minimal Common Oncology Data Elements (mCODE) Implementation Guide
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minimal Common Oncology Data Elements (mCODE) Implementation Guide, published by HL7 International / Clinical Interoperability Council. This guide is not an authorized publication; it is the continuous build for version 4.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-mCODE-ig/ and changes regularly. See the Directory of published versions

Resource Profile: Genomics Report Profile

Official URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomics-report Version: 4.0.0-ballot
Active as of 2024-04-09 Maturity Level: 1 Computable Name: GenomicsReport
Other Identifiers: OID:2.16.840.1.113883.4.642.40.15.42.20

Genomic analysis summary report. The report may include one or more tests, with two distinct test types. The first type is a targeted mutation test, where a specific mutation on a specific gene is tested for. The result is either positive or negative for that mutation. The second type is a more general test for variants. This type of test returns the identity of variants found in a certain region of the genome.

Usage

The identity of non-genomic laboratory tests is typically represented by a LOINC code. However, many genomic tests and panels do not have LOINC codes. Some tests might have an identifier in NCBI Genomic Testing Registry (GTR), a central location for voluntary submission of genomic test information by providers. To identify the diagnostic report, the name of the report must be in the text sub-field of the code structure. If there is a coded identifier from GTR, LOINC, or other source, then it should be included into the the code sub-field of the code structure. If there is no suitable code, the code can be omitted.

Conformance

DiagnosticReport resources associated with an in-scope patient with DiagnosticReport.code LOINC 81247-9 SHALL conform to this profile. Beyond this requirement, a producer of resources SHOULD ensure that any resource instance associated with an in-scope patient that would reasonably be expected to conform to this profile SHOULD be published in this form.

Usage:

Changes since version true:

  • No changes

    • Formal Views of Profile Content

    Description of Profiles, Differentials, Snapshots and how the different presentations work.

    This structure is derived from GenomicsReport

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. DiagnosticReport 0..* GenomicsReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
    ... status S 1..1 code registered | partial | preliminary | final +
    ... category S 1..* CodeableConcept Service category
    ... category:Genetics 1..1 CodeableConcept Service category
    .... coding 1..1 Coding Code defined by a terminology system
    ... subject S 0..1 Reference(Cancer Patient Profile) The subject of the report - usually, but not always, the patient
    ... effective[x] S 0..1 dateTime Clinically relevant time/time-period for report
    ... issued S 0..1 instant DateTime this version was made
    ... performer S 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Responsible Diagnostic Service
    ... specimen S 0..* Reference(Human Specimen Profile) Specimens this report is based on
    ... result S 0..* Reference(Observation) Observations
    ... result:variant S 0..* Reference(Genomic Variant Profile) Variant
    ... result:region-studied S 0..* Reference(Genomic Region Studied Profile) Region Studied

    doco Documentation for this format
    NameFlagsCard.TypeDescription & Constraintsdoco
    .. DiagnosticReport 0..* GenomicsReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... genomics-artifact 0..* RelatedArtifact Genomics Artifact
    URL: http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomics-artifact
    ... genomics-file 0..* Reference(Genomics DocumentReference) Genomics File
    URL: http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomics-file
    ... genomics-risk-assessment 0..* Reference(RiskAssessment) Genomics Risk Assessment
    URL: http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomics-risk-assessment
    ... coded-note 0..* CodedAnnotation Comments about the report that also contain a coded type
    URL: http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-report-note
    ... supporting-info 0..* Reference(Resource) Other information that may be relevant to this event.
    URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... status ?!SΣ 1..1 code registered | partial | preliminary | final +
    Binding: DiagnosticReportStatus (required): The status of the diagnostic report.

    ... Slices for category SΣ 1..* CodeableConcept Service category
    Slice: Unordered, Open by pattern:coding
    Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.


    .... category:Genetics Σ 1..1 CodeableConcept Service category
    Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.


    ..... coding Σ 1..1 Coding Code defined by a terminology system

    Required Pattern: At least the following
    ...... system 1..1 uri Identity of the terminology system
    Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074
    ...... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: GE
    ... code SΣ 1..1 CodeableConcept Name/Code for this diagnostic report
    Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.

