
"path": "DiagnosticReport"
},
"isSummary": false
}, {
"path": "DiagnosticReport.id",
"min": 0,
"definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"short": "Logical id of this artifact",
"comments": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
"type": [ {
"code": "id"
} ],
"max": "1",
"id": "DiagnosticReport:dafdiagnosticreport.id",
"base": {
"max": "*",
"min": 0,
"path": "Resource.id"
},
"isSummary": true
}, {
"path": "DiagnosticReport.meta",
"min": 0,
"definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.",
"short": "Metadata about the resource",
"type": [ {
"code": "Meta"
} ],
"max": "1",
"id": "DiagnosticReport:dafdiagnosticreport.meta",
"base": {
"max": "*",
"min": 0,
"path": "Resource.meta"
},
"isSummary": true
}, {
"path": "DiagnosticReport.implicitRules",
"min": 0,
"definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.",
"isModifier": true,
"short": "A set of rules under which this content was created",
"comments": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element as much as possible.",
"type": [ {
"code": "uri"
} ],
"max": "1",
"id": "DiagnosticReport:dafdiagnosticreport.implicitRules",
"base": {
"max": "*",
"min": 0,
"path": "Resource.implicitRules"
},
"isSummary": true
}, {
"path": "DiagnosticReport.language",
"min": 0,
"definition": "The base language in which the resource is written.",
"short": "Language of the resource content",
"comments": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
"type": [ {
"code": "code"
} ],
"binding": {
"strength": "extensible",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueReference": {
"reference": "http://hl7.org/fhir/ValueSet/all-languages"
}
} ],
"description": "A human language.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/languages"
}
},
"max": "1",
"id": "DiagnosticReport:dafdiagnosticreport.language",
"base": {
"max": "*",
"min": 0,
"path": "Resource.language"
}
}, {
"path": "DiagnosticReport.text",
"min": 0,
"definition": "A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
"short": "Text summary of the resource, for human interpretation",
"comments": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded in formation is added later.",
"mapping": [ {
"map": "Act.text?",
"identity": "rim"
} ],
"type": [ {
"code": "Narrative"
} ],
"alias": [ "narrative", "html", "xhtml", "display" ],
"max": "1",
"id": "DiagnosticReport:dafdiagnosticreport.text",
"condition": [ "dom-1" ],
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.text"
}
}, {
"path": "DiagnosticReport.contained",
"min": 0,
"definition": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
"short": "Contained, inline Resources",
"comments": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Resource"
} ],
"alias": [ "inline resources", "anonymous resources", "contained resources" ],
"max": "*",
"id": "DiagnosticReport:dafdiagnosticreport.contained",
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.contained"
}
}, {
"path": "DiagnosticReport.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "DiagnosticReport:dafdiagnosticreport.extension",
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.extension"
}
}, {
"path": "DiagnosticReport.modifierExtension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "DiagnosticReport:dafdiagnosticreport.modifierExtension",
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.modifierExtension"
}
}, {
"path": "DiagnosticReport.identifier",
"requirements": "Need to know what identifier to use when making queries about this report from the source laboratory, and for linking to the report outside FHIR context.",
"min": 0,
"definition": "The local ID assigned to the report by the order filler, usually by the Information System of the diagnostic service provider.",
"short": "Id for external references to this report",
"mapping": [ {
"map": "OBR-51",
"identity": "v2"
}, {
"map": "id",
"identity": "rim"
}, {
"map": "id",
"identity": "w5"
} ],
"type": [ {
"code": "Identifier"
} ],
"mustSupport": true,
"alias": [ "ReportID" ],
"max": "*",
"id": "DiagnosticReport:dafdiagnosticreport.identifier",
"base": {
"max": "*",
"min": 0,
"path": "DiagnosticReport.identifier"
},
"isSummary": false
}, {
"path": "DiagnosticReport.identifier.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "DiagnosticReport:dafdiagnosticreport.identifier.id",
"base": {
"max": "*",
"min": 0,
"path": "Element.id"
}
}, {
"path": "DiagnosticReport.identifier.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "DiagnosticReport:dafdiagnosticreport.identifier.extension",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "DiagnosticReport.identifier.use",
"requirements": "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.",
"min": 1,
"definition": "The purpose of this identifier.",
"isModifier": true,
"short": "usual | official | temp | secondary (If known)",
"comments": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.",
"mapping": [ {
"map": "N/A",
"identity": "v2"
}, {
"map": "Role.code or implied by context",
"identity": "rim"
} ],
"type": [ {
"code": "code"
} ],
"mustSupport": true,
"binding": {
