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ComprehensiveMetabolic2000SerumOrPlasmaPanel

 

The official URL for this profile is:

http://hl7.org/fhir/us/mcode/StructureDefinition/obf-lab-ComprehensiveMetabolic2000SerumOrPlasmaPanel

Represents a comprehensive metabolic 2000 panel (CMP) from serum or plasma, which measures various components such as glucose, electrolytes, kidney function, and liver function. The components of this panel are not entirely standardized, so the definition of the CMP includes tests that are optional, or performed by certain laboratories but not others. Therefore, instances typically will include a subset of the listed panel members.

This profile builds on USCoreDiagnosticReportProfileLaboratoryReporting.

This profile was published on Thu Aug 01 00:00:00 EDT 2019 as a active by HL7 International Clinical Interoperability Council.

Summary

Mandatory: 0 element (3 nested mandatory elements)
Fixed Value: 2 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element DiagnosticReport.code.coding is sliced based on the value of value:code
  • The element DiagnosticReport.result is sliced based on the value of value:$this.resolve().code.coding.code

Mapping Source

This structure represents the following mapping definition:

obf.lab.ComprehensiveMetabolic2000SerumOrPlasmaPanel maps to http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab:
  Language maps to language
  ImplicitRules maps to implicitRules
  Metadata.VersionId maps to meta.versionId
  Metadata.SourceSystem maps to meta.source
  Metadata.Profile maps to meta.profile
  Metadata.LastUpdated maps to meta.lastUpdated
  Metadata.SecurityLabel maps to meta.security
  Metadata.Tag maps to meta.tag
  Narrative maps to text
  Identifier maps to identifier
  BasedOn maps to basedOn
  Status maps to status
  Category maps to category
  ObservationSubjectOfRecord maps to subject
  Code maps to code
  CareContext maps to encounter
  RelevantTime maps to effective[x]
  StatementDateTime maps to issued
  DiagnosticReportPerformer maps to performer
  ResultsInterpreter maps to resultsInterpreter
  Specimen maps to specimen
  LaboratoryObservation maps to result (slice on = $this.resolve().code.coding.code; slice strategy = includes)
  MediaIncluded.CommentOrDescription maps to media.comment
  MediaIncluded.Media maps to media.link
  ConclusionText maps to conclusion
  ConclusionCode maps to conclusionCode
  PresentedForm maps to presentedForm

NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport obf-lab-ComprehensiveMetabolic2000SerumOrPlasmaPanel
... basedOn Reference(ServiceRequest | US Core MedicationRequest Profile)
... category 1..1
... code
.... coding Slice: Unordered, Open by value:code
.... coding Σ1..1CodingComprehensive metabolic 2000 panel - Serum or Plasma
..... system Fixed Value: http://loinc.org
..... code Fixed Value: 24323-8
... subject Reference(obf-Patient)The subject of an observation
... encounter Reference(US Core Encounter Profile)
... performer 0..1Reference(US Core Practitioner Profile | US Core Organization Profile)
... resultsInterpreter 0..1Reference(US Core Practitioner Profile | US Core Organization Profile)
... result Reference(obf-LaboratoryObservation)A coded finding based on a specimen, usually collected from a patient (but possibly from a location)
Slice: Unordered, Open by value:$this.resolve().code.coding.code
... result 0..1Reference(obf-lab-GlobulinMCncPtSerQnCalculatedLabObs)GlobulinMCncPtSerQnCalculatedLabObs: Globulin [Mass/​volume] in Serum by calculation
... result 0..1Reference(obf-lab-AlanineAminotransferaseCCncPtSerPlasQnLabObs)AlanineAminotransferaseCCncPtSerPlasQnLabObs: Alanine aminotransferase [Enzymatic activity/​volume] in Serum or Plasma
... result 0..1Reference(obf-lab-AlbuminMCncPtSerPlasQnLabObs)AlbuminMCncPtSerPlasQnLabObs: Albumin [Mass/​volume] in Serum or Plasma
... result 0..1Reference(obf-lab-AlbuminGlobulinMRtoPtSerPlasQnLabObs)AlbuminGlobulinMRtoPtSerPlasQnLabObs: Albumin/​Globulin [Mass Ratio] in Serum or Plasma
... result 0..1Reference(obf-lab-CalciumMCncPtSerPlasQnLabObs)CalciumMCncPtSerPlasQnLabObs: Calcium [Mass/​volume] in Serum or Plasma
... result 0..1Reference(obf-lab-AspartateAminotransferaseCCncPtSerPlasQnLabObs)AspartateAminotransferaseCCncPtSerPlasQnLabObs: Aspartate aminotransferase [Enzymatic activity/​volume] in Serum or Plasma
... result 0..1Reference(obf-lab-BilirubinMCncPtSerPlasQnLabObs)BilirubinMCncPtSerPlasQnLabObs: Bilirubin.total [Mass/​volume] in Serum or Plasma
... result 0..1Reference(obf-lab-CarbonDioxideSCncPtSerPlasQnLabObs)CarbonDioxideSCncPtSerPlasQnLabObs: Carbon dioxide, total [Moles/​volume] in Serum or Plasma
... result 0..1Reference(obf-lab-ChlorideSCncPtSerPlasQnLabObs)ChlorideSCncPtSerPlasQnLabObs: Chloride [Moles/​volume] in Serum or Plasma
... result 0..1Reference(obf-lab-CreatinineMCncPtSerPlasQnLabObs)CreatinineMCncPtSerPlasQnLabObs: Creatinine [Mass/​volume] in Serum or Plasma
... result 0..1Reference(obf-lab-GlucoseMCncPtSerPlasQnLabObs)GlucoseMCncPtSerPlasQnLabObs: Glucose [Mass/​volume] in Serum or Plasma
... result 0..1Reference(obf-lab-PotassiumSCncPtSerPlasQnLabObs)PotassiumSCncPtSerPlasQnLabObs: Potassium [Moles/​volume] in Serum or Plasma
... result 0..1Reference(obf-lab-ProteinMCncPtSerPlasQnLabObs)ProteinMCncPtSerPlasQnLabObs: Protein [Mass/​volume] in Serum or Plasma
... result 0..1Reference(obf-lab-SodiumSCncPtSerPlasQnLabObs)SodiumSCncPtSerPlasQnLabObs: Sodium [Moles/​volume] in Serum or Plasma
... result 0..1Reference(obf-lab-UreaNitrogenMCncPtSerPlasQnLabObs)UreaNitrogenMCncPtSerPlasQnLabObs: Urea nitrogen [Mass/​volume] in Serum or Plasma
... result 0..1Reference(obf-lab-UreaNitrogenCreatinineMRtoPtSerPlasQnLabObs)UreaNitrogenCreatinineMRtoPtSerPlasQnLabObs: Urea nitrogen/​Creatinine [Mass Ratio] in Serum or Plasma
... result 0..1Reference(obf-lab-AlkalinePhosphataseCCncPtSerPlasQnLabObs)AlkalinePhosphataseCCncPtSerPlasQnLabObs: Alkaline phosphatase [Enzymatic activity/​volume] in Serum or Plasma
... result 0..1Reference(obf-lab-GFR173sqMPredArVRatPtSerPlasQnMDRDLabObs)GFR173sqMPredArVRatPtSerPlasQnMDRDLabObs: Glomerular filtration rate/​1.73 sq M.predicted [Volume Rate/​Area] in Serum or Plasma by Creatinine-based formula (MDRD)
... result 0..1Reference(obf-lab-GFR173sqMPredFemaleArVRatPtSerPlasBldQnMDRDLabObs)GFR173sqMPredFemaleArVRatPtSerPlasBldQnMDRDLabObs: Glomerular filtration rate/​1.73 sq M predicted among females [Volume Rate/​Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)
... result 0..1Reference(obf-lab-GFR173sqMPredNonBlackArVRatPtSerPlasBldQnMDRDLabObs)GFR173sqMPredNonBlackArVRatPtSerPlasBldQnMDRDLabObs: Glomerular filtration rate/​1.73 sq M predicted among non-blacks [Volume Rate/​Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)
... result 0..1Reference(obf-lab-GFR173sqMPredBlackArVRatPtSerPlasBldQnMDRDLabObs)GFR173sqMPredBlackArVRatPtSerPlasBldQnMDRDLabObs: Glomerular filtration rate/​1.73 sq M predicted among blacks [Volume Rate/​Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)
... result 0..1Reference(obf-lab-BilirubinDirectMCncPtSerPlasQnLabObs)BilirubinDirectMCncPtSerPlasQnLabObs: Bilirubin.direct [Mass/​volume] in Serum or Plasma
... result 0..1Reference(obf-lab-BicarbonateSCncPtSerPlasQnLabObs)BicarbonateSCncPtSerPlasQnLabObs: Bicarbonate [Moles/​volume] in Serum or Plasma
... result 0..1Reference(obf-lab-AniongapSCncPtSerPlasQnLabObs)AniongapSCncPtSerPlasQnLabObs: Anion gap in Serum or Plasma. Units are optional but if provided, must be in mmol/L.