    ... subject SΣ 0..1 Reference(Cancer Patient Profile) The subject of the report - usually, but not always, the patient
    ... effective[x] SΣ 0..1 dateTime Clinically relevant time/time-period for report
    ... issued SΣ 0..1 instant DateTime this version was made
    ... performer SΣ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Responsible Diagnostic Service
    ... specimen S 0..* Reference(Human Specimen Profile) Specimens this report is based on
    ... Slices for result S 0..* Reference(Observation) Observations
    Slice: Unordered, Open by profile:resolve()
    .... result:overall 0..1 Reference(Overall Interpretation) Assessment of overall results
    .... result:diagnostic-implication 0..* Reference(Diagnostic Implication) Diagnostic Implication
    .... result:therapeutic-implication 0..* Reference(Therapeutic Implication) Therapeutic Implication
    .... result:variant S 0..* Reference(Genomic Variant Profile) Variant
    .... result:sequence-phase-relation 0..* Reference(Sequence Phase Relationship) Sequence Phase Relationship
    .... result:region-studied S 0..* Reference(Genomic Region Studied Profile) Region Studied
    .... result:genotype 0..* Reference(Genotype) Genotype
    .... result:haplotype 0..* Reference(Haplotype) Haplotype

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSetURI
    DiagnosticReport.statusrequiredDiagnosticReportStatus
    http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1
    from the FHIR Standard
    DiagnosticReport.categoryexampleDiagnosticServiceSectionCodes
    http://hl7.org/fhir/ValueSet/diagnostic-service-sections
    from the FHIR Standard
    DiagnosticReport.category:GeneticsexampleDiagnosticServiceSectionCodes
    http://hl7.org/fhir/ValueSet/diagnostic-service-sections
    from the FHIR Standard
    DiagnosticReport.codepreferredLOINCDiagnosticReportCodes (a valid code from LOINC)
    http://hl7.org/fhir/ValueSet/report-codes
    from the FHIR Standard
    NameFlagsCard.TypeDescription & Constraintsdoco
    .. DiagnosticReport 0..* GenomicsReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
    ... id Σ 0..1 id Logical id of this artifact
    ... meta Σ 0..1 Meta Metadata about the resource
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... language 0..1 code Language of the resource content
    Binding: CommonLanguages (preferred): A human language.

    Additional BindingsPurpose
    AllLanguages Max Binding
    ... text 0..1 Narrative Text summary of the resource, for human interpretation
    ... contained 0..* Resource Contained, inline Resources
    ... Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url
    ... genomics-artifact 0..* RelatedArtifact Genomics Artifact
    URL: http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomics-artifact
    ... genomics-file 0..* Reference(Genomics DocumentReference) Genomics File
    URL: http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomics-file
    ... recommended-action 0..* Reference(Medication Recommendation | Followup Recommendation) Recommended Action
    URL: http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/recommended-action
    ... genomics-risk-assessment 0..* Reference(RiskAssessment) Genomics Risk Assessment
    URL: http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomics-risk-assessment
    ... coded-note 0..* CodedAnnotation Comments about the report that also contain a coded type
    URL: http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-report-note
    ... supporting-info 0..* Reference(Resource) Other information that may be relevant to this event.
    URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... identifier Σ 0..* Identifier Business identifier for report
    ... basedOn 0..* Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) What was requested
    ... status ?!SΣ 1..1 code registered | partial | preliminary | final +
    Binding: DiagnosticReportStatus (required): The status of the diagnostic report.

    ... Slices for category SΣ 1..* CodeableConcept Service category
    Slice: Unordered, Open by pattern:coding
    Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.


    .... category:Genetics Σ 1..1 CodeableConcept Service category
    Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.


    ..... id 0..1 string Unique id for inter-element referencing
    ..... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ..... coding Σ 1..1 Coding Code defined by a terminology system

    Required Pattern: At least the following
    ...... id 0..1 string Unique id for inter-element referencing
    ...... extension 0..* Extension Additional content defined by implementations
    ...... system 1..1 uri Identity of the terminology system
    Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074
    ...... version 0..1 string Version of the system - if relevant
    ...... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: GE
    ...... display 0..1 string Representation defined by the system
    ...... userSelected 0..1 boolean If this coding was chosen directly by the user
    ..... text Σ 0..1 string Plain text representation of the concept
    ... code SΣ 1..1 CodeableConcept Name/Code for this diagnostic report
    Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.

