This page is part of the HL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE) Release 1 - US Realm | STU1 (v4.0.0-ballot: STU4 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 4.0.0. For a full list of available versions, see the Directory of published versions
Official URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-tumor-morphology | Version: 4.0.0-ballot | |||
Active as of 2024-04-10 | Maturity Level: 4 | Computable Name: TumorMorphology | ||
Other Identifiers: OID:2.16.840.1.113883.4.642.40.15.42.62 |
ICD-O-3 morphology determined from examination of tumor sample, composed of three parts: histologic type, the malignant potential of the tumor (behavior) and the tumor grade (degree of differentiation).
Usage:
Changes since version true:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from USCoreDiagnosticReportProfileLaboratoryReporting
Name | Flags | Card. | Type | Description & Constraints![]() |
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0..* | USCoreDiagnosticReportProfileLaboratoryReporting | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |
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S | 0..* | CodeableConcept, Reference(Condition) | Condition associated with this test. URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition |
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1..1 | CodeableConcept | US Core Laboratory Report Order Code Required Pattern: At least the following | |
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 77753-2 | |
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1..1 | Reference(Cancer Patient Profile) | The subject of the report - usually, but not always, the patient | |
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S | 0..1 | Reference(Human Specimen Profile) | Specimens this report is based on |
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0..* | Reference(US Core Laboratory Result Observation Profile) | Observations Slice: Unordered, Open by profile:$this.resolve() | |
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0..1 | Reference(Histologic Behavior and Type) | Histology Behavior Type being reported using ICD-O-3 | |
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0..1 | Reference(Histologic Grade) | Tumor grade code being reported using SNOMED | |
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Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
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C | 0..* | USCoreDiagnosticReportProfileLaboratoryReporting | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports us-core-8: effective[x] SHALL be present if the status is 'partial', 'preliminary', 'final', 'amended', 'corrected' or 'appended' us-core-9: issued SHALL be present if the status is 'partial', 'preliminary', 'final', 'amended', 'corrected' or 'appended' |
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?!Σ | 0..1 | uri | A set of rules under which this content was created |
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |
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S | 0..* | CodeableConcept, Reference(Condition) | Condition associated with this test. URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition |
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?! | 0..* | Extension | Extensions that cannot be ignored |
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?!SΣC | 1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required) |
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SΣ | 1..* | CodeableConcept | Service category Slice: Unordered, Open by pattern:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. |
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SΣ | 1..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following |
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074 | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: LAB | |
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SΣ | 1..1 | CodeableConcept | US Core Laboratory Report Order Code Binding: US Core Diagnostic Report Laboratory Codes (extensible): LOINC codes Required Pattern: At least the following |
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 77753-2 | |
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SΣ | 1..1 | Reference(Cancer Patient Profile) | The subject of the report - usually, but not always, the patient |
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SΣC | 0..1 | Diagnostically relevant time (typically the time of specimen collection) | |
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dateTime | |||
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SΣC | 0..1 | instant | When the report was released |
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SΣ | 0..* | Reference(US Core Practitioner Profile) | Responsible Diagnostic Service |
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S | 0..1 | Reference(Human Specimen Profile) | Specimens this report is based on |
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S | 0..* | Reference(US Core Laboratory Result Observation Profile) | Observations Slice: Unordered, Open by profile:$this.resolve() |
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S | 0..1 | Reference(Histologic Behavior and Type) | Histology Behavior Type being reported using ICD-O-3 |
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S | 0..1 | Reference(Histologic Grade) | Tumor grade code being reported using SNOMED |
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Path | Conformance | ValueSet / Code | URI |
DiagnosticReport.status | required | DiagnosticReportStatushttp://hl7.org/fhir/ValueSet/diagnostic-report-status from the FHIR Standard | |
DiagnosticReport.category | example | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard | |
DiagnosticReport.category:LaboratorySlice | example | Pattern: LABhttp://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard | |
DiagnosticReport.code | extensible | Pattern: LOINC code 77753-2http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-lab-codes |
Name | Flags | Card. | Type | Description & Constraints![]() | ||||
---|---|---|---|---|---|---|---|---|
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C | 0..* | USCoreDiagnosticReportProfileLaboratoryReporting | 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' | ||||
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Σ | 0..1 | id | Logical id of this artifact | ||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
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0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
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0..* | Resource | Contained, inline Resources | |||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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S | 0..* | CodeableConcept, Reference(Condition) | Condition associated with this test. URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition | ||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||
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Σ | 0..* | Identifier | Business identifier for report | ||||
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0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested | |||||
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?!SΣC | 1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required) | ||||
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SΣ | 1..* | CodeableConcept | Service category Slice: Unordered, Open by pattern:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. | ||||
