Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab vs http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomics-report

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/DiagnosticReport	http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomics-report	Values Differ
copyright	Used by permission of HL7 International, all rights reserved Creative Commons License		Removed the item 'Used by permission of HL7 International, all rights reserved Creative Commons License'
date	2023-10-17	2024-12-03T21:49:52+00:00	Values Differ
description	The US Core DiagnosticReport Profile for Laboratory Results Reporting inherits from the FHIR [DiagnosticReport](https://hl7.org/fhir/R4/diagnosticreport.html) resource; refer to it for scope and usage definitions. Laboratory results are grouped and summarized using the DiagnosticReport resource, which typically references Observation resource(s). Each Observation resource represents an individual laboratory test and result value or component result values or a nested panel (such as a microbial susceptibility panel) that references other observations. Laboratory results can also be presented in report form or as free text. This profile sets minimum expectations for the DiagnosticReport resource to record, search, and fetch laboratory results associated with a patient. It specifies which core elements, extensions, vocabularies, and value sets **SHALL** be present and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.	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.	Values Differ
experimental	false		Removed the item 'false'
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	urn:iso:std:iso:3166#US
kind	resource
name	USCoreDiagnosticReportProfileLaboratoryReporting	GenomicsReport	Values Differ
publisher	HL7 International / Cross-Group Projects	HL7 International / Clinical Interoperability Council	Values Differ
purpose
status	active
title	US Core DiagnosticReport Profile for Laboratory Results Reporting	Genomics Report Profile	Values Differ
type	DiagnosticReport
url	http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab	http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomics-report	Values Differ
version	7.0.0	4.0.0	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	R Type	R Description & Constraints	Comments
DiagnosticReport	C	0..*	DiagnosticReport	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'		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	SΣ	0..1	Meta	Metadata about the resource	Σ	0..1	Meta	Metadata about the resource	Elements differ in definition for mustSupport: 'true' vs 'false'
id		0..1	string	Unique id for inter-element referencing					Removed this element
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url					Removed this element
versionId	Σ	0..1	id	Version specific identifier					Removed this element
lastUpdated	SΣ	0..1	instant	When the resource last changed					Removed this element
source	Σ	0..1	uri	Identifies where the resource comes from					Removed this element
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to					Removed this element
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System.					Removed this element
tag	Σ	0..*	Coding	Tags applied to this resource Binding: ?? (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".					Removed this element
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. Additional Bindings Purpose ?? Max Binding		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding
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 Laboratory Report Order 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	Element minimum cardinalities differ: '1' vs '0'
encounter	SΣ	0..1	Reference(US Core Encounter Profile)	Encounter associated with DiagnosticReport	Σ	0..1	Reference(Encounter)	Health care event when test ordered	Elements differ in definition for mustSupport: 'true' vs 'false'
effective[x]	SΣC	0..1	dateTime S, Period	Diagnostically relevant time (typically the time of specimen collection)	SΣ	0..1	dateTime	Clinically relevant time/time-period for report
issued	SΣC	0..1	instant	When the report was released	SΣ	0..1	instant	DateTime this version was made
performer	SΣ	0..*	Reference(US Core Practitioner Profile S | US Core Organization Profile | US Core CareTeam Profile | US Core PractitionerRole 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	Elements differ in definition for mustSupport: 'false' vs 'true'
result	S	0..*	Reference(US Core Laboratory Result Observation Profile)	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	Σ	0..*	BackboneElement	Key images associated with this report	Σ	0..*	BackboneElement	Key images associated with this report
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	Σ	1..1	Reference(Media)	Reference to the image source	Σ	1..1	Reference(Media)	Reference to the image source
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		0..*	Attachment	Entire report as issued		0..*	Attachment	Entire report as issued
Documentation for this format