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 - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list). |
basedOn | 0..* | List<CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest> | Details concerning a service requested. |
status | 1..1 | String | The status of the diagnostic report. Binding: http://hl7.org/fhir/ValueSet/diagnostic-report-status (required) |
code | 1..1 | Concept | The test, panel or battery that was ordered. Binding: LOINC codes (extensible) |
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. |
encounter | 0..1 | Encounter | The healthcare event (e.g. a patient and healthcare provider interaction) which this DiagnosticReport 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 made available to providers, typically after the report was reviewed and verified. |
performer | 0..* | List<Practitioner | PractitionerRole | Organization> | The diagnostic service that is responsible for issuing the report. |
specimen | 0..* | List<Specimen> | Details about the specimens on which this diagnostic report is based. |
result | 0..* | List<Observation> | [Observations](http://hl7.org/fhir/R4/observation.html) that are part of this diagnostic report. |
imagingStudy | 0..* | List<ImagingStudy> | 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. |
conclusion | 0..1 | String | Concise and clinically contextualized summary conclusion (interpretation/impression) of the diagnostic report. |
conclusionCode | 0..* | List<Concept> | One or more codes that represent the summary conclusion (interpretation/impression) of the diagnostic report. Binding: This value set includes all the "Clinical finding" SNOMED CT codes - concepts where concept is-a 404684003 (Clinical finding (finding)). (preferred) |