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport I0..*obf-lab-ComprehensiveMetabolic2000SerumOrPlasmaPanel
us-core-7: DiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness identifier for report
... basedOn 0..*Reference(ServiceRequest | US Core MedicationRequest Profile)What was requested
... status ?!SΣ1..1coderegistered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required)
... category SΣCodeableConceptService category
Slice: Unordered, Open by pattern:$this
Binding: DiagnosticServiceSectionCodes (example)
... category SΣ1..1CodeableConceptService category
Binding: DiagnosticServiceSectionCodes (example)

Required Pattern: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0074","code":"LAB"}]}
... code SΣ1..1CodeableConceptUS Core Laboratory Report Order Code
Binding: US Core Diagnostic Report Laboratory Codes (extensible)
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding ΣCodingCode defined by a terminology system
Slice: Unordered, Open by value:code
.... coding Σ1..1CodingComprehensive metabolic 2000 panel - Serum or Plasma
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... version Σ0..1stringVersion of the system - if relevant
..... code Σ0..1codeSymbol in syntax defined by the system
Fixed Value: 24323-8
..... display Σ0..1stringRepresentation defined by the system
..... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... subject SΣ1..1Reference(obf-Patient)The subject of an observation
... encounter Σ0..1Reference(US Core Encounter Profile)Health care event when test ordered
... effective[x] SΣ1..1dateTime, PeriodSpecimen Collection Datetime or Period
... issued SΣ1..1instantDateTime this version was made
... performer SΣ0..1Reference(US Core Practitioner Profile | US Core Organization Profile)Responsible Diagnostic Service
... resultsInterpreter Σ0..1Reference(US Core Practitioner Profile | US Core Organization Profile)Primary result interpreter
... specimen 0..*Reference(Specimen)Specimens this report is based on
... result SIReference(obf-LaboratoryObservation)A coded finding based on a specimen, usually collected from a patient (but possibly from a location)
Slice: Unordered, Open by value:$this.resolve().code.coding.code
us-core-7: DiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
... result SI0..1Reference(obf-lab-GlobulinMCncPtSerQnCalculatedLabObs)GlobulinMCncPtSerQnCalculatedLabObs: Globulin [Mass/​volume] in Serum by calculation
us-core-7: DiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
... result SI0..1Reference(obf-lab-AlanineAminotransferaseCCncPtSerPlasQnLabObs)AlanineAminotransferaseCCncPtSerPlasQnLabObs: Alanine aminotransferase [Enzymatic activity/​volume] in Serum or Plasma
us-core-7: DiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
... result SI0..1Reference(obf-lab-AlbuminMCncPtSerPlasQnLabObs)AlbuminMCncPtSerPlasQnLabObs: Albumin [Mass/​volume] in Serum or Plasma
us-core-7: DiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
... result SI0..1Reference(obf-lab-AlbuminGlobulinMRtoPtSerPlasQnLabObs)AlbuminGlobulinMRtoPtSerPlasQnLabObs: Albumin/​Globulin [Mass Ratio] in Serum or Plasma
us-core-7: DiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
... result SI0..1Reference(obf-lab-CalciumMCncPtSerPlasQnLabObs)CalciumMCncPtSerPlasQnLabObs: Calcium [Mass/​volume] in Serum or Plasma
us-core-7: DiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
... result SI0..1Reference(obf-lab-AspartateAminotransferaseCCncPtSerPlasQnLabObs)AspartateAminotransferaseCCncPtSerPlasQnLabObs: Aspartate aminotransferase [Enzymatic activity/​volume] in Serum or Plasma
us-core-7: DiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
... result SI0..1Reference(obf-lab-BilirubinMCncPtSerPlasQnLabObs)BilirubinMCncPtSerPlasQnLabObs: Bilirubin.total [Mass/​volume] in Serum or Plasma
us-core-7: DiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
... result SI0..1Reference(obf-lab-CarbonDioxideSCncPtSerPlasQnLabObs)CarbonDioxideSCncPtSerPlasQnLabObs: Carbon dioxide, total [Moles/​volume] in Serum or Plasma
us-core-7: DiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
... result SI0..1Reference(obf-lab-ChlorideSCncPtSerPlasQnLabObs)ChlorideSCncPtSerPlasQnLabObs: Chloride [Moles/​volume] in Serum or Plasma
us-core-7: DiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
... result SI0..1Reference(obf-lab-CreatinineMCncPtSerPlasQnLabObs)CreatinineMCncPtSerPlasQnLabObs: Creatinine [Mass/​volume] in Serum or Plasma
us-core-7: DiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
... result SI0..1Reference(obf-lab-GlucoseMCncPtSerPlasQnLabObs)GlucoseMCncPtSerPlasQnLabObs: Glucose [Mass/​volume] in Serum or Plasma
us-core-7: DiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
... result SI0..1Reference(obf-lab-PotassiumSCncPtSerPlasQnLabObs)PotassiumSCncPtSerPlasQnLabObs: Potassium [Moles/​volume] in Serum or Plasma
us-core-7: DiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
... result SI0..1Reference(obf-lab-ProteinMCncPtSerPlasQnLabObs)ProteinMCncPtSerPlasQnLabObs: Protein [Mass/​volume] in Serum or Plasma
us-core-7: DiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
... result SI0..1Reference(obf-lab-SodiumSCncPtSerPlasQnLabObs)SodiumSCncPtSerPlasQnLabObs: Sodium [Moles/​volume] in Serum or Plasma
us-core-7: DiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
... result SI0..1Reference(obf-lab-UreaNitrogenMCncPtSerPlasQnLabObs)UreaNitrogenMCncPtSerPlasQnLabObs: Urea nitrogen [Mass/​volume] in Serum or Plasma
us-core-7: DiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
... result SI0..1Reference(obf-lab-UreaNitrogenCreatinineMRtoPtSerPlasQnLabObs)UreaNitrogenCreatinineMRtoPtSerPlasQnLabObs: Urea nitrogen/​Creatinine [Mass Ratio] in Serum or Plasma
us-core-7: DiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
... result SI0..1Reference(obf-lab-AlkalinePhosphataseCCncPtSerPlasQnLabObs)AlkalinePhosphataseCCncPtSerPlasQnLabObs: Alkaline phosphatase [Enzymatic activity/​volume] in Serum or Plasma
us-core-7: DiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
... result SI0..1Reference(obf-lab-GFR173sqMPredArVRatPtSerPlasQnMDRDLabObs)GFR173sqMPredArVRatPtSerPlasQnMDRDLabObs: Glomerular filtration rate/​1.73 sq M.predicted [Volume Rate/​Area] in Serum or Plasma by Creatinine-based formula (MDRD)
us-core-7: DiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
... result SI0..1Reference(obf-lab-GFR173sqMPredFemaleArVRatPtSerPlasBldQnMDRDLabObs)GFR173sqMPredFemaleArVRatPtSerPlasBldQnMDRDLabObs: Glomerular filtration rate/​1.73 sq M predicted among females [Volume Rate/​Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)
us-core-7: DiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
... result SI0..1Reference(obf-lab-GFR173sqMPredNonBlackArVRatPtSerPlasBldQnMDRDLabObs)GFR173sqMPredNonBlackArVRatPtSerPlasBldQnMDRDLabObs: Glomerular filtration rate/​1.73 sq M predicted among non-blacks [Volume Rate/​Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)
us-core-7: DiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
... result SI0..1Reference(obf-lab-GFR173sqMPredBlackArVRatPtSerPlasBldQnMDRDLabObs)GFR173sqMPredBlackArVRatPtSerPlasBldQnMDRDLabObs: Glomerular filtration rate/​1.73 sq M predicted among blacks [Volume Rate/​Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)
us-core-7: DiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
... result SI0..1Reference(obf-lab-BilirubinDirectMCncPtSerPlasQnLabObs)BilirubinDirectMCncPtSerPlasQnLabObs: Bilirubin.direct [Mass/​volume] in Serum or Plasma
us-core-7: DiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
... result SI0..1Reference(obf-lab-BicarbonateSCncPtSerPlasQnLabObs)BicarbonateSCncPtSerPlasQnLabObs: Bicarbonate [Moles/​volume] in Serum or Plasma
us-core-7: DiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
... result SI0..1Reference(obf-lab-AniongapSCncPtSerPlasQnLabObs)AniongapSCncPtSerPlasQnLabObs: Anion gap in Serum or Plasma. Units are optional but if provided, must be in mmol/L.
us-core-7: DiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
... imagingStudy 0..*Reference(ImagingStudy)Reference to full details of imaging associated with the diagnostic report
... media SΣI0..*BackboneElementKey images associated with this report
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... comment 0..1stringComment about the image (e.g. explanation)
.... link Σ1..1Reference(Media)Reference to the image source
... conclusion 0..1stringClinical conclusion (interpretation) of test results
... conclusionCode 0..*CodeableConceptCodes for the clinical conclusion of test results
Binding: SNOMEDCTClinicalFindings (example)
... presentedForm SI0..*AttachmentEntire report as issued
us-core-7: DiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.

