Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab vs http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/DiagnosticReport
copyright	Used by permission of HL7 International, all rights reserved Creative Commons License
date	2019-05-21	2023-10-17	Values Differ
description	Defines constraints and extensions on the DiagnosticReport resource for the minimal set of data to query and retrieve diagnostic reports associated with laboratory results for a patient	The US Core DiagnosticReport Profile for Laboratory Results Reporting inherits from the FHIR [DiagnosticReport](https://hl7.org/fhir/R4/diagnosticreport.html) resource; refer to it for scope and usage definitions. Laboratory results are grouped and summarized using the DiagnosticReport resource, which typically references Observation resource(s). Each Observation resource represents an individual laboratory test and result value or component result values or a nested panel (such as a microbial susceptibility panel) that references other observations. Laboratory results can also be presented in report form or as free text. This profile sets minimum expectations for the DiagnosticReport resource to record, search, and fetch laboratory results associated with a patient. It specifies which core elements, extensions, vocabularies, and value sets **SHALL** be present and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.	Values Differ
experimental	false
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	urn:iso:std:iso:3166#US
kind	resource
name	USCoreDiagnosticReportProfileLaboratoryReporting
publisher	HL7 International - US Realm Steering Committee	HL7 International / Cross-Group Projects	Values Differ
purpose
status	active
title	US Core DiagnosticReport Profile for Laboratory Results Reporting
type	DiagnosticReport
url	http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab
version	4.0.0	8.0.0-ballot	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	R Type	R Description & Constraints	Comments
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports	C	0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports us-core-8: effective[x] SHALL be present if the status is 'partial', 'preliminary', 'final', 'amended', 'corrected' or 'appended' us-core-9: issued SHALL be present if the status is 'partial', 'preliminary', 'final', 'amended', 'corrected' or 'appended'
id	Σ	0..1	string	Logical id of this artifact	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource	SΣ	0..1	Meta	Metadata about the resource	Elements differ in definition for mustSupport: 'false' vs 'true'
id						0..1	string	Unique id for inter-element referencing	Added this element
Slices for extension						0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url	Added this element
versionId					Σ	0..1	id	Version specific identifier	Added this element
lastUpdated					SΣ	0..1	instant	When the resource last changed	Added this element
source					Σ	0..1	uri	Identifies where the resource comes from	Added this element
profile					Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to	Added this element
security					Σ	0..*	Coding	Security Labels applied to this resource Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System.	Added this element
tag					Σ	0..*	Coding	Tags applied to this resource Binding: ?? (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".	Added this element
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business identifier for report	Σ	0..*	Identifier	Business identifier for report
basedOn		0..*	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested		0..*	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested
status	?!SΣ	1..1	code	registered | partial | preliminary | final + Binding: ?? (required)	?!SΣC	1..1	code	registered | partial | preliminary | final + Binding: ?? (required)
Slices for category	SΣ	1..*	CodeableConcept	Service category Slice: Unordered, Open by pattern:$this Binding: ?? (example): Codes for diagnostic service sections.	SΣ	1..*	CodeableConcept	Service category Slice: Unordered, Open by value:$this Binding: ?? (example): Codes for diagnostic service sections.
code	SΣ	1..1	CodeableConcept	US Core Laboratory Report Order Code Binding: ?? (extensible): LOINC codes	SΣ	1..1	CodeableConcept	US Core Laboratory Report Order Code Binding: ?? (extensible): LOINC codes
subject	SΣ	1..1	Reference(US Core Patient Profile)	The subject of the report - usually, but not always, the patient	SΣ	1..1	Reference(US Core Patient Profile S | Group | Device | US Core Location Profile)	The subject of the report - usually, but not always, the patient
encounter	Σ	0..1	Reference(Encounter)	Health care event when test ordered	SΣ	0..1	Reference(US Core Encounter Profile)	Encounter associated with DiagnosticReport	Elements differ in definition for mustSupport: 'false' vs 'true'
effective[x]	SΣ	1..1	dateTime S, Period	Clinically relevant time/time-period for report	SΣC	0..1	dateTime S, Period	Diagnostically relevant time (typically the time of specimen collection)	Element minimum cardinalities differ: '1' vs '0'
issued	SΣ	1..1	instant	DateTime this version was made	SΣC	0..1	instant	When the report was released	Element minimum cardinalities differ: '1' vs '0'
performer	SΣ	0..*	Reference(US Core Practitioner Profile S | US Core Organization Profile | US Core CareTeam Profile | US Core PractitionerRole Profile)	Responsible Diagnostic Service	SΣ	0..*	Reference(US Core Practitioner Profile S | US Core Organization Profile | US Core CareTeam Profile | US Core PractitionerRole Profile)	Responsible Diagnostic Service
resultsInterpreter	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter	SΣ	0..*	Reference(US Core Practitioner Profile S | US Core Organization Profile | PractitionerRole | US Core CareTeam Profile)	Primary result interpreter	Elements differ in definition for mustSupport: 'false' vs 'true'
specimen		0..*	Reference(Specimen)	Specimens this report is based on		0..*	Reference(Specimen)	Specimens this report is based on
result	S	0..*	Reference(US Core Laboratory Result Observation Profile)	Observations	S	0..*	Reference(US Core Laboratory Result Observation Profile)	Observations
imagingStudy		0..*	Reference(ImagingStudy)	Reference to full details of imaging associated with the diagnostic report		0..*	Reference(ImagingStudy)	Reference to full details of imaging associated with the diagnostic report
media	Σ	0..*	BackboneElement	Key images associated with this report	Σ	0..*	BackboneElement	Key images associated with this report
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
comment		0..1	string	Comment about the image (e.g. explanation)		0..1	string	Comment about the image (e.g. explanation)
link	Σ	1..1	Reference(Media)	Reference to the image source	Σ	1..1	Reference(Media)	Reference to the image source
conclusion		0..1	string	Clinical conclusion (interpretation) of test results		0..1	string	Clinical conclusion (interpretation) of test results
conclusionCode		0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: ?? (example): Diagnosis codes provided as adjuncts to the report.		0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: ?? (example): Diagnosis codes provided as adjuncts to the report.
presentedForm		0..*	Attachment	Entire report as issued		0..*	Attachment	Entire report as issued
Documentation for this format