Left: | US Core DiagnosticReport Profile for Report and Note Exchange (http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note) |
Right: | Genomics Report Profile (http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomics-report) |
Error | StructureDefinition.url | Values for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note' vs 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomics-report' |
Error | StructureDefinition.version | Values for version differ: '7.0.0' vs '4.0.0-ballot' |
Information | StructureDefinition.name | Values for name differ: 'USCoreDiagnosticReportProfileNoteExchange' vs 'GenomicsReport' |
Information | StructureDefinition.title | Values for title differ: 'US Core DiagnosticReport Profile for Report and Note Exchange' vs 'Genomics Report Profile' |
Information | StructureDefinition.date | Values for date differ: '2023-10-17' vs '2024-10-30T15:45:56+00:00' |
Information | StructureDefinition.publisher | Values for publisher differ: 'HL7 International / Cross-Group Projects' vs 'HL7 International / Clinical Interoperability Council' |
Error | StructureDefinition.baseDefinition | Values for baseDefinition differ: 'http://hl7.org/fhir/StructureDefinition/DiagnosticReport' vs 'http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomics-report' |
Information | StructureDefinition.short | Values for short differ: 'Additional content defined by implementations' vs 'Extension' |
Information | StructureDefinition.definition | Values for definition differ: 'May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'An Extension' |
Information | StructureDefinition.short | Values for short differ: 'US Core Report Code' vs 'Name/Code for this diagnostic report' |
Information | StructureDefinition.definition | Values for definition differ: 'The test, panel, report, or note that was ordered.' vs 'A code or name that describes this diagnostic report.' |
Information | DiagnosticReport.subject | Element minimum cardinalities differ: '1' vs '0' |
Information | StructureDefinition.short | Values for short differ: 'Encounter associated with DiagnosticReport' vs 'Health care event when test ordered' |
Warning | DiagnosticReport.encounter | Elements differ in definition for mustSupport: 'true' vs 'false' |
Information | StructureDefinition.short | Values for short differ: 'Diagnostically relevant time (typically the time of the procedure)' vs 'Clinically relevant time/time-period for report' |
Warning | DiagnosticReport.specimen | Elements differ in definition for mustSupport: 'false' vs 'true' |
Warning | DiagnosticReport.media | Elements differ in definition for mustSupport: 'true' vs 'false' |
Warning | DiagnosticReport.media.link | Elements differ in definition for mustSupport: 'true' vs 'false' |
Warning | DiagnosticReport.presentedForm | Elements differ in definition for mustSupport: 'true' vs 'false' |
Name | Value | Comments | |
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abstract | false | ||
baseDefinition | http://hl7.org/fhir/StructureDefinition/DiagnosticReport | http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomics-report |
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copyright | Used by permission of HL7 International, all rights reserved Creative Commons License |
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date | 2023-10-17 | 2024-10-30T15:45:56+00:00 |
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description | The US Core DiagnosticReport Profile for Report and Note Exchange inherits from the FHIR [DiagnosticReport](https://hl7.org/fhir/R4/diagnosticreport.html) resource; refer to it for scope and usage definitions. This profile sets minimum expectations for searching and fetching Diagnostic Reports and Notes using the DiagnosticReport resource. It specifies which core elements, extensions, vocabularies, and value sets **SHALL** be present in the resource and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption. Before reviewing this profile, implementers are encouraged to read the Clinical Notes Guidance to understand the overlap of the US Core DiagnosticReport Profile for Report and Note exchange and the US Core DocumentReference Profile. | 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. |
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experimental | |||
fhirVersion | 4.0.1 | ||
jurisdiction | |||
jurisdiction[0] | urn:iso:std:iso:3166#US | ||
kind | resource | ||
name | USCoreDiagnosticReportProfileNoteExchange | GenomicsReport |
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publisher | HL7 International / Cross-Group Projects | HL7 International / Clinical Interoperability Council |
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purpose | |||
status | active | ||
title | US Core DiagnosticReport Profile for Report and Note Exchange | Genomics Report Profile |
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type | DiagnosticReport | ||
url | http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note | http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomics-report |
