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Orders and Observations Work Group   Maturity Level : 1 Trial 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).

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

Name Flags Card. Type Description & Constraints doco
. . DiagnosticReport I 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
. . . id Σ 0..1 string id Logical id of this artifact
. . . meta Σ I 0..1 Meta Metadata about the resource
. . . implicitRules ?! Σ I 0..1 uri A set of rules under which this content was created
. . . language I 0..1 code Language of the resource content
Binding: Common Languages ( preferred )
Max Binding: All Languages
. . . text I 0..1 Narrative Text summary of the resource, for human interpretation
. . . contained 0..* Resource Contained, inline Resources
. . . extension I 0..* Extension Extension
Slice: Unordered, Open by value:url
. . . DiagnosticReport-geneticsAssessedCondition I 0..* Reference ( Condition ) AssessedCondition
URL: http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsAssessedCondition
. . . DiagnosticReport-geneticsFamilyMemberHistory I 0..* Reference ( FamilyMemberHistory ) FamilyHistory
URL: http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsFamilyMemberHistory
. . . DiagnosticReport-geneticsAnalysis I 0..* (Complex) Analysis
URL: http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsAnalysis
. . . DiagnosticReport-geneticsReferences I 0..* (Complex) References
URL: http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsReferences
. . . modifierExtension ?! I 0..* Extension Extensions that cannot be ignored
. . . identifier Σ I 0..* Identifier Business identifier for report
. . . basedOn I 0..* Reference ( CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest ) What was requested
. . . status ?! Σ I 1..1 code registered | partial | preliminary | final +
Binding: DiagnosticReportStatus ( required )
. . . category Σ I 0..* CodeableConcept Service category
Binding: Diagnostic Service Section Codes ( example )
. . . code Σ I 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: LOINC Diagnostic Report Codes ( preferred )
. . . subject Σ I 0..1 Reference ( Patient | Group | Device | Location ) The subject of the report - usually, but not always, the patient
. . . encounter Σ I 0..1 Reference ( Encounter ) Health care event when test ordered
. . . effective[x] Σ I 0..1 Clinically relevant time/time-period for report
. . . . effectiveDateTime dateTime
. . . . effectivePeriod Period
. . . issued Σ I 0..1 instant DateTime this version was made
. . . performer Σ I 0..* Reference ( Practitioner | PractitionerRole | Organization | CareTeam ) Responsible Diagnostic Service
. . . resultsInterpreter Σ I 0..* Reference ( Practitioner | PractitionerRole | Organization | CareTeam ) Primary result interpreter
. . . specimen I 0..* Reference ( Specimen ) Specimens this report is based on
. . . result I 0..* Reference ( Observation ) Observations
. . . imagingStudy I 0..* Reference ( ImagingStudy ) Reference to full details of imaging associated with the diagnostic report
. . . media Σ I 0..* BackboneElement Key images associated with this report
. . . . id 0..1 string id Unique id for inter-element referencing
. . . . extension I 0..* Extension Additional content defined by implementations
. . . . modifierExtension ?! Σ I 0..* Extension Extensions that cannot be ignored even if unrecognized
. . . . comment I 0..1 string Comment about the image (e.g. explanation)
. . . . link Σ I 1..1 Reference ( Media DocumentReference ) Reference to the image source
. . . conclusion I 0..1 string Clinical conclusion (interpretation) of test results
. . . presentedForm I 0..* Attachment Entire report as issued

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

<DiagnosticReport xmlns="http://hl7.org/fhir"
>
  <!-- from Element: extension -->
 <</id>

 <id value="[id]"/><!-- 0..1 Logical id of this artifact -->

 <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(DocumentReference) 

      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

Name Flags Card. Type Description & Constraints doco
. . DiagnosticReport I 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
. . . id Σ 0..1 string id Logical id of this artifact
. . . meta Σ I 0..1 Meta Metadata about the resource
. . . implicitRules ?! Σ I 0..1 uri A set of rules under which this content was created
. . . language I 0..1 code Language of the resource content
Binding: Common Languages ( preferred )
Max Binding: All Languages
. . . text I 0..1 Narrative Text summary of the resource, for human interpretation
. . . contained 0..* Resource Contained, inline Resources
. . . extension I 0..* Extension Extension
Slice: Unordered, Open by value:url
. . . DiagnosticReport-geneticsAssessedCondition I 0..* Reference ( Condition ) AssessedCondition
URL: http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsAssessedCondition
. . . DiagnosticReport-geneticsFamilyMemberHistory I 0..* Reference ( FamilyMemberHistory ) FamilyHistory
URL: http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsFamilyMemberHistory
. . . DiagnosticReport-geneticsAnalysis I 0..* (Complex) Analysis
URL: http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsAnalysis
. . . DiagnosticReport-geneticsReferences I 0..* (Complex) References
URL: http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsReferences
. . . modifierExtension ?! I 0..* Extension Extensions that cannot be ignored
. . . identifier Σ I 0..* Identifier Business identifier for report
. . . basedOn I 0..* Reference ( CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest ) What was requested
. . . status ?! Σ I 1..1 code registered | partial | preliminary | final +
Binding: DiagnosticReportStatus ( required )
. . . category Σ I 0..* CodeableConcept Service category
Binding: Diagnostic Service Section Codes ( example )
. . . code Σ I 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: LOINC Diagnostic Report Codes ( preferred )
. . . subject Σ I 0..1 Reference ( Patient | Group | Device | Location ) The subject of the report - usually, but not always, the patient
. . . encounter Σ I 0..1 Reference ( Encounter ) Health care event when test ordered
. . . effective[x] Σ I 0..1 Clinically relevant time/time-period for report
. . . . effectiveDateTime dateTime
. . . . effectivePeriod Period
. . . issued Σ I 0..1 instant DateTime this version was made
. . . performer Σ I 0..* Reference ( Practitioner | PractitionerRole | Organization | CareTeam ) Responsible Diagnostic Service
. . . resultsInterpreter Σ I 0..* Reference ( Practitioner | PractitionerRole | Organization | CareTeam ) Primary result interpreter
. . . specimen I 0..* Reference ( Specimen ) Specimens this report is based on
. . . result I 0..* Reference ( Observation ) Observations
. . . imagingStudy I 0..* Reference ( ImagingStudy ) Reference to full details of imaging associated with the diagnostic report
. . . media Σ I 0..* BackboneElement Key images associated with this report
. . . . id 0..1 string id Unique id for inter-element referencing
. . . . extension I 0..* Extension Additional content defined by implementations
. . . . modifierExtension ?! Σ I 0..* Extension Extensions that cannot be ignored even if unrecognized
. . . . comment I 0..1 string Comment about the image (e.g. explanation)
. . . . link Σ I 1..1 Reference ( Media DocumentReference ) Reference to the image source
. . . conclusion I 0..1 string Clinical conclusion (interpretation) of test results
. . . presentedForm I 0..* Attachment Entire report as issued

doco Documentation for this format

XML Template

<!-- DiagnosticReport-Genetics -->doco

<DiagnosticReport xmlns="http://hl7.org/fhir"
>
  <!-- from Element: extension -->
 <</id>

 <id value="[id]"/><!-- 0..1 Logical id of this artifact -->

 <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(DocumentReference) 

      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

Path Name Conformance ValueSet
DiagnosticReport.language Common Languages preferred Common Languages
DiagnosticReport.status DiagnosticReportStatus required DiagnosticReportStatus
DiagnosticReport.category Diagnostic Service Section Codes example Diagnostic Service Section Codes
DiagnosticReport.code LOINC Diagnostic Report Codes preferred LOINC Diagnostic Report Codes
.