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
Official URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomics-report | Version: 4.0.0-ballot | |||
Active as of 2024-10-30 | 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.
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 code sub-field of the code structure. If there is no suitable code, the code can be omitted.
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:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from GenomicsReport
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
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 |
Slices for category | Content/Rules for all slices | |||
category:Genetics | 1..1 | CodeableConcept | Service category | |
coding | 1..1 | Coding | Code defined by a terminology system | |
code | S | 1..1 | CodeableConcept | Name/Code for this diagnostic report |
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 |
Slices for result | Content/Rules for all slices | |||
result:variant | S | 0..* | Reference(Genomic Variant Profile) | Variant |
result:region-studied | S | 0..* | Reference(Genomic Region Studied Profile) | Region Studied |
Documentation for this format |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
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 |
Slices for extension | Content/Rules for all slices | |||
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 |
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 | |
Documentation for this format |
Path | Conformance | ValueSet | URI |
DiagnosticReport.status | required | DiagnosticReportStatushttp://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 from the FHIR Standard | |
DiagnosticReport.category | example | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard | |
DiagnosticReport.category:Genetics | example | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard | |
DiagnosticReport.code | preferred | LOINCDiagnosticReportCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/report-codes from the FHIR Standard |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
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.
| |||||
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 | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
DiagnosticReport.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
DiagnosticReport.status | required | DiagnosticReportStatushttp://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 from the FHIR Standard | ||||
DiagnosticReport.category | example | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard | ||||
DiagnosticReport.category:Genetics | example | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard | ||||
DiagnosticReport.code | preferred | LOINCDiagnosticReportCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/report-codes from the FHIR Standard | ||||
DiagnosticReport.conclusionCode | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard |
This structure is derived from GenomicsReport
Summary
Must-Support: 11 elements
Structures
This structure refers to these other structures:
Maturity: 1
Differential View
This structure is derived from GenomicsReport
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
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 |
Slices for category | Content/Rules for all slices | |||
category:Genetics | 1..1 | CodeableConcept | Service category | |
coding | 1..1 | Coding | Code defined by a terminology system | |
code | S | 1..1 | CodeableConcept | Name/Code for this diagnostic report |
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 |
Slices for result | Content/Rules for all slices | |||
result:variant | S | 0..* | Reference(Genomic Variant Profile) | Variant |
result:region-studied | S | 0..* | Reference(Genomic Region Studied Profile) | Region Studied |
Documentation for this format |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
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 |
Slices for extension | Content/Rules for all slices | |||
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 |
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 | |
Documentation for this format |
Path | Conformance | ValueSet | URI |
DiagnosticReport.status | required | DiagnosticReportStatushttp://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 from the FHIR Standard | |
DiagnosticReport.category | example | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard | |
DiagnosticReport.category:Genetics | example | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard | |
DiagnosticReport.code | preferred | LOINCDiagnosticReportCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/report-codes from the FHIR Standard |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
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.
| |||||
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 | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
DiagnosticReport.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
DiagnosticReport.status | required | DiagnosticReportStatushttp://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 from the FHIR Standard | ||||
DiagnosticReport.category | example | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard | ||||
DiagnosticReport.category:Genetics | example | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard | ||||
DiagnosticReport.code | preferred | LOINCDiagnosticReportCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/report-codes from the FHIR Standard | ||||
DiagnosticReport.conclusionCode | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard |
This structure is derived from GenomicsReport
Summary
Must-Support: 11 elements
Structures
This structure refers to these other structures:
Maturity: 1
Other representations of profile: CSV, Excel, Schematron