HL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE), v0.9.1

HL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE), v0.9.1 FHIR Profiles - Local Development build (v0.9.1). See the Directory of published versions

ComprehensiveMetabolic2000SerumOrPlasmaPanel

 

The official URL for this profile is:

http://mcodeinitiative.org/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 DiagnosticReport.

This profile was published on Wed Oct 23 00:00:00 EDT 2019 as a draft by The MITRE Corporation.

Summary

Mandatory: 0 element (3 nested mandatory elements)
Must-Support: 1 element
Fixed Value: 2 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

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 profile:target.reference

Mapping Source

This structure represents the following mapping definition:

obf.lab.ComprehensiveMetabolic2000SerumOrPlasmaPanel maps to DiagnosticReport:
  Language maps to language
  ImplicitRules maps to implicitRules
  Metadata.VersionId maps to meta.versionId
  Metadata.SourceSystem maps to meta.extension
  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
  Status maps to status
  Code maps to code
  Category maps to category
  ObservationSubjectOfRecord maps to subject
  CareContext maps to encounter
  RelevantTime maps to effective[x]
  StatementDateTime maps to issued
  DiagnosticReportPerformer maps to performer
  ResultsInterpreter maps to extension
  Specimen maps to specimen
  LaboratoryObservation maps to result (slice on = target.reference.resolve(); slice on type = profile; slice strategy = includes)
  MediaIncluded.CommentOrDescription maps to image.comment
  MediaIncluded.Media maps to image.link
  ConclusionText maps to conclusion
  ConclusionCode maps to codedDiagnosis
  PresentedForm maps to presentedForm

NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport obf-lab-ComprehensiveMetabolic2000SerumOrPlasmaPanel
... meta
.... extension Slice: Unordered, Open by value:url
.... obf-SourceSystem-extension 0..1uriSourceSystem
URL: http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-SourceSystem-extension
... extension Slice: Unordered, Open by value:url
... obf-ResultsInterpreter-extension 0..1Reference(Practitioner | Organization)ResultsInterpreter
URL: http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-ResultsInterpreter-extension
... obf-BasedOn-extension 0..*Reference(Basic | ReferralRequest | obf-ProcedureRequest | obf-MedicationRequest | obf-CarePlan)BasedOn
URL: http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-BasedOn-extension
... category 1..1
... code
.... coding 1..*(Slice Definition)Slice: Unordered, Open by value:code
..... coding:Fixed_24323-8 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
... effective[x] S
... result (Slice Definition)A coded finding based on a specimen, usually collected from a patient (but possibly from a location)
Slice: Unordered, Open by profile:target.reference
.... result:obf-lab-GlobulinMCncPtSerQnCalculatedLabObs 0..1Reference(obf-lab-GlobulinMCncPtSerQnCalculatedLabObs)GlobulinMCncPtSerQnCalculatedLabObs: Globulin [Mass/​volume] in Serum by calculation
.... result:obf-lab-AlanineAminotransferaseCCncPtSerPlasQnLabObs 0..1Reference(obf-lab-AlanineAminotransferaseCCncPtSerPlasQnLabObs)AlanineAminotransferaseCCncPtSerPlasQnLabObs: Alanine aminotransferase [Enzymatic activity/​volume] in Serum or Plasma
.... result:obf-lab-AlbuminMCncPtSerPlasQnLabObs 0..1Reference(obf-lab-AlbuminMCncPtSerPlasQnLabObs)AlbuminMCncPtSerPlasQnLabObs: Albumin [Mass/​volume] in Serum or Plasma
.... result:obf-lab-AlbuminGlobulinMRtoPtSerPlasQnLabObs 0..1Reference(obf-lab-AlbuminGlobulinMRtoPtSerPlasQnLabObs)AlbuminGlobulinMRtoPtSerPlasQnLabObs: Albumin/​Globulin [Mass Ratio] in Serum or Plasma
.... result:obf-lab-CalciumMCncPtSerPlasQnLabObs 0..1Reference(obf-lab-CalciumMCncPtSerPlasQnLabObs)CalciumMCncPtSerPlasQnLabObs: Calcium [Mass/​volume] in Serum or Plasma
.... result:obf-lab-AspartateAminotransferaseCCncPtSerPlasQnLabObs 0..1Reference(obf-lab-AspartateAminotransferaseCCncPtSerPlasQnLabObs)AspartateAminotransferaseCCncPtSerPlasQnLabObs: Aspartate aminotransferase [Enzymatic activity/​volume] in Serum or Plasma
.... result:obf-lab-BilirubinMCncPtSerPlasQnLabObs 0..1Reference(obf-lab-BilirubinMCncPtSerPlasQnLabObs)BilirubinMCncPtSerPlasQnLabObs: Bilirubin.total [Mass/​volume] in Serum or Plasma
.... result:obf-lab-CarbonDioxideSCncPtSerPlasQnLabObs 0..1Reference(obf-lab-CarbonDioxideSCncPtSerPlasQnLabObs)CarbonDioxideSCncPtSerPlasQnLabObs: Carbon dioxide, total [Moles/​volume] in Serum or Plasma
.... result:obf-lab-ChlorideSCncPtSerPlasQnLabObs 0..1Reference(obf-lab-ChlorideSCncPtSerPlasQnLabObs)ChlorideSCncPtSerPlasQnLabObs: Chloride [Moles/​volume] in Serum or Plasma
.... result:obf-lab-CreatinineMCncPtSerPlasQnLabObs 0..1Reference(obf-lab-CreatinineMCncPtSerPlasQnLabObs)CreatinineMCncPtSerPlasQnLabObs: Creatinine [Mass/​volume] in Serum or Plasma
.... result:obf-lab-GlucoseMCncPtSerPlasQnLabObs 0..1Reference(obf-lab-GlucoseMCncPtSerPlasQnLabObs)GlucoseMCncPtSerPlasQnLabObs: Glucose [Mass/​volume] in Serum or Plasma
.... result:obf-lab-PotassiumSCncPtSerPlasQnLabObs 0..1Reference(obf-lab-PotassiumSCncPtSerPlasQnLabObs)PotassiumSCncPtSerPlasQnLabObs: Potassium [Moles/​volume] in Serum or Plasma
.... result:obf-lab-ProteinMCncPtSerPlasQnLabObs 0..1Reference(obf-lab-ProteinMCncPtSerPlasQnLabObs)ProteinMCncPtSerPlasQnLabObs: Protein [Mass/​volume] in Serum or Plasma
.... result:obf-lab-SodiumSCncPtSerPlasQnLabObs 0..1Reference(obf-lab-SodiumSCncPtSerPlasQnLabObs)SodiumSCncPtSerPlasQnLabObs: Sodium [Moles/​volume] in Serum or Plasma
.... result:obf-lab-UreaNitrogenMCncPtSerPlasQnLabObs 0..1Reference(obf-lab-UreaNitrogenMCncPtSerPlasQnLabObs)UreaNitrogenMCncPtSerPlasQnLabObs: Urea nitrogen [Mass/​volume] in Serum or Plasma
.... result:obf-lab-UreaNitrogenCreatinineMRtoPtSerPlasQnLabObs 0..1Reference(obf-lab-UreaNitrogenCreatinineMRtoPtSerPlasQnLabObs)UreaNitrogenCreatinineMRtoPtSerPlasQnLabObs: Urea nitrogen/​Creatinine [Mass Ratio] in Serum or Plasma
.... result:obf-lab-AlkalinePhosphataseCCncPtSerPlasQnLabObs 0..1Reference(obf-lab-AlkalinePhosphataseCCncPtSerPlasQnLabObs)AlkalinePhosphataseCCncPtSerPlasQnLabObs: Alkaline phosphatase [Enzymatic activity/​volume] in Serum or Plasma