doco Documentation for this format

Summary

Mandatory: 0 element (3 nested mandatory elements)
Fixed Value: 2 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element DiagnosticReport.code.coding is sliced based on the value of value:code
  • The element DiagnosticReport.result is sliced based on the value of value:$this.resolve().code.coding.code

Mapping Source

This structure represents the following mapping definition:

obf.lab.ComprehensiveMetabolic2000SerumOrPlasmaPanel maps to http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab:
  Language maps to language
  ImplicitRules maps to implicitRules
  Metadata.VersionId maps to meta.versionId
  Metadata.SourceSystem maps to meta.source
  Metadata.Profile maps to meta.profile
  Metadata.LastUpdated maps to meta.lastUpdated
  Metadata.SecurityLabel maps to meta.security
  Metadata.Tag maps to meta.tag
  Narrative maps to text
  Identifier maps to identifier
  BasedOn maps to basedOn
  Status maps to status
  Category maps to category
  ObservationSubjectOfRecord maps to subject
  Code maps to code
  CareContext maps to encounter
  RelevantTime maps to effective[x]
  StatementDateTime maps to issued
  DiagnosticReportPerformer maps to performer
  ResultsInterpreter maps to resultsInterpreter
  Specimen maps to specimen
  LaboratoryObservation maps to result (slice on = $this.resolve().code.coding.code; slice strategy = includes)
  MediaIncluded.CommentOrDescription maps to media.comment
  MediaIncluded.Media maps to media.link
  ConclusionText maps to conclusion
  ConclusionCode maps to conclusionCode
  PresentedForm maps to presentedForm

