MyHealtheVet PHR FHIR API
0.3.9-current - ci-build United States of America flag

MyHealtheVet PHR FHIR API, published by VA Digital Services. This guide is not an authorized publication; it is the continuous build for version 0.3.9-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/department-of-veterans-affairs/mhv-fhir-phr-mapping/ and changes regularly. See the Directory of published versions

Resource Profile: VA MHV DiagnosticReport

Official URL: https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/StructureDefinition/VA.MHV.PHR.diagnosticReport Version: 0.3.9-current
Standards status: Trial-use Maturity Level: 1 Computable Name: MHVdiagnosticReport

This defines the use for Chem-Hem and DiagnosticReport, with contained Observation and Specimen as needed.

Laboratory Diagnostic Report

DiagnosticReport:

  • subject is a reference to this patient
  • category is http://terminology.hl7.org/CodeSystem/v2-0074#LAB
    • category may also holds codes from the contained Observation.code
  • identifier will have cross reference to original source
  • status is final or preliminary or entered-in-error
  • effectiveDateTime when the specimen was captured
  • issued is the lab report complete timestamp
  • performer is the lab report author as contained Organization and/or Practitioner
  • Chem-Hem
    • code.text = CH
    • category is http://terminology.hl7.org/CodeSystem/v2-0074#CH for Chem-Hem lab results
    • extension[note] is the lab report comments
    • basedOn is the lab order as contained Orders ServiceRequest(s)
    • specimen are the contained Specimen
    • results are the contained Observation(s)
  • Microbiology
    • code.text = report title
    • code.coding is http://terminology.hl7.org/CodeSystem/v2-0074#MB for Microbiology lab results
    • presentedForm is the lab report text
    • basedOn.identifier may be the caseNumber
    • specimen are the contained Specimen
    • results are the contained Observation
    • performer that is a Practitioner is the ordering physician from the report
  • Pathology
    • code.text = report title
    • code.coding is http://terminology.hl7.org/CodeSystem/v2-0074#SP for Surgical Pathology lab results
    • presentedForm is the lab report text
    • basedOn.identifier may be the caseNumber
    • specimen are the contained Specimen
    • results are the contained Observation
    • performer that is a Practitioner is the Pathologist from the report
  • Note that specimen and observation are different between Chem-Hem and Microbiology/Pathology.
  • Note the use of contained ServiceRequest, Specimen, and Observation means that they are not individually findable or referenceable. To find Observations, look for the Observation code in the DiagnosticReport.category, then look for the contained Observation with that code.
  • no other elements are populated

More detailed profiling, including the ServiceRequest, Specimen, and Observation details:

Chem-Hem

DiagnosticReportidentifier;basedOn;category=`#LAB`+`#CH`;code.text=`CH`;subject;effectiveDateTime;issued;performer;specimen;results;extension[notes];ServiceRequeststatus=#unknown;intent=#order;category;code;subject;requester;performer;Specimenstatus;type;request;collection.collectionDateTime;ObservationbasedOn;status;category=#laboratory;code;subject;effectiveDateTime;issued;performer;value[x];interpretation;note;specimen;referenceRange;1..1 specimen1..1 request1..* basedOn1..1 basedOn0..* results1..1 specimen
Figure: Chem-Hem Labs


Lab Report

  • LabReport for Pathology most common:
    • PATHOLOGY SURGICAL TISSUE REQUEST
    • CYTOLOGY REQUEST (this one is cytology)
    • SURGICAL PATHOLOGY EXAM
    • PATHOLOGY SURGICAL REQUEST
    • SURGICAL TISSUE EXAM
    • SURGICAL PATHOLOGY
  • LabReport for Microbiology most common:
    • Gram Stain
    • Anaerobic Culture
    • Vibrio Culture
    • Spinal Culture
    • Blood Culture
    • Stool Culture
    • Campylobacter Culture
DiagnosticReportidentifier;category=#LAB;code.text;code.coding;subject;effectiveDateTime;issued;performer;specimen;results;presentedForm.data;Specimenstatus;type.text;collection.collectionDateTime;identifer;accessionIdentifer;Observationstatus=#final;category=#laboratory;code.text;code.coding;subject;effectiveDateTime;issued;performer;valueString;specimen;1..1 specimen0..* results1..1 specimen
Figure: Pathology and Microbiology Labs


Search Consideration

  • Should search for entries that do not have status=entered-in-error (i.e., &status:not=entered-in-error)
  • Should search for entries with category of Lab to get only lab DiagnosticReport resources
GET {path}/DiagnosticReport?patient={patient}&status:not=entered-in-error&category=http://terminology.hl7.org/CodeSystem/v2-0074 LAB

Usage:

  • This Resource Profile is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

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

This structure is derived from DiagnosticReport

NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... identifier 1..* Identifier Business identifier for report
... basedOn 1..* Reference(VA MHV PHR CH labTests.orderedTestCode) {c} What was requested
... Slices for category S 1..* CodeableConcept Service category
Slice: Unordered, Open by pattern:$this
.... category:LaboratorySlice 1..1 CodeableConcept Service category
Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: LAB
... code S 1..1 CodeableConcept Name/Code for this diagnostic report
.... coding S 0..* Coding Code defined by a terminology system
Binding: Known Lab Report types (preferred)
... subject 1..1 Reference(Patient | Group | Device | Location) The subject of the report - usually, but not always, the patient
... encounter 0..0
... Slices for effective[x] 0..1 dateTime, Period Clinically relevant time/time-period for report
Slice: Unordered, Open by type:$this
.... effective[x]:effectiveDateTime 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(VA MHV PHR Organization | VA MHV PHR Practitioner) {c} Responsible Diagnostic Service
... resultsInterpreter 0..0
... specimen S 0..* Reference(VA MHV PHR HDR CH Specimen | VA MHV PHR Lab Specimen) {c} Specimens this report is based on
... result S 0..* Reference(VA MHV PHR CH labTest.chemistryResults | VA MHV PHR labTest) {c} Observations
... imagingStudy 0..0
... media 0..0
... conclusion S 0..1 string Clinical conclusion (interpretation) of test results
... conclusionCode 0..0
... presentedForm S 0..* Attachment Entire report as issued

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
DiagnosticReport.code.codingpreferredLabReportVS
https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/ValueSet/LabReportVS
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport 0..* DiagnosticReport 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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 1..* Identifier Business identifier for report
... basedOn 1..* Reference(VA MHV PHR CH labTests.orderedTestCode) {c} What was requested
... status ?!Σ 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:$this
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.


.... category:LaboratorySlice Σ 1..1 CodeableConcept 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 SΣ 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.

.... coding SΣ 0..* Coding Code defined by a terminology system
Binding: Known Lab Report types (preferred)
... subject Σ 1..1 Reference(Patient | Group | Device | Location) The subject of the report - usually, but not always, the patient
... Slices for effective[x] Σ 0..1 Clinically relevant time/time-period for report
Slice: Unordered, Open by type:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effective[x]:effectiveDateTime 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(VA MHV PHR Organization | VA MHV PHR Practitioner) {c} Responsible Diagnostic Service
... specimen S 0..* Reference(VA MHV PHR HDR CH Specimen | VA MHV PHR Lab Specimen) {c} Specimens this report is based on
... result S 0..* Reference(VA MHV PHR CH labTest.chemistryResults | VA MHV PHR labTest) {c} Observations
... conclusion S 0..1 string Clinical conclusion (interpretation) of test results
... presentedForm S 0..* Attachment Entire report as issued

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
DiagnosticReport.statusrequiredDiagnosticReportStatus
http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1
from the FHIR Standard
DiagnosticReport.categoryexampleDiagnosticServiceSectionCodes
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
from the FHIR Standard
DiagnosticReport.category:LaboratorySliceexamplePattern: LAB
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
from the FHIR Standard
DiagnosticReport.codepreferredLOINCDiagnosticReportCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/report-codes
from the FHIR Standard
DiagnosticReport.code.codingpreferredLabReportVS
https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/ValueSet/LabReportVS
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport 0..* DiagnosticReport 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.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 1..* Identifier Business identifier for report
... basedOn 1..* Reference(VA MHV PHR CH labTests.orderedTestCode) {c} What was requested
... status ?!Σ 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:$this
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.


.... category:LaboratorySlice Σ 1..1 CodeableConcept 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 SΣ 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.

.... 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 SΣ 0..* Coding Code defined by a terminology system
Binding: Known Lab Report types (preferred)
.... text Σ 0..1 string Plain text representation of the concept
... subject Σ 1..1 Reference(Patient | Group | Device | Location) The subject of the report - usually, but not always, the patient
... Slices for effective[x] Σ 0..1 Clinically relevant time/time-period for report
Slice: Unordered, Open by type:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effective[x]:effectiveDateTime 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(VA MHV PHR Organization | VA MHV PHR Practitioner) {c} Responsible Diagnostic Service
... specimen S 0..* Reference(VA MHV PHR HDR CH Specimen | VA MHV PHR Lab Specimen) {c} Specimens this report is based on
... result S 0..* Reference(VA MHV PHR CH labTest.chemistryResults | VA MHV PHR labTest) {c} Observations
... conclusion S 0..1 string Clinical conclusion (interpretation) of test results
... presentedForm S 0..* Attachment Entire report as issued

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
DiagnosticReport.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
DiagnosticReport.statusrequiredDiagnosticReportStatus
http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1
from the FHIR Standard
DiagnosticReport.categoryexampleDiagnosticServiceSectionCodes
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
from the FHIR Standard
DiagnosticReport.category:LaboratorySliceexamplePattern: LAB
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
from the FHIR Standard
DiagnosticReport.codepreferredLOINCDiagnosticReportCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/report-codes
from the FHIR Standard
DiagnosticReport.code.codingpreferredLabReportVS
https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/ValueSet/LabReportVS
from this IG