.... result:obf-lab-GFR173sqMPredArVRatPtSerPlasQnMDRDLabObs 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:obf-lab-GFR173sqMPredFemaleArVRatPtSerPlasBldQnMDRDLabObs 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:obf-lab-GFR173sqMPredNonBlackArVRatPtSerPlasBldQnMDRDLabObs 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:obf-lab-GFR173sqMPredBlackArVRatPtSerPlasBldQnMDRDLabObs 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:obf-lab-BilirubinDirectMCncPtSerPlasQnLabObs 0..1Reference(obf-lab-BilirubinDirectMCncPtSerPlasQnLabObs)BilirubinDirectMCncPtSerPlasQnLabObs: Bilirubin.direct [Mass/​volume] in Serum or Plasma
.... result:obf-lab-BicarbonateSCncPtSerPlasQnLabObs 0..1Reference(obf-lab-BicarbonateSCncPtSerPlasQnLabObs)BicarbonateSCncPtSerPlasQnLabObs: Bicarbonate [Moles/​volume] in Serum or Plasma
.... result:obf-lab-AniongapSCncPtSerPlasQnLabObs 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 0..*obf-lab-ComprehensiveMetabolic2000SerumOrPlasmaPanel
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... obf-SourceSystem-extension 0..1uriSourceSystem
URL: http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-SourceSystem-extension
.... versionId Σ0..1idVersion specific identifier
.... lastUpdated Σ0..1instantWhen the resource version last changed
.... profile Σ0..*uriProfiles this resource claims to conform to
.... security Σ0..*CodingSecurity Labels applied to this resource
Binding: All Security Labels (extensible)
.... tag Σ0..*CodingTags applied to this resource
Binding: (unbound) (example)
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: http://tools.ietf.org/html/bcp47 (required)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
... obf-ResultsInterpreter-extension 0..1Reference(Practitioner | Organization)ResultsInterpreter
URL: http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-ResultsInterpreter-extension
... obf-BasedOn-extension 0..*Reference(Basic | ReferralRequest | obf-ProcedureRequest | obf-MedicationRequest | obf-CarePlan)BasedOn
URL: http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-BasedOn-extension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierId for external references to this report
... status ?!Σ1..1coderegistered | partial | final | corrected | appended | cancelled | entered-in-error
Binding: DiagnosticReportStatus (required)
... category Σ1..1CodeableConceptService category
Binding: Diagnostic Service Section Codes (example)
... code Σ1..1CodeableConceptName/Code for this diagnostic report
Binding: LOINC Diagnostic Report Codes (preferred)
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... coding Σ1..*(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:code
..... coding:Fixed_24323-8 Σ1..1CodingComprehensive metabolic 2000 panel - Serum or Plasma
...... id 0..1idxml:id (or equivalent in JSON)
...... extension 0..*ExtensionAdditional Content defined by implementations
...... 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 Σ1..1Reference(obf-Patient)The subject of an observation
... encounter Σ0..1Reference(Encounter)Health care event when test ordered
... effective[x] SΣ1..1Clinically Relevant time/time-period for report
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... issued Σ1..1instantDateTime this version was released
... performer Σ1..1Reference(Practitioner | Organization)Responsible Diagnostic Service
... request 0..*Reference(DiagnosticOrder | ProcedureRequest | ReferralRequest)What was requested
... specimen 0..*Reference(Specimen)Specimens this report is based on
... result 0..*(Slice Definition)A coded finding based on a specimen, usually collected from a patient (but possibly from a location)
Slice: Unordered, Open by profile:target.reference
.... result:obf-lab-GlobulinMCncPtSerQnCalculatedLabObs 0..1Reference(obf-lab-GlobulinMCncPtSerQnCalculatedLabObs)GlobulinMCncPtSerQnCalculatedLabObs: Globulin [Mass/​volume] in Serum by calculation
.... result:obf-lab-AlanineAminotransferaseCCncPtSerPlasQnLabObs 0..1Reference(obf-lab-AlanineAminotransferaseCCncPtSerPlasQnLabObs)AlanineAminotransferaseCCncPtSerPlasQnLabObs: Alanine aminotransferase [Enzymatic activity/​volume] in Serum or Plasma
.... result:obf-lab-AlbuminMCncPtSerPlasQnLabObs 0..1Reference(obf-lab-AlbuminMCncPtSerPlasQnLabObs)AlbuminMCncPtSerPlasQnLabObs: Albumin [Mass/​volume] in Serum or Plasma