Differential View

NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport obf-lab-ComprehensiveMetabolic2000SerumOrPlasmaPanel
... basedOn Reference(ServiceRequest | US Core MedicationRequest Profile)
... category 1..1
... code
.... coding Slice: Unordered, Open by value:code
.... coding Σ1..1CodingComprehensive metabolic 2000 panel - Serum or Plasma
..... system Fixed Value: http://loinc.org
..... code Fixed Value: 24323-8
... subject Reference(obf-Patient)The subject of an observation
... encounter Reference(US Core Encounter Profile)
... performer 0..1Reference(US Core Practitioner Profile | US Core Organization Profile)
... resultsInterpreter 0..1Reference(US Core Practitioner Profile | US Core Organization Profile)
... result Reference(obf-LaboratoryObservation)A coded finding based on a specimen, usually collected from a patient (but possibly from a location)
Slice: Unordered, Open by value:$this.resolve().code.coding.code
... result 0..1Reference(obf-lab-GlobulinMCncPtSerQnCalculatedLabObs)GlobulinMCncPtSerQnCalculatedLabObs: Globulin [Mass/​volume] in Serum by calculation
... result 0..1Reference(obf-lab-AlanineAminotransferaseCCncPtSerPlasQnLabObs)AlanineAminotransferaseCCncPtSerPlasQnLabObs: Alanine aminotransferase [Enzymatic activity/​volume] in Serum or Plasma
... result 0..1Reference(obf-lab-AlbuminMCncPtSerPlasQnLabObs)AlbuminMCncPtSerPlasQnLabObs: Albumin [Mass/​volume] in Serum or Plasma
... result 0..1Reference(obf-lab-AlbuminGlobulinMRtoPtSerPlasQnLabObs)AlbuminGlobulinMRtoPtSerPlasQnLabObs: Albumin/​Globulin [Mass Ratio] in Serum or Plasma
... result 0..1Reference(obf-lab-CalciumMCncPtSerPlasQnLabObs)CalciumMCncPtSerPlasQnLabObs: Calcium [Mass/​volume] in Serum or Plasma
... result 0..1Reference(obf-lab-AspartateAminotransferaseCCncPtSerPlasQnLabObs)AspartateAminotransferaseCCncPtSerPlasQnLabObs: Aspartate aminotransferase [Enzymatic activity/​volume] in Serum or Plasma
... result 0..1Reference(obf-lab-BilirubinMCncPtSerPlasQnLabObs)BilirubinMCncPtSerPlasQnLabObs: Bilirubin.total [Mass/​volume] in Serum or Plasma
... result 0..1Reference(obf-lab-CarbonDioxideSCncPtSerPlasQnLabObs)CarbonDioxideSCncPtSerPlasQnLabObs: Carbon dioxide, total [Moles/​volume] in Serum or Plasma
... result 0..1Reference(obf-lab-ChlorideSCncPtSerPlasQnLabObs)ChlorideSCncPtSerPlasQnLabObs: Chloride [Moles/​volume] in Serum or Plasma
... result 0..1Reference(obf-lab-CreatinineMCncPtSerPlasQnLabObs)CreatinineMCncPtSerPlasQnLabObs: Creatinine [Mass/​volume] in Serum or Plasma
... result 0..1Reference(obf-lab-GlucoseMCncPtSerPlasQnLabObs)GlucoseMCncPtSerPlasQnLabObs: Glucose [Mass/​volume] in Serum or Plasma
... result 0..1Reference(obf-lab-PotassiumSCncPtSerPlasQnLabObs)PotassiumSCncPtSerPlasQnLabObs: Potassium [Moles/​volume] in Serum or Plasma
... result 0..1Reference(obf-lab-ProteinMCncPtSerPlasQnLabObs)ProteinMCncPtSerPlasQnLabObs: Protein [Mass/​volume] in Serum or Plasma
... result 0..1Reference(obf-lab-SodiumSCncPtSerPlasQnLabObs)SodiumSCncPtSerPlasQnLabObs: Sodium [Moles/​volume] in Serum or Plasma
... result 0..1Reference(obf-lab-UreaNitrogenMCncPtSerPlasQnLabObs)UreaNitrogenMCncPtSerPlasQnLabObs: Urea nitrogen [Mass/​volume] in Serum or Plasma
... result 0..1Reference(obf-lab-UreaNitrogenCreatinineMRtoPtSerPlasQnLabObs)UreaNitrogenCreatinineMRtoPtSerPlasQnLabObs: Urea nitrogen/​Creatinine [Mass Ratio] in Serum or Plasma
... result 0..1Reference(obf-lab-AlkalinePhosphataseCCncPtSerPlasQnLabObs)AlkalinePhosphataseCCncPtSerPlasQnLabObs: Alkaline phosphatase [Enzymatic activity/​volume] in Serum or Plasma
... result 0..1Reference(obf-lab-GFR173sqMPredArVRatPtSerPlasQnMDRDLabObs)GFR173sqMPredArVRatPtSerPlasQnMDRDLabObs: Glomerular filtration rate/​1.73 sq M.predicted [Volume Rate/​Area] in Serum or Plasma by Creatinine-based formula (MDRD)
... result 0..1Reference(obf-lab-GFR173sqMPredFemaleArVRatPtSerPlasBldQnMDRDLabObs)GFR173sqMPredFemaleArVRatPtSerPlasBldQnMDRDLabObs: Glomerular filtration rate/​1.73 sq M predicted among females [Volume Rate/​Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)
... result 0..1Reference(obf-lab-GFR173sqMPredNonBlackArVRatPtSerPlasBldQnMDRDLabObs)GFR173sqMPredNonBlackArVRatPtSerPlasBldQnMDRDLabObs: Glomerular filtration rate/​1.73 sq M predicted among non-blacks [Volume Rate/​Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)
... result 0..1Reference(obf-lab-GFR173sqMPredBlackArVRatPtSerPlasBldQnMDRDLabObs)GFR173sqMPredBlackArVRatPtSerPlasBldQnMDRDLabObs: Glomerular filtration rate/​1.73 sq M predicted among blacks [Volume Rate/​Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)
... result 0..1Reference(obf-lab-BilirubinDirectMCncPtSerPlasQnLabObs)BilirubinDirectMCncPtSerPlasQnLabObs: Bilirubin.direct [Mass/​volume] in Serum or Plasma
... result 0..1Reference(obf-lab-BicarbonateSCncPtSerPlasQnLabObs)BicarbonateSCncPtSerPlasQnLabObs: Bicarbonate [Moles/​volume] in Serum or Plasma
... result 0..1Reference(obf-lab-AniongapSCncPtSerPlasQnLabObs)AniongapSCncPtSerPlasQnLabObs: Anion gap in Serum or Plasma. Units are optional but if provided, must be in mmol/L.

