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Specification
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(v4.0.1:
R4
-
Mixed
Normative
and
STU
3).
)
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permanent
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The
current
version
which
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.
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the
Directory
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.
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versions:
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R3
Work
Group
|
Maturity Level : 1 |
|
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 .
This structure is derived from DiagnosticReport .
Summary
Prohibited: 1 element
Extensions
This structure refers to these extensions:
This structure is derived from DiagnosticReport .
| Name | Flags | Card. | Type |
Description
&
Constraints
|
|---|---|---|---|---|
|
|
0..* |
|
|
|
|
0..* | Reference ( Condition ) |
AssessedCondition
URL: http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsAssessedCondition |
|
|
0..* | Reference ( FamilyMemberHistory ) |
FamilyHistory
URL: http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsFamilyMemberHistory |
|
0..* | (Complex) |
Analysis
URL: http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsAnalysis | |
![]() ![]() | 0..* | (Complex) |
URL: |
|
| 0 .. 0 | |||
Documentation
for
this
format
|
||||
| Name | Flags | Card. | Type |
Description
&
Constraints
|
|---|---|---|---|---|
|
I | 0..* |
A
Diagnostic
report
-
a
combination
of
request
information,
atomic
results,
images,
interpretation,
as
well
as
formatted
reports
|
|
|
Σ | 0..1 |
|
Logical id of this artifact |
|
Σ I | 0..1 | Meta | Metadata about the resource |
|
?! Σ I | 0..1 | uri | A set of rules under which this content was created |
|
I | 0..1 | code |
Language
of
the
resource
content
Binding: Common Languages ( Max Binding: All Languages |
|
I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
|
0..* | Resource |
Contained,
inline
Resources
|
|
| I | 0..* | Extension |
Extension
Slice: Unordered, Open by value:url |
|
I | 0..* | Reference ( Condition ) |
AssessedCondition
URL: http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsAssessedCondition |
|
I | 0..* | Reference ( FamilyMemberHistory ) |
FamilyHistory
URL: http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsFamilyMemberHistory |
|
I | 0..* | (Complex) |
Analysis
URL: http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsAnalysis |
| I | 0..* | (Complex) |
References
URL: http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsReferences |
|
?! I | 0..* | Extension |
Extensions
that
cannot
be
ignored
|
|
Σ I | 0..* | Identifier |
Business
identifier
for
report
|
|
I | 0..* |
Reference
(
CarePlan
|
What
was
requested
|
|
?! Σ I | 1..1 | code |
registered
|
partial
|
preliminary
|
final
+
Binding: DiagnosticReportStatus ( required ) |
|
Σ I |
|
CodeableConcept |
Service
category
Binding: Diagnostic Service Section Codes ( example ) |
|
Σ I | 1..1 | CodeableConcept |
Name/Code
for
this
diagnostic
report
Binding: LOINC Diagnostic Report Codes ( preferred ) |
|
Σ I | 0..1 |
Reference
(
Patient
|
The subject of the report - usually, but not always, the patient |
|
Σ I | 0..1 |
Reference
(
Encounter
|
Health care event when test ordered |
|
Σ I | 0..1 |
|
Clinically relevant time/time-period for report |
|
|
|||
|
|
|
|
|
|
|
0..1 |
|
DateTime this version was made |
|
Σ I |
|
|
|
|
Σ I | 0..* |
Reference
(
Practitioner
|
Primary
result
interpreter
|
|
I | 0..* | Reference ( Specimen ) |
Specimens
this
report
is
based
on
|
|
I | 0..* | Reference ( Observation ) |
Observations
|
|
I | 0..* |
Reference
(
ImagingStudy
|
Reference
to
full
details
of
imaging
associated
with
the
diagnostic
report
|
|
Σ I | 0..* | BackboneElement |
Key
images
associated
with
this
report
|
|
0..1 | string |
|
|
|
I | 0..* | Extension |
Additional
|
|
?! Σ I | 0..* | Extension |
Extensions
that
cannot
be
ignored
even
if
unrecognized
|
|
I | 0..1 | string | Comment about the image (e.g. explanation) |
|
Σ I | 1..1 | Reference ( Media ) | Reference to the image source |
|
I | 0..1 | string |
Clinical
|
|
I | 0..* | Attachment |
Entire
report
as
issued
|
Documentation
for
this
format
|
||||
<!-- DiagnosticReport-Genetics -->![]()
< xmlns="http://hl7.org/fhir"<DiagnosticReport xmlns="http://hl7.org/fhir" > <!-- from Element: extension -->< <</meta> < < <<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> <<modifierExtension><!--0..* Extension Extensions that cannot be ignored --></modifierExtension> <identifier><!--
0..* Identifier Business identifier for report --></identifier>
<)| </basedOn> < <</category> <</code> <<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>
< Health care event when test ordered</context> <<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]>
< < <</modifierExtension> <</role> < Practitioner or Organization participant</actor> </performer> <<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>
< Observations - simple, or complex nested groups</result> <<result><!--0..* Reference(Observation) Observations --></result> <imagingStudy><!--
0..* Reference(ImagingStudy) Reference to full details of imaging associated with the diagnostic report --></imagingStudy>
< <</modifierExtension> < <<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>
</image> < <</codedDiagnosis> <</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
}
This structure is derived from DiagnosticReport .