.... result:obf-lab-AlbuminGlobulinMRtoPtSerPlasQnLabObs 0..1Reference(obf-lab-AlbuminGlobulinMRtoPtSerPlasQnLabObs)AlbuminGlobulinMRtoPtSerPlasQnLabObs: Albumin/​Globulin [Mass Ratio] in Serum or Plasma
.... result:obf-lab-CalciumMCncPtSerPlasQnLabObs 0..1Reference(obf-lab-CalciumMCncPtSerPlasQnLabObs)CalciumMCncPtSerPlasQnLabObs: Calcium [Mass/​volume] in Serum or Plasma
.... result:obf-lab-AspartateAminotransferaseCCncPtSerPlasQnLabObs 0..1Reference(obf-lab-AspartateAminotransferaseCCncPtSerPlasQnLabObs)AspartateAminotransferaseCCncPtSerPlasQnLabObs: Aspartate aminotransferase [Enzymatic activity/​volume] in Serum or Plasma
.... result:obf-lab-BilirubinMCncPtSerPlasQnLabObs 0..1Reference(obf-lab-BilirubinMCncPtSerPlasQnLabObs)BilirubinMCncPtSerPlasQnLabObs: Bilirubin.total [Mass/​volume] in Serum or Plasma
.... result:obf-lab-CarbonDioxideSCncPtSerPlasQnLabObs 0..1Reference(obf-lab-CarbonDioxideSCncPtSerPlasQnLabObs)CarbonDioxideSCncPtSerPlasQnLabObs: Carbon dioxide, total [Moles/​volume] in Serum or Plasma
.... result:obf-lab-ChlorideSCncPtSerPlasQnLabObs 0..1Reference(obf-lab-ChlorideSCncPtSerPlasQnLabObs)ChlorideSCncPtSerPlasQnLabObs: Chloride [Moles/​volume] in Serum or Plasma
.... result:obf-lab-CreatinineMCncPtSerPlasQnLabObs 0..1Reference(obf-lab-CreatinineMCncPtSerPlasQnLabObs)CreatinineMCncPtSerPlasQnLabObs: Creatinine [Mass/​volume] in Serum or Plasma
.... result:obf-lab-GlucoseMCncPtSerPlasQnLabObs 0..1Reference(obf-lab-GlucoseMCncPtSerPlasQnLabObs)GlucoseMCncPtSerPlasQnLabObs: Glucose [Mass/​volume] in Serum or Plasma
.... result:obf-lab-PotassiumSCncPtSerPlasQnLabObs 0..1Reference(obf-lab-PotassiumSCncPtSerPlasQnLabObs)PotassiumSCncPtSerPlasQnLabObs: Potassium [Moles/​volume] in Serum or Plasma
.... result:obf-lab-ProteinMCncPtSerPlasQnLabObs 0..1Reference(obf-lab-ProteinMCncPtSerPlasQnLabObs)ProteinMCncPtSerPlasQnLabObs: Protein [Mass/​volume] in Serum or Plasma
.... result:obf-lab-SodiumSCncPtSerPlasQnLabObs 0..1Reference(obf-lab-SodiumSCncPtSerPlasQnLabObs)SodiumSCncPtSerPlasQnLabObs: Sodium [Moles/​volume] in Serum or Plasma
.... result:obf-lab-UreaNitrogenMCncPtSerPlasQnLabObs 0..1Reference(obf-lab-UreaNitrogenMCncPtSerPlasQnLabObs)UreaNitrogenMCncPtSerPlasQnLabObs: Urea nitrogen [Mass/​volume] in Serum or Plasma
.... result:obf-lab-UreaNitrogenCreatinineMRtoPtSerPlasQnLabObs 0..1Reference(obf-lab-UreaNitrogenCreatinineMRtoPtSerPlasQnLabObs)UreaNitrogenCreatinineMRtoPtSerPlasQnLabObs: Urea nitrogen/​Creatinine [Mass Ratio] in Serum or Plasma
.... result:obf-lab-AlkalinePhosphataseCCncPtSerPlasQnLabObs 0..1Reference(obf-lab-AlkalinePhosphataseCCncPtSerPlasQnLabObs)AlkalinePhosphataseCCncPtSerPlasQnLabObs: Alkaline phosphatase [Enzymatic activity/​volume] in Serum or Plasma
.... result:obf-lab-GFR173sqMPredArVRatPtSerPlasQnMDRDLabObs 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:obf-lab-GFR173sqMPredFemaleArVRatPtSerPlasBldQnMDRDLabObs 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:obf-lab-GFR173sqMPredNonBlackArVRatPtSerPlasBldQnMDRDLabObs 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:obf-lab-GFR173sqMPredBlackArVRatPtSerPlasBldQnMDRDLabObs 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:obf-lab-BilirubinDirectMCncPtSerPlasQnLabObs 0..1Reference(obf-lab-BilirubinDirectMCncPtSerPlasQnLabObs)BilirubinDirectMCncPtSerPlasQnLabObs: Bilirubin.direct [Mass/​volume] in Serum or Plasma
.... result:obf-lab-BicarbonateSCncPtSerPlasQnLabObs 0..1Reference(obf-lab-BicarbonateSCncPtSerPlasQnLabObs)BicarbonateSCncPtSerPlasQnLabObs: Bicarbonate [Moles/​volume] in Serum or Plasma
.... result:obf-lab-AniongapSCncPtSerPlasQnLabObs 0..1Reference(obf-lab-AniongapSCncPtSerPlasQnLabObs)AniongapSCncPtSerPlasQnLabObs: Anion gap in Serum or Plasma. Units are optional but if provided, must be in mmol/L.
... imagingStudy 0..*Reference(ImagingStudy | ImagingObjectSelection)Reference to full details of imaging associated with the diagnostic report
... image Σ0..*BackboneElementKey images associated with this report
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
.... comment 0..1stringComment about the image (e.g. explanation)
.... link Σ1..1Reference(Media)Reference to the image source
... conclusion 0..1stringClinical Interpretation of test results
... codedDiagnosis 0..*CodeableConceptCodes for the conclusion
Binding: SNOMED CT Clinical Findings (example)
... presentedForm 0..*AttachmentEntire report as issued

