GAO Ballot Package

This page is part of the FHIR Specification (v1.1.0: STU 3 Ballot 1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

This is a frozen snapshot of the FHIR specification created for the purpose of balloting the GAO implementation Guide. It includes draft changes that may be part of the future DSTU 2.1 release but further change is expected. Readers should focus solely on the GAO implementation content, and FHIR DSTU 2 for other purposes.

F.12.1 StructureDefinition: QICore-DiagnosticReport

The official URL for this profile is: 

http://hl7.org/fhir/StructureDefinition/qicore-diagnosticreport

Profile of DiagnosticReport for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.

This profile was published on Fri, Feb 27, 2015 00:00+1100 as a draft by Health Level Seven International (Clinical Quality Information - QICore).

F.12.1.1 Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.

NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport 0..*DiagnosticReportA Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... meta ∑0..1MetaMetadata about the resource
... implicitRules ?! ∑0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: IETF BCP-47 (required)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... diagnosticReport-locationPerformed 0..1Reference(Location)Location Performed
URL: http://hl7.org/fhir/StructureDefinition/diagnosticReport-locationPerformed
.... url 1..1uri"http://hl7.org/fhir/StructureDefinition/diagnosticReport-locationPerformed"
.... valueReference 1..1Reference(QICore-Location)Value of extension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier ∑0..*IdentifierId for external references to this report
... status ?! S∑1..1coderegistered | partial | final | corrected | appended | cancelled | entered-in-error
Binding: DiagnosticReportStatus (required)
... category ∑0..1CodeableConceptService category
Binding: Diagnostic Service Section Codes (example)
... code S ∑1..1CodeableConceptName/Code for this diagnostic report
Binding: US Laboratory Observation Profile Observation Name Codes (preferred)
... subject S ∑1..1Reference(QICore-Patient | Group | QICore-Device | QICore-Location)The subject of the report, usually, but not always, the patient
... encounter S ∑0..1Reference(QICore-Encounter)Health care event when test ordered
... effective[x] S ∑1..1dateTime, PeriodClinically Relevant time/time-period for report
... issued ∑1..1instantDateTime this version was released
... performer ∑1..1Reference(QICore-Practitioner | QICore-Organization)Responsible Diagnostic Service
... request 0..*Reference(QICore-DiagnosticOrder | QICore-ProcedureRequest | QICore-ReferralRequest)What was requested
... specimen 0..*Reference(QICore-Specimen)Specimens this report is based on
... result S0..*Reference(QICore-Observation)Observations - simple, or complex nested groups
... imagingStudy S0..*Reference(QICore-ImagingStudy | ImagingObjectSelection)Reference to full details of imaging associated with the diagnostic report
... image ∑0..*BackboneElementKey images associated with this report
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
.... comment 0..1stringComment about the image (e.g. explanation)
.... link ∑1..1Reference(Media)Reference to the image source
... conclusion 0..1stringClinical Interpretation of test results
... codedDiagnosis S0..*CodeableConceptCodes for the conclusion
Binding: SNOMED CT Clinical Findings (example)
... presentedForm 0..*AttachmentEntire report as issued

doco Documentation for this format

todo

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport 0..*DiagnosticReportA Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... meta ∑0..1MetaMetadata about the resource
... implicitRules ?! ∑0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: IETF BCP-47 (required)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... diagnosticReport-locationPerformed 0..1Reference(Location)Location Performed
URL: http://hl7.org/fhir/StructureDefinition/diagnosticReport-locationPerformed
.... url 1..1uri"http://hl7.org/fhir/StructureDefinition/diagnosticReport-locationPerformed"
.... valueReference 1..1Reference(QICore-Location)Value of extension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier ∑0..*IdentifierId for external references to this report
... status ?! S∑1..1coderegistered | partial | final | corrected | appended | cancelled | entered-in-error
Binding: DiagnosticReportStatus (required)
... category ∑0..1CodeableConceptService category
Binding: Diagnostic Service Section Codes (example)
... code S ∑1..1CodeableConceptName/Code for this diagnostic report
Binding: US Laboratory Observation Profile Observation Name Codes (preferred)
... subject S ∑1..1Reference(QICore-Patient | Group | QICore-Device | QICore-Location)The subject of the report, usually, but not always, the patient
... encounter S ∑0..1Reference(QICore-Encounter)Health care event when test ordered
... effective[x] S ∑1..1dateTime, PeriodClinically Relevant time/time-period for report
... issued ∑1..1instantDateTime this version was released
... performer ∑1..1Reference(QICore-Practitioner | QICore-Organization)Responsible Diagnostic Service
... request 0..*Reference(QICore-DiagnosticOrder | QICore-ProcedureRequest | QICore-ReferralRequest)What was requested
... specimen 0..*Reference(QICore-Specimen)Specimens this report is based on
... result S0..*Reference(QICore-Observation)Observations - simple, or complex nested groups
... imagingStudy S0..*Reference(QICore-ImagingStudy | ImagingObjectSelection)Reference to full details of imaging associated with the diagnostic report
... image ∑0..*BackboneElementKey images associated with this report
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
.... comment 0..1stringComment about the image (e.g. explanation)
.... link ∑1..1Reference(Media)Reference to the image source
... conclusion 0..1stringClinical Interpretation of test results
... codedDiagnosis S0..*CodeableConceptCodes for the conclusion
Binding: SNOMED CT Clinical Findings (example)
... presentedForm 0..*AttachmentEntire report as issued

doco Documentation for this format

XML Template

JSON Template

todo

 

Other representations of profile: Schematron

F.12.1.2 Terminology Bindings

PathNameConformanceValueSet
DiagnosticReport.language?extrequiredhttp://tools.ietf.org/html/bcp47
DiagnosticReport.statusDiagnosticReportStatusrequiredDiagnosticReportStatus
DiagnosticReport.categoryDiagnostic Service Section CodesexampleDiagnostic Service Section Codes
DiagnosticReport.codeUS Laboratory Observation Profile Observation Name CodespreferredUS Laboratory Observation Profile Observation Name Codes
DiagnosticReport.codedDiagnosisSNOMED CT Clinical FindingsexampleSNOMED CT Clinical Findings

F.12.1.3 Constraints

IdPathDetailsRequirements
.