DSTU2 Ballot Source

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4.22.13 U.S. Data Access Framework (DAF) DiagnosticOrder Profile (Profile)

4.22.13.1 Scope and Usage

This profile sets expectations for use of the DiagnosticOrder resource to record diagnostic order associated with a patient within the Data Access Framework (DAF) FHIR Implementation Guide. This profile identifies which core elements, extensions, vocabularies and value sets must be Supported by DAF actors. For the definition of Supported please refer to DAF FHIR IG. The data elements identified by the profile are based on ONC 2014 Edition S&CC and DAF use cases. The mappings between the ONC 2014 Edition S&CC data elements and DAF data elements are captured in the table below, where the first column identifies the ONC 2014 Edition S&CC data element name, the second column maps the ONC 2014 Edition S&CC data elements to DAF data elements which are derived from ONC 2014 Edition S&CC standards and DAF use cases and lastly the third column identifies the mapping to FHIR resources and attributes.

4.22.13.2 Meaningful Use Data Element Mapping

The DAFDiagnosticOrder profile mapping to Meaningful Use data elements and FHIR Resources are as shown below.


Meaningful Use Data Element Name Mapping to Priority DAF Data Elements FHIR Resource Mapping
Laboratory Order(s)
Diagnostic Test Ordering Provider DiagnosticOrder.orderer
Diagnostic Test Notes DiagnosticOrder.clinicalNotes
Diagnostic Test Ordered DiagnosticOrder.item.code
Diagnostic Test Order Id DiagnosticOrder.identifier

4.22.13.3 Boundaries and Relationships

This profile relies on the following other profiles:

  • DAFPatient which defines DAF Patient profile is used by DAFDiagnosticOrder profile to refer to patients.
  • FHIR Extensibility defines how extensions can be applied to FHIR resources and data types. Specifically the data-absent-reason extension can be used to code data elements with missing information when appropriate. See DAF FHIR IG for additional guidance.

4.22.13.4 Content

Profiles:
DAFDiagnosticOrderDefines constraints and extensions on the DiagnosticOrder resource for use in querying and retrieving DiagnosticOrder information.

4.22.13.4.1 Search Parameters

The full list of supported search parameters are can be accessed at DAF Requestor conformance expectations and DAF Responder conformance expectations.

4.22.13.4.2 Example Usage Scenarios

The following are example usage scenarios for the DAFDiagnosticOrder profile:

  • Query for diagnostic orders belonging to a Patient
  • Query for all patients who have had a specific diagnostic test ordered
  • Query for all diagnostic tests ordered by a specific provider

4.22.13.4.3 Profile specific implementation guidance

There is no additional profile specific implementation guidance, please refer to DAF FHIR IG for implementation guidance common to all profiles.