doco Documentation for this format

Summary

Mandatory: 0 element (3 nested mandatory elements)
Must-Support: 1 element
Fixed Value: 2 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

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 profile:target.reference

Mapping Source

This structure represents the following mapping definition:

obf.lab.ComprehensiveMetabolic2000SerumOrPlasmaPanel maps to DiagnosticReport:
  Language maps to language
  ImplicitRules maps to implicitRules
  Metadata.VersionId maps to meta.versionId
  Metadata.SourceSystem maps to meta.extension
  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
  Status maps to status
  Code maps to code
  Category maps to category
  ObservationSubjectOfRecord maps to subject
  CareContext maps to encounter
  RelevantTime maps to effective[x]
  StatementDateTime maps to issued
  DiagnosticReportPerformer maps to performer
  ResultsInterpreter maps to extension
  Specimen maps to specimen
  LaboratoryObservation maps to result (slice on = target.reference.resolve(); slice on type = profile; slice strategy = includes)
  MediaIncluded.CommentOrDescription maps to image.comment
  MediaIncluded.Media maps to image.link
  ConclusionText maps to conclusion
  ConclusionCode maps to codedDiagnosis
  PresentedForm maps to presentedForm

Differential View

NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport obf-lab-ComprehensiveMetabolic2000SerumOrPlasmaPanel
... meta
.... extension Slice: Unordered, Open by value:url
.... obf-SourceSystem-extension 0..1uriSourceSystem
URL: http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-SourceSystem-extension
... extension Slice: Unordered, Open by value:url
... obf-ResultsInterpreter-extension 0..1Reference(Practitioner | Organization)ResultsInterpreter
URL: http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-ResultsInterpreter-extension
... obf-BasedOn-extension 0..*Reference(Basic | ReferralRequest | obf-ProcedureRequest | obf-MedicationRequest | obf-CarePlan)BasedOn
URL: http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-BasedOn-extension
... category 1..1
... code
.... coding 1..*(Slice Definition)Slice: Unordered, Open by value:code
..... coding:Fixed_24323-8 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
... effective[x] S
... result (Slice Definition)A coded finding based on a specimen, usually collected from a patient (but possibly from a location)
Slice: Unordered, Open by profile:target.reference
.... result:obf-lab-GlobulinMCncPtSerQnCalculatedLabObs 0..1Reference(obf-lab-GlobulinMCncPtSerQnCalculatedLabObs)GlobulinMCncPtSerQnCalculatedLabObs: Globulin [Mass/​volume] in Serum by calculation
.... result:obf-lab-AlanineAminotransferaseCCncPtSerPlasQnLabObs 0..1Reference(obf-lab-AlanineAminotransferaseCCncPtSerPlasQnLabObs)AlanineAminotransferaseCCncPtSerPlasQnLabObs: Alanine aminotransferase [Enzymatic activity/​volume] in Serum or Plasma
.... result:obf-lab-AlbuminMCncPtSerPlasQnLabObs 0..1Reference(obf-lab-AlbuminMCncPtSerPlasQnLabObs)AlbuminMCncPtSerPlasQnLabObs: Albumin [Mass/​volume] in Serum or Plasma
.... result:obf-lab-AlbuminGlobulinMRtoPtSerPlasQnLabObs 0..1Reference(obf-lab-AlbuminGlobulinMRtoPtSerPlasQnLabObs)AlbuminGlobulinMRtoPtSerPlasQnLabObs: Albumin/​Globulin [Mass Ratio] in Serum or Plasma
.... result:obf-lab-CalciumMCncPtSerPlasQnLabObs 0..1Reference(obf-lab-CalciumMCncPtSerPlasQnLabObs)CalciumMCncPtSerPlasQnLabObs: Calcium [Mass/​volume] in Serum or Plasma
.... result:obf-lab-AspartateAminotransferaseCCncPtSerPlasQnLabObs 0..1Reference(obf-lab-AspartateAminotransferaseCCncPtSerPlasQnLabObs)AspartateAminotransferaseCCncPtSerPlasQnLabObs: Aspartate aminotransferase [Enzymatic activity/​volume] in Serum or Plasma
