At-Home In-Vitro Test Report
1.1.0 - STU 1.1

At-Home In-Vitro Test Report, published by HL7 International / Orders and Observations. This guide is not an authorized publication; it is the continuous build for version 1.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/home-lab-report/ and changes regularly. See the Directory of published versions

## Resource Profile: DiagnosticReport - At-Home In-Vitro Results - COVID-19

Official URL: http://hl7.org/fhir/us/home-lab-report/StructureDefinition/DiagnosticReport-at-home-in-vitro-results-covid | Version: 1.1.0
Active as of 2024-08-08 | Computable Name: DiagnosticReportAtHomeInVitroResultsCovid
Other Identifiers: OID:2.16.840.1.113883.4.642.40.32.42.3

This profile further constrains the DiagnosticReport - At-Home In-Vitro Results profile to COVID-19 At-Home In-Vitro Tests.

This is an example of a profile that is based on a framework profile and futher constrained to meet the requirements of the COVID-19 use case. It is based on the DiagnosticReport - At-Home In-Vitro Results profile.

It constrains the following elements:

- DiagnosticReport.code - consult LIVD to obtain the values to be used for each particular use case
- DiagnosticReport.result - bound to the COVID-19 specific profile Observation - At-Home In-Vitro Test Result - COVID-19

Usage:

- Examples for this Resource Profile: DiagnosticReport/diagnosticreport-at-home-in-vitro-results-covid-p-noelle and DiagnosticReport/diagnosticreport-at-home-in-vitro-results-covid-s-trevor

### Formal Views of Profile Content

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

- Differential Table
- Key Elements Table
- Snapshot Table
- Statistics/References
- All

This structure is derived from DiagnosticReportAtHomeInVitroResult

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
DiagnosticReport |  | 0..* | DiagnosticReportAtHomeInVitroResult | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
result |  | 1..1 | Reference(Observation - At-Home In-Vitro Test Result - COVID-19) | Observation representing the result of the at-home in-vitro test.
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
DiagnosticReport | C | 0..* | DiagnosticReportAtHomeInVitroResult | 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 | S Σ | 0..1 | id | Logical id of this artifact
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
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
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 0..* | Identifier | Business identifier for report
status | ?!S Σ C | 1..1 | code | (USCDI) registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required) Fixed Value: final
Slices for category | S Σ | 1..* | CodeableConcept | (USCDI) Service category Slice: Unordered, Open by pattern:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
category:LaboratorySlice | S Σ | 1..1 | CodeableConcept | (USCDI) Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
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: LAB
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: US Core Laboratory Test Codes (extensible): LOINC codes
subject | S Σ | 1..1 | Reference(Patient - At Home In Vitro Test) | (USCDI) The subject of the report - usually, but not always, the patient
effective[x] | S Σ C | 0..1 | dateTime | (USCDI) Diagnostically relevant time (typically the time of specimen collection)
issued | S Σ C | 0..1 | instant | (USCDI) When the report was released
performer | S Σ | 0..* | Reference(US Core Practitioner Profile) | (USCDI) Responsible Diagnostic Service
result | S | 1..1 | Reference(Observation - At-Home In-Vitro Test Result - COVID-19) | Observation representing the result of the at-home in-vitro test.
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
DiagnosticReport.status | required | Fixed Value: final `http://hl7.org/fhir/ValueSet/diagnostic-report-status` from the FHIR Standard
DiagnosticReport.category | example | DiagnosticServiceSectionCodes `http://hl7.org/fhir/ValueSet/diagnostic-service-sections` from the FHIR Standard
DiagnosticReport.category:LaboratorySlice | example | Pattern: LAB `http://hl7.org/fhir/ValueSet/diagnostic-service-sections` from the FHIR Standard
DiagnosticReport.code | extensible | USCoreLaboratoryTestCodes `http://hl7.org/fhir/us/core/ValueSet/us-core-laboratory-test-codes`