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version | 7.0.0 | 4.0.0-ballot |
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Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments | ||||||||
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DiagnosticReport | C | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports us-core-10: effective[x] SHALL be present if the status is 'partial', 'preliminary', 'final', 'amended', 'corrected' or 'appended' | 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 | Σ | 0..1 | id | Logical id of this artifact | |||||||||
meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource | |||||||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created | |||||||||
language | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| |||||||||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||||||||
contained | 0..* | Resource | Contained, inline Resources | 0..* | Resource | Contained, inline Resources | |||||||||||
extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored | |||||||||
identifier | Σ | 0..* | Identifier | Business identifier for report | Σ | 0..* | Identifier | Business identifier for report | |||||||||
basedOn | 0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested | 0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested | |||||||||||
status | ?!SΣC | 1..1 | code | registered | partial | preliminary | final + Binding: ?? (required) | ?!SΣ | 1..1 | code | registered | partial | preliminary | final + Binding: ?? (required): The status of the diagnostic report. | |||||||||
Slices for category | SΣ | 1..* | CodeableConcept | Service category Slice: Unordered, Open by pattern:$this Binding: ?? (example): Codes for diagnostic service sections. | SΣ | 1..* | CodeableConcept | Service category Slice: Unordered, Open by pattern:coding Binding: ?? (example): Codes for diagnostic service sections. | |||||||||
code | SΣ | 1..1 | CodeableConcept | US Core Report Code Binding: ?? (extensible): LOINC codes | SΣ | 1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: ?? (preferred): Codes that describe Diagnostic Reports. | |||||||||
subject | SΣ | 1..1 | Reference(US Core Patient Profile S | Group | Device | US Core Location Profile) | The subject of the report - usually, but not always, the patient | SΣ | 0..1 | Reference(Cancer Patient Profile) | The subject of the report - usually, but not always, the patient |
| ||||||||
encounter | SΣ | 0..1 | Reference(US Core Encounter Profile) | Encounter associated with DiagnosticReport | Σ | 0..1 | Reference(Encounter) | Health care event when test ordered |
| ||||||||
effective[x] | SΣC | 0..1 | dateTime S, Period | Diagnostically relevant time (typically the time of the procedure) | SΣ | 0..1 | dateTime | Clinically relevant time/time-period for report | |||||||||
issued | SΣ | 0..1 | instant | DateTime this version was made | SΣ | 0..1 | instant | DateTime this version was made | |||||||||
performer | SΣ | 0..* | Reference(US Core Practitioner Profile S | US Core Organization Profile S | US Core PractitionerRole Profile | US Core CareTeam Profile) | Responsible Diagnostic Service | SΣ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service | |||||||||
resultsInterpreter | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter | |||||||||
specimen | 0..* | Reference(Specimen) | Specimens this report is based on | S | 0..* | Reference(Human Specimen Profile) | Specimens this report is based on |
| |||||||||
result | S | 0..* | Reference(US Core Laboratory Result Observation Profile S | US Core Observation Clinical Result Profile S | Observation) | Observations | S | 0..* | Reference(Observation) | Observations Slice: Unordered, Open by profile:resolve() | |||||||||
imagingStudy | 0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic report | 0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic report | |||||||||||
media | SΣ | 0..* | BackboneElement | Key images associated with this report | Σ | 0..* | BackboneElement | Key images associated with this report |
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id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
comment | 0..1 | string | Comment about the image (e.g. explanation) | 0..1 | string | Comment about the image (e.g. explanation) | |||||||||||
link | SΣ | 1..1 | Reference(Media) | Reference to the image source | Σ | 1..1 | Reference(Media) | Reference to the image source |
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conclusion | 0..1 | string | Clinical conclusion (interpretation) of test results | 0..1 | string | Clinical conclusion (interpretation) of test results | |||||||||||
conclusionCode | 0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: ?? (example): Diagnosis codes provided as adjuncts to the report. | 0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: ?? (example): Diagnosis codes provided as adjuncts to the report. | |||||||||||
presentedForm | S | 0..* | Attachment | Entire report as issued | 0..* | Attachment | Entire report as issued |
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Documentation for this format |