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SΣ | 1..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074 | |||||
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0..1 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: LAB | |||||
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0..1 | string | Representation defined by the system | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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SΣ | 1..1 | CodeableConcept | US Core Laboratory Report Order Code Binding: US Core Diagnostic Report Laboratory Codes (extensible): LOINC codes Required Pattern: At least the following | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
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0..1 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 77753-2 | |||||
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0..1 | string | Representation defined by the system | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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SΣ | 1..1 | Reference(Cancer Patient Profile) | The subject of the report - usually, but not always, the patient | ||||
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Σ | 0..1 | Reference(Encounter) | Health care event when test ordered | ||||
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SΣC | 0..1 | Diagnostically relevant time (typically the time of specimen collection) | |||||
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dateTime S | |||||||
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Period | |||||||
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SΣC | 0..1 | instant | When the report was released | ||||
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SΣ | 0..* | Reference(US Core Practitioner Profile S | US Core Organization Profile | US Core CareTeam Profile | US Core PractitionerRole Profile) | Responsible Diagnostic Service | ||||
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Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter | ||||
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S | 0..1 | Reference(Human Specimen Profile) | Specimens this report is based on | ||||
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S | 0..* | Reference(US Core Laboratory Result Observation Profile) | Observations Slice: Unordered, Open by profile:$this.resolve() | ||||
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S | 0..1 | Reference(Histologic Behavior and Type) | Histology Behavior Type being reported using ICD-O-3 | ||||
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S | 0..1 | Reference(Histologic Grade) | Tumor grade code being reported using SNOMED | ||||
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0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic report | |||||
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Σ | 0..* | BackboneElement | Key images associated with this report | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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0..1 | string | Comment about the image (e.g. explanation) | |||||
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Σ | 1..1 | Reference(Media) | Reference to the image source | ||||
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0..1 | string | Clinical conclusion (interpretation) of test results | |||||
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0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. | |||||
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0..* | Attachment | Entire report as issued | |||||
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Path | Conformance | ValueSet / Code | URI | |||
DiagnosticReport.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
DiagnosticReport.status | required | DiagnosticReportStatushttp://hl7.org/fhir/ValueSet/diagnostic-report-status from the FHIR Standard | ||||
DiagnosticReport.category | example | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard | ||||
DiagnosticReport.category:LaboratorySlice | example | Pattern: LABhttp://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard | ||||
DiagnosticReport.code | extensible | Pattern: LOINC code 77753-2http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-lab-codes | ||||
DiagnosticReport.conclusionCode | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard |
This structure is derived from USCoreDiagnosticReportProfileLaboratoryReporting
Summary
Must-Support: 2 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Maturity: 4
Differential View
This structure is derived from USCoreDiagnosticReportProfileLaboratoryReporting
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() |
0..* | USCoreDiagnosticReportProfileLaboratoryReporting | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
![]() ![]() ![]() |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
![]() ![]() ![]() |
S | 0..* | CodeableConcept, Reference(Condition) | Condition associated with this test. URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition |
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1..1 | CodeableConcept | US Core Laboratory Report Order Code Required Pattern: At least the following | |
![]() ![]() ![]() ![]() |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 77753-2 | |
![]() ![]() ![]() |
1..1 | Reference(Cancer Patient Profile) | The subject of the report - usually, but not always, the patient | |
![]() ![]() ![]() |
S | 0..1 | Reference(Human Specimen Profile) | Specimens this report is based on |
![]() ![]() ![]() |
0..* | Reference(US Core Laboratory Result Observation Profile) | Observations Slice: Unordered, Open by profile:$this.resolve() | |
![]() ![]() ![]() ![]() |
0..1 | Reference(Histologic Behavior and Type) | Histology Behavior Type being reported using ICD-O-3 | |
![]() ![]() ![]() ![]() |
0..1 | Reference(Histologic Grade) | Tumor grade code being reported using SNOMED | |
![]() |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
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C | 0..* | USCoreDiagnosticReportProfileLaboratoryReporting | 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' |
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?!Σ | 0..1 | uri | A set of rules under which this content was created |
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |
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S | 0..* | CodeableConcept, Reference(Condition) | Condition associated with this test. URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition |
![]() ![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() ![]() |
?!SΣC | 1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required) |
![]() ![]() ![]() |
SΣ | 1..* | CodeableConcept | Service category Slice: Unordered, Open by pattern:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. |
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SΣ | 1..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following |
![]() ![]() ![]() ![]() ![]() |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074 | |
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: LAB | |
![]() ![]() ![]() |
SΣ | 1..1 | CodeableConcept | US Core Laboratory Report Order Code Binding: US Core Diagnostic Report Laboratory Codes (extensible): LOINC codes Required Pattern: At least the following |
![]() ![]() ![]() ![]() |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 77753-2 | |
![]() ![]() ![]() |