"strength": "required",
"description": "Identifies the purpose for this identifier, if known .",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/identifier-use"
}
},
"max": "1",
"id": "DiagnosticReport:dafdiagnosticreport.identifier.use",
"base": {
"max": "1",
"min": 0,
"path": "Identifier.use"
},
"isSummary": false
}, {
"path": "DiagnosticReport.identifier.type",
"requirements": "Allows users to make use of identifiers when the identifier system is not known.",
"min": 0,
"definition": "A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.",
"short": "Description of identifier",
"comments": "This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.",
"mapping": [ {
"map": "CX.5",
"identity": "v2"
}, {
"map": "Role.code or implied by context",
"identity": "rim"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "extensible",
"description": "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/identifier-type"
}
},
"max": "1",
"id": "DiagnosticReport:dafdiagnosticreport.identifier.type",
"base": {
"max": "1",
"min": 0,
"path": "Identifier.type"
},
"isSummary": true
}, {
"exampleUri": "http://www.acme.com/identifiers/patient or urn:ietf:rfc:3986 if the Identifier.value itself is a full uri",
"path": "DiagnosticReport.identifier.system",
"requirements": "There are many sequences of identifiers. To perform matching, we need to know what sequence we're dealing with. The system identifies a particular sequence or set of unique identifiers.",
"min": 1,
"definition": "The URI for the laboratory Issuing the report. This establishes the namespace in which set of possible id values is unique.",
"short": "The namespace for the identifier",
"mapping": [ {
"map": "CX.4 / EI-2-4",
"identity": "v2"
}, {
"map": "II.root or Role.id.root",
"identity": "rim"
}, {
"map": "./IdentifierType",
"identity": "servd"
} ],
"type": [ {
"code": "uri"
} ],
"mustSupport": true,
"max": "1",
"id": "DiagnosticReport:dafdiagnosticreport.identifier.system",
"base": {
"max": "1",
"min": 0,
"path": "Identifier.system"
},
"isSummary": false
}, {
"path": "DiagnosticReport.identifier.value",
"min": 1,
"definition": "The portion of the identifier typically relevant to the user and which is unique within the context of the system.",
"short": "The value that is unique",
"comments": "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](extension-rendered-value.html).",
"mapping": [ {
"map": "CX.1 / EI.1",
"identity": "v2"
}, {
"map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)",
"identity": "rim"
}, {
"map": "./Value",
"identity": "servd"
} ],
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "DiagnosticReport:dafdiagnosticreport.identifier.value",
"exampleString": "123456",
"base": {
"max": "1",
"min": 0,
"path": "Identifier.value"
},
"isSummary": false
}, {
"path": "DiagnosticReport.identifier.period",
"min": 0,
"definition": "Time period during which identifier is/was valid for use.",
"short": "Time period when id is/was valid for use",
"mapping": [ {
"map": "CX.7 + CX.8",
"identity": "v2"
}, {
"map": "Role.effectiveTime or implied by context",
"identity": "rim"
}, {
"map": "./StartDate and ./EndDate",
"identity": "servd"
} ],
"type": [ {
"code": "Period"
} ],
"max": "1",
"id": "DiagnosticReport:dafdiagnosticreport.identifier.period",
"base": {
"max": "1",
"min": 0,
"path": "Identifier.period"
},
"isSummary": true
}, {
"path": "DiagnosticReport.identifier.assigner",
"min": 0,
"definition": "Organization that issued/manages the identifier.",
"short": "Organization that issued id (may be just text)",
"comments": "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.",
"mapping": [ {
"map": "CX.4 / (CX.4,CX.9,CX.10)",
"identity": "v2"
}, {
"map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper",
"identity": "rim"
}, {
"map": "./IdentifierIssuingAuthority",
"identity": "servd"
} ],
"type": [ {
"code": "Reference",
"profile": "http://hl7.org/fhir/StructureDefinition/Organization"
} ],
"max": "1",
"id": "DiagnosticReport:dafdiagnosticreport.identifier.assigner",
"base": {
"max": "1",
"min": 0,
"path": "Identifier.assigner"
},
"isSummary": true
}, {
"path": "DiagnosticReport.status",
"requirements": "Diagnostic services routinely issue provisional/incomplete reports, and sometimes withdraw previously released reports.",
"min": 1,
"definition": "The status of the diagnostic report as a whole.",
"isModifier": true,
"short": "registered | partial | final | corrected | appended | cancelled | entered-in-error",
"comments": "This is labeled as \"Is Modifier\" because applications need to take appropriate action if a report is withdrawn.",
"mapping": [ {
"map": "OBR-25 (not 1:1 mapping)",
"identity": "v2"
}, {
"map": "statusCode Note: final and amended are distinguished by whether observation is the subject of a ControlAct event of type \"revise\"",
"identity": "rim"
}, {
"map": "status",
"identity": "w5"
} ],
"type": [ {
"code": "code"
} ],
"mustSupport": true,
"binding": {
"strength": "required",
"description": "The status of the diagnostic report as a whole.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/diagnostic-report-status"
