AU Core Implementation Guide
2.0.1-ci-build - CI Build
AU Core Implementation Guide, published by HL7 Australia. This guide is not an authorized publication; it is the continuous build for version 2.0.1-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7au/au-fhir-core/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.org.au/fhir/core/StructureDefinition/au-core-diagnosticreport | Version: 2.0.1-ci-build | |||
| Standards status: Trial-use | Maturity Level: 0 | Computable Name: AUCoreDiagnosticReport | ||
Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License. HL7 Australia© 2022+; Licensed Under Creative Commons No Rights Reserved. |
||||
This profile sets minimum expectations for a DiagnosticReport resource to record, search, and fetch diagnostic reports associated with a patient in an Australian context. It is based on the AU Base Diagnostic Report profile and identifies the additional mandatory core elements, extensions, vocabularies and value sets that SHALL be present in the DiagnosticReport when conforming to this profile.
See Comparison with other national and international IGs for a comparison between AU Core profiles and profiles in other implementation guides.
The following are supported usage scenarios for this profile:
DiagnosticReport.code identifies the panel procedure (e.g. Lipid panel)DiagnosticReport.result references Observation resources containing results of tests performed as part of the panel (e.g. HDL, LDL, cholesterol and triglycerides)Usages:
You can also check for usages in the FHIR IG Statistics
Changes since version 2.0.0:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.category | Base | preferred | Diagnostic Service Section Codes | 📦4.0.1 | FHIR Std. |
| DiagnosticReport.code | Base | preferred |
Evaluation Procedure
|
⏿1.0.0 | tx.hl7.org.au |
| Id | Grade | Path(s) | Description | Expression |
| au-core-dr-01 | error | DiagnosticReport | If the status is 'partial', 'preliminary', 'final', 'amended', 'corrected' or 'appended', effective[x] and issued SHALL be present |
(status='partial' or status='preliminary' or status='final' or status='amended' or status='corrected' or status='appended' ) implies (effective.exists() and issued.exists())
|
| dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from AUBaseDiagnosticReport
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
![]() |
C | 0..* | AUBaseDiagnosticReport | A diagnostic report in an Australian healthcare context Constraints: au-core-dr-01 | ||||||
![]() ![]() |
SO | 0..* | Identifier, AULocalOrderIdentifier, AULocalReportIdentifier, AUAccessionNumber | Business identifier for report
| ||||||
![]() ![]() |
SOC | 1..1 | code | registered | partial | preliminary | final +
| ||||||
![]() ![]() |
SO | 1..* | CodeableConcept | Service category
| ||||||
![]() ![]() |
SO | 1..1 | CodeableConcept | Name/Code for this diagnostic report
| ||||||
![]() ![]() |
SO | 1..1 | Reference(AU Core Patient) | The subject of the report - usually, but not always, the patient
| ||||||
![]() ![]() |
SOC | 0..1 | dateTime, Period | Clinically relevant time/time-period for report
| ||||||
![]() ![]() |
SOC | 0..1 | instant | DateTime this version was made
| ||||||
![]() ![]() |
SO | 0..* | Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Organization | CareTeam) | Responsible Diagnostic Service
| ||||||
![]() ![]() |
SO | 0..* | Reference(AU Core Diagnostic Result Observation | AU Base Diagnostic Imaging Result | AU Core Pathology Result Observation) | Observations
| ||||||
![]() ![]() |
SO | 0..* | Attachment | Entire report as issued
| ||||||
Documentation for this format | ||||||||||
| Id | Grade | Path(s) | Description | Expression |
| au-core-dr-01 | error | DiagnosticReport | If the status is 'partial', 'preliminary', 'final', 'amended', 'corrected' or 'appended', effective[x] and issued SHALL be present |
(status='partial' or status='preliminary' or status='final' or status='amended' or status='corrected' or status='appended' ) implies (effective.exists() and issued.exists())
|
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
![]() |
C | 0..* | AUBaseDiagnosticReport | A diagnostic report in an Australian healthcare context Constraints: au-core-dr-01 | ||||||
![]() ![]() |
Σ | 0..1 | id | Logical id of this artifact | ||||||
![]() ![]() |
Σ | 0..1 | Meta | Metadata about the resource | ||||||
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||
![]() ![]() |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||||
![]() ![]() |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||
![]() ![]() |
0..* | Resource | Contained, inline Resources | |||||||
![]() ![]() |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||
![]() ![]() ![]() |
0..* | (Complex) | A context-specific sex parameter for clinical use URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse | |||||||