    ... subject SΣ 0..1 Reference(Cancer Patient Profile) The subject of the report - usually, but not always, the patient
    ... encounter Σ 0..1 Reference(Encounter) Health care event when test ordered
    ... effective[x] SΣ 0..1 dateTime Clinically relevant time/time-period for report
    ... issued SΣ 0..1 instant DateTime this version was made
    ... performer SΣ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Responsible Diagnostic Service
    ... resultsInterpreter Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
    ... specimen S 0..* Reference(Human Specimen Profile) Specimens this report is based on
    ... Slices for result S 0..* Reference(Observation) Observations
    Slice: Unordered, Open by profile:resolve()
    .... result:overall 0..1 Reference(Overall Interpretation) Assessment of overall results
    .... result:diagnostic-implication 0..* Reference(Diagnostic Implication) Diagnostic Implication
    .... result:therapeutic-implication 0..* Reference(Therapeutic Implication) Therapeutic Implication
    .... result:variant S 0..* Reference(Genomic Variant Profile) Variant
    .... result:sequence-phase-relation 0..* Reference(Sequence Phase Relationship) Sequence Phase Relationship
    .... result:region-studied S 0..* Reference(Genomic Region Studied Profile) Region Studied
    .... result:genotype 0..* Reference(Genotype) Genotype
    .... result:haplotype 0..* Reference(Haplotype) Haplotype
    ... imagingStudy 0..* Reference(ImagingStudy) Reference to full details of imaging associated with the diagnostic report
    ... media Σ 0..* BackboneElement Key images associated with this report
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... comment 0..1 string Comment about the image (e.g. explanation)
    .... link Σ 1..1 Reference(Media) Reference to the image source
    ... conclusion 0..1 string Clinical conclusion (interpretation) of test results
    ... conclusionCode 0..* CodeableConcept Codes for the clinical conclusion of test results
    Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.


    ... presentedForm 0..* Attachment Entire report as issued

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSetURI
    DiagnosticReport.languagepreferredCommonLanguages
    Additional Bindings Purpose
    AllLanguages Max Binding
    http://hl7.org/fhir/ValueSet/languages
    from the FHIR Standard
    DiagnosticReport.statusrequiredDiagnosticReportStatus
    http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1
    from the FHIR Standard
    DiagnosticReport.categoryexampleDiagnosticServiceSectionCodes
    http://hl7.org/fhir/ValueSet/diagnostic-service-sections
    from the FHIR Standard
    DiagnosticReport.category:GeneticsexampleDiagnosticServiceSectionCodes
    http://hl7.org/fhir/ValueSet/diagnostic-service-sections
    from the FHIR Standard
    DiagnosticReport.codepreferredLOINCDiagnosticReportCodes (a valid code from LOINC)
    http://hl7.org/fhir/ValueSet/report-codes
    from the FHIR Standard
    DiagnosticReport.conclusionCodeexampleSNOMEDCTClinicalFindings
    http://hl7.org/fhir/ValueSet/clinical-findings
    from the FHIR Standard

    Differential View

    This structure is derived from GenomicsReport

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. DiagnosticReport 0..* GenomicsReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
    ... status S 1..1 code registered | partial | preliminary | final +
    ... category S 1..* CodeableConcept Service category
    ... category:Genetics 1..1 CodeableConcept Service category
    .... coding 1..1 Coding Code defined by a terminology system
    ... subject S 0..1 Reference(Cancer Patient Profile) The subject of the report - usually, but not always, the patient
    ... effective[x] S 0..1 dateTime Clinically relevant time/time-period for report
    ... issued S 0..1 instant DateTime this version was made
    ... performer S 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Responsible Diagnostic Service
    ... specimen S 0..* Reference(Human Specimen Profile) Specimens this report is based on
    ... result S 0..* Reference(Observation) Observations
    ... result:variant S 0..* Reference(Genomic Variant Profile) Variant
    ... result:region-studied S 0..* Reference(Genomic Region Studied Profile) Region Studied

    doco Documentation for this format

    Key Elements View

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. DiagnosticReport 0..* GenomicsReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... genomics-artifact 0..* RelatedArtifact Genomics Artifact
    URL: http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomics-artifact
    ... genomics-file 0..* Reference(Genomics DocumentReference) Genomics File
    URL: http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomics-file
    ... genomics-risk-assessment 0..* Reference(RiskAssessment) Genomics Risk Assessment
    URL: http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomics-risk-assessment
    ... coded-note 0..* CodedAnnotation Comments about the report that also contain a coded type
    URL: http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-report-note
    ... supporting-info 0..* Reference(Resource) Other information that may be relevant to this event.
    URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... status ?!SΣ 1..1 code registered | partial | preliminary | final +
    Binding: DiagnosticReportStatus (required): The status of the diagnostic report.

