2nd DSTU Draft For Comment

This page is part of the FHIR Specification (v0.4.0: DSTU 2 Draft). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

Profile: cqf-diagnosticorder

The official URL for this profile is: 

http://hl7.org/fhir/Profile/cqf-diagnosticorder-cqf-diagnosticorder

. Profile of Diagnostic Order for decision support/quality metrics. Indicates which elements must be supported by CQF rules and measure engines. : Clinical Quality Framework (CQF) Diagnostic Order Profile

This profile was published on Fri, Nov 21, 2014 00:00+1100 as a draft by Health Level Seven, Inc. - CQI WG.

Summary

Terminology Bindings

  • DiagnosticOrder.status should come from The status of a diagnostic order

Required/Prohibited Elements

  • The element DiagnosticOrder is required
  • The element DiagnosticOrder.subject is required
  • The element DiagnosticOrder.item.code is required

Formal Views of Profile Content

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

Differential View

This structure is derived from DiagnosticOrder.

NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticOrder 1..1
... subject S1..1Patient, Group, Location, Device
... orderer S0..1Practitioner
... encounter S0..1Encounter
... supportingInformation 0..*
... specimen S0..*Specimen
... status S0..1codeaccepted | in-progress | completed | suspended
Binding: CQFDiagnosticOrderStatus (preferred, extensible)
... priority S0..1code
... item S0..*
.... code S1..1CodeableConcept
.... specimen S0..*Specimen
.... bodySite[x] S0..1CodeableConcept
.... status S0..1code

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticOrder 1..1A request for a diagnostic service
... id 0..1idLogical id of this artefact
... meta 0..1MetaMetadata about the resource
... implicitRules M0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Language (required, not extensible)
... 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
... subject S1..1Patient, Group, Location, DeviceWho and/or what test is about
... orderer S0..1PractitionerWho ordered the test
... identifier 0..*IdentifierIdentifiers assigned to this order
... encounter S0..1EncounterThe encounter that this diagnostic order is associated with
... clinicalNotes 0..1stringExplanation/Justification for test
... supportingInformation 0..*Observation, Condition, DocumentReferenceAdditional clinical information
... specimen S0..*SpecimenIf the whole order relates to specific specimens
... status S0..1codeaccepted | in-progress | completed | suspended
Binding: CQFDiagnosticOrderStatus (preferred, extensible)
... priority S0..1coderoutine | urgent | stat | asap
Binding: DiagnosticOrderPriority (required, not extensible)
... event 0..*A list of events of interest in the lifecycle
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension 0..*ExtensionExtensions that cannot be ignored
.... status 1..1codeproposed | planned | requested | received | accepted | in-progress | review | completed | suspended | rejected | failed
Binding: DiagnosticOrderStatus (required, not extensible)
.... description 0..1CodeableConceptMore information about the event and its context
Binding: DiagnosticOrderEventDescription (example, extensible)
.... dateTime 1..1dateTimeThe date at which the event happened
.... actor 0..1Practitioner, DeviceWho recorded or did this
... item S0..*The items the orderer requested
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension 0..*ExtensionExtensions that cannot be ignored
.... code S1..1CodeableConceptCode to indicate the item (test or panel) being ordered
Binding: DiagnosticRequests (preferred, extensible)
.... specimen S0..*SpecimenIf this item relates to specific specimens
.... bodySiteCodeableConcept S0..1CodeableConceptLocation of requested test (if applicable)
Binding: BodySite (example, extensible)
.... status S0..1codeproposed | planned | requested | received | accepted | in-progress | review | completed | suspended | rejected | failed
Binding: DiagnosticOrderStatus (required, not extensible)
.... event 0..*Events specific to this item

XML Template

JSON Template

todo

Differential View

This structure is derived from DiagnosticOrder.

NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticOrder 1..1
... subject S1..1Patient, Group, Location, Device
... orderer S0..1Practitioner
... encounter S0..1Encounter
... supportingInformation 0..*
... specimen S0..*Specimen
... status S0..1codeaccepted | in-progress | completed | suspended
Binding: CQFDiagnosticOrderStatus (preferred, extensible)
... priority S0..1code
... item S0..*
.... code S1..1CodeableConcept
.... specimen S0..*Specimen
.... bodySite[x] S0..1CodeableConcept
.... status S0..1code

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticOrder 1..1A request for a diagnostic service
... id 0..1idLogical id of this artefact
... meta 0..1MetaMetadata about the resource
... implicitRules M0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Language (required, not extensible)
... 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
... subject S1..1Patient, Group, Location, DeviceWho and/or what test is about
... orderer S0..1PractitionerWho ordered the test
... identifier 0..*IdentifierIdentifiers assigned to this order
... encounter S0..1EncounterThe encounter that this diagnostic order is associated with
... clinicalNotes 0..1stringExplanation/Justification for test
... supportingInformation 0..*Observation, Condition, DocumentReferenceAdditional clinical information
... specimen S0..*SpecimenIf the whole order relates to specific specimens
... status S0..1codeaccepted | in-progress | completed | suspended
Binding: CQFDiagnosticOrderStatus (preferred, extensible)
... priority S0..1coderoutine | urgent | stat | asap
Binding: DiagnosticOrderPriority (required, not extensible)
... event 0..*A list of events of interest in the lifecycle
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension 0..*ExtensionExtensions that cannot be ignored
.... status 1..1codeproposed | planned | requested | received | accepted | in-progress | review | completed | suspended | rejected | failed
Binding: DiagnosticOrderStatus (required, not extensible)
.... description 0..1CodeableConceptMore information about the event and its context
Binding: DiagnosticOrderEventDescription (example, extensible)
.... dateTime 1..1dateTimeThe date at which the event happened
.... actor 0..1Practitioner, DeviceWho recorded or did this
... item S0..*The items the orderer requested
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension 0..*ExtensionExtensions that cannot be ignored
.... code S1..1CodeableConceptCode to indicate the item (test or panel) being ordered
Binding: DiagnosticRequests (preferred, extensible)
.... specimen S0..*SpecimenIf this item relates to specific specimens
.... bodySiteCodeableConcept S0..1CodeableConceptLocation of requested test (if applicable)
Binding: BodySite (example, extensible)
.... status S0..1codeproposed | planned | requested | received | accepted | in-progress | review | completed | suspended | rejected | failed
Binding: DiagnosticOrderStatus (required, not extensible)
.... event 0..*Events specific to this item

XML Template

JSON Template

todo

 

Other definitions: (todo)

Terminology Bindings

PathNameConformanceValueSet
DiagnosticOrder.languageLanguagerequiredhttp://tools.ietf.org/html/bcp47
DiagnosticOrder.statusCQFDiagnosticOrderStatuspreferred (extensible)CQFDiagnosticOrderStatus
DiagnosticOrder.priorityDiagnosticOrderPriorityrequiredDiagnosticOrderPriority
DiagnosticOrder.event.statusDiagnosticOrderStatusrequiredDiagnosticOrderStatus
DiagnosticOrder.event.descriptionDiagnosticOrderEventDescriptionexample (extensible)Diagnostic Order Event Codes
DiagnosticOrder.item.codeDiagnosticRequestspreferred (extensible)LOINC Diagnostic Order Codes
DiagnosticOrder.item.bodySiteCodeableConceptBodySiteexample (extensible)SNOMED CT Body Structures
DiagnosticOrder.item.statusDiagnosticOrderStatusrequiredDiagnosticOrderStatus

Constraints

IdPathNameDetails
.