}
},
"max": "1",
"id": "DiagnosticReport:dafdiagnosticreport.status",
"base": {
"max": "1",
"min": 1,
"path": "DiagnosticReport.status"
},
"isSummary": false
}, {
"path": "DiagnosticReport.category",
"min": 0,
"definition": "A code that classifies the clinical discipline, department or diagnostic service that created the report (e.g. cardiology, biochemistry, hematology, MRI). This is used for searching, sorting and display purposes.",
"short": "Service category",
"comments": "The level of granularity is defined by the category concepts in the value set. More fine-grained filtering can be performed using the metadata and/or terminology hierarchy in DiagnosticReport.code.",
"mapping": [ {
"map": "OBR-24",
"identity": "v2"
}, {
"map": "inboundRelationship[typeCode=COMP].source[classCode=LIST, moodCode=EVN, code < LabService].code",
"identity": "rim"
}, {
"map": "class",
"identity": "w5"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"binding": {
"strength": "example",
"description": "Codes for diagnostic service sections.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/diagnostic-service-sections"
}
},
"alias": [ "Department", "Sub-department", "service", "discipline" ],
"max": "1",
"id": "DiagnosticReport:dafdiagnosticreport.category",
"base": {
"max": "1",
"min": 0,
"path": "DiagnosticReport.category"
},
"isSummary": false
}, {
"path": "DiagnosticReport.code",
"min": 1,
"definition": "The test, panel or battery that was ordered.",
"short": "Name/Code for this diagnostic report",
"comments": "UsageNote= The typical patterns for codes are: 1) a LOINC code either as a translation from a \"local\" code or as a primary code, or 2) a local code only if no suitable LOINC exists, or 3) both the local and the LOINC translation. Systems SHALL be capable of sending the local code if one exists.",
"mapping": [ {
"map": "OBR-4 (HL7 v2 doesn't provide an easy way to indicate both the ordered test and the performed panel)",
"identity": "v2"
}, {
"map": "code",
"identity": "rim"
}, {
"map": "what",
"identity": "w5"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"binding": {
"strength": "extensible",
"description": "LOINC codes",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/uslab-obs-codes"
}
},
"max": "1",
"id": "DiagnosticReport:dafdiagnosticreport.code",
"base": {
"max": "1",
"min": 1,
"path": "DiagnosticReport.code"
},
"isSummary": false
}, {
"path": "DiagnosticReport.code.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "DiagnosticReport:dafdiagnosticreport.code.id",
"base": {
"max": "*",
"min": 0,
"path": "Element.id"
}
}, {
"path": "DiagnosticReport.code.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "DiagnosticReport:dafdiagnosticreport.code.extension",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "DiagnosticReport.code.coding",
"requirements": "Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.",
"min": 0,
"definition": "A reference to a code defined by a terminology system.",
"short": "Code defined by a terminology system",
"name": "USLabLOINCCoding",
"comments": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labelled as UserSelected = true.",
"mapping": [ {
"map": "C*E.1-8, C*E.10-22",
"identity": "v2"
}, {
"map": "union(., ./translation)",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding",
"identity": "orim"
} ],
"type": [ {
"code": "Coding"
} ],
"mustSupport": true,
"max": "*",
"id": "DiagnosticReport:dafdiagnosticreport.code.coding:uslabloinccoding",
"base": {
"max": "*",
"min": 0,
"path": "CodeableConcept.coding"
},
"isSummary": false
}, {
"path": "DiagnosticReport.code.coding.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "DiagnosticReport:dafdiagnosticreport.code.coding:uslabloinccoding.id",
"base": {
"max": "*",
"min": 0,
"path": "Element.id"
}
}, {
"path": "DiagnosticReport.code.coding.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "DiagnosticReport:dafdiagnosticreport.code.coding:uslabloinccoding.extension",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "DiagnosticReport.code.coding.system",
"requirements": "Need to be unambiguous about the source of the definition of the symbol.",
"min": 1,
"definition": "The identification of the code system that defines the meaning of the symbol in the code.",
"short": "Identity of the terminology system",
"comments": "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.",
"mapping": [ {
"map": "C*E.3",
"identity": "v2"
}, {
"map": "./codeSystem",
"identity": "rim"
}, {
"map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem",
"identity": "orim"
} ],
"type": [ {
"code": "uri"
} ],
"mustSupport": true,
"max": "1",
"id": "DiagnosticReport:dafdiagnosticreport.code.coding:uslabloinccoding.system",
"base": {
"max": "1",
"min": 0,
"path": "Coding.system"
},
"isSummary": false
}, {
"path": "DiagnosticReport.code.coding.version",
"min": 0,
"definition": "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.",
"short": "Version of the system - if relevant",
"comments": "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.",
"mapping": [ {
"map": "C*E.7",
