This page is part of the Data Access Framework (v1.6.0: STU 2 Ballot 1) based on FHIR v1.6.0. . For a full list of available versions, see the Directory of published versions
<StructureDefinition xmlns="http://hl7.org/fhir">
<id value="daf-core-diagnosticreport"/>
<url
value="http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-diagnosticreport"/>
<name value="Profile daf-core-diagnosticreport"/>
<status value="draft"/>
<publisher value="Health Level Seven International (FHIR-Infrastructure)"/>
<contact>
<telecom>
<system value="other"/>
<value value="http://www.healthit.gov"/>
</telecom>
</contact>
<date value="2016-08-01"/>
<mapping>
<identity value="v2"/>
<uri value="http://hl7.org/v2"/>
<name value="HL7 v2 Mapping"/>
</mapping>
<mapping>
<identity value="rim"/>
<uri value="http://hl7.org/v3"/>
<name value="RIM Mapping"/>
</mapping>
<mapping>
<identity value="w5"/>
<uri value="http://hl7.org/fhir/w5"/>
<name value="W5 Mapping"/>
</mapping>
<kind value="resource"/>
<abstract value="false"/>
<type value="DiagnosticReport"/>
<baseDefinition
value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"/>
<derivation value="constraint"/>
<snapshot>
<element id="DiagnosticReport:dafcorediagnosticreport">
<path value="DiagnosticReport"/>
<name value="DAFCoreDiagnosticReport"/>
<short
value="A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports"/>
<definition value="The scope is accessing a diagnostic report."/>
<comments
value="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."/>
<alias value="Report"/>
<alias value="Test"/>
<alias value="Result"/>
<alias value="Results"/>
<alias value="Labs"/>
<alias value="Laboratory"/>
<alias value="Lab Result"/>
<alias value="Lab Report"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DiagnosticReport"/>
<min value="0"/>
<max value="*"/>
</base>
<constraint>
<key value="dom-2"/>
<severity value="error"/>
<human
value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/>
<expression value="contained.contained.empty()"/>
<xpath value="not(parent::f:contained and f:contained)"/>
</constraint>
<constraint>
<key value="dom-1"/>
<severity value="error"/>
<human
value="If the resource is contained in another resource, it SHALL NOT contain any narrative"/>
<expression value="contained.text.empty()"/>
<xpath value="not(parent::f:contained and f:text)"/>
</constraint>
<constraint>
<key value="dom-4"/>
<severity value="error"/>
<human
value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"/>
<expression
value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/>
<xpath
value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/>
</constraint>
<constraint>
<key value="dom-3"/>
<severity value="error"/>
<human
value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource"/>
<expression
value="contained.where(('#'+id in %resource.descendants().reference).not()).empty()"/>
<xpath
value="not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))"/>
</constraint>
<mustSupport value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="Entity. Role, or Act"/>
</mapping>
<mapping>
<identity value="v2"/>
<map value="ORU -> OBR"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="Observation[classCode=OBS, moodCode=EVN]"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="clinical.diagnostics"/>
</mapping>
</element>
<element id="DiagnosticReport:dafcorediagnosticreport.id">
<path value="DiagnosticReport.id"/>
<short value="Logical id of this artifact"/>
<definition
value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/>
<comments
value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Resource.id"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="id"/>
</type>
<isSummary value="true"/>
</element>
<element id="DiagnosticReport:dafcorediagnosticreport.meta">
<path value="DiagnosticReport.meta"/>
<short value="Metadata about the resource"/>
<definition
value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Resource.meta"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Meta"/>
</type>
<isSummary value="true"/>
</element>
<element id="DiagnosticReport:dafcorediagnosticreport.implicitRules">
<path value="DiagnosticReport.implicitRules"/>
<short value="A set of rules under which this content was created"/>
<definition
value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content."/>
<comments
value="Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element as much as possible."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Resource.implicitRules"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="uri"/>
</type>
<isModifier value="true"/>
<isSummary value="true"/>
</element>
<element id="DiagnosticReport:dafcorediagnosticreport.language">
<path value="DiagnosticReport.language"/>
<short value="Language of the resource content"/>
<definition value="The base language in which the resource is written."/>
<comments
value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Resource.language"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="code"/>
</type>
<binding>
<extension
url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
<valueReference>
<reference value="http://hl7.org/fhir/ValueSet/all-languages"/>
</valueReference>
</extension>
<strength value="extensible"/>
<description value="A human language."/>
<valueSetReference>
<reference value="http://hl7.org/fhir/ValueSet/languages"/>
</valueSetReference>
</binding>
</element>