    ... Slices for category SΣ 1..* CodeableConcept Service category
    Slice: Unordered, Open by pattern:coding
    Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.


    .... category:Genetics Σ 1..1 CodeableConcept Service category
    Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.


    ..... coding Σ 1..1 Coding Code defined by a terminology system

    Required Pattern: At least the following
    ...... system 1..1 uri Identity of the terminology system
    Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074
    ...... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: GE
    ... code SΣ 1..1 CodeableConcept Name/Code for this diagnostic report
    Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.

    ... subject SΣ 0..1 Reference(Cancer Patient Profile) The subject of the report - usually, but not always, the patient
    ... effective[x] SΣ 0..1 dateTime Clinically relevant time/time-period for report
    ... issued SΣ 0..1 instant DateTime this version was made
    ... performer SΣ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Responsible Diagnostic Service
    ... specimen S 0..* Reference(Human Specimen Profile) Specimens this report is based on
    ... Slices for result S 0..* Reference(Observation) Observations
    Slice: Unordered, Open by profile:resolve()
    .... result:overall 0..1 Reference(Overall Interpretation) Assessment of overall results
    .... result:diagnostic-implication 0..* Reference(Diagnostic Implication) Diagnostic Implication
    .... result:therapeutic-implication 0..* Reference(Therapeutic Implication) Therapeutic Implication
    .... result:variant S 0..* Reference(Genomic Variant Profile) Variant
    .... result:sequence-phase-relation 0..* Reference(Sequence Phase Relationship) Sequence Phase Relationship
    .... result:region-studied S 0..* Reference(Genomic Region Studied Profile) Region Studied
    .... result:genotype 0..* Reference(Genotype) Genotype
    .... result:haplotype 0..* Reference(Haplotype) Haplotype

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSetURI
    DiagnosticReport.statusrequiredDiagnosticReportStatus
    http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1
    from the FHIR Standard
    DiagnosticReport.categoryexampleDiagnosticServiceSectionCodes
    http://hl7.org/fhir/ValueSet/diagnostic-service-sections
    from the FHIR Standard
    DiagnosticReport.category:GeneticsexampleDiagnosticServiceSectionCodes
    http://hl7.org/fhir/ValueSet/diagnostic-service-sections
    from the FHIR Standard
    DiagnosticReport.codepreferredLOINCDiagnosticReportCodes (a valid code from LOINC)
    http://hl7.org/fhir/ValueSet/report-codes
    from the FHIR Standard

    Snapshot View

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. DiagnosticReport 0..* GenomicsReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
    ... id Σ 0..1 id Logical id of this artifact
    ... meta Σ 0..1 Meta Metadata about the resource
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... language 0..1 code Language of the resource content
    Binding: CommonLanguages (preferred): A human language.

    Additional BindingsPurpose
    AllLanguages Max Binding
    ... text 0..1 Narrative Text summary of the resource, for human interpretation
    ... contained 0..* Resource Contained, inline Resources
    ... Slices for extension 0..* Extension Extension
    Slice: Unordered, Open by value:url
    ... genomics-artifact 0..* RelatedArtifact Genomics Artifact
    URL: http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomics-artifact
    ... genomics-file 0..* Reference(Genomics DocumentReference) Genomics File
    URL: http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomics-file
    ... recommended-action 0..* Reference(Medication Recommendation | Followup Recommendation) Recommended Action
    URL: http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/recommended-action
    ... genomics-risk-assessment 0..* Reference(RiskAssessment) Genomics Risk Assessment
    URL: http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomics-risk-assessment
    ... coded-note 0..* CodedAnnotation Comments about the report that also contain a coded type
    URL: http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomic-report-note
    ... supporting-info 0..* Reference(Resource) Other information that may be relevant to this event.
    URL: http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... identifier Σ 0..* Identifier Business identifier for report
    ... basedOn 0..* Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) What was requested
    ... status ?!SΣ 1..1 code registered | partial | preliminary | final +
    Binding: DiagnosticReportStatus (required): The status of the diagnostic report.

