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D.4.1 StructureDefinition: DAF-core-diagnosticreport

Laboratory results are grouped and summarized using the DiagnosticReport resource which reference Observation resource(s). Each Observation resource represents an individual laboratory test and result value, a “nested” panel (such as a microbial susceptibility panel) which references other observations, or rarely a laboratory test with component result values. This profile sets minimum expectations for the DiagnosticReport resource to record, search and fetch laboratory results associated with a patient. It identifies which core elements, extensions, vocabularies and value sets SHALL be present in the resource when using this profile.

Example Usage Scenarios:

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

• Query for lab reports belonging to a Patient
• Query for all patients who have had a specific lab test or panel available
• Query for all patients with a lab test or panel issued by a particular provider

Mandatory Data Elements and Terminology

The following data-elements are mandatory (i.e data MUST be present). These are presented below in a simple human-readable explanation. Profile specific guidance and an example are provided as well. The Formal Profile Definition below provides the formal summary, definitions, and terminology requirements.

Each DiagnosticReport must have:

1. a status
2. a category code of ‘LAB’
3. a code (preferably a LOINC code) which tells you what is being measured
4. a patient
5. a time indicating when the measurement was taken
6. a time indicating when the measurement was reported
7. who issues the report
8. at least one result (an Observation reference)

Profile specific implementation guidance:

• Additional codes that translate or map to the DiagnosticReport codes or category codes are allowed. For example:
  • providing both a local system codes and a LOINC code that it map to
  • providing a more specific category codes such as “CH” (chemistry) in addition to the “LAB” category code.

Example: DiagnosticReport-Results Example: example

D.4.1.1 Formal Views of Profile Content

The official URL for this profile is:

http://hl7.org/fhir/us/daf/StructureDefinition/daf-core-diagnosticreport

This profile was published on Mon Aug 01 00:00:00 AEST 2016 as a draft by Health Level Seven International (FHIR-Infrastructure).

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

Downloads: StructureDefinition: (XML, JSON), Schema: XML Schematron

 

D.4.1.2 Terminology Bindings

Terminology Bindings

Path	Name	Conformance	ValueSet
DiagnosticReport.language	Common Languages	extensible	Common Languages
DiagnosticReport.status	DiagnosticReportStatus	required	DiagnosticReportStatus
DiagnosticReport.category	Diagnostic Service Section Codes	example	Diagnostic Service Section Codes
DiagnosticReport.code	LOINC Diagnostic Report Codes	extensible	LOINC Diagnostic Report Codes
DiagnosticReport.codedDiagnosis	SNOMED CT Clinical Findings	example	SNOMED CT Clinical Findings

D.4.1.3 Constraints

Constraints

Id	Path	Details	Requirements
dom-2	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources XPath: not(parent::f:contained and f:contained)
dom-1	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain any narrative XPath: not(parent::f:contained and f:text)
dom-4	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated XPath: not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))
dom-3	DiagnosticReport	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource XPath: not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))

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