<element id="DiagnosticReport:dafcorediagnosticreport.text">
<path value="DiagnosticReport.text"/>
<short value="Text summary of the resource, for human interpretation"/>
<definition
value="A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety."/>
<comments
value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later."/>
<alias value="narrative"/>
<alias value="html"/>
<alias value="xhtml"/>
<alias value="display"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DomainResource.text"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Narrative"/>
</type>
<condition value="dom-1"/>
<mapping>
<identity value="rim"/>
<map value="Act.text?"/>
</mapping>
</element>
<element id="DiagnosticReport:dafcorediagnosticreport.contained">
<path value="DiagnosticReport.contained"/>
<short value="Contained, inline Resources"/>
<definition
value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope."/>
<comments
value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again."/>
<alias value="inline resources"/>
<alias value="anonymous resources"/>
<alias value="contained resources"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DomainResource.contained"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Resource"/>
</type>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="DiagnosticReport:dafcorediagnosticreport.extension">
<path value="DiagnosticReport.extension"/>
<short value="Additional Content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
<comments
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DomainResource.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="DiagnosticReport:dafcorediagnosticreport.modifierExtension">
<path value="DiagnosticReport.modifierExtension"/>
<short value="Extensions that cannot be ignored"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/>
<comments
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DomainResource.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<isModifier value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="DiagnosticReport:dafcorediagnosticreport.identifier">
<path value="DiagnosticReport.identifier"/>
<short value="Id for external references to this report"/>
<definition
value="The local ID assigned to the report by the order filler, usually by the Information System of the diagnostic service provider."/>
<requirements
value="Need to know what identifier to use when making queries about this report from the source laboratory, and for linking to the report outside FHIR context."/>
<alias value="ReportID"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DiagnosticReport.identifier"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Identifier"/>
</type>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="OBR-51"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="id"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="id"/>
</mapping>
</element>
<element id="DiagnosticReport:dafcorediagnosticreport.status">
<path value="DiagnosticReport.status"/>
<short
value="registered | partial | final | corrected | appended | cancelled | entered-in-error"/>
<definition value="The status of the diagnostic report as a whole."/>
<comments
value="This is labeled as "Is Modifier" because applications need to take appropriate action if a report is withdrawn."/>
<requirements
value="Diagnostic services routinely issue provisional/incomplete reports, and sometimes withdraw previously released reports."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="DiagnosticReport.status"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="code"/>
</type>
<mustSupport value="true"/>
<isModifier value="true"/>
<isSummary value="false"/>
<binding>
<strength value="required"/>
<valueSetReference>
<reference
value="http://hl7.org/fhir/ValueSet/diagnostic-report-status"/>
</valueSetReference>
</binding>
<mapping>
<identity value="v2"/>
<map value="OBR-25 (not 1:1 mapping)"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value="statusCode Note: final and amended are distinguished by whether observation is the subject of a ControlAct event of type "revise""/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="status"/>
</mapping>
</element>
<element id="DiagnosticReport:dafcorediagnosticreport.category">
<path value="DiagnosticReport.category"/>
<short value="Service category"/>
<definition
value="A code that classifies the clinical discipline, department or diagnostic service that created the report (e.g. cardiology, biochemistry, hematology, MRI). This is used for searching, sorting and display purposes."/>
<comments
value="The level of granularity is defined by the category concepts in the value set. More fine-grained filtering can be performed using the metadata and/or terminology hierarchy in DiagnosticReport.code."/>
<alias value="Department"/>
<alias value="Sub-department"/>
<alias value="service"/>
<alias value="discipline"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="DiagnosticReport.category"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<patternCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/DiagnosticReport-category"/>
<code value="LAB"/>
</coding>
</patternCodeableConcept>
<mustSupport value="true"/>
<isSummary value="false"/>
<binding>
<strength value="example"/>
<description value="Codes for diagnostic service sections."/>
<valueSetReference>
<reference
value="http://hl7.org/fhir/ValueSet/diagnostic-service-sections"/>