.... result:obf-lab-BilirubinMCncPtSerPlasQnLabObs 0..1Reference(obf-lab-BilirubinMCncPtSerPlasQnLabObs)BilirubinMCncPtSerPlasQnLabObs: Bilirubin.total [Mass/​volume] in Serum or Plasma
.... result:obf-lab-CarbonDioxideSCncPtSerPlasQnLabObs 0..1Reference(obf-lab-CarbonDioxideSCncPtSerPlasQnLabObs)CarbonDioxideSCncPtSerPlasQnLabObs: Carbon dioxide, total [Moles/​volume] in Serum or Plasma
.... result:obf-lab-ChlorideSCncPtSerPlasQnLabObs 0..1Reference(obf-lab-ChlorideSCncPtSerPlasQnLabObs)ChlorideSCncPtSerPlasQnLabObs: Chloride [Moles/​volume] in Serum or Plasma
.... result:obf-lab-CreatinineMCncPtSerPlasQnLabObs 0..1Reference(obf-lab-CreatinineMCncPtSerPlasQnLabObs)CreatinineMCncPtSerPlasQnLabObs: Creatinine [Mass/​volume] in Serum or Plasma
.... result:obf-lab-GlucoseMCncPtSerPlasQnLabObs 0..1Reference(obf-lab-GlucoseMCncPtSerPlasQnLabObs)GlucoseMCncPtSerPlasQnLabObs: Glucose [Mass/​volume] in Serum or Plasma
.... result:obf-lab-PotassiumSCncPtSerPlasQnLabObs 0..1Reference(obf-lab-PotassiumSCncPtSerPlasQnLabObs)PotassiumSCncPtSerPlasQnLabObs: Potassium [Moles/​volume] in Serum or Plasma
.... result:obf-lab-ProteinMCncPtSerPlasQnLabObs 0..1Reference(obf-lab-ProteinMCncPtSerPlasQnLabObs)ProteinMCncPtSerPlasQnLabObs: Protein [Mass/​volume] in Serum or Plasma
.... result:obf-lab-SodiumSCncPtSerPlasQnLabObs 0..1Reference(obf-lab-SodiumSCncPtSerPlasQnLabObs)SodiumSCncPtSerPlasQnLabObs: Sodium [Moles/​volume] in Serum or Plasma
.... result:obf-lab-UreaNitrogenMCncPtSerPlasQnLabObs 0..1Reference(obf-lab-UreaNitrogenMCncPtSerPlasQnLabObs)UreaNitrogenMCncPtSerPlasQnLabObs: Urea nitrogen [Mass/​volume] in Serum or Plasma
.... result:obf-lab-UreaNitrogenCreatinineMRtoPtSerPlasQnLabObs 0..1Reference(obf-lab-UreaNitrogenCreatinineMRtoPtSerPlasQnLabObs)UreaNitrogenCreatinineMRtoPtSerPlasQnLabObs: Urea nitrogen/​Creatinine [Mass Ratio] in Serum or Plasma
.... result:obf-lab-AlkalinePhosphataseCCncPtSerPlasQnLabObs 0..1Reference(obf-lab-AlkalinePhosphataseCCncPtSerPlasQnLabObs)AlkalinePhosphataseCCncPtSerPlasQnLabObs: Alkaline phosphatase [Enzymatic activity/​volume] in Serum or Plasma
.... result:obf-lab-GFR173sqMPredArVRatPtSerPlasQnMDRDLabObs 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:obf-lab-GFR173sqMPredFemaleArVRatPtSerPlasBldQnMDRDLabObs 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:obf-lab-GFR173sqMPredNonBlackArVRatPtSerPlasBldQnMDRDLabObs 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:obf-lab-GFR173sqMPredBlackArVRatPtSerPlasBldQnMDRDLabObs 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:obf-lab-BilirubinDirectMCncPtSerPlasQnLabObs 0..1Reference(obf-lab-BilirubinDirectMCncPtSerPlasQnLabObs)BilirubinDirectMCncPtSerPlasQnLabObs: Bilirubin.direct [Mass/​volume] in Serum or Plasma
.... result:obf-lab-BicarbonateSCncPtSerPlasQnLabObs 0..1Reference(obf-lab-BicarbonateSCncPtSerPlasQnLabObs)BicarbonateSCncPtSerPlasQnLabObs: Bicarbonate [Moles/​volume] in Serum or Plasma
.... result:obf-lab-AniongapSCncPtSerPlasQnLabObs 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 0..*obf-lab-ComprehensiveMetabolic2000SerumOrPlasmaPanel
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... obf-SourceSystem-extension 0..1uriSourceSystem
URL: http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-SourceSystem-extension
.... versionId Σ0..1idVersion specific identifier
.... lastUpdated Σ0..1instantWhen the resource version last changed
.... profile Σ0..*uriProfiles this resource claims to conform to
.... security Σ0..*CodingSecurity Labels applied to this resource
Binding: All Security Labels (extensible)
.... tag Σ0..*CodingTags applied to this resource
Binding: (unbound) (example)
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: http://tools.ietf.org/html/bcp47 (required)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
... obf-ResultsInterpreter-extension 0..1Reference(Practitioner | Organization)ResultsInterpreter
