| Left: | US Core DiagnosticReport Profile for Laboratory Results Reporting (http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab) |
| Right: | US Core DiagnosticReport Profile for Laboratory Results Reporting (http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab) |
| Error | StructureDefinition.version | Values for version differ: '3.1.1' vs '8.0.0-ballot' |
| Information | StructureDefinition.date | Values for date differ: '2019-05-21' vs '2023-10-17' |
| Information | StructureDefinition.publisher | Values for publisher differ: 'HL7 US Realm Steering Committee' vs 'HL7 International / Cross-Group Projects' |
| Information | StructureDefinition.definition | Values for definition differ: '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.' vs 'The findings and interpretation of diagnostic tests performed on patients, groups of patients, devices, and locations, and/or specimens derived from these. The report includes clinical context such as requesting and provider information, and some mix of atomic results, images, textual and coded interpretations, and formatted representation of diagnostic reports.' |
| Warning | DiagnosticReport.meta | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Information | StructureDefinition.short | Values for short differ: 'Health care event when test ordered' vs 'Encounter associated with DiagnosticReport' |
| Warning | DiagnosticReport.encounter | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Information | StructureDefinition.short | Values for short differ: 'Specimen Collection Datetime or Period' vs 'Diagnostically relevant time (typically the time of specimen collection)' |
| Information | StructureDefinition.definition | Values for definition differ: 'This is the Specimen Collection Datetime or Period which is the physically relevent dateTime for laboratory tests.' vs 'The time or time-period the observed values are related to. When the subject of the report is a patient, this is usually either the time of the procedure or of specimen collection(s), but very often the source of the date/time is not known, only the date/time itself.' |
| Information | DiagnosticReport.effective[x] | Element minimum cardinalities differ: '1' vs '0' |
| Information | StructureDefinition.short | Values for short differ: 'DateTime this version was made' vs 'When the report was released' |
| Information | DiagnosticReport.issued | Element minimum cardinalities differ: '1' vs '0' |
| Warning | DiagnosticReport.resultsInterpreter | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Name | Value | Comments | |
|---|---|---|---|
 abstract | false | ||
| baseDefinition | http://hl7.org/fhir/StructureDefinition/DiagnosticReport | ||
| copyright | Used by permission of HL7 International, all rights reserved Creative Commons License |
| |
| date | 2019-05-21 | 2023-10-17 |
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| description | Defines constraints and extensions on the DiagnosticReport resource for the minimal set of data to query and retrieve diagnostic reports associated with laboratory results for a patient | The US Core DiagnosticReport Profile for Laboratory Results Reporting inherits from the FHIR [DiagnosticReport](https://hl7.org/fhir/R4/diagnosticreport.html) resource; refer to it for scope and usage definitions. Laboratory results are grouped and summarized using the DiagnosticReport resource, which typically references Observation resource(s). Each Observation resource represents an individual laboratory test and result value or component result values or a nested panel (such as a microbial susceptibility panel) that references other observations. Laboratory results can also be presented in report form or as free text. This profile sets minimum expectations for the DiagnosticReport resource to record, search, and fetch laboratory results associated with a patient. It specifies which core elements, extensions, vocabularies, and value sets **SHALL** be present and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption. |
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| experimental | false | ||
| fhirVersion | 4.0.1 | ||
| jurisdiction | |||
 jurisdiction[0] | urn:iso:std:iso:3166#US | ||
| kind | resource | ||
| name | USCoreDiagnosticReportProfileLaboratoryReporting | ||
| publisher | HL7 US Realm Steering Committee | HL7 International / Cross-Group Projects |
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| purpose | |||
| status | active | ||
| title | US Core DiagnosticReport Profile for Laboratory Results Reporting | ||
| type | DiagnosticReport | ||
| url | http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab | ||
| version | 3.1.1 | 8.0.0-ballot |
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| Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
 DiagnosticReport | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | C | 0..* | DiagnosticReport | 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' | ||||||||||
 id | Σ | 0..1 | string | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact | |||||||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | SΣ | 0..1 | Meta | Metadata about the resource |
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 id | 0..1 | string | Unique id for inter-element referencing |
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 Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
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| versionId | Σ | 0..1 | id | Version specific identifier |