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
DiagnosticReport | C | 0..* | DiagnosticReportAtHomeInVitroResult | 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 | S 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 Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
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
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 0..* | Identifier | Business identifier for report
basedOn |  | 0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested
status | ?!S Σ C | 1..1 | code | (USCDI) registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required) Fixed Value: final
Slices for category | S Σ | 1..* | CodeableConcept | (USCDI) Service category Slice: Unordered, Open by pattern:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
category:LaboratorySlice | S Σ | 1..1 | CodeableConcept | (USCDI) Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
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: LAB
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
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: US Core Laboratory Test Codes (extensible): LOINC codes
subject | S Σ | 1..1 | Reference(Patient - At Home In Vitro Test) | (USCDI) 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] | S Σ C | 0..1 | dateTime S | (USCDI) Diagnostically relevant time (typically the time of specimen collection)
issued | S Σ C | 0..1 | instant | (USCDI) When the report was released
performer | S Σ | 0..* | Reference(US Core Practitioner Profile S | US Core Organization Profile | US Core CareTeam Profile | US Core PractitionerRole Profile) | (USCDI) Responsible Diagnostic Service
resultsInterpreter | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter
specimen |  | 0..* | Reference(Specimen) | Specimens this report is based on
result | S | 1..1 | Reference(Observation - At-Home In-Vitro Test Result - COVID-19) | Observation representing the result of the at-home in-vitro test.
imagingStudy |  | 0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic report
media | Σ | 0..* | BackboneElement | 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.
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
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
DiagnosticReport.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
`http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
DiagnosticReport.status | required | Fixed Value: final `http://hl7.org/fhir/ValueSet/diagnostic-report-status` from the FHIR Standard
DiagnosticReport.category | example | DiagnosticServiceSectionCodes `http://hl7.org/fhir/ValueSet/diagnostic-service-sections` from the FHIR Standard
DiagnosticReport.category:LaboratorySlice | example | Pattern: LAB `http://hl7.org/fhir/ValueSet/diagnostic-service-sections` from the FHIR Standard
DiagnosticReport.code | extensible | USCoreLaboratoryTestCodes `http://hl7.org/fhir/us/core/ValueSet/us-core-laboratory-test-codes`
DiagnosticReport.conclusionCode | example | SNOMEDCTClinicalFindings `http://hl7.org/fhir/ValueSet/clinical-findings` from the FHIR Standard

This structure is derived from DiagnosticReportAtHomeInVitroResult

Summary

Structures

This structure refers to these other structures:

- Observation - At-Home In-Vitro Test Result - COVID-19 (http://hl7.org/fhir/us/home-lab-report/StructureDefinition/Observation-at-home-in-vitro-test-result-covid)

Differential View

This structure is derived from DiagnosticReportAtHomeInVitroResult

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
DiagnosticReport |  | 0..* | DiagnosticReportAtHomeInVitroResult | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
result |  | 1..1 | Reference(Observation - At-Home In-Vitro Test Result - COVID-19) | Observation representing the result of the at-home in-vitro test.
Documentation for this format

