Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
DiagnosticReport | TU | DomainResource | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
+ Rule: When a Composition is referenced in `Diagnostic.composition`, all Observation resources referenced in `Composition.entry` must also be referenced in `Diagnostic.entry` or in the references Observations in `Observation.hasMember` Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension |
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identifier | Σ | 0..* | Identifier | Business identifier for report
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basedOn | 0..* | Reference( CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested
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status | ?! Σ | 1..1 | code | registered | partial | preliminary | modified | final | amended | corrected | appended | cancelled | entered-in-error | unknown
Binding: Diagnostic Report Status ( Required) |
category | Σ | 0..* | CodeableConcept | Service category
Binding: Diagnostic Service Section Codes ( Example) |
code | Σ | 1..1 | CodeableConcept | Name/Code for this diagnostic report
Binding: LOINC Diagnostic Report Codes ( Preferred) |
subject | Σ | 0..1 | Reference( Patient | Group | Device | Location | Organization | Practitioner | Medication | Substance | BiologicallyDerivedProduct) | The subject of the report - usually, but not always, the patient
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encounter | Σ | 0..1 | Reference( Encounter) | Health care event when test ordered
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effective[x] | Σ | 0..1 | Clinically relevant time/time-period for report
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effectiveDateTime | dateTime | |||
effectivePeriod | Period | |||
issued | Σ | 0..1 | instant | DateTime this version was made
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performer | Σ | 0..* | Reference( Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service
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resultsInterpreter | Σ | 0..* | Reference( Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter
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specimen | 0..* | Reference( Specimen) | Specimens this report is based on
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result | C | 0..* | Reference( Observation) | Observations
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note | 0..* | Annotation | Comments about the diagnostic report
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study | 0..* | Reference( GenomicStudy | ImagingStudy) | Reference to full details of an analysis associated with the diagnostic report
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supportingInfo | 0..* | BackboneElement | Additional information supporting the diagnostic report
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type | 1..1 | CodeableConcept | Supporting information role code
Binding: hl7VS-VS-observationType ( Example) |
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reference | 1..1 | Reference( Procedure | Observation | DiagnosticReport | Citation) | Supporting information reference
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media | Σ | 0..* | BackboneElement | Key images or data associated with this report
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comment | 0..1 | string | Comment about the image or data (e.g. explanation)
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link | Σ | 1..1 | Reference( DocumentReference) | Reference to the image or data source
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composition | C | 0..1 | Reference( Composition) | Reference to a Composition resource for the DiagnosticReport structure
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conclusion | 0..1 | markdown | Clinical conclusion (interpretation) of test results
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conclusionCode | 0..* | CodeableConcept | Codes for the clinical conclusion of test results
Binding: SNOMED CT Clinical Findings ( Example) |
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presentedForm | 0..* | Attachment | Entire report as issued
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Documentation for this format |