Da Vinci Payer Data Exchange
2.1.0 - STU2 Ballot
Da Vinci Payer Data Exchange
2.1.0 - STU2 Ballot
Da Vinci Payer Data Exchange, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-epdx/ and changes regularly. See the Directory of published versions
| Page standards status: Informative |
Where a Health Plan has access to Laboratory Results and other diagnostic information, they SHALL make the information available using the US Core DiagnosticReport for Laboratory Results Reporting resource.
The essential fields (Must Support or Cardinality greater than 0..*) to be provided in the US Core DiagnosticReport for Laboratory Results Reporting resource are:
| R4 Element | Name | Cardinality | Type |
|---|---|---|---|
| DiagnosticReport.status | status | 1..1 | code |
| DiagnosticReport.category | category | 1..* | (Slice Definition) |
| DiagnosticReport.category:LaboratorySlice | category:LaboratorySlice | 1..1 | CodeableConcept |
| DiagnosticReport.category:LaboratorySlice.coding | coding | 1..* | Coding |
| DiagnosticReport.category:LaboratorySlice.coding.system | system | 1..1 | uri |
| DiagnosticReport.category:LaboratorySlice.coding.code | code | 1..1 | code |
| DiagnosticReport.code | code | 1..1 | CodeableConcept |
| DiagnosticReport.subject | subject | 1..1 | Reference(US Core Patient Profile) |
| DiagnosticReport.effective[x] | effective[x] | 1..1 | |
| DiagnosticReport.issued | issued | 1..1 | instant |
| DiagnosticReport.performer | performer | 0..* | Reference(US Core Practitioner Profile | US Core Organization Profile) |
| DiagnosticReport.result | result | 0..* | Reference(US Core Laboratory Result Observation Profile) |
| R4 Hierarchical Name | R4 Name | Cardinality | Type | HL7 V2 Source |
|---|---|---|---|---|
| DiagnosticReport.basedOn | basedOn | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder| ServiceRequest) | ORC |
| DiagnosticReport.status | status | 1..1 | code | OBX-11 |
| DiagnosticReport.code | code | 1..1 | CodeableConcept | OBX-3 |
| DiagnosticReport.subject | subject | 1..1 | Reference(US Core Patient Profile) | PID-3 |
| DiagnosticReport.focus | focus | 0..* | Reference(Resource) | OBX-3 |
| DiagnosticReport.encounter | encounter | 0..1 | Reference(Encounter) | PV1 |
| DiagnosticReport.effective[x] | effective[x] | 0..1 | dateTime, Period | OBX-14 |
| DiagnosticReport.issued | issued | 0..1 | instant | OBR-22 |
| DiagnosticReport.performer | performer | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | OBX-15 |
| DiagnosticReport.value[x] | value[x] | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | OBX-5 |
| DiagnosticReport.dataAbsentReason | dataAbsentReason | 0..1 | CodeableConcept | N/A |
| DiagnosticReport.interpretation | interpretation | 0..* | CodeableConcept | OBX-8 |
| DiagnosticReport.note | note | 0..* | Annotation | NTE |
| DiagnosticReport.bodySite | bodySite | 0..1 | CodeableConcept | OBX-20 |
| DiagnosticReport.method | method | 0..1 | CodeableConcept | OBX-17 |
| DiagnosticReport.specimen | specimen | 0..1 | Reference(Specimen) | SPM |
| DiagnosticReport.device | device | 0..1 | Reference(Device | DeviceMetric) | OBX-17 |
| DiagnosticReport.referenceRange | referenceRange | 0..* | BackboneElement | OBX-7 |
| DiagnosticReport.referenceRange.extension | extension | 0..* | Extension | OBX-7 |
| DiagnosticReport.referenceRange.low | low | 0..1 | SimpleQuantity | OBX-7 |
| DiagnosticReport.referenceRange.high | high | 0..1 | SimpleQuantity | OBX-7 |
| DiagnosticReport.referenceRange.type | type | 0..1 | CodeableConcept | OBX-10 |
| DiagnosticReport.referenceRange.appliesTo | appliesTo | 0..* | CodeableConcept | OBX-10 |
