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.

A.6.1 StructureDefinition: USLab-DR

The official URL for this profile is: 

http://hl7.org/fhir/StructureDefinition/uslab-dr

US Realm Laboratory Report

This profile was published on Wed, Nov 19, 2014 00:00+1100 as a draft by Health Level Seven International (Orders and Observations - US Lab).

A.6.1.1 Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport 0..*DiagnosticReportUS Realm Laboratory Report
... 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
... extension 0..*ExtensionAdditional Content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier S ∑1..*IdentifierId for external references to this report
.... extension 0..*ExtensionAdditional Content defined by implementations
.... use ?! S∑1..1codeusual | official | temp | secondary (If known)
Binding: IdentifierUse (required)
.... type ∑0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible)
.... system S ∑1..1uriLab URI
Example: http://www.acme.com/identifiers/patient or urn:ietf:rfc:3986 if the Identifier.value itself is a full uri
.... value S ∑1..1stringThe value that is unique
Example: 123456
.... period ∑0..1PeriodTime period when id is/was valid for use
.... assigner ∑0..1Reference(Organization)Organization that issued id (may be just text)
... 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..1CodeableConceptUS Realm Laboratory Report Order Code
Binding: LOINC Diagnostic Report Codes (preferred)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... coding S ∑1..*CodingCode defined by a terminology system
Binding: US Laboratory Observation Profile Observation Name Codes (required)
..... extension 0..*ExtensionAdditional Content defined by implementations
..... system S ∑1..1uriIdentity of the terminology system
..... version ∑0..1stringVersion of the system - if relevant
..... code S ∑1..1codeSymbol in syntax defined by the system
..... display S ∑0..1stringRepresentation defined by the system
..... userSelected ∑0..1booleanIf this coding was chosen directly by the user
.... text S ∑0..1stringDisplay text
... subject S ∑1..1Reference(US Laboratory Patient Profile | US Laboratory Patient Profile)The subject of the report, usually, but not always, the patient
... encounter ∑0..1Reference(Encounter)Health care event when test ordered
... effective[x] S ∑1..1dateTime, PeriodSpecimen Collection Datetime or Period
... issued S ∑1..1instantDateTime this version was released
... performer S ∑1..1Reference(US Laboratory Practitioner Profile)Responsible Diagnostic Service
... request S1..*Reference(US Laboratory Diagnostic Order Profile)What was requested
... specimen S0..*Reference(US Laboratory Specimen Profile)Specimens this report is based on
... result S0..*Reference(US Laboratory Observation Profile | US Laboratory Observation Profile | US Laboratory Observation Profile | US Laboratory Observation Profile | US Laboratory Observation Profile | US Laboratory Observation Profile)Observations - simple, or complex nested groups
... 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 S0..1stringClinical Interpretation of test results
... codedDiagnosis S0..*CodeableConceptCodes for the conclusion
Binding: SNOMED CT Clinical Findings (preferred)
... presentedForm S0..*AttachmentEntire report as issued

doco Documentation for this format

todo

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport 0..*DiagnosticReportUS Realm Laboratory Report
... 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
... extension 0..*ExtensionAdditional Content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier S ∑1..*IdentifierId for external references to this report
.... extension 0..*ExtensionAdditional Content defined by implementations
.... use ?! S∑1..1codeusual | official | temp | secondary (If known)
Binding: IdentifierUse (required)
.... type ∑0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible)
.... system S ∑1..1uriLab URI
Example: http://www.acme.com/identifiers/patient or urn:ietf:rfc:3986 if the Identifier.value itself is a full uri
.... value S ∑1..1stringThe value that is unique
Example: 123456
.... period ∑0..1PeriodTime period when id is/was valid for use
.... assigner ∑0..1Reference(Organization)Organization that issued id (may be just text)
... 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..1CodeableConceptUS Realm Laboratory Report Order Code
Binding: LOINC Diagnostic Report Codes (preferred)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... coding S ∑1..*CodingCode defined by a terminology system
Binding: US Laboratory Observation Profile Observation Name Codes (required)
..... extension 0..*ExtensionAdditional Content defined by implementations
..... system S ∑1..1uriIdentity of the terminology system
..... version ∑0..1stringVersion of the system - if relevant
..... code S ∑1..1codeSymbol in syntax defined by the system
..... display S ∑0..1stringRepresentation defined by the system
..... userSelected ∑0..1booleanIf this coding was chosen directly by the user
.... text S ∑0..1stringDisplay text
... subject S ∑1..1Reference(US Laboratory Patient Profile | US Laboratory Patient Profile)The subject of the report, usually, but not always, the patient
... encounter ∑0..1Reference(Encounter)Health care event when test ordered
... effective[x] S ∑1..1dateTime, PeriodSpecimen Collection Datetime or Period
... issued S ∑1..1instantDateTime this version was released
... performer S ∑1..1Reference(US Laboratory Practitioner Profile)Responsible Diagnostic Service
... request S1..*Reference(US Laboratory Diagnostic Order Profile)What was requested
... specimen S0..*Reference(US Laboratory Specimen Profile)Specimens this report is based on
... result S0..*Reference(US Laboratory Observation Profile | US Laboratory Observation Profile | US Laboratory Observation Profile | US Laboratory Observation Profile | US Laboratory Observation Profile | US Laboratory Observation Profile)Observations - simple, or complex nested groups
... 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 S0..1stringClinical Interpretation of test results
... codedDiagnosis S0..*CodeableConceptCodes for the conclusion
Binding: SNOMED CT Clinical Findings (preferred)
... presentedForm S0..*AttachmentEntire report as issued

doco Documentation for this format

XML Template

JSON Template

todo

 

Other representations of profile: Schematron

A.6.1.2 Terminology Bindings

PathNameConformanceValueSet
DiagnosticReport.language?extrequiredhttp://tools.ietf.org/html/bcp47
DiagnosticReport.identifier.useIdentifierUserequiredIdentifierUse
DiagnosticReport.identifier.typeIdentifier Type CodesextensibleIdentifier Type Codes
DiagnosticReport.statusDiagnosticReportStatusrequiredDiagnosticReportStatus
DiagnosticReport.categoryDiagnostic Service Section CodesexampleDiagnostic Service Section Codes
DiagnosticReport.codeLOINC Diagnostic Report CodespreferredLOINC Diagnostic Report Codes
DiagnosticReport.code.codingUS Laboratory Observation Profile Observation Name CodesrequiredUS Laboratory Observation Profile Observation Name Codes
DiagnosticReport.codedDiagnosisSNOMED CT Clinical FindingspreferredSNOMED CT Clinical Findings

A.6.1.3 Constraints

IdPathDetailsRequirements
.