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.
= Must Support, = Is Modifier, = QiCore defined extension
Field | Card. | Type | Description |
---|---|---|---|
locationPerformed | 0..1 | Extension | Facility location where this report was prepared. |
locationPerformed-valueReference | 1..1 | Location | Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
basedOn | 0..* | List<CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ProcedureRequest | ReferralRequest> | Details concerning a test or procedure requested. |
status | 1..1 | String | The status of the diagnostic report as a whole. Binding: The status of the diagnostic report as a whole. (required) |
category | 1..1 | Concept | 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. Binding: This value set includes all the codes in HL7 v2 table 0074. (preferred) |
code | 1..1 | Concept | The test, panel or battery that was ordered. Binding: This value set includes all the LOINC codes which relate to Diagnostic Observations. (preferred) |
subject | 1..1 | Patient | 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. |
context | 0..1 | Encounter | EpisodeOfCare | The healthcare event (e.g. a patient and healthcare provider interaction) which this DiagnosticReport per is about. |
effective[x] | 1..1 | DateTime | Interval<DateTime> | This is the Specimen Collection Datetime or Period which is the physically relevent dateTime for laboratory tests. |
issued | 1..1 | DateTime | The date and time that this version of the report was released from the source diagnostic service. |
performer | 0..* | List<performer> | Indicates who or what participated in producing the report. |
specimen | 0..* | List<Specimen> | Details about the specimens on which this diagnostic report is based. |
result | 0..* | List<Observation> | 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"). |
imagingStudy | 0..* | List<ImagingStudy | ImagingManifest> | 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. |
image | 0..* | List<image> | 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). |
codedDiagnosis | 0..* | List<Concept> | Codes for the conclusion. Binding: This value set includes all the "Clinical finding" SNOMED CT codes - concepts where concept is-a 404684003 (Clinical finding (finding)). (preferred) |
presentedForm | 0..* | List<Attachment> | Rich text representation of the entire result as issued by the diagnostic service. Multiple formats are allowed but they SHALL be semantically equivalent. |