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||
![]() ![]() |
SOΣ | 0..* | Identifier, AULocalOrderIdentifier, AULocalReportIdentifier, AUAccessionNumber | Business identifier for report
| ||||||
![]() ![]() |
0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest | AU Base ServiceRequest) | What was requested | |||||||
![]() ![]() |
?!SOΣC | 1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
| ||||||
![]() ![]() |
SOΣ | 1..* | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (preferred)
| ||||||
![]() ![]() |
SOΣ | 1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: Evaluation Procedure (preferred)
| ||||||
![]() ![]() |
SOΣ | 1..1 | Reference(AU Core Patient) | The subject of the report - usually, but not always, the patient
| ||||||
![]() ![]() |
Σ | 0..1 | Reference(Encounter) | Health care event when test ordered | ||||||
![]() ![]() |
SOΣC | 0..1 | Clinically relevant time/time-period for report
| |||||||
![]() ![]() ![]() |
dateTime | |||||||||
![]() ![]() ![]() |
Period | |||||||||
![]() ![]() |
SOΣC | 0..1 | instant | DateTime this version was made
| ||||||
![]() ![]() |
SOΣ | 0..* | Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Organization | CareTeam) | Responsible Diagnostic Service
| ||||||
![]() ![]() |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter | ||||||
![]() ![]() |
0..* | Reference(AU Base Specimen) | Specimens this report is based on | |||||||
![]() ![]() |
SO | 0..* | Reference(AU Core Diagnostic Result Observation | AU Base Diagnostic Imaging Result | AU Core Pathology Result Observation) | Observations
| ||||||
![]() ![]() |
0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic report | |||||||
![]() ![]() |
Σ | 0..* | BackboneElement | Key images associated with this report | ||||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||||
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||
![]() ![]() ![]() |
0..1 | string | Comment about the image (e.g. explanation) | |||||||
![]() ![]() ![]() |
Σ | 1..1 | Reference(Media) | Reference to the image source | ||||||
![]() ![]() |
0..1 | string | Clinical conclusion (interpretation) of test results | |||||||
![]() ![]() |
0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: Clinical Finding (preferred) | |||||||
![]() ![]() |
SO | 0..* | Attachment | Entire report as issued
| ||||||
Documentation for this format | ||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.category | Base | preferred | Diagnostic Service Section Codes | 📦4.0.1 | FHIR Std. |
| DiagnosticReport.code | Base | preferred |
Evaluation Procedure
|
⏿1.0.0 | tx.hl7.org.au |
| DiagnosticReport.conclusionCode | Base | preferred |
Clinical Finding
|
⏿1.0.2 | tx.hl7.org.au |
| Id | Grade | Path(s) | Description | Expression |
| au-core-dr-01 | error | DiagnosticReport | If the status is 'partial', 'preliminary', 'final', 'amended', 'corrected' or 'appended', effective[x] and issued SHALL be present |
(status='partial' or status='preliminary' or status='final' or status='amended' or status='corrected' or status='appended' ) implies (effective.exists() and issued.exists())
|
| dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from AUBaseDiagnosticReport
Summary
Mandatory: 2 elements
Must-Support: 10 elements
Structures
This structure refers to these other structures:
Maturity: 0
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
![]() |
C | 0..* | AUBaseDiagnosticReport | A diagnostic report in an Australian healthcare context Constraints: au-core-dr-01 | ||||||
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||
![]() ![]() |
Content/Rules for all slices | |||||||||
![]() ![]() ![]() |
0..* | (Complex) | A context-specific sex parameter for clinical use URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse | |||||||
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||
![]() ![]() |
SOΣ | 0..* | Identifier, AULocalOrderIdentifier, AULocalReportIdentifier, AUAccessionNumber | Business identifier for report
| ||||||
![]() ![]() |
?!SOΣC | 1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
| ||||||
![]() ![]() |
SOΣ | 1..* | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (preferred)
| ||||||
![]() ![]() |
SOΣ | 1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: Evaluation Procedure (preferred)
| ||||||
![]() ![]() |
SOΣ | 1..1 | Reference(AU Core Patient) | The subject of the report - usually, but not always, the patient
| ||||||
![]() ![]() |
SOΣC | 0..1 | Clinically relevant time/time-period for report
| |||||||
![]() ![]() ![]() |
dateTime | |||||||||
![]() ![]() ![]() |
Period | |||||||||
![]() ![]() |
SOΣC | 0..1 | instant | DateTime this version was made
| ||||||
![]() ![]() |
SOΣ | 0..* | Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Organization | CareTeam) | Responsible Diagnostic Service
| ||||||