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport I0..*obf-lab-ComprehensiveMetabolic2000SerumOrPlasmaPanel
us-core-7: DiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness identifier for report
... basedOn 0..*Reference(ServiceRequest | US Core MedicationRequest Profile)What was requested
... status ?!SΣ1..1coderegistered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required)
... category SΣCodeableConceptService category
Slice: Unordered, Open by pattern:$this
Binding: DiagnosticServiceSectionCodes (example)
... category SΣ1..1CodeableConceptService category
Binding: DiagnosticServiceSectionCodes (example)

Required Pattern: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v2-0074","code":"LAB"}]}
... code SΣ1..1CodeableConceptUS Core Laboratory Report Order Code
Binding: US Core Diagnostic Report Laboratory Codes (extensible)
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding ΣCodingCode defined by a terminology system
Slice: Unordered, Open by value:code
.... coding Σ1..1CodingComprehensive metabolic 2000 panel - Serum or Plasma
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... version Σ0..1stringVersion of the system - if relevant
..... code Σ0..1codeSymbol in syntax defined by the system
Fixed Value: 24323-8
..... display Σ0..1stringRepresentation defined by the system
..... userSelected Σ0..1booleanIf this coding was chosen directly by the user
.... text Σ0..1stringPlain text representation of the concept
... subject SΣ1..1Reference(obf-Patient)The subject of an observation
... encounter Σ0..1Reference(US Core Encounter Profile)Health care event when test ordered
... effective[x] SΣ1..1dateTime, PeriodSpecimen Collection Datetime or Period
... issued SΣ1..1instantDateTime this version was made
... performer SΣ0..1Reference(US Core Practitioner Profile | US Core Organization Profile)Responsible Diagnostic Service
... resultsInterpreter Σ0..1Reference(US Core Practitioner Profile | US Core Organization Profile)Primary result interpreter
... specimen 0..*Reference(Specimen)Specimens this report is based on
... result SIReference(obf-LaboratoryObservation)A coded finding based on a specimen, usually collected from a patient (but possibly from a location)
Slice: Unordered, Open by value:$this.resolve().code.coding.code
us-core-7: DiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
... result SI0..1Reference(obf-lab-GlobulinMCncPtSerQnCalculatedLabObs)GlobulinMCncPtSerQnCalculatedLabObs: Globulin [Mass/​volume] in Serum by calculation
us-core-7: DiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
... result SI0..1Reference(obf-lab-AlanineAminotransferaseCCncPtSerPlasQnLabObs)AlanineAminotransferaseCCncPtSerPlasQnLabObs: Alanine aminotransferase [Enzymatic activity/​volume] in Serum or Plasma
us-core-7: DiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
... result SI0..1Reference(obf-lab-AlbuminMCncPtSerPlasQnLabObs)AlbuminMCncPtSerPlasQnLabObs: Albumin [Mass/​volume] in Serum or Plasma
us-core-7: DiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
... result SI0..1Reference(obf-lab-AlbuminGlobulinMRtoPtSerPlasQnLabObs)AlbuminGlobulinMRtoPtSerPlasQnLabObs: Albumin/​Globulin [Mass Ratio] in Serum or Plasma
us-core-7: DiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
... result SI0..1Reference(obf-lab-CalciumMCncPtSerPlasQnLabObs)CalciumMCncPtSerPlasQnLabObs: Calcium [Mass/​volume] in Serum or Plasma
us-core-7: DiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
... result SI0..1Reference(obf-lab-AspartateAminotransferaseCCncPtSerPlasQnLabObs)AspartateAminotransferaseCCncPtSerPlasQnLabObs: Aspartate aminotransferase [Enzymatic activity/​volume] in Serum or Plasma
us-core-7: DiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
... result SI0..1Reference(obf-lab-BilirubinMCncPtSerPlasQnLabObs)BilirubinMCncPtSerPlasQnLabObs: Bilirubin.total [Mass/​volume] in Serum or Plasma
us-core-7: DiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
... result SI0..1Reference(obf-lab-CarbonDioxideSCncPtSerPlasQnLabObs)CarbonDioxideSCncPtSerPlasQnLabObs: Carbon dioxide, total [Moles/​volume] in Serum or Plasma
us-core-7: DiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
... result SI0..1Reference(obf-lab-ChlorideSCncPtSerPlasQnLabObs)ChlorideSCncPtSerPlasQnLabObs: Chloride [Moles/​volume] in Serum or Plasma
us-core-7: DiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