Differential View

This structure is derived from DiagnosticReport

NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... identifier 1..* Identifier Business identifier for report
... basedOn 1..* Reference(VA MHV PHR CH labTests.orderedTestCode) {c} What was requested
... Slices for category S 1..* CodeableConcept Service category
Slice: Unordered, Open by pattern:$this
.... category:LaboratorySlice 1..1 CodeableConcept Service category
Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: LAB
... code S 1..1 CodeableConcept Name/Code for this diagnostic report
.... coding S 0..* Coding Code defined by a terminology system
Binding: Known Lab Report types (preferred)
... subject 1..1 Reference(Patient | Group | Device | Location) The subject of the report - usually, but not always, the patient
... encounter 0..0
... Slices for effective[x] 0..1 dateTime, Period Clinically relevant time/time-period for report
Slice: Unordered, Open by type:$this
.... effective[x]:effectiveDateTime 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(VA MHV PHR Organization | VA MHV PHR Practitioner) {c} Responsible Diagnostic Service
... resultsInterpreter 0..0
... specimen S 0..* Reference(VA MHV PHR HDR CH Specimen | VA MHV PHR Lab Specimen) {c} Specimens this report is based on
... result S 0..* Reference(VA MHV PHR CH labTest.chemistryResults | VA MHV PHR labTest) {c} Observations
... imagingStudy 0..0
... media 0..0
... conclusion S 0..1 string Clinical conclusion (interpretation) of test results
... conclusionCode 0..0
... presentedForm S 0..* Attachment Entire report as issued

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
DiagnosticReport.code.codingpreferredLabReportVS
https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/ValueSet/LabReportVS
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport 0..* DiagnosticReport 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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 1..* Identifier Business identifier for report
... basedOn 1..* Reference(VA MHV PHR CH labTests.orderedTestCode) {c} What was requested
... status ?!Σ 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:$this
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.


.... category:LaboratorySlice Σ 1..1 CodeableConcept 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 SΣ 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.

.... coding SΣ 0..* Coding Code defined by a terminology system
Binding: Known Lab Report types (preferred)
... subject Σ 1..1 Reference(Patient | Group | Device | Location) The subject of the report - usually, but not always, the patient
... Slices for effective[x] Σ 0..1 Clinically relevant time/time-period for report
Slice: Unordered, Open by type:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effective[x]:effectiveDateTime 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(VA MHV PHR Organization | VA MHV PHR Practitioner) {c} Responsible Diagnostic Service
... specimen S 0..* Reference(VA MHV PHR HDR CH Specimen | VA MHV PHR Lab Specimen) {c} Specimens this report is based on
... result S 0..* Reference(VA MHV PHR CH labTest.chemistryResults | VA MHV PHR labTest) {c} Observations
... conclusion S 0..1 string Clinical conclusion (interpretation) of test results
... presentedForm S 0..* Attachment Entire report as issued

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
DiagnosticReport.statusrequiredDiagnosticReportStatus
http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1
from the FHIR Standard
DiagnosticReport.categoryexampleDiagnosticServiceSectionCodes
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
from the FHIR Standard
DiagnosticReport.category:LaboratorySliceexamplePattern: LAB
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
from the FHIR Standard
DiagnosticReport.codepreferredLOINCDiagnosticReportCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/report-codes
from the FHIR Standard
DiagnosticReport.code.codingpreferredLabReportVS
https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/ValueSet/LabReportVS
from this IG

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport 0..* DiagnosticReport 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.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 1..* Identifier Business identifier for report
... basedOn 1..* Reference(VA MHV PHR CH labTests.orderedTestCode) {c} What was requested
... status ?!Σ 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:$this
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.


.... category:LaboratorySlice Σ 1..1 CodeableConcept 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 SΣ 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.

.... 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 SΣ 0..* Coding Code defined by a terminology system
Binding: Known Lab Report types (preferred)
.... text Σ 0..1 string Plain text representation of the concept
... subject Σ 1..1 Reference(Patient | Group | Device | Location) The subject of the report - usually, but not always, the patient
... Slices for effective[x] Σ 0..1 Clinically relevant time/time-period for report
Slice: Unordered, Open by type:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effective[x]:effectiveDateTime 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(VA MHV PHR Organization | VA MHV PHR Practitioner) {c} Responsible Diagnostic Service
... specimen S 0..* Reference(VA MHV PHR HDR CH Specimen | VA MHV PHR Lab Specimen) {c} Specimens this report is based on
... result S 0..* Reference(VA MHV PHR CH labTest.chemistryResults | VA MHV PHR labTest) {c} Observations
... conclusion S 0..1 string Clinical conclusion (interpretation) of test results
... presentedForm S 0..* Attachment Entire report as issued

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
DiagnosticReport.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
DiagnosticReport.statusrequiredDiagnosticReportStatus
http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1
from the FHIR Standard
DiagnosticReport.categoryexampleDiagnosticServiceSectionCodes
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
from the FHIR Standard
DiagnosticReport.category:LaboratorySliceexamplePattern: LAB
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
from the FHIR Standard
DiagnosticReport.codepreferredLOINCDiagnosticReportCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/report-codes
from the FHIR Standard
DiagnosticReport.code.codingpreferredLabReportVS
https://department-of-veterans-affairs.github.io/mhv-fhir-phr-mapping/ValueSet/LabReportVS
from this IG

 

Other representations of profile: CSV, Excel, Schematron

Notes: