Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab vs http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/DiagnosticReport
copyright	Used by permission of HL7 International, all rights reserved Creative Commons License
date	2019-05-21	2022-04-20	Values Differ
description	Defines constraints and extensions on the DiagnosticReport resource for the minimal set of data to query and retrieve diagnostic reports associated with laboratory results for a patient	Laboratory results are grouped and summarized using the DiagnosticReport resource which typically reference Observation resource(s). Each Observation resource represents an individual laboratory test and result value or component result values, or a nested panel (such as a microbial susceptibility panel) which references other observations. They can also be presented in report form or as free text. This profile sets minimum expectations for the DiagnosticReport resource to record, search, and fetch laboratory results associated with a patient to promote interoperability and adoption through common implementation. It identifies which core elements, extensions, vocabularies, and value sets **SHALL** be present in the resource and constrains the way the elements are used when using this profile. It provides the floor for standards development for specific use cases.	Values Differ
experimental	false
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	urn:iso:std:iso:3166#US
kind	resource
name	USCoreDiagnosticReportProfileLaboratoryReporting
publisher	HL7 International - US Realm Steering Committee	HL7 International - Cross-Group Projects	Values Differ
purpose
status	active
title	US Core DiagnosticReport Profile for Laboratory Results Reporting
type	DiagnosticReport
url	http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab
version	4.0.0	6.1.0	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	L Type	L Description & Constraints	Comments
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports	C	0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports us-core-8: effective[x] SHALL be present if the status is 'partial', 'preliminary', 'final', 'amended', 'corrected' or 'appended' us-core-9: issued SHALL be present if the status is 'partial', 'preliminary', 'final', 'amended', 'corrected' or 'appended'	Elements differ in definition: 'The US Core Diagnostic Report Profile is based upon the core FHIR DiagnosticReport Resource and created to meet the 2015 Edition Common Clinical Data Set 'Laboratory test(s) and Laboratory value(s)/result(s)' requirements.' vs '\-' Elements differ in comments: 'This is intended to capture a single report and is not suitable for use in displaying summary information that covers multiple reports. For example, this resource has not been designed for laboratory cumulative reporting formats nor detailed structured reports for sequencing.' vs '\-'
id	Σ	0..1	string	Logical id of this artifact	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business identifier for report	Σ	0..*	Identifier	Business identifier for report
basedOn		0..*	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested		0..*	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested
status	?!SΣ	1..1	code	registered | partial | preliminary | final + Binding: ?? (required)	?!SΣC	1..1	code	(USCDI) registered | partial | preliminary | final + Binding: ?? (required)	Elements differ in short: 'registered | partial | preliminary | final +' vs '(USCDI) registered | partial | preliminary | final +'
Slices for category	SΣ	1..*	CodeableConcept	Service category Slice: Unordered, Open by pattern:$this Binding: ?? (example): Codes for diagnostic service sections.	SΣ	1..*	CodeableConcept	(USCDI) Service category Slice: Unordered, Open by pattern:$this Binding: ?? (example): Codes for diagnostic service sections.	Elements differ in short: 'Service category' vs '(USCDI) Service category'
code	SΣ	1..1	CodeableConcept	US Core Laboratory Report Order Code Binding: ?? (extensible): LOINC codes	SΣ	1..1	CodeableConcept	(USCDI) US Core Laboratory Report Order Code Binding: ?? (extensible): LOINC codes	Elements differ in short: 'US Core Laboratory Report Order Code' vs '(USCDI) US Core Laboratory Report Order Code'
subject	SΣ	1..1	Reference(US Core Patient Profile)	The subject of the report - usually, but not always, the patient	SΣ	1..1	Reference(US Core Patient Profile)	(USCDI) The subject of the report - usually, but not always, the patient	Elements differ in short: 'The subject of the report - usually, but not always, the patient' vs '(USCDI) The subject of the report - usually, but not always, the patient'
encounter	Σ	0..1	Reference(Encounter)	Health care event when test ordered	Σ	0..1	Reference(Encounter)	Health care event when test ordered
effective[x]	SΣ	1..1	dateTime S, Period	Clinically relevant time/time-period for report	SΣC	0..1	dateTime S, Period	(USCDI) Diagnostically relevant time (typically the time of specimen collection)	Elements differ in short: 'Clinically relevant time/time-period for report' vs '(USCDI) Diagnostically relevant time (typically the time of specimen collection)' Element minimum cardinalities differ: '1' vs '0'
issued	SΣ	1..1	instant	DateTime this version was made	SΣC	0..1	instant	(USCDI) When the report was released	Elements differ in short: 'DateTime this version was made' vs '(USCDI) When the report was released' Element minimum cardinalities differ: '1' vs '0'
performer	SΣ	0..*	Reference(US Core Practitioner Profile S | US Core Organization Profile | US Core CareTeam Profile | US Core PractitionerRole Profile)	Responsible Diagnostic Service	SΣ	0..*	Reference(US Core Practitioner Profile S | US Core Organization Profile | US Core CareTeam Profile | US Core PractitionerRole Profile)	(USCDI) Responsible Diagnostic Service	Elements differ in short: 'Responsible Diagnostic Service' vs '(USCDI) Responsible Diagnostic Service'
resultsInterpreter	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter
specimen		0..*	Reference(Specimen)	Specimens this report is based on		0..*	Reference(Specimen)	Specimens this report is based on
result	S	0..*	Reference(US Core Laboratory Result Observation Profile)	Observations	S	0..*	Reference(US Core Laboratory Result Observation Profile)	(USCDI) Observations	Elements differ in short: 'Observations' vs '(USCDI) Observations'
imagingStudy		0..*	Reference(ImagingStudy)	Reference to full details of imaging associated with the diagnostic report		0..*	Reference(ImagingStudy)	Reference to full details of imaging associated with the diagnostic report
media	Σ	0..*	BackboneElement	Key images associated with this report	Σ	0..*	BackboneElement	Key images associated with this report
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
comment		0..1	string	Comment about the image (e.g. explanation)		0..1	string	Comment about the image (e.g. explanation)
link	Σ	1..1	Reference(Media)	Reference to the image source	Σ	1..1	Reference(Media)	Reference to the image source
conclusion		0..1	string	Clinical conclusion (interpretation) of test results		0..1	string	Clinical conclusion (interpretation) of test results
conclusionCode		0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: ?? (example): Diagnosis codes provided as adjuncts to the report.		0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: ?? (example): Diagnosis codes provided as adjuncts to the report.
presentedForm		0..*	Attachment	Entire report as issued		0..*	Attachment	Entire report as issued
Documentation for this format