SΣ | 1..1 | Reference(Cancer Patient Profile) | The subject of the report - usually, but not always, the patient |
![]() ![]() ![]() |
SΣC | 0..1 | Diagnostically relevant time (typically the time of specimen collection) | |
![]() ![]() ![]() ![]() |
dateTime | |||
![]() ![]() ![]() |
SΣC | 0..1 | instant | When the report was released |
![]() ![]() ![]() |
SΣ | 0..* | Reference(US Core Practitioner Profile) | Responsible Diagnostic Service |
![]() ![]() ![]() |
S | 0..1 | Reference(Human Specimen Profile) | Specimens this report is based on |
![]() ![]() ![]() |
S | 0..* | Reference(US Core Laboratory Result Observation Profile) | Observations Slice: Unordered, Open by profile:$this.resolve() |
![]() ![]() ![]() ![]() |
S | 0..1 | Reference(Histologic Behavior and Type) | Histology Behavior Type being reported using ICD-O-3 |
![]() ![]() ![]() ![]() |
S | 0..1 | Reference(Histologic Grade) | Tumor grade code being reported using SNOMED |
![]() |
Path | Conformance | ValueSet / Code | URI |
DiagnosticReport.status | required | DiagnosticReportStatushttp://hl7.org/fhir/ValueSet/diagnostic-report-status from the FHIR Standard | |
DiagnosticReport.category | example | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard | |
DiagnosticReport.category:LaboratorySlice | example | Pattern: LABhttp://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard | |
DiagnosticReport.code | extensible | Pattern: LOINC code 77753-2http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-lab-codes |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints![]() | ||||
---|---|---|---|---|---|---|---|---|
![]() ![]() |
C | 0..* | USCoreDiagnosticReportProfileLaboratoryReporting | 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' | ||||
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Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() ![]() |
Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() ![]() |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() ![]() |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
![]() ![]() ![]() |
0..* | Resource | Contained, inline Resources | |||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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S | 0..* | CodeableConcept, Reference(Condition) | Condition associated with this test. URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition | ||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||
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Σ | 0..* | Identifier | Business identifier for report | ||||
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0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested | |||||
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?!SΣC | 1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required) | ||||
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SΣ | 1..* | CodeableConcept | Service category Slice: Unordered, Open by pattern:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. | ||||
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SΣ | 1..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074 | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Version of the system - if relevant | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: LAB | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Representation defined by the system | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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SΣ | 1..1 | CodeableConcept | US Core Laboratory Report Order Code Binding: US Core Diagnostic Report Laboratory Codes (extensible): LOINC codes Required Pattern: At least the following | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Version of the system - if relevant | |||||
![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 77753-2 | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Representation defined by the system | |||||
![]() ![]() ![]() ![]() ![]() |
0..1 | boolean | If this coding was chosen directly by the user | |||||
![]() ![]() ![]() ![]() |
0..1 | string | Plain text representation of the concept | |||||
![]() ![]() ![]() |
SΣ | 1..1 | Reference(Cancer Patient Profile) | The subject of the report - usually, but not always, the patient | ||||
![]() ![]() ![]() |
Σ | 0..1 | Reference(Encounter) | Health care event when test ordered | ||||
![]() ![]() ![]() |
SΣC | 0..1 | Diagnostically relevant time (typically the time of specimen collection) | |||||
![]() ![]() ![]() ![]() |
dateTime S | |||||||
![]() ![]() ![]() ![]() |
Period | |||||||
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SΣC | 0..1 | instant | When the report was released | ||||
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SΣ | 0..* | Reference(US Core Practitioner Profile S | US Core Organization Profile | US Core CareTeam Profile | US Core PractitionerRole Profile) | Responsible Diagnostic Service | ||||
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Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter | ||||
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S | 0..1 | Reference(Human Specimen Profile) | Specimens this report is based on | ||||
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S | 0..* | Reference(US Core Laboratory Result Observation Profile) | Observations Slice: Unordered, Open by profile:$this.resolve() | ||||
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S | 0..1 | Reference(Histologic Behavior and Type) | Histology Behavior Type being reported using ICD-O-3 | ||||
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S | 0..1 | Reference(Histologic Grade) | Tumor grade code being reported using SNOMED | ||||
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0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic report | |||||
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Σ | 0..* | BackboneElement | Key images associated with this report | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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0..1 | string | Comment about the image (e.g. explanation) | |||||
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Σ | 1..1 | Reference(Media) | Reference to the image source | ||||
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0..1 | string | Clinical conclusion (interpretation) of test results | |||||
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0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. | |||||
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0..* | Attachment | Entire report as issued | |||||
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Path | Conformance | ValueSet / Code | URI | |||
DiagnosticReport.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
DiagnosticReport.status | required | DiagnosticReportStatushttp://hl7.org/fhir/ValueSet/diagnostic-report-status from the FHIR Standard | ||||
DiagnosticReport.category | example | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard | ||||
DiagnosticReport.category:LaboratorySlice | example | Pattern: LABhttp://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard | ||||
DiagnosticReport.code | extensible | Pattern: LOINC code 77753-2http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-lab-codes | ||||
DiagnosticReport.conclusionCode | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard |
This structure is derived from USCoreDiagnosticReportProfileLaboratoryReporting
Summary
Must-Support: 2 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Maturity: 4
Other representations of profile: CSV, Excel, Schematron