| DiagnosticReport.referenceRange.text | text | 0..1 | string | OBX-7 |
| R4 Hierarchical Name | R4 Name | Cardinality | Type | CCDA |
|---|---|---|---|---|
| DiagnosticReport.text | text | 0..1 | Narrative | Act.text (?) |
| DiagnosticReport.contained | contained | 0..* | Resource | N/A |
| DiagnosticReport.extension | extension | 0..* | Extension | N/A |
| DiagnosticReport.modifierExtension | modifierExtension | 0..* | Extension | N/A |
| DiagnosticReport.identifier | identifier | 0..* | Identifier | id |
| DiagnosticReport.basedOn | basedOn | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder| ServiceRequest) | .outboundRelationship[typeCode=FLFS].target |
| DiagnosticReport.category | category | 1..* | CodeableConcept | .outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code |
| DiagnosticReport.code | code | 1..1 | CodeableConcept | code |
| DiagnosticReport.subject | subject | 1..1 | Reference(US Core Patient Profile) | participation[typeCode=SBJ] |
| DiagnosticReport.performer | performer | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | participation[typeCode=PRF] |
| DiagnosticReport.value[x] | value[x] | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | value |
| DiagnosticReport.dataAbsentReason | dataAbsentReason | 0..1 | CodeableConcept | value.nullFlavor |
| DiagnosticReport.interpretation | interpretation | 0..* | CodeableConcept | interpretationCode |
| DiagnosticReport.method | method | 0..1 | CodeableConcept | methodCode |
| DiagnosticReport.specimen | specimen | 0..1 | Reference(Specimen) | participation[typparticipation[typeCode=DEV]eCode=SPC].specimen |
| DiagnosticReport.device | device | 0..1 | Reference(Device | DeviceMetric) | participation[typeCode=DEV] |
| DiagnosticReport.referenceRange | referenceRange | 0..* | BackboneElement | outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN] |
| DiagnosticReport.referenceRange.low | low | 0..1 | SimpleQuantity | value:IVL_PQ.low |
| DiagnosticReport.referenceRange.high | high | 0..1 | SimpleQuantity | value:IVL_PQ.high |
| DiagnosticReport.referenceRange.type | type | 0..1 | CodeableConcept | interpretationCode |
| DiagnosticReport.referenceRange.appliesTo | appliesTo | 0..* | CodeableConcept | N/A (?) |
| DiagnosticReport.referenceRange.age | age | 0..1 | Range | outboundRelationship[typeCode=PRCN].targetObservationCriterion[code="age"].value |
| DiagnosticReport.referenceRange.text | text | 0..1 | string | value:ST |
| DiagnosticReport.hasMember | hasMember | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | outBoundRelationship |
| DiagnosticReport.derivedFrom | derivedFrom | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | N/A (?) |
| R4 Hierarchical Name | R4 Name | Cardinality | Type | Claim(837) / Note |
|---|---|---|---|---|
| DiagnosticReport.implicitRules | implicitRules | 0..1 | uri | x |
| DiagnosticReport.language | language | 0..1 | code | x |
| DiagnosticReport.text | text | 0..1 | Narrative | x |
| DiagnosticReport.contained | contained | 0..* | Resource | x |
| DiagnosticReport.extension | extension | 0..* | Extension | x |
| DiagnosticReport.modifierExtension | modifierExtension | 0..* | Extension | x |
| DiagnosticReport.identifier | identifier | 0..* | Identifier | x |
| DiagnosticReport.partOf | partOf | 0..* | Reference(MedicationAdministration| MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | x |
| DiagnosticReport.status | status | 1..1 | code | Default to "unknown" |
| DiagnosticReport.category | category | 1..* | CodeableConcept | x |
| DiagnosticReport.code | code | 1..1 | CodeableConcept | Procedure Code |