... result SI0..1Reference(obf-lab-CreatinineMCncPtSerPlasQnLabObs)CreatinineMCncPtSerPlasQnLabObs: Creatinine [Mass/​volume] in Serum or Plasma
us-core-7: DiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
... result SI0..1Reference(obf-lab-GlucoseMCncPtSerPlasQnLabObs)GlucoseMCncPtSerPlasQnLabObs: Glucose [Mass/​volume] in Serum or Plasma
us-core-7: DiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
... result SI0..1Reference(obf-lab-PotassiumSCncPtSerPlasQnLabObs)PotassiumSCncPtSerPlasQnLabObs: Potassium [Moles/​volume] in Serum or Plasma
us-core-7: DiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
... result SI0..1Reference(obf-lab-ProteinMCncPtSerPlasQnLabObs)ProteinMCncPtSerPlasQnLabObs: Protein [Mass/​volume] in Serum or Plasma
us-core-7: DiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
... result SI0..1Reference(obf-lab-SodiumSCncPtSerPlasQnLabObs)SodiumSCncPtSerPlasQnLabObs: Sodium [Moles/​volume] in Serum or Plasma
us-core-7: DiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
... result SI0..1Reference(obf-lab-UreaNitrogenMCncPtSerPlasQnLabObs)UreaNitrogenMCncPtSerPlasQnLabObs: Urea nitrogen [Mass/​volume] in Serum or Plasma
us-core-7: DiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
... result SI0..1Reference(obf-lab-UreaNitrogenCreatinineMRtoPtSerPlasQnLabObs)UreaNitrogenCreatinineMRtoPtSerPlasQnLabObs: Urea nitrogen/​Creatinine [Mass Ratio] in Serum or Plasma
us-core-7: DiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
... result SI0..1Reference(obf-lab-AlkalinePhosphataseCCncPtSerPlasQnLabObs)AlkalinePhosphataseCCncPtSerPlasQnLabObs: Alkaline phosphatase [Enzymatic activity/​volume] in Serum or Plasma
us-core-7: DiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
... result SI0..1Reference(obf-lab-GFR173sqMPredArVRatPtSerPlasQnMDRDLabObs)GFR173sqMPredArVRatPtSerPlasQnMDRDLabObs: Glomerular filtration rate/​1.73 sq M.predicted [Volume Rate/​Area] in Serum or Plasma by Creatinine-based formula (MDRD)
us-core-7: DiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
... result SI0..1Reference(obf-lab-GFR173sqMPredFemaleArVRatPtSerPlasBldQnMDRDLabObs)GFR173sqMPredFemaleArVRatPtSerPlasBldQnMDRDLabObs: Glomerular filtration rate/​1.73 sq M predicted among females [Volume Rate/​Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)
us-core-7: DiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
... result SI0..1Reference(obf-lab-GFR173sqMPredNonBlackArVRatPtSerPlasBldQnMDRDLabObs)GFR173sqMPredNonBlackArVRatPtSerPlasBldQnMDRDLabObs: Glomerular filtration rate/​1.73 sq M predicted among non-blacks [Volume Rate/​Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)
us-core-7: DiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
... result SI0..1Reference(obf-lab-GFR173sqMPredBlackArVRatPtSerPlasBldQnMDRDLabObs)GFR173sqMPredBlackArVRatPtSerPlasBldQnMDRDLabObs: Glomerular filtration rate/​1.73 sq M predicted among blacks [Volume Rate/​Area] in Serum, Plasma or Blood by Creatinine-based formula (MDRD)
us-core-7: DiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
... result SI0..1Reference(obf-lab-BilirubinDirectMCncPtSerPlasQnLabObs)BilirubinDirectMCncPtSerPlasQnLabObs: Bilirubin.direct [Mass/​volume] in Serum or Plasma
us-core-7: DiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
... result SI0..1Reference(obf-lab-BicarbonateSCncPtSerPlasQnLabObs)BicarbonateSCncPtSerPlasQnLabObs: Bicarbonate [Moles/​volume] in Serum or Plasma
us-core-7: DiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
... result SI0..1Reference(obf-lab-AniongapSCncPtSerPlasQnLabObs)AniongapSCncPtSerPlasQnLabObs: Anion gap in Serum or Plasma. Units are optional but if provided, must be in mmol/L.
us-core-7: DiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
... imagingStudy 0..*Reference(ImagingStudy)Reference to full details of imaging associated with the diagnostic report
... media SΣI0..*BackboneElementKey images associated with this report
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... comment 0..1stringComment about the image (e.g. explanation)
.... link Σ1..1Reference(Media)Reference to the image source
... conclusion 0..1stringClinical conclusion (interpretation) of test results
... conclusionCode 0..*CodeableConceptCodes for the clinical conclusion of test results
Binding: SNOMEDCTClinicalFindings (example)
... presentedForm SI0..*AttachmentEntire report as issued
us-core-7: DiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.