</valueSetReference>
</binding>
<mapping>
<identity value="v2"/>
<map value="OBR-24"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value="inboundRelationship[typeCode=COMP].source[classCode=LIST, moodCode=EVN, code < LabService].code"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="class"/>
</mapping>
</element>
<element id="DiagnosticReport:dafcorediagnosticreport.code">
<path value="DiagnosticReport.code"/>
<short value="Name/Code for this diagnostic report"/>
<definition value="The test, panel or battery that was ordered."/>
<comments
value="UsageNote= The typical patterns for codes are: 1) a LOINC code either as a translation from a "local" code or as a primary code, or 2) a local code only if no suitable LOINC exists, or 3) both the local and the LOINC translation. Systems SHALL be capable of sending the local code if one exists."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="DiagnosticReport.code"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<mustSupport value="true"/>
<isSummary value="false"/>
<binding>
<strength value="extensible"/>
<description value="LOINC codes"/>
<valueSetReference>
<reference value="http://hl7.org/fhir/ValueSet/report-codes"/>
</valueSetReference>
</binding>
<mapping>
<identity value="v2"/>
<map
value="OBR-4 (HL7 v2 doesn't provide an easy way to indicate both the ordered test and the performed panel)"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="code"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="what"/>
</mapping>
</element>
<element id="DiagnosticReport:dafcorediagnosticreport.subject">
<path value="DiagnosticReport.subject"/>
<short
value="The subject of the report, usually, but not always, the patient"/>
<definition
value="The subject of the report. Usually, but not always, this is a patient. However diagnostic services also perform analyses on specimens collected from a variety of other sources."/>
<requirements value="SHALL know the subject context."/>
<alias value="Patient"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="DiagnosticReport.subject"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="Reference"/>
<profile
value="http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-patient"/>
</type>
<mustSupport value="true"/>
<isSummary value="false"/>
<mapping>
<identity value="v2"/>
<map value="PID-3 (no HL7 v2 mapping for Group or Device)"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="participation[typeCode=SBJ]"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="who.focus"/>
</mapping>
</element>
<element id="DiagnosticReport:dafcorediagnosticreport.encounter">
<path value="DiagnosticReport.encounter"/>
<short value="Health care event when test ordered"/>
<definition
value="The link to the health care event (encounter) when the order was made."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DiagnosticReport.encounter"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="Reference"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
</type>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="PV1-19"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value="inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="context"/>
</mapping>
</element>
<element id="DiagnosticReport:dafcorediagnosticreport.effective[x]">
<path value="DiagnosticReport.effective[x]"/>
<short value="Clinically Relevant time/time-period for report"/>
<definition
value="This is the Specimen Collection Datetime or Period which is the physically relevent dateTime for laboratory tests."/>
<comments
value="If the diagnostic procedure was performed on the patient, this is the time it was performed. If there are specimens, the diagnostically relevant time can be derived from the specimen collection times, but the specimen information is not always available, and the exact relationship between the specimens and the diagnostically relevant time is not always automatic."/>
<requirements
value="Need to know where in the patient history to file/present this report."/>
<alias value="Observation time"/>
<alias value="Effective Time"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="DiagnosticReport.effective[x]"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="dateTime"/>
</type>
<type>
<code value="Period"/>
</type>
<mustSupport value="true"/>
<isSummary value="false"/>
<mapping>
<identity value="v2"/>
<map value="OBR-7"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="effectiveTime"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="when.done"/>
</mapping>
</element>
<element id="DiagnosticReport:dafcorediagnosticreport.issued">
<path value="DiagnosticReport.issued"/>
<short value="DateTime this version was released"/>
<definition
value="The date and time that this version of the report was released from the source diagnostic service."/>
<comments
value="May be different from the update time of the resource itself, because that is the status of the record (potentially a secondary copy), not the actual release time of the report."/>
<requirements
value="Clinicians need to be able to check the date that the report was released."/>
<alias value="Date Created"/>
<alias value="Date published"/>
<alias value="Date Issued"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="DiagnosticReport.issued"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="instant"/>
</type>
<mustSupport value="true"/>
