Diagnosticreport-daf - FHIR v1.4.0

STU 3 Candidate

This page is part of the FHIR Specification (v1.4.0: STU 3 Ballot 3). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

D.6.0 U.S. Data Access Framework (DAF) DiagnosticReport Profile

D.6.0.1 Scope and Usage

This profile sets expectations for use of the DiagnosticReport resource to record diagnostic reports associated with a patient within the DAF FHIR IG. This profile identifies which core elements, extensions, vocabularies and value sets must be Supported by DAF actors. For the definition of Supported please refer to DAF FHIR IG. The data elements identified by the profile are based on ONC 2014 Edition S&CC and DAF use cases. The mappings between the ONC 2014 Edition S&CC data elements and DAF data elements are captured in the table below, where the first column identifies the ONC 2014 Edition S&CC data element name, the second column maps the ONC 2014 Edition S&CC data elements to DAF data elements which are derived from ONC 2014 Edition S&CC standards and DAF use cases and lastly the third column identifies the mapping to FHIR resources and attributes.

Note: The MU mapping is only provided for Lab. The DAFDiagnosticReport profile supports Laboratory, Radiology, and other observations.

D.6.0.2 Meaningful Use Data Element Mapping

The DAF-DiagnosticReport profile mapping to Meaningful Use data elements and FHIR Resources are as shown below.For an overview of how the DAF profiles and data elements were derived from ONC 2014 Edition S&CC please refer to DAF FHIR IG data mapping section.

Meaningful Use Data Element Name	Mapping to Priority DAF Data Elements	FHIR Resource Mapping
Laboratory Test(s)
	Diagnostic Report Code/Name	DiagnosticReport.name
	Diagnostic Test Category	DiagnosticReport.category
	Diagnostic Report Diagnosis	DiagnosticReport.codedDiagnosis
	Diagnostic Report Conclusion	DiagnosticReport.conclusion

Meaningful Use Data Element Name

Mapping to Priority DAF Data Elements

FHIR Resource Mapping

Laboratory Test(s)

Diagnostic Report Code/Name

DiagnosticReport.name

Diagnostic Test Category

DiagnosticReport.category

Diagnostic Report Diagnosis

DiagnosticReport.codedDiagnosis

Diagnostic Report Conclusion

DiagnosticReport.conclusion

D.6.0.3 Boundaries and Relationships

This profile relies on the following other profiles:

DAF-Patient is used by DAF-DiagnosticReport profile to refer to patients.
FHIR Extensibility defines how extensions can be applied to FHIR resources and data types. Specifically the data-absent-reason extension can be used to code data elements with missing information when appropriate. See DAF FHIR IG for additional guidance.

D.6.0.4 Content

Profiles:
DAF-DiagnosticReport	DAF Diagnostic Report

D.6.0.4.1 Search Parameters

The full list of supported search parameters are can be accessed at DAF Requestor conformance expectations and DAF Responder conformance expectations.

D.6.0.4.2 Example Usage Scenarios

The following are example usage scenarios for the DAF-DiagnosticReport profile:

Query for Diagnostic reports belonging to a Patient
Query for all patients who have had a specific type of Diagnostic report.

D.6.0.4.3 Profile specific implementation guidance

There is no additional profile specific implementation guidance, please refer to DAF FHIR IG for implementation guidance common to all profiles.