DSTU2 Ballot Source

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4.21.16.3 StructureDefinition: QICore-DiagnosticReport

The official URL for this profile is: 

http://hl7.org/fhir/StructureDefinition/diagnosticreport-qicore-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, Inc. - CQI WG.

4.21.16.3.1 Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport 1..1DiagnosticReportA 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: Language (required)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... diagnosticReport-locationPerformed 0..1LocationLocation Performed
.... extension 0..*ExtensionAdditional Content defined by implementations
.... url 1..1uriidentifies the meaning of the extension
.... valueReference 0..1location-qicore-qicore-locationValue of extension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... name S Σ1..1CodeableConceptName/Code for this diagnostic report
Binding: QICoreObservationName (preferred)
... status ?! SΣ1..1coderegistered | partial | final | corrected | appended | cancelled | entered-in-error
Binding: DiagnosticReportStatus (required)
... issued Σ1..1dateTimeDate this version was released
... subject S Σ1..1patient-qicore-qicore-patient, Group, device-qicore-qicore-device, location-qicore-qicore-locationThe subject of the report, usually, but not always, the patient
... performer Σ1..1practitioner-qicore-qicore-practitioner, organization-qicore-qicore-organizationResponsible Diagnostic Service
... encounter S Σ0..1encounter-qicore-qicore-encounterHealth care event when test ordered
... identifier Σ0..*IdentifierId for external references to this report
... requestDetail 0..*diagnosticorder-qicore-qicore-diagnosticorderWhat was requested
... serviceCategory Σ0..1CodeableConceptBiochemistry, Hematology etc.
Binding: QICoreDiagnosticServicesSection (preferred)
... diagnostic[x] S Σ1..1dateTime, PeriodPhysiologically Relevant time/time-period for report
... specimen 0..*specimen-qicore-qicore-specimenSpecimens this report is based on
... result S0..*observation-qicore-qicore-observationObservations - simple, or complex nested groups
... imagingStudy S0..*imagingstudy-qicore-qicore-imagingstudyReference to full details of imaging associated with the diagnostic report
... image Σ0..*Key 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 Σ1..1MediaReference to the image source
... conclusion 0..1stringClinical Interpretation of test results
... codedDiagnosis S0..*CodeableConceptCodes for the conclusion
Binding: QICoreAdjunctDiagnosis (preferred)
... presentedForm 0..*AttachmentEntire Report as issued

todo

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport 1..1DiagnosticReportA 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: Language (required)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... diagnosticReport-locationPerformed 0..1LocationLocation Performed
.... extension 0..*ExtensionAdditional Content defined by implementations
.... url 1..1uriidentifies the meaning of the extension
.... valueReference 0..1location-qicore-qicore-locationValue of extension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... name S Σ1..1CodeableConceptName/Code for this diagnostic report
Binding: QICoreObservationName (preferred)
... status ?! SΣ1..1coderegistered | partial | final | corrected | appended | cancelled | entered-in-error
Binding: DiagnosticReportStatus (required)
... issued Σ1..1dateTimeDate this version was released
... subject S Σ1..1patient-qicore-qicore-patient, Group, device-qicore-qicore-device, location-qicore-qicore-locationThe subject of the report, usually, but not always, the patient
... performer Σ1..1practitioner-qicore-qicore-practitioner, organization-qicore-qicore-organizationResponsible Diagnostic Service
... encounter S Σ0..1encounter-qicore-qicore-encounterHealth care event when test ordered
... identifier Σ0..*IdentifierId for external references to this report
... requestDetail 0..*diagnosticorder-qicore-qicore-diagnosticorderWhat was requested
... serviceCategory Σ0..1CodeableConceptBiochemistry, Hematology etc.
Binding: QICoreDiagnosticServicesSection (preferred)
... diagnostic[x] S Σ1..1dateTime, PeriodPhysiologically Relevant time/time-period for report
... specimen 0..*specimen-qicore-qicore-specimenSpecimens this report is based on
... result S0..*observation-qicore-qicore-observationObservations - simple, or complex nested groups
... imagingStudy S0..*imagingstudy-qicore-qicore-imagingstudyReference to full details of imaging associated with the diagnostic report
... image Σ0..*Key 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 Σ1..1MediaReference to the image source
... conclusion 0..1stringClinical Interpretation of test results
... codedDiagnosis S0..*CodeableConceptCodes for the conclusion
Binding: QICoreAdjunctDiagnosis (preferred)
... presentedForm 0..*AttachmentEntire Report as issued

XML Template

JSON Template

todo

 

Other representations of profile: (todo)

4.21.16.3.2 Terminology Bindings

PathNameConformanceValueSet
DiagnosticReport.languageLanguagerequiredhttp://tools.ietf.org/html/bcp47
DiagnosticReport.nameQICoreObservationNamepreferredUS Laboratory Observation Profile Observation Name Codes
DiagnosticReport.statusDiagnosticReportStatusrequiredDiagnosticReportStatus
DiagnosticReport.serviceCategoryQICoreDiagnosticServicesSectionpreferredDiagnostic Service Section Codes
DiagnosticReport.codedDiagnosisQICoreAdjunctDiagnosispreferredSNOMED CT Clinical Findings

4.21.16.3.3 Constraints

IdPathNameDetails
.