![]() ![]() |
SO | 0..* | Reference(AU Core Diagnostic Result Observation | AU Base Diagnostic Imaging Result | AU Core Pathology Result Observation) | Observations
| ||||||
![]() ![]() |
SO | 0..* | Attachment | Entire report as issued
| ||||||
Documentation for this format | ||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.category | Base | preferred | Diagnostic Service Section Codes | 📦4.0.1 | FHIR Std. |
| DiagnosticReport.code | Base | preferred |
Evaluation Procedure
|
⏿1.0.0 | tx.hl7.org.au |
| Id | Grade | Path(s) | Description | Expression |
| au-core-dr-01 | error | DiagnosticReport | If the status is 'partial', 'preliminary', 'final', 'amended', 'corrected' or 'appended', effective[x] and issued SHALL be present |
(status='partial' or status='preliminary' or status='final' or status='amended' or status='corrected' or status='appended' ) implies (effective.exists() and issued.exists())
|
| dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Differential View
This structure is derived from AUBaseDiagnosticReport
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
![]() |
C | 0..* | AUBaseDiagnosticReport | A diagnostic report in an Australian healthcare context Constraints: au-core-dr-01 | ||||||
![]() ![]() |
SO | 0..* | Identifier, AULocalOrderIdentifier, AULocalReportIdentifier, AUAccessionNumber | Business identifier for report
| ||||||
![]() ![]() |
SOC | 1..1 | code | registered | partial | preliminary | final +
| ||||||
![]() ![]() |
SO | 1..* | CodeableConcept | Service category
| ||||||
![]() ![]() |
SO | 1..1 | CodeableConcept | Name/Code for this diagnostic report
| ||||||
![]() ![]() |
SO | 1..1 | Reference(AU Core Patient) | The subject of the report - usually, but not always, the patient
| ||||||
![]() ![]() |
SOC | 0..1 | dateTime, Period | Clinically relevant time/time-period for report
| ||||||
![]() ![]() |
SOC | 0..1 | instant | DateTime this version was made
| ||||||
![]() ![]() |
SO | 0..* | Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Organization | CareTeam) | Responsible Diagnostic Service
| ||||||
![]() ![]() |
SO | 0..* | Reference(AU Core Diagnostic Result Observation | AU Base Diagnostic Imaging Result | AU Core Pathology Result Observation) | Observations
| ||||||
![]() ![]() |
SO | 0..* | Attachment | Entire report as issued
| ||||||
Documentation for this format | ||||||||||
| Id | Grade | Path(s) | Description | Expression |
| au-core-dr-01 | error | DiagnosticReport | If the status is 'partial', 'preliminary', 'final', 'amended', 'corrected' or 'appended', effective[x] and issued SHALL be present |
(status='partial' or status='preliminary' or status='final' or status='amended' or status='corrected' or status='appended' ) implies (effective.exists() and issued.exists())
|
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
![]() |
C | 0..* | AUBaseDiagnosticReport | A diagnostic report in an Australian healthcare context Constraints: au-core-dr-01 | ||||||
![]() ![]() |
Σ | 0..1 | id | Logical id of this artifact | ||||||
![]() ![]() |
Σ | 0..1 | Meta | Metadata about the resource | ||||||
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||
![]() ![]() |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||||
![]() ![]() |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||
![]() ![]() |
0..* | Resource | Contained, inline Resources | |||||||
![]() ![]() |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||
![]() ![]() ![]() |
0..* | (Complex) | A context-specific sex parameter for clinical use URL: http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse | |||||||
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||
![]() ![]() |
SOΣ | 0..* | Identifier, AULocalOrderIdentifier, AULocalReportIdentifier, AUAccessionNumber | Business identifier for report
| ||||||
![]() ![]() |
0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest | AU Base ServiceRequest) | What was requested | |||||||
![]() ![]() |
?!SOΣC | 1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
| ||||||
![]() ![]() |
SOΣ | 1..* | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (preferred)
| ||||||
![]() ![]() |
SOΣ | 1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: Evaluation Procedure (preferred)
| ||||||
![]() ![]() |
SOΣ | 1..1 | Reference(AU Core Patient) | The subject of the report - usually, but not always, the patient
| ||||||
![]() ![]() |
Σ | 0..1 | Reference(Encounter) | Health care event when test ordered | ||||||
![]() ![]() |
SOΣC | 0..1 | Clinically relevant time/time-period for report
| |||||||
![]() ![]() ![]() |
dateTime | |||||||||
![]() ![]() ![]() |
Period | |||||||||
![]() ![]() |
SOΣC | 0..1 | instant | DateTime this version was made
| ||||||
![]() ![]() |
SOΣ | 0..* | Reference(AU Core Practitioner | AU Core PractitionerRole | AU Core Organization | CareTeam) | Responsible Diagnostic Service
