HL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE), v0.9.0

- Local Development build (v0.9.0). See the Directory of published versions

DiagnosticReport

 

The official URL for this profile is:

http://hl7.org/fhir/us/shr/StructureDefinition/shr-core-DiagnosticReport

This profile builds on DiagnosticReport.

This profile was published on Wed Apr 17 00:00:00 EDT 2019 as a draft by The MITRE Corporation.

Summary

Structures

This structure refers to these other structures:

Mapping Source

This structure represents the following mapping definition:

shr.core.DiagnosticReport maps to DiagnosticReport:
  _Entry.EntryId maps to id
  Language maps to language
  Narrative maps to text
  ImplicitRules maps to implicitRules
  Metadata.VersionId maps to meta.versionId
  Metadata.Profile maps to meta.profile
  Metadata.LastUpdated maps to meta.lastUpdated
  Metadata.SecurityLabel maps to meta.security
  Metadata.Tag maps to meta.tag
  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
  Participation.ParticipationType maps to performer.extension
  Participation.Participant maps to performer
  MedicationStatementRelatedRequest maps to request
  Specimen maps to specimen
  Observation maps to result (slice on = target.reference.resolve(); slice on type = profile; slice strategy = includes)
  Media maps to image.link
  Conclusion maps to conclusion
  DiagnosisCode maps to codedDiagnosis
  OriginalReport maps to presentedForm

NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport 0..*shr-core-DiagnosticReport
... 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: 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
... 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 Σ0..1CodeableConceptService category
Binding: Diagnostic Service Section Codes (example)
... code Σ1..1CodeableConceptName/Code for this diagnostic report
Binding: LOINC Diagnostic Report Codes (preferred)
... subject Σ1..1Reference(shr-core-Patient | shr-core-Group | shr-core-Device | shr-core-Location)The subject of the report, usually, but not always, the patient
... encounter Σ0..1Reference(shr-core-Encounter)Health care event when test ordered
... effective[x] Σ1..1dateTime, PeriodClinically Relevant time/time-period for report
... issued Σ1..1instantDateTime this version was released
... performer Σ1..1Reference(shr-core-Practitioner | shr-core-Organization)Responsible Diagnostic Service
... request 0..*Reference(shr-core-ProcedureRequest | shr-core-ReferralRequest)What was requested
... specimen 0..*Reference(shr-core-Specimen)Specimens this report is based on
... result 0..*Reference(shr-core-Observation)Observations - simple, or complex nested groups
... 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(shr-core-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

Structures

This structure refers to these other structures:

Mapping Source

This structure represents the following mapping definition:

shr.core.DiagnosticReport maps to DiagnosticReport:
  _Entry.EntryId maps to id
  Language maps to language
  Narrative maps to text
  ImplicitRules maps to implicitRules
  Metadata.VersionId maps to meta.versionId
  Metadata.Profile maps to meta.profile
  Metadata.LastUpdated maps to meta.lastUpdated
  Metadata.SecurityLabel maps to meta.security
  Metadata.Tag maps to meta.tag
  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
  Participation.ParticipationType maps to performer.extension
  Participation.Participant maps to performer
  MedicationStatementRelatedRequest maps to request
  Specimen maps to specimen
  Observation maps to result (slice on = target.reference.resolve(); slice on type = profile; slice strategy = includes)
  Media maps to image.link
  Conclusion maps to conclusion
  DiagnosisCode maps to codedDiagnosis
  OriginalReport maps to presentedForm

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport 0..*shr-core-DiagnosticReport
... 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: 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
... 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 Σ0..1CodeableConceptService category
Binding: Diagnostic Service Section Codes (example)
... code Σ1..1CodeableConceptName/Code for this diagnostic report
Binding: LOINC Diagnostic Report Codes (preferred)
... subject Σ1..1Reference(shr-core-Patient | shr-core-Group | shr-core-Device | shr-core-Location)The subject of the report, usually, but not always, the patient
... encounter Σ0..1Reference(shr-core-Encounter)Health care event when test ordered
... effective[x] Σ1..1dateTime, PeriodClinically Relevant time/time-period for report
... issued Σ1..1instantDateTime this version was released
... performer Σ1..1Reference(shr-core-Practitioner | shr-core-Organization)Responsible Diagnostic Service
... request 0..*Reference(shr-core-ProcedureRequest | shr-core-ReferralRequest)What was requested
... specimen 0..*Reference(shr-core-Specimen)Specimens this report is based on
... result 0..*Reference(shr-core-Observation)Observations - simple, or complex nested groups
... 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(shr-core-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

 

 

Constraints

IdPathDetailsRequirements