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
DiagnosticReport | C | 0..* | DiagnosticReportAtHomeInVitroResult | 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 | S Σ | 0..1 | id | Logical id of this artifact
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
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
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 0..* | Identifier | Business identifier for report
status | ?!S Σ C | 1..1 | code | (USCDI) registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required) Fixed Value: final
Slices for category | S Σ | 1..* | CodeableConcept | (USCDI) Service category Slice: Unordered, Open by pattern:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
category:LaboratorySlice | S Σ | 1..1 | CodeableConcept | (USCDI) Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
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: LAB
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: US Core Laboratory Test Codes (extensible): LOINC codes
subject | S Σ | 1..1 | Reference(Patient - At Home In Vitro Test) | (USCDI) The subject of the report - usually, but not always, the patient
effective[x] | S Σ C | 0..1 | dateTime | (USCDI) Diagnostically relevant time (typically the time of specimen collection)
issued | S Σ C | 0..1 | instant | (USCDI) When the report was released
performer | S Σ | 0..* | Reference(US Core Practitioner Profile) | (USCDI) Responsible Diagnostic Service
result | S | 1..1 | Reference(Observation - At-Home In-Vitro Test Result - COVID-19) | Observation representing the result of the at-home in-vitro test.
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
DiagnosticReport.status | required | Fixed Value: final `http://hl7.org/fhir/ValueSet/diagnostic-report-status` from the FHIR Standard
DiagnosticReport.category | example | DiagnosticServiceSectionCodes `http://hl7.org/fhir/ValueSet/diagnostic-service-sections` from the FHIR Standard
DiagnosticReport.category:LaboratorySlice | example | Pattern: LAB `http://hl7.org/fhir/ValueSet/diagnostic-service-sections` from the FHIR Standard
DiagnosticReport.code | extensible | USCoreLaboratoryTestCodes `http://hl7.org/fhir/us/core/ValueSet/us-core-laboratory-test-codes`

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
DiagnosticReport | C | 0..* | DiagnosticReportAtHomeInVitroResult | 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 | S 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 Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
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
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 0..* | Identifier | Business identifier for report
basedOn |  | 0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested
status | ?!S Σ C | 1..1 | code | (USCDI) registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required) Fixed Value: final
Slices for category | S Σ | 1..* | CodeableConcept | (USCDI) Service category Slice: Unordered, Open by pattern:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
category:LaboratorySlice | S Σ | 1..1 | CodeableConcept | (USCDI) Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex)
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: LAB
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
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: US Core Laboratory Test Codes (extensible): LOINC codes
subject | S Σ | 1..1 | Reference(Patient - At Home In Vitro Test) | (USCDI) 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] | S Σ C | 0..1 | dateTime S | (USCDI) Diagnostically relevant time (typically the time of specimen collection)
issued | S Σ C | 0..1 | instant | (USCDI) When the report was released
performer | S Σ | 0..* | Reference(US Core Practitioner Profile S | US Core Organization Profile | US Core CareTeam Profile | US Core PractitionerRole Profile) | (USCDI) Responsible Diagnostic Service
resultsInterpreter | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter
specimen |  | 0..* | Reference(Specimen) | Specimens this report is based on
result | S | 1..1 | Reference(Observation - At-Home In-Vitro Test Result - COVID-19) | Observation representing the result of the at-home in-vitro test.
imagingStudy |  | 0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic report
media | Σ | 0..* | BackboneElement | 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.
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
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
DiagnosticReport.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
`http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
DiagnosticReport.status | required | Fixed Value: final `http://hl7.org/fhir/ValueSet/diagnostic-report-status` from the FHIR Standard
DiagnosticReport.category | example | DiagnosticServiceSectionCodes `http://hl7.org/fhir/ValueSet/diagnostic-service-sections` from the FHIR Standard
DiagnosticReport.category:LaboratorySlice | example | Pattern: LAB `http://hl7.org/fhir/ValueSet/diagnostic-service-sections` from the FHIR Standard
DiagnosticReport.code | extensible | USCoreLaboratoryTestCodes `http://hl7.org/fhir/us/core/ValueSet/us-core-laboratory-test-codes`
DiagnosticReport.conclusionCode | example | SNOMEDCTClinicalFindings `http://hl7.org/fhir/ValueSet/clinical-findings` from the FHIR Standard

This structure is derived from DiagnosticReportAtHomeInVitroResult

Summary

Structures

This structure refers to these other structures:

- Observation - At-Home In-Vitro Test Result - COVID-19 (http://hl7.org/fhir/us/home-lab-report/StructureDefinition/Observation-at-home-in-vitro-test-result-covid)

Other representations of profile: CSV, Excel, Schematron