"identity": "v2"
}, {
"map": "./codeSystemVersion",
"identity": "rim"
}, {
"map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion",
"identity": "orim"
} ],
"type": [ {
"code": "string"
} ],
"max": "1",
"id": "DiagnosticReport:dafdiagnosticreport.code.coding:uslabloinccoding.version",
"base": {
"max": "1",
"min": 0,
"path": "Coding.version"
},
"isSummary": true
}, {
"path": "DiagnosticReport.code.coding.code",
"requirements": "Need to refer to a particular code in the system.",
"min": 1,
"definition": "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).",
"short": "Symbol in syntax defined by the system",
"comments": "Logical Observation Identifiers Names and Codes (LOINC) is a database and universal standard for identifying medical laboratory observations.",
"mapping": [ {
"map": "C*E.1",
"identity": "v2"
}, {
"map": "./code",
"identity": "rim"
}, {
"map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code",
"identity": "orim"
} ],
"type": [ {
"code": "code"
} ],
"mustSupport": true,
"max": "1",
"id": "DiagnosticReport:dafdiagnosticreport.code.coding:uslabloinccoding.code",
"base": {
"max": "1",
"min": 0,
"path": "Coding.code"
},
"isSummary": false
}, {
"path": "DiagnosticReport.code.coding.display",
"requirements": "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.",
"min": 0,
"definition": "A representation of the meaning of the code in the system, following the rules of the system.",
"short": "Representation defined by the system",
"comments": "When using LOINC 'long common name' is preferred although the LOINC 'short name' or the LOINC 'fully-specified name can also be used. ( http://lionc.org.terms-of-use).",
"mapping": [ {
"map": "C*E.2 - but note this is not well followed",
"identity": "v2"
}, {
"map": "CV.displayName",
"identity": "rim"
}, {
"map": "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName",
"identity": "orim"
} ],
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "DiagnosticReport:dafdiagnosticreport.code.coding:uslabloinccoding.display",
"base": {
"max": "1",
"min": 0,
"path": "Coding.display"
},
"isSummary": false
}, {
"path": "DiagnosticReport.code.coding.userSelected",
"requirements": "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.",
"min": 0,
"definition": "Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).",
"short": "If this coding was chosen directly by the user",
"comments": "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.",
"mapping": [ {
"map": "Sometimes implied by being first",
"identity": "v2"
}, {
"map": "CD.codingRationale",
"identity": "rim"
}, {
"map": "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]",
"identity": "orim"
} ],
"type": [ {
"code": "boolean"
} ],
"max": "1",
"id": "DiagnosticReport:dafdiagnosticreport.code.coding:uslabloinccoding.userSelected",
"base": {
"max": "1",
"min": 0,
"path": "Coding.userSelected"
},
"isSummary": true
}, {
"path": "DiagnosticReport.code.text",
"requirements": "Used when the laboratory define how the dsplay text if different from the code display text.",
"min": 0,
"definition": "This is the laboratory defined display text for the report if different from the code display text(s).",
"short": "Plain text representation of the concept",
"comments": "If this exists, this is the text to be used for display.",
"mapping": [ {
"map": "C*E.9. But note many systems use C*E.2 for this",
"identity": "v2"
}, {
"map": "./originalText[mediaType/code=\"text/plain\"]/data",
"identity": "rim"
}, {
"map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText",
"identity": "orim"
} ],
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "DiagnosticReport:dafdiagnosticreport.code.text",
"base": {
"max": "1",
"min": 0,
"path": "CodeableConcept.text"
},
"isSummary": false
}, {
"path": "DiagnosticReport.subject",
"requirements": "SHALL know the subject context.",
"min": 1,
"definition": "The subject of the report. Usually, but not always, this is a patient. However diagnostic services also perform analyses on specimens collected from a variety of other sources.",
"short": "The subject of the report, usually, but not always, the patient",
"mapping": [ {
"map": "PID-3 (no HL7 v2 mapping for Group or Device)",
"identity": "v2"
}, {
"map": "participation[typeCode=SBJ]",
"identity": "rim"
}, {
"map": "who.focus",
"identity": "w5"
} ],
"type": [ {
"code": "Reference",
"profile": "http://hl7.org/fhir/us/daf/StructureDefinition/daf-patient"
} ],
"mustSupport": true,
"alias": [ "Patient" ],
"max": "1",
"id": "DiagnosticReport:dafdiagnosticreport.subject",
"base": {
"max": "1",
"min": 1,
"path": "DiagnosticReport.subject"
},
"isSummary": false
}, {
"path": "DiagnosticReport.encounter",
"min": 0,
"definition": "The link to the health care event (encounter) when the order was made.",
"short": "Health care event when test ordered",
"mapping": [ {
"map": "PV1-19",
"identity": "v2"
}, {
"map": "inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]",
"identity": "rim"
}, {
"map": "context",
"identity": "w5"
} ],
"type": [ {
"code": "Reference",
"profile": "http://hl7.org/fhir/us/daf/StructureDefinition/daf-encounter"