<isSummary value="false"/>
<mapping>
<identity value="v2"/>
<map value="OBR-22"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="participation[typeCode=VRF or AUT].time"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="when.recorded"/>
</mapping>
</element>
<element id="DiagnosticReport:dafcorediagnosticreport.performer">
<path value="DiagnosticReport.performer"/>
<short value="Responsible Diagnostic Service"/>
<definition
value="The diagnostic service that is responsible for issuing the report."/>
<comments
value="This is not necessarily the source of the atomic data items. It is the entity that takes responsibility for the clinical report."/>
<requirements
value="Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis."/>
<alias value="Laboratory"/>
<alias value="Service"/>
<alias value="Practitioner"/>
<alias value="Department"/>
<alias value="Company"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="DiagnosticReport.performer"/>
<min value="1"/>
<max value="*"/>
</base>
<type>
<code value="Reference"/>
<profile
value="http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-pract"/>
</type>
<type>
<code value="Reference"/>
<profile
value="http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-organization"/>
</type>
<mustSupport value="true"/>
<isSummary value="false"/>
<mapping>
<identity value="v2"/>
<map value="PRT-8 (where this PRT-4-Participation = "PO")"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="participation[typeCode=AUT].role[classCode=ASSIGN].scoper"/>
</mapping>
<mapping>
<identity value="w5"/>
<map value="who.witness"/>
</mapping>
</element>
<element id="DiagnosticReport:dafcorediagnosticreport.request">
<path value="DiagnosticReport.request"/>
<short value="What was requested"/>
<definition value="Details concerning a test or procedure requested."/>
<comments
value="Note: Usually there is one test request for each result, however in some circumstances multiple test requests may be represented using a single test result resource. Note that there are also cases where one request leads to multiple reports."/>
<requirements
value="Need to be able to track completion of requests based on reports issued and also to report what diagnostic tests were requested (not always the same as what is delivered)."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DiagnosticReport.request"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Reference"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/DiagnosticRequest"/>
</type>
<type>
<code value="Reference"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/ProcedureRequest"/>
</type>
<type>
<code value="Reference"/>
<profile value="http://hl7.org/fhir/StructureDefinition/ReferralRequest"/>
</type>
<mapping>
<identity value="v2"/>
<map value="ORC? OBR-2/3?"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="outboundRelationship[typeCode=FLFS].target"/>
</mapping>
</element>
<element id="DiagnosticReport:dafcorediagnosticreport.specimen">
<path value="DiagnosticReport.specimen"/>
<short value="Specimens this report is based on"/>
<definition
value="Details about the specimens on which this diagnostic report is based."/>
<comments
value="If the specimen is sufficiently specified with a code in the test result name, then this additional data may be redundant. If there are multiple specimens, these may be represented per Observation or group."/>
<requirements
value="Need to be able to report information about the collected specimens on which the report is based."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DiagnosticReport.specimen"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Reference"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Specimen"/>
</type>
<mapping>
<identity value="v2"/>
<map value="SPM"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="participation[typeCode=SBJ]"/>
</mapping>
</element>
<element id="DiagnosticReport:dafcorediagnosticreport.result">
<path value="DiagnosticReport.result"/>
<short value="Observations - simple, or complex nested groups"/>
<definition
value="Observations that are part of this diagnostic report. Observations can be simple name/value pairs (e.g. "atomic" results), or they can be grouping observations that include references to other members of the group (e.g. "panels")."/>
<requirements
value="Need to support individual results, or report groups of results, where the result grouping is arbitrary, but meaningful. This structure is recursive - observations can contain observations."/>
<alias value="Data"/>
<alias value="Atomic Value"/>
<alias value="Result"/>
<alias value="Atomic result"/>
<alias value="Data"/>
<alias value="Test"/>
<alias value="Analyte"/>
<alias value="Battery"/>
<alias value="Organizer"/>
<min value="1"/>
<max value="*"/>
<base>
<path value="DiagnosticReport.result"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Reference"/>
<profile
value="http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-resultobs"/>
</type>
<mustSupport value="true"/>
<isSummary value="false"/>
<mapping>
<identity value="v2"/>
<map value="OBXs"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="outboundRelationship[typeCode=COMP].target"/>
</mapping>
</element>
<element id="DiagnosticReport:dafcorediagnosticreport.imagingStudy">
<path value="DiagnosticReport.imagingStudy"/>
<short
value="Reference to full details of imaging associated with the diagnostic report"/>