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| lastUpdated | SΣ | 0..1 | instant | When the resource last changed |
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| source | Σ | 0..1 | uri | Identifies where the resource comes from |
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| profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to |
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| security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System. |
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| tag | Σ | 0..* | Coding | Tags applied to this resource Binding: ?? (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". |
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| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created | |||||||||
| language | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
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| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||||||||
| contained | 0..* | Resource | Contained, inline Resources | 0..* | Resource | Contained, inline Resources | |||||||||||
| extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored | |||||||||
| identifier | Σ | 0..* | Identifier | Business identifier for report | Σ | 0..* | Identifier | Business identifier for report | |||||||||
| basedOn | 0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested | 0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested | |||||||||||
| status | ?!SΣ | 1..1 | code | registered | partial | preliminary | final + Binding: ?? (required) | ?!SΣC | 1..1 | code | registered | partial | preliminary | final + Binding: ?? (required) | |||||||||
| Slices for category | SΣ | 1..* | CodeableConcept | Service category Slice: Unordered, Open by pattern:$this Binding: ?? (example): Codes for diagnostic service sections. | SΣ | 1..* | CodeableConcept | Service category Slice: Unordered, Open by value:$this Binding: ?? (example): Codes for diagnostic service sections. | |||||||||
| code | SΣ | 1..1 | CodeableConcept | US Core Laboratory Report Order Code Binding: ?? (extensible): LOINC codes | SΣ | 1..1 | CodeableConcept | US Core Laboratory Report Order Code Binding: ?? (extensible): LOINC codes | |||||||||
| subject | SΣ | 1..1 | Reference(US Core Patient Profile) | The subject of the report - usually, but not always, the patient | SΣ | 1..1 | Reference(US Core Patient Profile S | Group | Device | US Core Location Profile) | The subject of the report - usually, but not always, the patient | |||||||||
| encounter | Σ | 0..1 | Reference(Encounter) | Health care event when test ordered | SΣ | 0..1 | Reference(US Core Encounter Profile) | Encounter associated with DiagnosticReport |
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| effective[x] | SΣ | 1..1 | dateTime, Period | Specimen Collection Datetime or Period | SΣC | 0..1 | dateTime S, Period | Diagnostically relevant time (typically the time of specimen collection) |
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| issued | SΣ | 1..1 | instant | DateTime this version was made | SΣC | 0..1 | instant | When the report was released |
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| performer | SΣ | 0..* | Reference(US Core Practitioner Profile | US Core Organization Profile) | Responsible Diagnostic Service | SΣ | 0..* | Reference(US Core Practitioner Profile S | US Core Organization Profile | US Core CareTeam Profile | US Core PractitionerRole Profile) | Responsible Diagnostic Service | |||||||||
| resultsInterpreter | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter | SΣ | 0..* | Reference(US Core Practitioner Profile S | US Core Organization Profile | PractitionerRole | US Core CareTeam Profile) | Primary result interpreter |
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| specimen | 0..* | Reference(Specimen) | Specimens this report is based on | 0..* | Reference(Specimen) | Specimens this report is based on | |||||||||||
| result | S | 0..* | Reference(US Core Laboratory Result Observation Profile) | Observations | S | 0..* | Reference(US Core Laboratory Result Observation Profile) | Observations | |||||||||
| imagingStudy | 0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic report | 0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic report | |||||||||||
| media | Σ | 0..* | BackboneElement | Key images associated with this report | Σ | 0..* | BackboneElement | Key images associated with this report | |||||||||
| id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| comment | 0..1 | string | Comment about the image (e.g. explanation) | 0..1 | string | Comment about the image (e.g. explanation) | |||||||||||
| link | Σ | 1..1 | Reference(Media) | Reference to the image source | Σ | 1..1 | Reference(Media) | Reference to the image source | |||||||||
| conclusion | 0..1 | string | Clinical conclusion (interpretation) of test results | 0..1 | string | Clinical conclusion (interpretation) of test results | |||||||||||
| conclusionCode | 0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: ?? (example): Diagnosis codes provided as adjuncts to the report. | 0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: ?? (example): Diagnosis codes provided as adjuncts to the report. | |||||||||||
| presentedForm | 0..* | Attachment | Entire report as issued | 0..* | Attachment | Entire report as issued | |||||||||||
| Documentation for this format | |||||||||||||||||