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10.3.14.3 StructureDefinition: DiagnosticReport-Genetics

Orders and Observations Work Group Maturity Level: 1Trial Use Use Context: Any

The official URL for this profile is: 

http://hl7.org/fhir/StructureDefinition/diagnosticreport-genetics

Describes how the DiagnosticReport resource is used to report structured genetic test results

This profile was published on Fri, Oct 9, 2015 00:00+1100 as a draft by Health Level Seven International (Clinical Genomics).

10.3.14.3.1 Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport I0..*A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... id Σ0..1stringLogical id of this artifact
... meta ΣI0..1MetaMetadata about the resource
... implicitRules ?!ΣI0..1uriA set of rules under which this content was created
... language I0..1codeLanguage of the resource content
Binding: Common Languages (preferred)
Max Binding: All Languages
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension I0..*ExtensionExtension
Slice: Unordered, Open by value:url
... DiagnosticReport-geneticsAssessedCondition I0..*Reference(Condition)AssessedCondition
URL: http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsAssessedCondition
... DiagnosticReport-geneticsFamilyMemberHistory I0..*Reference(FamilyMemberHistory)FamilyHistory
URL: http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsFamilyMemberHistory
... DiagnosticReport-geneticsAnalysis I0..*(Complex)Analysis
URL: http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsAnalysis
... DiagnosticReport-geneticsReferences I0..*(Complex)References
URL: http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsReferences
... modifierExtension ?!I0..*ExtensionExtensions that cannot be ignored
... identifier ΣI0..*IdentifierBusiness identifier for report
... basedOn I0..*Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)What was requested
... status ?!ΣI1..1coderegistered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required)
... category ΣI0..*CodeableConceptService category
Binding: Diagnostic Service Section Codes (example)
... code ΣI1..1CodeableConceptName/Code for this diagnostic report
Binding: LOINC Diagnostic Report Codes (preferred)
... subject ΣI0..1Reference(Patient | Group | Device | Location)The subject of the report - usually, but not always, the patient
... encounter ΣI0..1Reference(Encounter)Health care event when test ordered
... effective[x] ΣI0..1Clinically relevant time/time-period for report
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... issued ΣI0..1instantDateTime this version was made
... performer ΣI0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam)Responsible Diagnostic Service
... resultsInterpreter ΣI0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam)Primary result interpreter
... specimen I0..*Reference(Specimen)Specimens this report is based on
... result I0..*Reference(Observation)Observations
... imagingStudy I0..*Reference(ImagingStudy)Reference to full details of imaging associated with the diagnostic report
... media ΣI0..*BackboneElementKey images associated with this report
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... comment I0..1stringComment about the image (e.g. explanation)
.... link ΣI1..1Reference(Media)Reference to the image source
... conclusion I0..1stringClinical conclusion (interpretation) of test results
... presentedForm I0..*AttachmentEntire report as issued