URL: http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-ResultsInterpreter-extension
... obf-BasedOn-extension 0..*Reference(Basic | ReferralRequest | obf-ProcedureRequest | obf-MedicationRequest | obf-CarePlan)BasedOn
URL: http://mcodeinitiative.org/us/mcode/StructureDefinition/obf-BasedOn-extension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierId for external references to this report
... status ?!Σ1..1coderegistered | partial | final | corrected | appended | cancelled | entered-in-error
Binding: DiagnosticReportStatus (required)
... category Σ1..1CodeableConceptService category
Binding: Diagnostic Service Section Codes (example)
... code Σ1..1CodeableConceptName/Code for this diagnostic report
Binding: LOINC Diagnostic Report Codes (preferred)
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... coding Σ1..*(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:code
..... coding:Fixed_24323-8 Σ1..1CodingComprehensive metabolic 2000 panel - Serum or Plasma
...... id 0..1idxml:id (or equivalent in JSON)
...... extension 0..*ExtensionAdditional Content defined by implementations
...... 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 Σ1..1Reference(obf-Patient)The subject of an observation
... encounter Σ0..1Reference(Encounter)Health care event when test ordered
... effective[x] SΣ1..1Clinically Relevant time/time-period for report
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... issued Σ1..1instantDateTime this version was released
... performer Σ1..1Reference(Practitioner | Organization)Responsible Diagnostic Service
... request 0..*Reference(DiagnosticOrder | ProcedureRequest | ReferralRequest)What was requested
... specimen 0..*Reference(Specimen)Specimens this report is based on
... result 0..*(Slice Definition)A coded finding based on a specimen, usually collected from a patient (but possibly from a location)
Slice: Unordered, Open by profile:target.reference
.... result:obf-lab-GlobulinMCncPtSerQnCalculatedLabObs 0..1Reference(obf-lab-GlobulinMCncPtSerQnCalculatedLabObs)GlobulinMCncPtSerQnCalculatedLabObs: Globulin [Mass/​volume] in Serum by calculation
.... result:obf-lab-AlanineAminotransferaseCCncPtSerPlasQnLabObs 0..1Reference(obf-lab-AlanineAminotransferaseCCncPtSerPlasQnLabObs)AlanineAminotransferaseCCncPtSerPlasQnLabObs: Alanine aminotransferase [Enzymatic activity/​volume] in Serum or Plasma
.... result:obf-lab-AlbuminMCncPtSerPlasQnLabObs 0..1Reference(obf-lab-AlbuminMCncPtSerPlasQnLabObs)AlbuminMCncPtSerPlasQnLabObs: Albumin [Mass/​volume] in Serum or Plasma
.... result:obf-lab-AlbuminGlobulinMRtoPtSerPlasQnLabObs 0..1Reference(obf-lab-AlbuminGlobulinMRtoPtSerPlasQnLabObs)AlbuminGlobulinMRtoPtSerPlasQnLabObs: Albumin/​Globulin [Mass Ratio] in Serum or Plasma
.... result:obf-lab-CalciumMCncPtSerPlasQnLabObs 0..1Reference(obf-lab-CalciumMCncPtSerPlasQnLabObs)CalciumMCncPtSerPlasQnLabObs: Calcium [Mass/​volume] in Serum or Plasma
.... result:obf-lab-AspartateAminotransferaseCCncPtSerPlasQnLabObs 0..1Reference(obf-lab-AspartateAminotransferaseCCncPtSerPlasQnLabObs)AspartateAminotransferaseCCncPtSerPlasQnLabObs: Aspartate aminotransferase [Enzymatic activity/​volume] in Serum or Plasma
.... result:obf-lab-BilirubinMCncPtSerPlasQnLabObs 0..1Reference(obf-lab-BilirubinMCncPtSerPlasQnLabObs)BilirubinMCncPtSerPlasQnLabObs: Bilirubin.total [Mass/​volume] in Serum or Plasma
.... result:obf-lab-CarbonDioxideSCncPtSerPlasQnLabObs 0..1Reference(obf-lab-CarbonDioxideSCncPtSerPlasQnLabObs)CarbonDioxideSCncPtSerPlasQnLabObs: Carbon dioxide, total [Moles/​volume] in Serum or Plasma
.... result:obf-lab-ChlorideSCncPtSerPlasQnLabObs 0..1Reference(obf-lab-ChlorideSCncPtSerPlasQnLabObs)ChlorideSCncPtSerPlasQnLabObs: Chloride [Moles/​volume] in Serum or Plasma