| ||||||
![]() ![]() |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter | ||||||
![]() ![]() |
0..* | Reference(AU Base Specimen) | Specimens this report is based on | |||||||
![]() ![]() |
SO | 0..* | Reference(AU Core Diagnostic Result Observation | AU Base Diagnostic Imaging Result | AU Core Pathology Result Observation) | Observations
| ||||||
![]() ![]() |
0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic report | |||||||
![]() ![]() |
Σ | 0..* | BackboneElement | Key images associated with this report | ||||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||||
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||
![]() ![]() ![]() |
0..1 | string | Comment about the image (e.g. explanation) | |||||||
![]() ![]() ![]() |
Σ | 1..1 | Reference(Media) | Reference to the image source | ||||||
![]() ![]() |
0..1 | string | Clinical conclusion (interpretation) of test results | |||||||
![]() ![]() |
0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: Clinical Finding (preferred) | |||||||
![]() ![]() |
SO | 0..* | Attachment | Entire report as issued
| ||||||
Documentation for this format | ||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.category | Base | preferred | Diagnostic Service Section Codes | 📦4.0.1 | FHIR Std. |
| DiagnosticReport.code | Base | preferred |
Evaluation Procedure
|
⏿1.0.0 | tx.hl7.org.au |
| DiagnosticReport.conclusionCode | Base | preferred |
Clinical Finding
|
⏿1.0.2 | tx.hl7.org.au |
| Id | Grade | Path(s) | Description | Expression |
| au-core-dr-01 | error | DiagnosticReport | If the status is 'partial', 'preliminary', 'final', 'amended', 'corrected' or 'appended', effective[x] and issued SHALL be present |
(status='partial' or status='preliminary' or status='final' or status='amended' or status='corrected' or status='appended' ) implies (effective.exists() and issued.exists())
|
| dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from AUBaseDiagnosticReport
Summary
Mandatory: 2 elements
Must-Support: 10 elements
Structures
This structure refers to these other structures:
Maturity: 0
Other representations of profile: CSV, Excel, Schematron
Below is an overview of the mandatory and optional search parameters and combined search parameters. See the AU Core CapabilityStatements for a complete list of supported RESTful interactions for this IG.
FHIR search operations are described here and the syntax used to describe AU Core interactions is defined here.
Any search parameter defined in FHIR may be 'allowed' by the system unless explicitly marked as "SHALL NOT". A few items are marked as MAY in this implementation guide to highlight their potential relevance.
| Parameter(s) | Conformance | Type(s) | Requirements (when used alone or in combination) |
|---|---|---|---|
| _id | SHALL | token |
|
| patient | SHALL | reference |
The requester SHALL provide at least an id value and MAY provide both the Type and id values. The responder SHALL support both. The requester SHALL provide both the system and code values. The responder SHALL support both. The requester SHOULD support chained search patient.identifier using IHI, Medicare Number, and DVA Number identifiers as defined in the AU Core Patient profile. The responder SHOULD support chained search patient.identifier using IHI, Medicare Number, and DVA Number identifiers as defined in the AU Core Patient profile. |
| patient+category | SHALL | reference+token |
|
| patient+category+date | SHALL | reference+token+date |
|
| identifier | SHOULD | token |
The requester SHALL provide at least a code value and MAY provide both the system and code values. The responder SHALL support both. |
| patient+category+status | SHOULD | reference+token+token |
|
| patient+code | SHOULD | reference+token |
|
| patient+code+date | SHOULD | reference+token+date |
|
| patient+status | SHOULD | reference+token |
|
| category | MAY | token |
The requester SHALL provide at least a code value and MAY provide both the system and code values. The responder SHALL support both. |
| code | MAY | token |
The requester SHALL provide at least a code value and MAY provide both the system and code values. The responder SHALL support both. |
| date | MAY | date |
The requester SHALL provide a value precise to the second + time offset. The responder SHALL support a value precise to the second + time offset. The requester SHALL support these search comparators gt, lt, ge, le. The responder SHALL support these search comparators gt, lt, ge, le.The requester SHOULD support multipleAnd, and if multipleAnd is supported, SHALL support the search comparators gt, lt, ge, le. The responder SHOULD support multipleAnd, and if multipleAnd is supported, SHALL support the search comparators gt, lt, ge, le. |
| status | MAY | token |