doco Documentation for this format
<!-- DiagnosticReport-Genetics -->doco

<DiagnosticReport xmlns="http://hl7.org/fhir"
>
  <!-- from Element: extension -->
 <id><!-- 0..1 string Logical id of this artifact --></id>
 <meta><!-- ?? 0..1 Meta Metadata about the resource --></meta>
 <implicitRules value="[uri]"/><!-- ?? 0..1 A set of rules under which this content was created -->
 <language value="[code]"/><!-- ?? 0..1 Language of the resource content   -->
 <text><!-- ?? 0..1 Narrative 
     Text summary of the resource, for human interpretation --></text>
 <contained><!-- 0..* Resource 
     Contained, inline Resources --></contained>
 <modifierExtension><!-- ?? 0..* Extension  Extensions that cannot be ignored  --></modifierExtension>
 <identifier><!-- ?? 0..* Identifier 
     Business identifier for report --></identifier>
 <basedOn><!-- ?? 0..* Reference(CarePlan) What was requested --></basedOn>
 <status value="[code]"/><!-- ?? 1..1 registered | partial | preliminary | final +   -->
 <category><!-- ?? 0..* CodeableConcept Service category   --></category>
 <code><!-- ?? 1..1 CodeableConcept Name/Code for this diagnostic report   --></code>
 <subject><!-- ?? 0..1 Reference(Patient) 
     The subject of the report - usually, but not always, the patient --></subject>
 <encounter><!-- ?? 0..1 Reference(Encounter) 
     Health care event when test ordered --></encounter>
 <effective[x]><!-- ?? 0..1 dateTime|Period 
     Clinically relevant time/time-period for report --></effective[x]>
 <issued value="[instant]"/><!-- ?? 0..1 DateTime this version was made -->
 <performer><!-- ?? 0..* Reference(Practitioner) 
     Responsible Diagnostic Service --></performer>
 <resultsInterpreter><!-- ?? 0..* Reference(Practitioner) 
     Primary result interpreter --></resultsInterpreter>
 <specimen><!-- ?? 0..* Reference(Specimen) 
     Specimens this report is based on --></specimen>
 <result><!-- ?? 0..* Reference(Observation) Observations --></result>
 <imagingStudy><!-- ?? 0..* Reference(ImagingStudy) 
     Reference to full details of imaging associated with the diagnostic report --></imagingStudy>
 <media> ?? 0..* BackboneElement  <!-- ?? 0..* Key images associated with this report -->
  <modifierExtension><!-- ?? 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <comment value="[string]"/><!-- ?? 0..1 Comment about the image (e.g. explanation) -->
  <link><!-- ?? 1..1 Reference(Media) 
      Reference to the image source --></link>
 </media>
 <conclusion value="[string]"/><!-- ?? 0..1 Clinical conclusion (interpretation) of test results -->
 <conclusionCode><!-- ?? 0..0 CodeableConcept Codes for the clinical conclusion of test results   --></conclusionCode>
 <presentedForm><!-- ?? 0..* Attachment 
     Entire report as issued --></presentedForm>
</DiagnosticReport>

{ // DiagnosticReport-Genetics
  // from Element: extension
    "meta" : { Meta }, // C?Metadata about the resource
    "implicitRules" : "<uri>", // C?A set of rules under which this content was created
    "language" : "<code>", // C?Language of the resource content
    "text" : { Narrative }, // C?Text summary of the resource, for human interpretation
    "contained" : [{ Resource }], //Contained, inline Resources
    "extension" : [ //  sliced by value:url  in the specified order, Open 
      { // AssessedCondition // C?
        // from Element: extension
      },
      { // FamilyHistory // C?
        // from Element: extension
      },
      { // Analysis // C?
        // from Element: extension
      },
      { // References // C?
        // from Element: extension
      }
    ],
    "modifierExtension" : [{ Extension }], // C?Extensions that cannot be ignored
    "identifier" : [{ Identifier }], // C?Business identifier for report
    "basedOn" : [{ Reference(CarePlan) }], // C?What was requested
    "status" : "<code>", // C? R! registered | partial | preliminary | final +
    "category" : [{ CodeableConcept }], // C?Service category
    "code" : { CodeableConcept }, // C? R! Name/Code for this diagnostic report
    "subject" : { Reference(Patient) }, // C?The subject of the report - usually, but not always, the patient
    "encounter" : { Reference(Encounter) }, // C?Health care event when test ordered
// value[x]: Clinically relevant time/time-period for report. One of these 2:
    "effectiveDateTime" : "<dateTime>", // C?Clinically relevant time/time-period for report
    "effectivePeriod" : { Period }, // C?Clinically relevant time/time-period for report
    "issued" : "<instant>", // C?DateTime this version was made
    "performer" : [{ Reference(Practitioner) }], // C?Responsible Diagnostic Service
    "resultsInterpreter" : [{ Reference(Practitioner) }], // C?Primary result interpreter
    "specimen" : [{ Reference(Specimen) }], // C?Specimens this report is based on
    "result" : [{ Reference(Observation) }], // C?Observations
    "imagingStudy" : [{ Reference(ImagingStudy) }], // C?Reference to full details of imaging associated with the diagnostic report
    "media" : [{ BackboneElement }], // C?Key images associated with this report
    "conclusion" : "<string>", // C?Clinical conclusion (interpretation) of test results
    "presentedForm" : [{ Attachment }], // C?Entire report as issued
  }

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport I0..*A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... id Σ0..1stringLogical id of this artifact
... meta ΣI0..1MetaMetadata about the resource
... implicitRules ?!ΣI0..1uriA set of rules under which this content was created
... language I0..1codeLanguage of the resource content
Binding: Common Languages (preferred)
Max Binding: All Languages
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension I0..*ExtensionExtension
Slice: Unordered, Open by value:url
... DiagnosticReport-geneticsAssessedCondition I0..*Reference(Condition)AssessedCondition
URL: http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsAssessedCondition
... DiagnosticReport-geneticsFamilyMemberHistory I0..*Reference(FamilyMemberHistory)FamilyHistory
URL: http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsFamilyMemberHistory
... DiagnosticReport-geneticsAnalysis I0..*(Complex)Analysis
URL: http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsAnalysis
... DiagnosticReport-geneticsReferences I0..*(Complex)References
URL: http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsReferences
... modifierExtension ?!I0..*ExtensionExtensions that cannot be ignored
... identifier ΣI0..*IdentifierBusiness identifier for report
... basedOn I0..*Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)What was requested
... status ?!ΣI1..1coderegistered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required)
... category ΣI0..*CodeableConceptService category
Binding: Diagnostic Service Section Codes (example)
... code ΣI1..1CodeableConceptName/Code for this diagnostic report
Binding: LOINC Diagnostic Report Codes (preferred)
... subject ΣI0..1Reference(Patient | Group | Device | Location)The subject of the report - usually, but not always, the patient
... encounter ΣI0..1Reference(Encounter)Health care event when test ordered
... effective[x] ΣI0..1Clinically relevant time/time-period for report
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... issued ΣI0..1instantDateTime this version was made
... performer ΣI0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam)Responsible Diagnostic Service
... resultsInterpreter ΣI0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam)Primary result interpreter
... specimen I0..*Reference(Specimen)Specimens this report is based on
... result I0..*Reference(Observation)Observations
... imagingStudy I0..*Reference(ImagingStudy)Reference to full details of imaging associated with the diagnostic report
... media ΣI0..*BackboneElementKey images associated with this report
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... comment I0..1stringComment about the image (e.g. explanation)
.... link ΣI1..1Reference(Media)Reference to the image source
... conclusion I0..1stringClinical conclusion (interpretation) of test results
... presentedForm I0..*AttachmentEntire report as issued

doco Documentation for this format

XML Template

<!-- DiagnosticReport-Genetics -->doco

<DiagnosticReport xmlns="http://hl7.org/fhir"
>
  <!-- from Element: extension -->
 <id><!-- 0..1 string Logical id of this artifact --></id>
 <meta><!-- ?? 0..1 Meta Metadata about the resource --></meta>
 <implicitRules value="[uri]"/><!-- ?? 0..1 A set of rules under which this content was created -->
 <language value="[code]"/><!-- ?? 0..1 Language of the resource content   -->
 <text><!-- ?? 0..1 Narrative 
     Text summary of the resource, for human interpretation --></text>
 <contained><!-- 0..* Resource 
     Contained, inline Resources --></contained>
 <modifierExtension><!-- ?? 0..* Extension  Extensions that cannot be ignored  --></modifierExtension>
 <identifier><!-- ?? 0..* Identifier 
     Business identifier for report --></identifier>
 <basedOn><!-- ?? 0..* Reference(CarePlan) What was requested --></basedOn>
 <status value="[code]"/><!-- ?? 1..1 registered | partial | preliminary | final +   -->
 <category><!-- ?? 0..* CodeableConcept Service category   --></category>
 <code><!-- ?? 1..1 CodeableConcept Name/Code for this diagnostic report   --></code>
 <subject><!-- ?? 0..1 Reference(Patient) 
     The subject of the report - usually, but not always, the patient --></subject>
 <encounter><!-- ?? 0..1 Reference(Encounter) 
     Health care event when test ordered --></encounter>
 <effective[x]><!-- ?? 0..1 dateTime|Period 
     Clinically relevant time/time-period for report --></effective[x]>
 <issued value="[instant]"/><!-- ?? 0..1 DateTime this version was made -->
 <performer><!-- ?? 0..* Reference(Practitioner) 
     Responsible Diagnostic Service --></performer>
 <resultsInterpreter><!-- ?? 0..* Reference(Practitioner) 
     Primary result interpreter --></resultsInterpreter>
 <specimen><!-- ?? 0..* Reference(Specimen) 
     Specimens this report is based on --></specimen>
 <result><!-- ?? 0..* Reference(Observation) Observations --></result>
 <imagingStudy><!-- ?? 0..* Reference(ImagingStudy) 
     Reference to full details of imaging associated with the diagnostic report --></imagingStudy>
 <media> ?? 0..* BackboneElement  <!-- ?? 0..* Key images associated with this report -->
  <modifierExtension><!-- ?? 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <comment value="[string]"/><!-- ?? 0..1 Comment about the image (e.g. explanation) -->
  <link><!-- ?? 1..1 Reference(Media) 
      Reference to the image source --></link>
 </media>
 <conclusion value="[string]"/><!-- ?? 0..1 Clinical conclusion (interpretation) of test results -->
 <conclusionCode><!-- ?? 0..0 CodeableConcept Codes for the clinical conclusion of test results   --></conclusionCode>
 <presentedForm><!-- ?? 0..* Attachment 
     Entire report as issued --></presentedForm>
</DiagnosticReport>