.... result:obf-lab-CreatinineMCncPtSerPlasQnLabObs 0..1Reference(obf-lab-CreatinineMCncPtSerPlasQnLabObs)CreatinineMCncPtSerPlasQnLabObs: Creatinine [Mass/​volume] in Serum or Plasma
.... result:obf-lab-GlucoseMCncPtSerPlasQnLabObs 0..1Reference(obf-lab-GlucoseMCncPtSerPlasQnLabObs)GlucoseMCncPtSerPlasQnLabObs: Glucose [Mass/​volume] in Serum or Plasma
.... result:obf-lab-PotassiumSCncPtSerPlasQnLabObs 0..1Reference(obf-lab-PotassiumSCncPtSerPlasQnLabObs)PotassiumSCncPtSerPlasQnLabObs: Potassium [Moles/​volume] in Serum or Plasma
.... result:obf-lab-ProteinMCncPtSerPlasQnLabObs 0..1Reference(obf-lab-ProteinMCncPtSerPlasQnLabObs)ProteinMCncPtSerPlasQnLabObs: Protein [Mass/​volume] in Serum or Plasma
.... result:obf-lab-SodiumSCncPtSerPlasQnLabObs 0..1Reference(obf-lab-SodiumSCncPtSerPlasQnLabObs)SodiumSCncPtSerPlasQnLabObs: Sodium [Moles/​volume] in Serum or Plasma
.... result:obf-lab-UreaNitrogenMCncPtSerPlasQnLabObs 0..1Reference(obf-lab-UreaNitrogenMCncPtSerPlasQnLabObs)UreaNitrogenMCncPtSerPlasQnLabObs: Urea nitrogen [Mass/​volume] in Serum or Plasma
.... result:obf-lab-UreaNitrogenCreatinineMRtoPtSerPlasQnLabObs 0..1Reference(obf-lab-UreaNitrogenCreatinineMRtoPtSerPlasQnLabObs)UreaNitrogenCreatinineMRtoPtSerPlasQnLabObs: Urea nitrogen/​Creatinine [Mass Ratio] in Serum or Plasma
.... result:obf-lab-AlkalinePhosphataseCCncPtSerPlasQnLabObs 0..1Reference(obf-lab-AlkalinePhosphataseCCncPtSerPlasQnLabObs)AlkalinePhosphataseCCncPtSerPlasQnLabObs: Alkaline phosphatase [Enzymatic activity/​volume] in Serum or Plasma
.... result:obf-lab-GFR173sqMPredArVRatPtSerPlasQnMDRDLabObs 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:obf-lab-GFR173sqMPredFemaleArVRatPtSerPlasBldQnMDRDLabObs 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:obf-lab-GFR173sqMPredNonBlackArVRatPtSerPlasBldQnMDRDLabObs 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:obf-lab-GFR173sqMPredBlackArVRatPtSerPlasBldQnMDRDLabObs 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:obf-lab-BilirubinDirectMCncPtSerPlasQnLabObs 0..1Reference(obf-lab-BilirubinDirectMCncPtSerPlasQnLabObs)BilirubinDirectMCncPtSerPlasQnLabObs: Bilirubin.direct [Mass/​volume] in Serum or Plasma
.... result:obf-lab-BicarbonateSCncPtSerPlasQnLabObs 0..1Reference(obf-lab-BicarbonateSCncPtSerPlasQnLabObs)BicarbonateSCncPtSerPlasQnLabObs: Bicarbonate [Moles/​volume] in Serum or Plasma
.... result:obf-lab-AniongapSCncPtSerPlasQnLabObs 0..1Reference(obf-lab-AniongapSCncPtSerPlasQnLabObs)AniongapSCncPtSerPlasQnLabObs: Anion gap in Serum or Plasma. Units are optional but if provided, must be in mmol/L.
... imagingStudy 0..*Reference(ImagingStudy | ImagingObjectSelection)Reference to full details of imaging associated with the diagnostic report
... image Σ0..*BackboneElementKey images associated with this report
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
.... comment 0..1stringComment about the image (e.g. explanation)
.... link Σ1..1Reference(Media)Reference to the image source
... conclusion 0..1stringClinical Interpretation of test results
... codedDiagnosis 0..*CodeableConceptCodes for the conclusion
Binding: SNOMED CT Clinical Findings (example)
... presentedForm 0..*AttachmentEntire report as issued

doco Documentation for this format

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

 

Terminology Bindings

PathConformanceValueSet
DiagnosticReport.meta.securityextensibleAll Security Labels
DiagnosticReport.meta.tagexample
DiagnosticReport.languagerequiredhttp://tools.ietf.org/html/bcp47
DiagnosticReport.statusrequiredDiagnosticReportStatus
DiagnosticReport.categoryexampleDiagnostic Service Section Codes
DiagnosticReport.codepreferredLOINC Diagnostic Report Codes
DiagnosticReport.codedDiagnosisexampleSNOMED CT Clinical Findings

 

Constraints

IdPathDetailsRequirements