The requester SHALL provide at least a code value and MAY provide both the system and code values. The responder SHALL support both. |
The following search parameters and search parameter combinations SHALL be supported:
SHALL support searching using the _id search parameter:
GET [base]/DiagnosticReport?_id=[id]
Example:
Implementation Notes: Fetches a bundle with the requested DiagnosticReport, instead of just the resource itself, and allows for the inclusion of additional search parameters such as _include, _revinclude, or _lastUpdated (how to search by id of the resource)
patient search parameter:
patient.identifier (e.g. patient.identifier=[system|][code])GET [base]/DiagnosticReport?patient={Type/}[id] or optionally GET [base]/DiagnosticReport?patient.identifier=[system|][code]
Example:
Implementation Notes: Fetches a bundle of all DiagnosticReport resources for the specified patient (how to search by reference and how to search by token)
patient and category search parameters:
patient.identifier (e.g. patient.identifier=[system|][code])GET [base]/DiagnosticReport?patient={Type/}[id]&category={system|}[code] or optionally GET [base]/DiagnosticReport?patient.identifier=[system|][code]&category={system|}[code]
Example:
Implementation Notes: Fetches a bundle of all DiagnosticReport resources for the specified patient and category (how to search by reference and how to search by token)
patient and category and date search parameters:
patient.identifier (e.g. patient.identifier=[system|][code])date comparators: gt,lt,ge,ledate (e.g. date=[date]&date=[date]&...), and if multipleAnd is supported, SHALL support the search comparators gt,lt,ge,leGET [base]/DiagnosticReport?patient={Type/}[id]&category={system|}[code]&date={gt|lt|ge|le}[date]{&date={gt|lt|ge|le}[date]&...} or optionally GET [base]/DiagnosticReport?patient.identifier=[system|][code]&category={system|}[code]&date={gt|lt|ge|le}[date]{&date={gt|lt|ge|le}[date]&...}
Example:
Implementation Notes: Fetches a bundle of all DiagnosticReport resources for the specified patient, category and date (how to search by reference, how to search by token) and how to search by date
The following search parameters and search parameter combinations SHOULD be supported:
SHOULD support searching using the identifier search parameter:
GET [base]/DiagnosticReport?identifier={system|}[code]
Example:
| GET [base]/DiagnosticReport?identifier=http://ns.electronichealth.net.au/id/hpio-scoped/report/1.0/8003611566718494 | 42657 |
| GET [base]/DiagnosticReport?identifier=https://pullabookapathology.example.com.au/report/report-identifier | 63698 |
Implementation Notes: Fetches a bundle containing all DiagnosticReport resources matching the identifier (how to search by token
patient and category and status search parameters:
patient.identifier (e.g. patient.identifier=[system|][code])GET [base]/DiagnosticReport?patient={Type/}[id]&category={system|}[code]&status={system|}[code] or optionally GET [base]/DiagnosticReport?patient.identifier=[system|][code]&category={system|}[code]&status={system|}[code]
Example:
Implementation Notes: Fetches a bundle of all DiagnosticReport resources for the specified patient, category and status (how to search by reference and how to search by token)
patient and code search parameters:
patient.identifier (e.g. patient.identifier=[system|][code])GET [base]/DiagnosticReport?patient={Type/}[id]&code={system|}[code] or optionally GET [base]/DiagnosticReport?patient.identifier=[system|][code]&code={system|}[code]
Example:
Implementation Notes: Fetches a bundle of all DiagnosticReport resources for the specified patient and code (how to search by reference and how to search by token)
patient and code and date search parameters:
patient.identifier (e.g. patient.identifier=[system|][code])date comparators: gt,lt,ge,ledate (e.g. date=[date]&date=[date]&...), and if multipleAnd is supported, SHALL support the search comparators gt,lt,ge,leGET [base]/DiagnosticReport?patient={Type/}[id]&code={system|}[code]&date={gt|lt|ge|le}[date]{&date={gt|lt|ge|le}[date]&...} or optionally GET [base]/DiagnosticReport?patient.identifier=[system|][code]&code={system|}[code]&date={gt|lt|ge|le}[date]{&date={gt|lt|ge|le}[date]&...}
Example:
Implementation Notes: Fetches a bundle of all DiagnosticReport resources for the specified patient, code and date (how to search by reference, how to search by token and how to search by date)
patient and status search parameters:
patient.identifier (e.g. patient.identifier=[system|][code])GET [base]/DiagnosticReport?patient={Type/}[id]&status={system|}[code] or optionally GET [base]/DiagnosticReport?patient.identifier=[system|][code]&status={system|}[code]
Example:
Implementation Notes: Fetches a bundle of all DiagnosticReport resources matching the specified patient and status (how to search by reference) and how to search by token)