FHIR Release 3 (STU) 4

This page is part of the FHIR Specification (v3.0.2: (v4.0.1: R4 - Mixed Normative and STU 3). ) in it's permanent home (it will always be available at this URL). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see the Directory of published versions . Page versions: R4B R4 R3 R4 R3

(No assigned work group) Orders and Observations Work Group   Maturity Level : 1 Informative 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 .

0..1 instant DateTime this version was released performer Σ I 0..* Participants in producing the report 0..* 0..* Extensions that cannot be ignored 1..1 Practitioner or Organization participant
Name Flags Card. Type Description & Constraints doco
. . DiagnosticReport I 0..* A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
. . . id Σ 0..1 id string 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 ( extensible 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 ), Reference ( | ImmunizationRecommendation ), Reference ( | MedicationRequest ), Reference ( | NutritionOrder ), Reference ( ProcedureRequest ), Reference ( ReferralRequest | ServiceRequest ) What was requested
. . . status ?! Σ I 1..1 code registered | partial | preliminary | final +
Binding: DiagnosticReportStatus ( required )
. . . category Σ I 0..1 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 ), Reference ( | Group ), Reference ( | Device ), Reference ( | Location ) The subject of the report - usually, but not always, the patient
. . context . encounter Σ I 0..1 Reference ( Encounter ), Reference ( EpisodeOfCare ) Health care event when test ordered
. . . effective[x] Σ I 0..1 dateTime , Period Clinically relevant time/time-period for report
. issued . . Σ . effectiveDateTime BackboneElement dateTime
. . id . . effectivePeriod 0..1 string xml:id (or equivalent in JSON) extension Extension Period Additional Content defined by implementations
. . modifierExtension . issued ?! Σ Σ I 0..1 Extension instant DateTime this version was made
. . role . performer Σ I 0..1 0..* CodeableConcept Reference ( Practitioner | PractitionerRole | Organization | CareTeam ) Type of performer Responsible Diagnostic Service
Binding: Procedure Performer Role Codes ( example )
. . actor . resultsInterpreter Σ I 0..* Reference ( Practitioner ), Reference | PractitionerRole ( | Organization | CareTeam ) Primary result interpreter
. . . specimen I 0..* Reference ( Specimen ) Specimens this report is based on
. . . result I 0..* Reference ( Observation ) Observations - simple, or complex nested groups
. . . imagingStudy I 0..* Reference ( ImagingStudy ), Reference ( ImagingManifest ) Reference to full details of imaging associated with the diagnostic report
. . image . media Σ I 0..* BackboneElement Key images associated with this report
. . . . id 0..1 string xml:id (or equivalent in JSON) Unique id for inter-element referencing
. . . . extension I 0..* Extension Additional Content 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 ) Reference to the image source
. . . conclusion I 0..1 string Clinical Interpretation conclusion (interpretation) of test results
. . . presentedForm I 0..* Attachment Entire report as issued

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

< 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

  }

Snapshot View

0..1 instant DateTime this version was released performer Σ I Participants in producing the report 0..* 0..* Extensions that cannot be ignored 1..1 Practitioner or Organization participant
Name Flags Card. Type Description & Constraints doco
. . DiagnosticReport I 0..* A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
. . . id Σ 0..1 id string 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 ( extensible 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 ), Reference ( | ImmunizationRecommendation ), Reference ( | MedicationRequest ), Reference ( | NutritionOrder ), Reference ( ProcedureRequest ), Reference ( ReferralRequest | ServiceRequest ) What was requested
. . . status ?! Σ I 1..1 code registered | partial | preliminary | final +
Binding: DiagnosticReportStatus ( required )
. . . category Σ I 0..1 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 ), Reference ( | Group ), Reference ( | Device ), Reference ( | Location ) The subject of the report - usually, but not always, the patient
. . context . encounter Σ I 0..1 Reference ( Encounter ), Reference ( EpisodeOfCare ) Health care event when test ordered
. . . effective[x] Σ I 0..1 dateTime , Period Clinically relevant time/time-period for report
. issued . . Σ . effectiveDateTime 0..* BackboneElement dateTime
. . id . . effectivePeriod 0..1 string xml:id (or equivalent in JSON) extension Extension Period Additional Content defined by implementations
. . modifierExtension . issued ?! Σ Σ I 0..1 Extension instant DateTime this version was made
. . role . performer Σ I 0..1 0..* CodeableConcept Reference ( Practitioner | PractitionerRole | Organization | CareTeam ) Type of performer Responsible Diagnostic Service
Binding: Procedure Performer Role Codes ( example )
. . actor . resultsInterpreter Σ I 0..* Reference ( Practitioner ), Reference | PractitionerRole ( | Organization | CareTeam ) Primary result interpreter
. . . specimen I 0..* Reference ( Specimen ) Specimens this report is based on
. . . result I 0..* Reference ( Observation ) Observations - simple, or complex nested groups
. . . imagingStudy I 0..* Reference ( ImagingStudy ), Reference ( ImagingManifest ) Reference to full details of imaging associated with the diagnostic report
. . image . media Σ I 0..* BackboneElement Key images associated with this report
. . . . id 0..1 string xml:id (or equivalent in JSON) Unique id for inter-element referencing
. . . . extension I 0..* Extension Additional Content 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 ) Reference to the image source
. . . conclusion I 0..1 string Clinical Interpretation conclusion (interpretation) of test results
. . . presentedForm I 0..* Attachment Entire report as issued

doco Documentation for this format

XML Template

<!-- DiagnosticReport-Genetics -->doco

< 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

DiagnosticReport.performer.role Procedure Performer Role Codes example Procedure Performer Role Codes
Path Name Conformance ValueSet
DiagnosticReport.language Common Languages extensible 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
.