doco Documentation for this format

Downloads: StructureDefinition: (XML, JSON, TTL), Schema: XML Schematron

 

Terminology Bindings

PathConformanceValueSet / Code
DiagnosticReport.languagepreferredCommonLanguages
Max Binding: AllLanguages
DiagnosticReport.statusrequiredDiagnosticReportStatus
DiagnosticReport.categoryexampleDiagnosticServiceSectionCodes
DiagnosticReport.category:labexamplePattern: LAB
DiagnosticReport.codeextensibleUSCoreDiagnosticReportLabCodes
DiagnosticReport.conclusionCodeexampleSNOMEDCTClinicalFindings

 

Constraints

IdPathDetailsRequirements
dom-2DiagnosticReportIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-4DiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-3DiagnosticReportIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-6DiagnosticReportA resource should have narrative for robust management
: text.div.exists()
dom-5DiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
us-core-7DiagnosticReportDiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
: result.exists() or presentedForm.exists()
us-core-7DiagnosticReport.resultDiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
: result.exists() or presentedForm.exists()
us-core-7DiagnosticReport.resultDiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
: result.exists() or presentedForm.exists()
us-core-7DiagnosticReport.resultDiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
: result.exists() or presentedForm.exists()
us-core-7DiagnosticReport.resultDiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
: result.exists() or presentedForm.exists()
us-core-7DiagnosticReport.resultDiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
: result.exists() or presentedForm.exists()
us-core-7DiagnosticReport.resultDiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
: result.exists() or presentedForm.exists()
us-core-7DiagnosticReport.resultDiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
: result.exists() or presentedForm.exists()
us-core-7DiagnosticReport.resultDiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
: result.exists() or presentedForm.exists()
us-core-7DiagnosticReport.resultDiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
: result.exists() or presentedForm.exists()
us-core-7DiagnosticReport.resultDiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
: result.exists() or presentedForm.exists()
us-core-7DiagnosticReport.resultDiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
: result.exists() or presentedForm.exists()
us-core-7DiagnosticReport.resultDiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
: result.exists() or presentedForm.exists()
us-core-7DiagnosticReport.resultDiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
: result.exists() or presentedForm.exists()
us-core-7DiagnosticReport.resultDiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
: result.exists() or presentedForm.exists()
us-core-7DiagnosticReport.resultDiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
: result.exists() or presentedForm.exists()
us-core-7DiagnosticReport.resultDiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
: result.exists() or presentedForm.exists()
us-core-7DiagnosticReport.resultDiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
: result.exists() or presentedForm.exists()
us-core-7DiagnosticReport.resultDiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
: result.exists() or presentedForm.exists()
us-core-7DiagnosticReport.resultDiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
: result.exists() or presentedForm.exists()
us-core-7DiagnosticReport.resultDiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
: result.exists() or presentedForm.exists()
us-core-7DiagnosticReport.resultDiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
: result.exists() or presentedForm.exists()
us-core-7DiagnosticReport.resultDiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
: result.exists() or presentedForm.exists()
us-core-7DiagnosticReport.resultDiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
: result.exists() or presentedForm.exists()
us-core-7DiagnosticReport.resultDiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
: result.exists() or presentedForm.exists()
us-core-7DiagnosticReport.resultDiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
: result.exists() or presentedForm.exists()
ele-1DiagnosticReport.mediaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
us-core-7DiagnosticReport.presentedFormDiagnosticReport.result or DiagnosticReport.presentedForm or both SHALL be present.
: result.exists() or presentedForm.exists()