Summary
Prohibited: 1 element
Extensions
This structure refers to these extensions:
Differential View
This structure is derived from DiagnosticReport .
| Name | Flags | Card. | Type |
Description
&
Constraints
|
|---|---|---|---|---|
|
|
0..* |
|
|
|
|
0..* | Reference ( Condition ) |
AssessedCondition
URL: http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsAssessedCondition |
|
|
0..* | Reference ( FamilyMemberHistory ) |
FamilyHistory
URL: http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsFamilyMemberHistory |
|
0..* | (Complex) |
Analysis
URL: http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsAnalysis | |
![]() ![]() | 0..* | (Complex) |
URL: |
|
| 0 .. 0 | |||
Documentation
for
this
format
|
||||
Snapshot View
| Name | Flags | Card. | Type |
Description
&
Constraints
|
|---|---|---|---|---|
|
I | 0..* |
A
Diagnostic
report
-
a
combination
of
request
information,
atomic
results,
images,
interpretation,
as
well
as
formatted
reports
|
|
|
Σ | 0..1 |
|
Logical id of this artifact |
|
Σ I | 0..1 | Meta | Metadata about the resource |
|
?! Σ I | 0..1 | uri | A set of rules under which this content was created |
|
I | 0..1 | code |
Language
of
the
resource
content
Binding: Common Languages ( Max Binding: All Languages |
|
I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
|
0..* | Resource |
Contained,
inline
Resources
|
|
| I | 0..* | Extension |
Extension
Slice: Unordered, Open by value:url |
|
I | 0..* | Reference ( Condition ) |
AssessedCondition
URL: http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsAssessedCondition |
|
I | 0..* | Reference ( FamilyMemberHistory ) |
FamilyHistory
URL: http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsFamilyMemberHistory |
|
I | 0..* | (Complex) |
Analysis
URL: http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsAnalysis |
| I | 0..* | (Complex) |
References
URL: http://hl7.org/fhir/StructureDefinition/DiagnosticReport-geneticsReferences |
|
?! I | 0..* | Extension |
Extensions
that
cannot
be
ignored
|
|
Σ I | 0..* | Identifier |
Business
identifier
for
report
|
|
I | 0..* |
Reference
(
CarePlan
|
What
was
requested
|
|
?! Σ I | 1..1 | code |
registered
|
partial
|
preliminary
|
final
+
Binding: DiagnosticReportStatus ( required ) |
|
Σ I |
|
CodeableConcept |
Service
category
Binding: Diagnostic Service Section Codes ( example ) |
|
Σ I | 1..1 | CodeableConcept |
Name/Code
for
this
diagnostic
report
Binding: LOINC Diagnostic Report Codes ( preferred ) |
|
Σ I | 0..1 |
Reference
(
Patient
|
The subject of the report - usually, but not always, the patient |
|
Σ I | 0..1 |
Reference
(
Encounter
|
Health care event when test ordered |
|
Σ I | 0..1 |
|
Clinically relevant time/time-period for report |
|
|
|
||
|
|
|
|
|
|
|
0..1 |
|
DateTime this version was made |
|
Σ I |
|
|
|
|
Σ I | 0..* |
Reference
(
Practitioner
|
Primary
result
interpreter
|
|
I | 0..* | Reference ( Specimen ) |
Specimens
this
report
is
based
on
|
|
I | 0..* | Reference ( Observation ) |
Observations
|
|
I | 0..* |
Reference
(
ImagingStudy
|
Reference
to
full
details
of
imaging
associated
with
the
diagnostic
report
|
|
Σ I | 0..* | BackboneElement |
Key
images
associated
with
this
report
|
|
0..1 | string |
|
|
|
I | 0..* | Extension |
Additional
|
|
?! Σ I | 0..* | Extension |
Extensions
that
cannot
be
ignored
even
if
unrecognized
|
|
I | 0..1 | string | Comment about the image (e.g. explanation) |
|
Σ I | 1..1 | Reference ( Media ) | Reference to the image source |
|
I | 0..1 | string |
Clinical
|
|
I | 0..* | Attachment |
Entire
report
as
issued
|
Documentation
for
this
format
|
||||
XML Template
<!-- DiagnosticReport-Genetics -->![]()
< xmlns="http://hl7.org/fhir"<DiagnosticReport xmlns="http://hl7.org/fhir" > <!-- from Element: extension -->< <</meta> < < <<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> <<modifierExtension><!--0..* Extension Extensions that cannot be ignored --></modifierExtension> <identifier><!--
0..* Identifier Business identifier for report --></identifier>
<)| </basedOn> < <</category> <</code> <<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>
< Health care event when test ordered</context> <<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]>
< < <</modifierExtension> <</role> < Practitioner or Organization participant</actor> </performer> <<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>
< Observations - simple, or complex nested groups</result> <<result><!--0..* Reference(Observation) Observations --></result> <imagingStudy><!--
0..* Reference(ImagingStudy) Reference to full details of imaging associated with the diagnostic report --></imagingStudy>
< <</modifierExtension> < <<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>
</image> < <</codedDiagnosis> <</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
}
Other
representations
of
profile:
Alternate
definitions:
Master
Definition
(
XML
,
JSON
),
Schematron
| Path | Name | Conformance | ValueSet |
| DiagnosticReport.language | Common Languages |
|
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 |