<definition
value="One or more links to full details of any imaging performed during the diagnostic investigation. Typically, this is imaging performed by DICOM enabled modalities, but this is not required. A fully enabled PACS viewer can use this information to provide views of the source images."/>
<comments
value="ImagingStudy and ImageManifest and the image element are somewhat overlapping - typically, the list of image references in the image element will also be found in one of the imaging study resources. However each caters to different types of displays for different types of purposes. Neither, either, or both may be provided."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DiagnosticReport.imagingStudy"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Reference"/>
<profile value="http://hl7.org/fhir/StructureDefinition/ImagingStudy"/>
</type>
<type>
<code value="Reference"/>
<profile value="http://hl7.org/fhir/StructureDefinition/ImagingManifest"/>
</type>
<mapping>
<identity value="rim"/>
<map
value="outboundRelationship[typeCode=COMP].target[classsCode=DGIMG, moodCode=EVN]"/>
</mapping>
</element>
<element id="DiagnosticReport:dafcorediagnosticreport.image">
<path value="DiagnosticReport.image"/>
<short value="Key images associated with this report"/>
<definition
value="A list of key images associated with this report. The images are generally created during the diagnostic process, and may be directly of the patient, or of treated specimens (i.e. slides of interest)."/>
<requirements
value="Many diagnostic services include images in the report as part of their service."/>
<alias value="DICOM"/>
<alias value="Slides"/>
<alias value="Scans"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DiagnosticReport.image"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<isSummary value="true"/>
<mapping>
<identity value="v2"/>
<map value="OBX?"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="outboundRelationship[typeCode=COMP].target"/>
</mapping>
</element>
<element id="DiagnosticReport:dafcorediagnosticreport.image.id">
<path value="DiagnosticReport.image.id"/>
<representation value="xmlAttr"/>
<short value="xml:id (or equivalent in JSON)"/>
<definition
value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="DiagnosticReport:dafcorediagnosticreport.image.extension">
<path value="DiagnosticReport.image.extension"/>
<short value="Additional Content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
<comments
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element
id="DiagnosticReport:dafcorediagnosticreport.image.modifierExtension">
<path value="DiagnosticReport.image.modifierExtension"/>
<short value="Extensions that cannot be ignored"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/>
<comments
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<isModifier value="true"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="DiagnosticReport:dafcorediagnosticreport.image.comment">
<path value="DiagnosticReport.image.comment"/>
<short value="Comment about the image (e.g. explanation)"/>
<definition
value="A comment about the image. Typically, this is used to provide an explanation for why the image is included, or to draw the viewer's attention to important features."/>
<comments
value="The comment should be displayed with the image. It would be common for the report to include additional discussion of the image contents in other sections such as the conclusion."/>
<requirements
value="The provider of the report should make a comment about each image included in the report."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DiagnosticReport.image.comment"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="rim"/>
<map
value=".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="annotation"].value"/>
</mapping>
</element>
<element id="DiagnosticReport:dafcorediagnosticreport.image.link">
<path value="DiagnosticReport.image.link"/>
<short value="Reference to the image source"/>
<definition value="Reference to the image source."/>
<min value="1"/>
<max value="1"/>
<base>
<path value="DiagnosticReport.image.link"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="Reference"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Media"/>
</type>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value=".value.reference"/>
</mapping>
</element>
<element id="DiagnosticReport:dafcorediagnosticreport.conclusion">
<path value="DiagnosticReport.conclusion"/>
<short value="Clinical Interpretation of test results"/>
<definition
value="Concise and clinically contextualized impression / summary of the diagnostic report."/>
<requirements
value="Need to be able to provide a conclusion that is not lost among the basic result data."/>
<alias value="Report"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="DiagnosticReport.conclusion"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="string"/>
</type>
<mapping>
<identity value="v2"/>
<map value="OBX"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value="inboundRelationship[typeCode="SPRT"].source[classCode=OBS, moodCode=EVN, code=LOINC:48767-8].value (type=ST)"/>
</mapping>
</element>
<element id="DiagnosticReport:dafcorediagnosticreport.codedDiagnosis">
<path value="DiagnosticReport.codedDiagnosis"/>
<short value="Codes for the conclusion"/>