    ... Slices for category SΣ 1..* CodeableConcept Service category
    Slice: Unordered, Open by pattern:coding
    Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.


    .... category:Genetics Σ 1..1 CodeableConcept Service category
    Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.


    ..... id 0..1 string Unique id for inter-element referencing
    ..... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ..... coding Σ 1..1 Coding Code defined by a terminology system

    Required Pattern: At least the following
    ...... id 0..1 string Unique id for inter-element referencing
    ...... extension 0..* Extension Additional content defined by implementations
    ...... system 1..1 uri Identity of the terminology system
    Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074
    ...... version 0..1 string Version of the system - if relevant
    ...... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: GE
    ...... display 0..1 string Representation defined by the system
    ...... userSelected 0..1 boolean If this coding was chosen directly by the user
    ..... text Σ 0..1 string Plain text representation of the concept
    ... code SΣ 1..1 CodeableConcept Name/Code for this diagnostic report
    Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.

    ... subject SΣ 0..1 Reference(Cancer Patient Profile) The subject of the report - usually, but not always, the patient
    ... encounter Σ 0..1 Reference(Encounter) Health care event when test ordered
    ... effective[x] SΣ 0..1 dateTime Clinically relevant time/time-period for report
    ... issued SΣ 0..1 instant DateTime this version was made
    ... performer SΣ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Responsible Diagnostic Service
    ... resultsInterpreter Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
    ... specimen S 0..* Reference(Human Specimen Profile) Specimens this report is based on
    ... Slices for result S 0..* Reference(Observation) Observations
    Slice: Unordered, Open by profile:resolve()
    .... result:overall 0..1 Reference(Overall Interpretation) Assessment of overall results
    .... result:diagnostic-implication 0..* Reference(Diagnostic Implication) Diagnostic Implication
    .... result:therapeutic-implication 0..* Reference(Therapeutic Implication) Therapeutic Implication
    .... result:variant S 0..* Reference(Genomic Variant Profile) Variant
    .... result:sequence-phase-relation 0..* Reference(Sequence Phase Relationship) Sequence Phase Relationship
    .... result:region-studied S 0..* Reference(Genomic Region Studied Profile) Region Studied
    .... result:genotype 0..* Reference(Genotype) Genotype
    .... result:haplotype 0..* Reference(Haplotype) Haplotype
    ... imagingStudy 0..* Reference(ImagingStudy) Reference to full details of imaging associated with the diagnostic report
    ... media Σ 0..* BackboneElement Key images associated with this report
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... comment 0..1 string Comment about the image (e.g. explanation)
    .... link Σ 1..1 Reference(Media) Reference to the image source
    ... conclusion 0..1 string Clinical conclusion (interpretation) of test results
    ... conclusionCode 0..* CodeableConcept Codes for the clinical conclusion of test results
    Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.


    ... presentedForm 0..* Attachment Entire report as issued

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSetURI
    DiagnosticReport.languagepreferredCommonLanguages
    Additional Bindings Purpose
    AllLanguages Max Binding
    http://hl7.org/fhir/ValueSet/languages
    from the FHIR Standard
    DiagnosticReport.statusrequiredDiagnosticReportStatus
    http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1
    from the FHIR Standard
    DiagnosticReport.categoryexampleDiagnosticServiceSectionCodes
    http://hl7.org/fhir/ValueSet/diagnostic-service-sections
    from the FHIR Standard
    DiagnosticReport.category:GeneticsexampleDiagnosticServiceSectionCodes
    http://hl7.org/fhir/ValueSet/diagnostic-service-sections
    from the FHIR Standard
    DiagnosticReport.codepreferredLOINCDiagnosticReportCodes (a valid code from LOINC)
    http://hl7.org/fhir/ValueSet/report-codes
    from the FHIR Standard
    DiagnosticReport.conclusionCodeexampleSNOMEDCTClinicalFindings
    http://hl7.org/fhir/ValueSet/clinical-findings
    from the FHIR Standard

     

    Other representations of profile: CSV, Excel, Schematron