## Union of http://hl7.org/fhir/us/home-lab-report/StructureDefinition/DiagnosticReport-at-home-in-vitro-results-covid and http://hl7.org/fhir/us/home-lab-report/StructureDefinition/DiagnosticReport-at-home-in-vitro-results-covid

This is the set of resources that conform to either of the profiles DiagnosticReport - At-Home In-Vitro Results - COVID-19 (http://hl7.org/fhir/us/home-lab-report/StructureDefinition/DiagnosticReport-at-home-in-vitro-results-covid) and DiagnosticReport - At-Home In-Vitro Results - COVID-19 (http://hl7.org/fhir/us/home-lab-report/StructureDefinition/DiagnosticReport-at-home-in-vitro-results-covid). E.g. what you have to deal with if you get resources conforming to one of them

### Structure

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
DiagnosticReport | C | 0..* |  | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management 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'
meta | Σ | 0..1 | Meta | Metadata about the resource ele-1: All FHIR elements must have a @value or children
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
language |  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language. ele-1: All FHIR elements must have a @value or children
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation ele-1: All FHIR elements must have a @value or children
contained |  | 0..* | Resource | Contained, inline Resources
Extension-at-home-in-vitro-test-supporting-info | S | 0..* | (Complex) | Extension - At-Home In-Vitro Test Supporting Information URL: http://hl7.org/fhir/us/home-lab-report/StructureDefinition/Extension-at-home-in-vitro-test-supporting-info ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier | S Σ | 0..* | Identifier | Business identifier for report ele-1: All FHIR elements must have a @value or children
basedOn |  | 0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested ele-1: All FHIR elements must have a @value or children
status | ?!S Σ | 1..1 | code | left: registered | partial | preliminary | final +; right: (USCDI) registered | partial | preliminary | final + Binding: ?? (required) ele-1: All FHIR elements must have a @value or children
category | S Σ | 1..* | CodeableConcept | left: Service category; right: (USCDI) Service category Binding: ?? (example): Codes for diagnostic service sections. ele-1: All FHIR elements must have a @value or children
code | S Σ | 1..1 | CodeableConcept | Consult LIVD: https://www.cdc.gov/csels/dls/livd-codes.html to obtain the values to be used for each particular use case. Binding: ?? (extensible): LOINC codes ele-1: All FHIR elements must have a @value or children
subject | S Σ | 1..1 | Reference(Patient - At Home In Vitro Test | #sd-Patient-at-home-in-vitro-test-Patient-at-home-in-vitro-test) | left: The subject of the report - usually, but not always, the patient; right: (USCDI) The subject of the report - usually, but not always, the patient ele-1: All FHIR elements must have a @value or children
encounter | Σ | 0..1 | Reference(Encounter) | Health care event when test ordered ele-1: All FHIR elements must have a @value or children
effective[x] | S Σ | 0..1 | dateTime | left: Diagnostically relevant time (typically the time of specimen collection); right: (USCDI) Diagnostically relevant time (typically the time of specimen collection) ele-1: All FHIR elements must have a @value or children
issued | S Σ | 0..1 | instant | left: When the report was released; right: (USCDI) When the report was released ele-1: All FHIR elements must have a @value or children
performer | S Σ | 0..* | Reference(US Core Practitioner Profile S | US Core Organization Profile | US Core CareTeam Profile | US Core PractitionerRole Profile | #sd-us-core-practitioner-us-core-practitioner) | left: Responsible Diagnostic Service; right: (USCDI) Responsible Diagnostic Service ele-1: All FHIR elements must have a @value or children
resultsInterpreter | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter ele-1: All FHIR elements must have a @value or children
specimen |  | 0..* | Reference(Specimen) | Specimens this report is based on ele-1: All FHIR elements must have a @value or children
result | S | 1..1 | Reference(Observation - At-Home In-Vitro Test Result) | left: Observations; right: Observation representing the result of the at-home in-vitro test. ele-1: All FHIR elements must have a @value or children
imagingStudy |  | 0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic report ele-1: All FHIR elements must have a @value or children
media | Σ | 0..* | BackboneElement | left: Images related to the test, such as a photo of the test result, images to support proctor interpretation of test results, etc.; right: Images related to the test, such as a photo of the test result, images to support proctor interpretation of test results, etc. Not included in V2 IG. ele-1: All FHIR elements must have a @value or children
extension |  | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
comment |  | 0..1 | string | Comment about the image (e.g. explanation) ele-1: All FHIR elements must have a @value or children
link | Σ | 1..1 | Reference(Media) | Reference to the image source ele-1: All FHIR elements must have a @value or children
conclusion |  | 0..1 | string | Clinical conclusion (interpretation) of test results ele-1: All FHIR elements must have a @value or children
conclusionCode |  | 0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: ?? (example): Diagnosis codes provided as adjuncts to the report. ele-1: All FHIR elements must have a @value or children
presentedForm |  | 0..* | Attachment | Entire report as issued ele-1: All FHIR elements must have a @value or children
Documentation for this format