} ],
"mustSupport": true,
"max": "1",
"id": "DiagnosticReport:dafdiagnosticreport.encounter",
"base": {
"max": "1",
"min": 0,
"path": "DiagnosticReport.encounter"
},
"isSummary": false
}, {
"path": "DiagnosticReport.effective[x]",
"requirements": "Need to know where in the patient history to file/present this report.",
"min": 1,
"definition": "This is the Specimen Collection Datetime or Period which is the physically relevent dateTime for laboratory tests.",
"short": "Clinically Relevant time/time-period for report",
"comments": "If the diagnostic procedure was performed on the patient, this is the time it was performed. If there are specimens, the diagnostically relevant time can be derived from the specimen collection times, but the specimen information is not always available, and the exact relationship between the specimens and the diagnostically relevant time is not always automatic.",
"mapping": [ {
"map": "OBR-7",
"identity": "v2"
}, {
"map": "effectiveTime",
"identity": "rim"
}, {
"map": "when.done",
"identity": "w5"
} ],
"type": [ {
"code": "dateTime"
}, {
"code": "Period"
} ],
"mustSupport": true,
"alias": [ "Observation time", "Effective Time" ],
"max": "1",
"id": "DiagnosticReport:dafdiagnosticreport.effective[x]",
"base": {
"max": "1",
"min": 1,
"path": "DiagnosticReport.effective[x]"
},
"isSummary": false
}, {
"path": "DiagnosticReport.issued",
"requirements": "Clinicians need to be able to check the date that the report was released.",
"min": 1,
"definition": "The date and time that this version of the report was released from the source diagnostic service.",
"short": "DateTime this version was released",
"comments": "May be different from the update time of the resource itself, because that is the status of the record (potentially a secondary copy), not the actual release time of the report.",
"mapping": [ {
"map": "OBR-22",
"identity": "v2"
}, {
"map": "participation[typeCode=VRF or AUT].time",
"identity": "rim"
}, {
"map": "when.recorded",
"identity": "w5"
} ],
"type": [ {
"code": "instant"
} ],
"mustSupport": true,
"alias": [ "Date Created", "Date published", "Date Issued" ],
"max": "1",
"id": "DiagnosticReport:dafdiagnosticreport.issued",
"base": {
"max": "1",
"min": 1,
"path": "DiagnosticReport.issued"
},
"isSummary": false
}, {
"path": "DiagnosticReport.performer",
"requirements": "Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis.",
"min": 1,
"definition": "The diagnostic service that is responsible for issuing the report.",
"short": "Responsible Diagnostic Service",
"comments": "This is not necessarily the source of the atomic data items. It is the entity that takes responsibility for the clinical report.",
"mapping": [ {
"map": "PRT-8 (where this PRT-4-Participation = \"PO\")",
"identity": "v2"
}, {
"map": "participation[typeCode=AUT].role[classCode=ASSIGN].scoper",
"identity": "rim"
}, {
"map": "who.witness",
"identity": "w5"
} ],
"type": [ {
"code": "Reference",
"profile": "http://hl7.org/fhir/us/daf/StructureDefinition/daf-pract"
}, {
"code": "Reference",
"profile": "http://hl7.org/fhir/us/daf/StructureDefinition/daf-organization"
} ],
"mustSupport": true,
"alias": [ "Laboratory", "Service", "Practitioner", "Department", "Company" ],
"max": "1",
"id": "DiagnosticReport:dafdiagnosticreport.performer",
"base": {
"max": "*",
"min": 1,
"path": "DiagnosticReport.performer"
},
"isSummary": false
}, {
"path": "DiagnosticReport.request",
"min": 1,
"definition": "A record of a request for a diagnostic investigation service to be performed.",
"short": "A request for a diagnostic service",
"mapping": [ {
"map": "Entity. Role, or Act",
"identity": "rim"
}, {
"map": "Observation[classCode=OBS, moodCode=RQO, code<\"diagnostic order\"]",
"identity": "rim"
}, {
"map": "clinical.diagnostics",
"identity": "w5"
} ],
"type": [ {
"code": "Reference",
"profile": "http://hl7.org/fhir/us/daf/StructureDefinition/daf-diagnosticrequest"
} ],
"mustSupport": true,
"alias": [ "DO" ],
"max": "*",
"id": "DiagnosticReport:dafdiagnosticreport.request",
"base": {
"max": "*",
"min": 0,
"path": "DiagnosticReport.request"
},
"isSummary": false
}, {
"path": "DiagnosticReport.specimen",
"requirements": "Need to be able to report information about the collected specimens on which the report is based.",
"min": 0,
"definition": "Details about the specimens on which this diagnostic report is based.",
"short": "Specimens this report is based on",
"comments": "If the specimen is sufficiently specified with a code in the test result name, then this additional data may be redundant. If there are multiple specimens, these may be represented per Observation or group.",
"mapping": [ {
"map": "SPM",
"identity": "v2"
}, {
"map": "participation[typeCode=SBJ]",
"identity": "rim"
} ],
"type": [ {
"code": "Reference",
"profile": "http://hl7.org/fhir/StructureDefinition/Specimen"
} ],
"max": "*",
"id": "DiagnosticReport:dafdiagnosticreport.specimen",
"base": {
"max": "*",
"min": 0,
"path": "DiagnosticReport.specimen"
}
}, {
"path": "DiagnosticReport.result",
"requirements": "Need to support individual results, or report groups of results, where the result grouping is arbitrary, but meaningful. This structure is recursive - observations can contain observations.",
"min": 0,
"definition": "Observations that are part of this diagnostic report. Observations can be simple name/value pairs (e.g. \"atomic\" results), or they can be grouping observations that include references to other members of the group (e.g. \"panels\").",
"short": "Observations - simple, or complex nested groups",
"mapping": [ {
"map": "OBXs",
"identity": "v2"
}, {
"map": "outboundRelationship[typeCode=COMP].target",
"identity": "rim"
} ],
"type": [ {
"code": "Reference",
"profile": "http://hl7.org/fhir/us/daf/StructureDefinition/daf-resultobs"
} ],
"mustSupport": true,
"alias": [ "Data", "Atomic Value", "Result", "Atomic result", "Data", "Test", "Analyte", "Battery", "Organizer" ],
"max": "*",
"id": "DiagnosticReport:dafdiagnosticreport.result",
"base": {
"max": "*",
"min": 0,
"path": "DiagnosticReport.result"
},
"isSummary": false
}, {
"path": "DiagnosticReport.imagingStudy",
"min": 0,
"definition": "One or more links to full details of any imaging performed during the diagnostic investigation. Typically, this is imaging performed by DICOM enabled modalities, but this is not required. A fully enabled PACS viewer can use this information to provide views of the source images.",
"short": "Reference to full details of imaging associated with the diagnostic report",
"comments": "ImagingStudy and ImageManifest and the image element are somewhat overlapping - typically, the list of image references in the image element will also be found in one of the imaging study resources. However each caters to different types of displays for different types of purposes. Neither, either, or both may be provided.",
"mapping": [ {
"map": "outboundRelationship[typeCode=COMP].target[classsCode=DGIMG, moodCode=EVN]",
"identity": "rim"
} ],
"type": [ {
"code": "Reference",
"profile": "http://hl7.org/fhir/StructureDefinition/ImagingStudy"
}, {
"code": "Reference",
"profile": "http://hl7.org/fhir/StructureDefinition/ImagingManifest"
} ],
"max": "*",
"id": "DiagnosticReport:dafdiagnosticreport.imagingStudy",
"base": {
"max": "*",
"min": 0,
"path": "DiagnosticReport.imagingStudy"
}
}, {
"path": "DiagnosticReport.image",
"requirements": "Many diagnostic services include images in the report as part of their service.",
"min": 0,
"definition": "A list of key images associated with this report. The images are generally created during the diagnostic process, and may be directly of the patient, or of treated specimens (i.e. slides of interest).",
"short": "Key images associated with this report",
"mapping": [ {
"map": "OBX?",
"identity": "v2"
}, {
"map": "outboundRelationship[typeCode=COMP].target",
"identity": "rim"
} ],
"type": [ {
"code": "BackboneElement"
} ],
"alias": [ "DICOM", "Slides", "Scans" ],
"max": "*",
"id": "DiagnosticReport:dafdiagnosticreport.image",
"base": {
"max": "*",
"min": 0,
"path": "DiagnosticReport.image"
},
"isSummary": true
}, {
"path": "DiagnosticReport.image.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "DiagnosticReport:dafdiagnosticreport.image.id",
"base": {
"max": "*",
"min": 0,
"path": "Element.id"
}
}, {
"path": "DiagnosticReport.image.extension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"short": "Additional Content defined by implementations",
"comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content" ],
"max": "*",
"id": "DiagnosticReport:dafdiagnosticreport.image.extension",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "DiagnosticReport.image.modifierExtension",
"min": 0,
"definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"comments": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"id": "DiagnosticReport:dafdiagnosticreport.image.modifierExtension",
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isSummary": true
}, {
"path": "DiagnosticReport.image.comment",
"requirements": "The provider of the report should make a comment about each image included in the report.",
"min": 0,
"definition": "A comment about the image. Typically, this is used to provide an explanation for why the image is included, or to draw the viewer's attention to important features.",
"short": "Comment about the image (e.g. explanation)",
"comments": "The comment should be displayed with the image. It would be common for the report to include additional discussion of the image contents in other sections such as the conclusion.",
"mapping": [ {
"map": ".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"max": "1",
"id": "DiagnosticReport:dafdiagnosticreport.image.comment",
"base": {
"max": "1",
"min": 0,
"path": "DiagnosticReport.image.comment"
}
}, {
"path": "DiagnosticReport.image.link",
"min": 1,
"definition": "Reference to the image source.",
"short": "Reference to the image source",
"mapping": [ {
"map": ".value.reference",
"identity": "rim"
} ],
"type": [ {
"code": "Reference",
"profile": "http://hl7.org/fhir/StructureDefinition/Media"
} ],
"max": "1",
"id": "DiagnosticReport:dafdiagnosticreport.image.link",
"base": {
"max": "1",
"min": 1,
"path": "DiagnosticReport.image.link"
},
"isSummary": true
}, {
"path": "DiagnosticReport.conclusion",
"requirements": "Need to be able to provide a conclusion that is not lost among the basic result data.",
"min": 0,
"definition": "Concise and clinically contextualized impression / summary of the diagnostic report.",
"short": "Clinical Interpretation of test results",
"mapping": [ {
"map": "OBX",
"identity": "v2"
}, {
"map": "inboundRelationship[typeCode=\"SPRT\"].source[classCode=OBS, moodCode=EVN, code=LOINC:48767-8].value (type=ST)",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"alias": [ "Report" ],
"max": "1",
"id": "DiagnosticReport:dafdiagnosticreport.conclusion",
"base": {
"max": "1",
"min": 0,
"path": "DiagnosticReport.conclusion"
},
"isSummary": false
}, {
"path": "DiagnosticReport.codedDiagnosis",
"min": 0,
"definition": "Codes for the conclusion.",
"short": "Codes for the conclusion",
"mapping": [ {
"map": "OBX",
"identity": "v2"
}, {
"map": "inboundRelationship[typeCode=SPRT].source[classCode=OBS, moodCode=EVN, code=LOINC:54531-9].value (type=CD)",
"identity": "rim"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"binding": {
"strength": "preferred",
"description": "SNOMED CT findings codes provided as adjunct diagnosis to the report",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/clinical-findings"
}
},
"max": "*",
"id": "DiagnosticReport:dafdiagnosticreport.codedDiagnosis",
"base": {
"max": "*",
"min": 0,
"path": "DiagnosticReport.codedDiagnosis"
},
"isSummary": false
}, {
"path": "DiagnosticReport.presentedForm",
"requirements": "Gives Laboratory the ability to provide its own fully formatted report for clinical fidelity.",
"min": 0,
"definition": "Rich text representation of the entire result as issued by the diagnostic service. Multiple formats are allowed but they SHALL be semantically equivalent.",
"short": "Entire report as issued",
"comments": "\"application/pdf\" is recommended as the most reliable and interoperable in this context.",
"mapping": [ {
"map": "OBX",
"identity": "v2"
}, {
"map": "text (type=ED)",
"identity": "rim"
} ],
"type": [ {
"code": "Attachment"
} ],
"mustSupport": true,
"max": "*",
"id": "DiagnosticReport:dafdiagnosticreport.presentedForm",
"base": {
"max": "*",
"min": 0,
"path": "DiagnosticReport.presentedForm"
},
"isSummary": false
} ]
},
"status": "draft",
"id": "2d91a75e-5646-4f88-8683-00a954267b26",
"kind": "resource",
"url": "http://hl7.org/fhir/us/daf/StructureDefinition/daf-diagnosticreport",
"version": null,
"differential": {
"element": [ {
"id": "DiagnosticReport:dafdiagnosticreport",
"name": "DAFDiagnosticReport",
"path": "DiagnosticReport",
"alias": [ "Lab Result", "Lab Report" ],
"isSummary": false,
"definition": "The scope is accessing a diagnostic report.",
"isModifier": false,
"mustSupport": false
}, {
"id": "DiagnosticReport:dafdiagnosticreport.identifier",
"max": "*",
"min": 0,
"path": "DiagnosticReport.identifier",
"type": [ {
"code": "Identifier"
} ],
"isSummary": false,
"isModifier": false,
"mustSupport": true
}, {
"id": "DiagnosticReport:dafdiagnosticreport.identifier.use",
"max": "1",
"min": 1,
"path": "DiagnosticReport.identifier.use",
"type": [ {
"code": "code"
} ],
"isSummary": false,
"isModifier": false,
"mustSupport": true
}, {
"path": "DiagnosticReport.identifier.system",
"min": 1,
"definition": "The URI for the laboratory Issuing the report. This establishes the namespace in which set of possible id values is unique.",
"isModifier": false,
"type": [ {
"code": "uri"
} ],
"mustSupport": true,
"max": "1",
"id": "DiagnosticReport:dafdiagnosticreport.identifier.system",
"isSummary": false
}, {
"id": "DiagnosticReport:dafdiagnosticreport.identifier.value",
"max": "1",
"min": 1,
"path": "DiagnosticReport.identifier.value",
"type": [ {
"code": "string"
} ],
"isSummary": false,
"isModifier": false,
"mustSupport": true
}, {
"id": "DiagnosticReport:dafdiagnosticreport.status",
"max": "1",
"min": 1,
"path": "DiagnosticReport.status",
"type": [ {
"code": "code"
} ],
"isSummary": false,
"isModifier": false,
"mustSupport": true
}, {
"path": "DiagnosticReport.category",
"min": 0,
"isModifier": false,
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"alias": [ "Department", "Sub-department", "service", "discipline" ],
"max": "1",
"id": "DiagnosticReport:dafdiagnosticreport.category",
"isSummary": false
}, {
"path": "DiagnosticReport.code",
"min": 1,
"definition": "The test, panel or battery that was ordered.",
"isModifier": false,
"comments": "UsageNote= The typical patterns for codes are: 1) a LOINC code either as a translation from a \"local\" code or as a primary code, or 2) a local code only if no suitable LOINC exists, or 3) both the local and the LOINC translation. Systems SHALL be capable of sending the local code if one exists.",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"binding": {
"strength": "extensible",
"description": "LOINC codes",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/uslab-obs-codes"
}
},