JSON Template

{ // DiagnosticReport-Genetics
  // from Element: extension
    "meta" : { Meta }, // C?Metadata about the resource
    "implicitRules" : "<uri>", // C?A set of rules under which this content was created
    "language" : "<code>", // C?Language of the resource content
    "text" : { Narrative }, // C?Text summary of the resource, for human interpretation
    "contained" : [{ Resource }], //Contained, inline Resources
    "extension" : [ //  sliced by value:url  in the specified order, Open 
      { // AssessedCondition // C?
        // from Element: extension
      },
      { // FamilyHistory // C?
        // from Element: extension
      },
      { // Analysis // C?
        // from Element: extension
      },
      { // References // C?
        // from Element: extension
      }
    ],
    "modifierExtension" : [{ Extension }], // C?Extensions that cannot be ignored
    "identifier" : [{ Identifier }], // C?Business identifier for report
    "basedOn" : [{ Reference(CarePlan) }], // C?What was requested
    "status" : "<code>", // C? R! registered | partial | preliminary | final +
    "category" : [{ CodeableConcept }], // C?Service category
    "code" : { CodeableConcept }, // C? R! Name/Code for this diagnostic report
    "subject" : { Reference(Patient) }, // C?The subject of the report - usually, but not always, the patient
    "encounter" : { Reference(Encounter) }, // C?Health care event when test ordered
// value[x]: Clinically relevant time/time-period for report. One of these 2:
    "effectiveDateTime" : "<dateTime>", // C?Clinically relevant time/time-period for report
    "effectivePeriod" : { Period }, // C?Clinically relevant time/time-period for report
    "issued" : "<instant>", // C?DateTime this version was made
    "performer" : [{ Reference(Practitioner) }], // C?Responsible Diagnostic Service
    "resultsInterpreter" : [{ Reference(Practitioner) }], // C?Primary result interpreter
    "specimen" : [{ Reference(Specimen) }], // C?Specimens this report is based on
    "result" : [{ Reference(Observation) }], // C?Observations
    "imagingStudy" : [{ Reference(ImagingStudy) }], // C?Reference to full details of imaging associated with the diagnostic report
    "media" : [{ BackboneElement }], // C?Key images associated with this report
    "conclusion" : "<string>", // C?Clinical conclusion (interpretation) of test results
    "presentedForm" : [{ Attachment }], // C?Entire report as issued
  }

 

Alternate definitions: Master Definition (XML, JSON), Schematron

10.3.14.3.2 Terminology Bindings

PathNameConformanceValueSet
DiagnosticReport.languageCommon LanguagespreferredCommon Languages
DiagnosticReport.statusDiagnosticReportStatusrequiredDiagnosticReportStatus
DiagnosticReport.categoryDiagnostic Service Section CodesexampleDiagnostic Service Section Codes
DiagnosticReport.codeLOINC Diagnostic Report CodespreferredLOINC Diagnostic Report Codes
.