| DiagnosticReport.subject | subject | 1..1 | Reference(US Core Patient Profile) | Patient Demographics |
| DiagnosticReport.focus | focus | 0..* | Reference(Resource) | x |
| DiagnosticReport.effective[x] | effective[x] | 0..1 | dateTime, Period | Date of Service |
| DiagnosticReport.issued | issued | 0..1 | instant | Interchange Date/Time |
| DiagnosticReport.performer | performer | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | Billing/Rendering Provider |
| DiagnosticReport.value[x] | value[x] | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | x |
| DiagnosticReport.dataAbsentReason | dataAbsentReason | 0..1 | CodeableConcept | x |
| DiagnosticReport.interpretation | interpretation | 0..* | CodeableConcept | x |
| DiagnosticReport.note | note | 0..* | Annotation | Note Segment |
| DiagnosticReport.bodySite | bodySite | 0..1 | CodeableConcept | x |
| DiagnosticReport.method | method | 0..1 | CodeableConcept | x |
| DiagnosticReport.specimen | specimen | 0..1 | Reference(Specimen) | x |
| DiagnosticReport.device | device | 0..1 | Reference(Device | DeviceMetric) | x |
| DiagnosticReport.referenceRange | referenceRange | 0..* | BackboneElement | x |
| DiagnosticReport.referenceRange.id | id | 0..1 | string | x |
| DiagnosticReport.referenceRange.extension | extension | 0..* | Extension | x |
| DiagnosticReport.referenceRange.modifierExtension | modifierExtension | 0..* | Extension | x |
| DiagnosticReport.referenceRange.low | low | 0..1 | SimpleQuantity | x |
| DiagnosticReport.referenceRange.high | high | 0..1 | SimpleQuantity | x |
| DiagnosticReport.referenceRange.type | type | 0..1 | CodeableConcept | x |
| DiagnosticReport.referenceRange.appliesTo | appliesTo | 0..* | CodeableConcept | x |
| DiagnosticReport.referenceRange.age | age | 0..1 | Range | x |
| DiagnosticReport.referenceRange.text | text | 0..1 | string | x |
| DiagnosticReport.hasMember | hasMember | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | x |
| DiagnosticReport.derivedFrom | derivedFrom | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | x |
An example mapping of a DiagnosticReport for urinalysis is shown below:
{
"resourceType" : "DiagnosticReport",
"id" : "urinalysis",
"meta" : {
"versionId" : "209563",
"lastUpdated" : "2016-04-19T17:28:11.308+00:00",
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated Narrative with Details
id: urinalysis
meta:
status: final
category: Laboratory <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/v2-0074 code 'LAB' = 'Laboratory', given as 'Laboratory'})</span>
code: Complete Urinalysis <span style=\"background: LightGoldenRodYellow\">(Details : {LOINC code '24356-8' = 'Urinalysis complete panel - Urine', given as 'Urinalysis complete panel - Urine'})</span>
subject: <a href=\"Patient-example.html\">Amy Shaw. Generated Summary: id: example; Medical Record Number = 1032702 (USUAL); active; Amy V. Shaw ; ph: 555-555-5555(HOME), amy.shaw@example.com; gender: female; birthDate: Feb 20, 2007</a>
effective: Jul 5, 2005, 12:00:00 AM
issued: Jul 6, 2005, 12:45:33 AM
performer: <a href=\"Organization-acme-lab.html\">Acme Laboratory, Inc. Generated Summary: id: acme-lab; 1144221847, 2523423456; active; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span>; name: Acme Labs; ph: (+1) 734-677-7777, hq@acme.org</a>
result:
Next Page - US Core DiagnosticReport for Report and Note Exchange
IG © 2024+ HL7 International / Financial Management. Package hl7.fhir.us.davinci-pdex#2.1.0 based on FHIR 4.0.1. Generated 2024-12-13
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