This page is part of the FHIR Specification (v0.0.82: DSTU 1). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see the Directory of published versions Content Examples Formal Definitions Mappings Profiles 4.17.7 Resource DiagnosticOrder - Formal Definitions Formal definitions for the elements in the DiagnosticOrder resource. DiagnosticOrder Definition A request for a diagnostic investigation service to be performed. Control 1..1 Aliases Report; Test; Result; Results; Labs; Laboratory DiagnosticOrder.subject Definition Who or what the investigation is to be performed on. This is usually a human patient, but diagnostic tests can also be requested on animals, groups of humans or animals, devices such as dialysis machines, or even locations (typically for environmental scans). Control 1..1 Type Resource ( Patient | Group | Location | Device ) DiagnosticOrder.orderer Definition The practitioner that holds legal responsibility for ordering the investigation. Control 0..1 Type Resource ( Practitioner ) DiagnosticOrder.identifier Definition Identifiers assigned to this order by the order or by the receiver. Control 0..* Type Identifier DiagnosticOrder.encounter Definition An encounter that provides additional informaton about the healthcare context in which this request is made. Control 0..1 Type Resource ( Encounter ) DiagnosticOrder.clinicalNotes Definition An explanation or justification for why this diagnostic investigation is being requested. Control 0..1 Type string Comments This may be used to decide how the diagnostic investigation will be performed, or even if it will be performed at all. DiagnosticOrder.specimen Definition One or more specimens that the diagnostic investigation is about. Control 0..* Type Resource ( Specimen ) Comments Many investigation requests will create a need for specimens, but the request itself is not actually about the specimens. This is provided for when the diagnostic investigation is requested on already existing specimens. DiagnosticOrder.status Definition The status of the order. Control 0..1 Binding DiagnosticOrderStatus: The status of a diagnostic order (see http://hl7.org/fhir/diagnostic-order-status for values) Type code Comments Typically the system placing the order sets the status to requested. There after, the order is maintained by the receiver that updates the status as the request is handled. DiagnosticOrder.priority Definition The clinical priority associated with this order. Control 0..1 Binding DiagnosticOrderPriority: The clinical priority of a diagnostic order (see http://hl7.org/fhir/diagnostic-order-priority for values) Type code Comments The Order resource also has a priority. Generally, these should be the same, but they can be different, for instance in the case where the clinician indicates that the order is urgent, but the subsequent workflow process overrule this priority for some reason. The effective default value is "normal". DiagnosticOrder.event Definition A summary of the events of interest that have occurred as the request is processed. E.g. when the order was made, various processing steps (specimens received), when it was completed. Control 0..* Comments This is not the same as an audit trail - it is a view of the important things that happened in the past. Typically, there would only be one entry for any given status, and systems may not record all the status events. DiagnosticOrder.event.status Definition The status for the event. Control 1..1 Binding DiagnosticOrderStatus: The status of a diagnostic order (see http://hl7.org/fhir/diagnostic-order-status for values) Type code DiagnosticOrder.event.description Definition Additional information about the event that occurred - e.g. if the status remained unchanged. Control 0..1 Binding DIagnosticOrderEventDescription: ( See http://hl7.org/fhir/vs/diagnostic-order-event ) Type CodeableConcept DiagnosticOrder.event.dateTime Definition The date/time at which the event occurred. Control 1..1 Type dateTime DiagnosticOrder.event.actor Definition The person who was responsible for performing or recording the action. Control 0..1 Type Resource ( Practitioner | Device ) DiagnosticOrder.item Definition The specific diagnostic investigations that are requested as part of this request. Sometimes, there can only be one item per request, but in most contexts, more than one investigation can be requested. Control 0..* Comments There would always be at least one item in normal usage, but this is optional so that a workflow can quote order details without having to list the items. DiagnosticOrder.item.code Definition A code that identifies a particular diagnostic investigation, or panel of investigations, that have been requested. Control 1..1 Binding DiagnosticRequests: LOINC Order Codes ( See http://hl7.org/fhir/vs/diagnostic-requests ) Type CodeableConcept Comments Many laboratory tests and radiology tests embed the specimen/organ system in the test name, for example, serum or serum/plasma glucose, or a chest xray. The specimen may not be recorded separately from the test code. DiagnosticOrder.item.specimen Definition If the item is related to a specific speciment. Control 0..* Type Resource ( Specimen ) Comments A single specimen should not appear in both DIagnosticOrder.specimen and DiagnosticOrder.item.specimen. DiagnosticOrder.item.bodySite Definition Anatomical location where the request test should be performed. Control 0..1 Binding BodySite: SNOMED CT Body site concepts ( See http://hl7.org/fhir/vs/body-site ) Type CodeableConcept Aliases location To Do Is this approach or target site?. DiagnosticOrder.item.status Definition The status of this individual item within the order. Control 0..1 Binding DiagnosticOrderStatus: The status of a diagnostic order (see http://hl7.org/fhir/diagnostic-order-status for values) Type code Comments If the request has multiple items that have their own life cycles, then the items will have their own status while the overall diagnostic order is (usually) "in progress". DiagnosticOrder.item.event Definition A summary of the events of interest that have occurred as this item of the request is processed. Control 0..* Type See DiagnosticOrder.event © HL7.org 2011+. FHIR DSTU (v0.0.82.2943) generated on Tue, Sep 30, 2014 18:09+1000. 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