"max": "1",
"id": "DiagnosticReport:dafdiagnosticreport.code",
"isSummary": false
}, {
"path": "DiagnosticReport.code.coding",
"min": 0,
"isModifier": false,
"name": "USLabLOINCCoding",
"type": [ {
"code": "Coding"
} ],
"mustSupport": true,
"max": "*",
"id": "DiagnosticReport:dafdiagnosticreport.code.coding:uslabloinccoding",
"isSummary": false
}, {
"id": "DiagnosticReport:dafdiagnosticreport.code.coding:uslabloinccoding.system",
"max": "1",
"min": 1,
"path": "DiagnosticReport.code.coding.system",
"type": [ {
"code": "uri"
} ],
"isSummary": false,
"isModifier": false,
"mustSupport": true
}, {
"path": "DiagnosticReport.code.coding.code",
"min": 1,
"isModifier": false,
"comments": "Logical Observation Identifiers Names and Codes (LOINC) is a database and universal standard for identifying medical laboratory observations.",
"type": [ {
"code": "code"
} ],
"mustSupport": true,
"max": "1",
"id": "DiagnosticReport:dafdiagnosticreport.code.coding:uslabloinccoding.code",
"isSummary": false
}, {
"path": "DiagnosticReport.code.coding.display",
"min": 0,
"isModifier": false,
"comments": "When using LOINC 'long common name' is preferred although the LOINC 'short name' or the LOINC 'fully-specified name can also be used. ( http://lionc.org.terms-of-use).",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "DiagnosticReport:dafdiagnosticreport.code.coding:uslabloinccoding.display",
"isSummary": false
}, {
"path": "DiagnosticReport.code.text",
"requirements": "Used when the laboratory define how the dsplay text if different from the code display text.",
"min": 0,
"definition": "This is the laboratory defined display text for the report if different from the code display text(s).",
"isModifier": false,
"comments": "If this exists, this is the text to be used for display.",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "DiagnosticReport:dafdiagnosticreport.code.text",
"isSummary": false
}, {
"id": "DiagnosticReport:dafdiagnosticreport.subject",
"max": "1",
"min": 1,
"path": "DiagnosticReport.subject",
"type": [ {
"code": "Reference",
"profile": "http://hl7.org/fhir/us/daf/StructureDefinition/daf-patient"
} ],
"isSummary": false,
"isModifier": false,
"mustSupport": true
}, {
"id": "DiagnosticReport:dafdiagnosticreport.encounter",
"max": "1",
"min": 0,
"path": "DiagnosticReport.encounter",
"type": [ {
"code": "Reference",
"profile": "http://hl7.org/fhir/us/daf/StructureDefinition/daf-encounter"
} ],
"isSummary": false,
"isModifier": false,
"mustSupport": true
}, {
"path": "DiagnosticReport.effective[x]",
"min": 1,
"definition": "This is the Specimen Collection Datetime or Period which is the physically relevent dateTime for laboratory tests.",
"isModifier": false,
"type": [ {
"code": "dateTime"
}, {
"code": "Period"
} ],
"mustSupport": true,
"max": "1",
"id": "DiagnosticReport:dafdiagnosticreport.effective[x]",
"isSummary": false
}, {
"id": "DiagnosticReport:dafdiagnosticreport.issued",
"max": "1",
"min": 1,
"path": "DiagnosticReport.issued",
"type": [ {
"code": "instant"
} ],
"isSummary": false,
"isModifier": false,
"mustSupport": true
}, {
"id": "DiagnosticReport:dafdiagnosticreport.performer",
"max": "1",
"min": 1,
"path": "DiagnosticReport.performer",
"type": [ {
"code": "Reference",
"profile": "http://hl7.org/fhir/us/daf/StructureDefinition/daf-pract"
}, {
"code": "Reference",
"profile": "http://hl7.org/fhir/us/daf/StructureDefinition/daf-organization"
} ],
"isSummary": false,
"isModifier": false,
"mustSupport": true
}, {
"id": "DiagnosticReport:dafdiagnosticreport.request",
"max": "*",
"min": 1,
"path": "DiagnosticReport.request",
"type": [ {
"code": "Reference",
"profile": "http://hl7.org/fhir/us/daf/StructureDefinition/daf-diagnosticrequest"
} ],
"isSummary": false,
"isModifier": false,
"mustSupport": true
}, {
"id": "DiagnosticReport:dafdiagnosticreport.result",
"max": "*",
"min": 0,
"path": "DiagnosticReport.result",
"type": [ {
"code": "Reference",
"profile": "http://hl7.org/fhir/us/daf/StructureDefinition/daf-resultobs"
} ],
"isSummary": false,
"isModifier": false,
"mustSupport": true
}, {
"id": "DiagnosticReport:dafdiagnosticreport.conclusion",
"max": "1",
"min": 0,
"path": "DiagnosticReport.conclusion",
"type": [ {
"code": "string"
} ],
"isSummary": false,
"isModifier": false,
"mustSupport": true
}, {
"path": "DiagnosticReport.codedDiagnosis",
"min": 0,
"isModifier": false,
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"binding": {
"strength": "preferred",
"description": "SNOMED CT findings codes provided as adjunct diagnosis to the report",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/clinical-findings"
}
},
"max": "*",
"id": "DiagnosticReport:dafdiagnosticreport.codedDiagnosis",
"isSummary": false
}, {
"id": "DiagnosticReport:dafdiagnosticreport.presentedForm",
"max": "*",
"min": 0,
"path": "DiagnosticReport.presentedForm",
"type": [ {
"code": "Attachment"
} ],
"isSummary": false,
"isModifier": false,
"mustSupport": true
} ]
},
"contact": [ {
"telecom": [ {
"value": "http://www.healthit.gov",
"system": "other"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport"
}