<definition value="Codes for the conclusion."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DiagnosticReport.codedDiagnosis"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
<binding>
<strength value="example"/>
<description value="Diagnoses codes provided as adjuncts to the report."/>
<valueSetReference>
<reference value="http://hl7.org/fhir/ValueSet/clinical-findings"/>
</valueSetReference>
</binding>
<mapping>
<identity value="v2"/>
<map value="OBX"/>
</mapping>
<mapping>
<identity value="rim"/>
<map
value="inboundRelationship[typeCode=SPRT].source[classCode=OBS, moodCode=EVN, code=LOINC:54531-9].value (type=CD)"/>
</mapping>
</element>
<element id="DiagnosticReport:dafcorediagnosticreport.presentedForm">
<path value="DiagnosticReport.presentedForm"/>
<short value="Entire report as issued"/>
<definition
value="Rich text representation of the entire result as issued by the diagnostic service. Multiple formats are allowed but they SHALL be semantically equivalent."/>
<comments
value=""application/pdf" is recommended as the most reliable and interoperable in this context."/>
<requirements
value="Gives Laboratory the ability to provide its own fully formatted report for clinical fidelity."/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DiagnosticReport.presentedForm"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Attachment"/>
</type>
<mapping>
<identity value="v2"/>
<map value="OBX"/>
</mapping>
<mapping>
<identity value="rim"/>
<map value="text (type=ED)"/>
</mapping>
</element>
</snapshot>
<differential>
<element id="DiagnosticReport:dafcorediagnosticreport">
<path value="DiagnosticReport"/>
<name value="DAFCoreDiagnosticReport"/>
<definition value="The scope is accessing a diagnostic report."/>
<alias value="Lab Result"/>
<alias value="Lab Report"/>
<mustSupport value="false"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="DiagnosticReport:dafcorediagnosticreport.status">
<path value="DiagnosticReport.status"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="code"/>
</type>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<strength value="required"/>
<valueSetReference>
<reference
value="http://hl7.org/fhir/ValueSet/diagnostic-report-status"/>
</valueSetReference>
</binding>
</element>
<element id="DiagnosticReport:dafcorediagnosticreport.category">
<path value="DiagnosticReport.category"/>
<alias value="Department"/>
<alias value="Sub-department"/>
<alias value="service"/>
<alias value="discipline"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="CodeableConcept"/>
</type>
<patternCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/DiagnosticReport-category"/>
<code value="LAB"/>
</coding>
</patternCodeableConcept>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="DiagnosticReport:dafcorediagnosticreport.code">
<path value="DiagnosticReport.code"/>
<definition value="The test, panel or battery that was ordered."/>
<comments
value="UsageNote= The typical patterns for codes are: 1) a LOINC code either as a translation from a "local" code or as a primary code, or 2) a local code only if no suitable LOINC exists, or 3) both the local and the LOINC translation. Systems SHALL be capable of sending the local code if one exists."/>
<min value="1"/>
<max value="1"/>
<type>
<code value="CodeableConcept"/>
</type>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
<binding>
<strength value="extensible"/>
<description value="LOINC codes"/>
<valueSetReference>
<reference value="http://hl7.org/fhir/ValueSet/report-codes"/>
</valueSetReference>
</binding>
</element>
<element id="DiagnosticReport:dafcorediagnosticreport.subject">
<path value="DiagnosticReport.subject"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="Reference"/>
<profile
value="http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-patient"/>
</type>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="DiagnosticReport:dafcorediagnosticreport.effective[x]">
<path value="DiagnosticReport.effective[x]"/>
<definition
value="This is the Specimen Collection Datetime or Period which is the physically relevent dateTime for laboratory tests."/>
<min value="1"/>
<max value="1"/>
<type>
<code value="dateTime"/>
</type>
<type>
<code value="Period"/>
</type>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="DiagnosticReport:dafcorediagnosticreport.issued">
<path value="DiagnosticReport.issued"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="instant"/>
</type>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="DiagnosticReport:dafcorediagnosticreport.performer">
<path value="DiagnosticReport.performer"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="Reference"/>
<profile
value="http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-pract"/>
</type>
<type>
<code value="Reference"/>
<profile
value="http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-organization"/>
</type>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="DiagnosticReport:dafcorediagnosticreport.result">
<path value="DiagnosticReport.result"/>
<min value="1"/>
<max value="*"/>
<type>
<code value="Reference"/>
<profile
value="http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-resultobs"/>
</type>
<mustSupport value="true"/>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
</differential>
</StructureDefinition>
© HL7.org 2011+. DAF STU 2 Ballot (v1.6.0-9635) generated on Thu, Aug 11, 2016 20:06+1000. QA Page
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