eLab posistemės integracijos dokumentacija
0.3.3 - versija
eLab posistemės integracijos dokumentacija - Local Development build (v0.3.3) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Official URL: http://esveikata.lt/fhir/StructureDefinition/lt-diagnosticReport | Version: 0.3.3 | |||
Active as of 2023-02-09 | Computable Name: LtDiagnosticReport |
E200/a laboratorinio tyrimo atsakymo protokolas / E200/a diagnostic report
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from DiagnosticReport
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
DiagnosticReport | DiagnosticReport | |||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
sensitive | S | 0..1 | boolean | Požymis, nurodantis ar protokole yra jautri informacija paciento atžvilgiu / Indicates if results contain sensitive information for the patient URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-sensitive |
showToPatient | S | 0..1 | boolean | Požymis, leidžiantis rodyti šį protokolą pacientui protokole esant jautriai informacijai / Allow the results to be shown to the patient URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-showToPatient |
performedExternally | S | 0..1 | boolean | Požymis, nurodantis ar protokolo tyrimai buvo atliekami išorinėje laboratorijoje / Indicates if results were produced in another laboratory URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-performedExternally |
requestedBy | S | 0..2 | Identifier | Reikšmė, nurodanti tyrimą užsakiusį specialistą ir organizaciją / Indicates the requesting specialist and organization URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-requestedBy |
basedOn | S | 1..* | Reference(LtServiceRequest) | Užsakyti tyrimai, dėl kurių atsirado šis protokolas / What was requested |
status | S | 1..1 | code | Statusas / status |
code | S | 1..1 | CodeableConcept | Protokolo tipas / Name/Code for this diagnostic report |
Slices for coding | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | |
coding:Loinc | S | 1..1 | Coding | Code defined by a terminology system |
system | 1..1 | uri | Identity of the terminology system Required Pattern: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system | |
subject | S | 1..1 | Reference(LtPatient) | Pacientas, kuriam buvo atliekami protokole esantys tyrimai / The subject of the report - the patient |
encounter | S | 1..1 | Reference(Encounter) | Apsilankymo kontekstas / Encounter context |
effective[x] | S | 1..1 | dateTime | Protokolo pateikimo laikas / Clinically relevant time/time-period for report |
issued | S | 0..1 | instant | Protokolo patvirtinimo laikas / Time this version was made |
performer | S | 1..1 | Reference(LtPractitionerRole) | Protokolą parengęs specialistas / Specialists who submitted the report |
resultsInterpreter | S | 0..1 | Reference(LtPractitionerRole) | Protokolą patvirtinęs specialistas / Who confirmed the results |
specimen | S | 1..* | Reference(LtSpecimen) | Ėminiai, kuriais remiantis buvo gauti atsakymo rezultatai / Specimens this report is based on |
result | S | 1..* | Reference(LtObservation | LtObservationPanel) | Protokolą sudarančios atliktų tyrimų panelės ir analitės / Panels and/or observations |
note | S | 0..* | Annotation | Pastabos / Comments about the diagnostic report |
Documentation for this format |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
DiagnosticReport | C | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports dgr-1: When a Composition is referenced in `Diagnostic.composition`, all Observation resources referenced in `Composition.entry` must also be referenced in `Diagnostic.entry` or in the references Observations in `Observation.hasMember` |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
contained | 0..* | Resource | Contained, inline Resources | |
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
sensitive | S | 0..1 | boolean | Požymis, nurodantis ar protokole yra jautri informacija paciento atžvilgiu / Indicates if results contain sensitive information for the patient URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-sensitive |
showToPatient | S | 0..1 | boolean | Požymis, leidžiantis rodyti šį protokolą pacientui protokole esant jautriai informacijai / Allow the results to be shown to the patient URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-showToPatient |
performedExternally | S | 0..1 | boolean | Požymis, nurodantis ar protokolo tyrimai buvo atliekami išorinėje laboratorijoje / Indicates if results were produced in another laboratory URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-performedExternally |
requestedBy | S | 0..2 | Identifier | Reikšmė, nurodanti tyrimą užsakiusį specialistą ir organizaciją / Indicates the requesting specialist and organization URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-requestedBy |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
basedOn | S | 1..* | Reference(LtServiceRequest) | Užsakyti tyrimai, dėl kurių atsirado šis protokolas / What was requested |
status | ?!SΣ | 1..1 | code | Statusas / status Binding: DiagnosticReportStatus (required): The status of the diagnostic report. |
code | SΣ | 1..1 | CodeableConcept | Protokolo tipas / Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): LOINC Codes for Diagnostic Reports |
Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system |
coding:Loinc | SΣ | 1..1 | Coding | Code defined by a terminology system |
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://loinc.org |
code | ΣC | 1..1 | code | Symbol in syntax defined by the system |
subject | SΣ | 1..1 | Reference(LtPatient) | Pacientas, kuriam buvo atliekami protokole esantys tyrimai / The subject of the report - the patient |
encounter | SΣ | 1..1 | Reference(Encounter) | Apsilankymo kontekstas / Encounter context |
effective[x] | SΣ | 1..1 | dateTime | Protokolo pateikimo laikas / Clinically relevant time/time-period for report |
issued | SΣ | 0..1 | instant | Protokolo patvirtinimo laikas / Time this version was made |
performer | SΣ | 1..1 | Reference(LtPractitionerRole) | Protokolą parengęs specialistas / Specialists who submitted the report |
resultsInterpreter | SΣ | 0..1 | Reference(LtPractitionerRole) | Protokolą patvirtinęs specialistas / Who confirmed the results |
specimen | S | 1..* | Reference(LtSpecimen) | Ėminiai, kuriais remiantis buvo gauti atsakymo rezultatai / Specimens this report is based on |
result | SC | 1..* | Reference(LtObservation | LtObservationPanel) | Protokolą sudarančios atliktų tyrimų panelės ir analitės / Panels and/or observations |
note | S | 0..* | Annotation | Pastabos / Comments about the diagnostic report |
Documentation for this format |
Path | Conformance | ValueSet | URI |
DiagnosticReport.status | required | DiagnosticReportStatushttp://hl7.org/fhir/ValueSet/diagnostic-report-status|5.0.0 from the FHIR Standard | |
DiagnosticReport.code | preferred | LOINCDiagnosticReportCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/report-codes from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
dgr-1 | error | DiagnosticReport | When a Composition is referenced in `Diagnostic.composition`, all Observation resources referenced in `Composition.entry` must also be referenced in `Diagnostic.entry` or in the references Observations in `Observation.hasMember` : composition.exists() implies (composition.resolve().section.entry.reference.where(resolve() is Observation) in (result.reference|result.reference.resolve().hasMember.reference)) | |
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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() |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
DiagnosticReport | C | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports dgr-1: When a Composition is referenced in `Diagnostic.composition`, all Observation resources referenced in `Composition.entry` must also be referenced in `Diagnostic.entry` or in the references Observations in `Observation.hasMember` | ||||
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: AllLanguages (required): IETF language tag for 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 | |||||
sensitive | S | 0..1 | boolean | Požymis, nurodantis ar protokole yra jautri informacija paciento atžvilgiu / Indicates if results contain sensitive information for the patient URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-sensitive | ||||
showToPatient | S | 0..1 | boolean | Požymis, leidžiantis rodyti šį protokolą pacientui protokole esant jautriai informacijai / Allow the results to be shown to the patient URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-showToPatient | ||||
performedExternally | S | 0..1 | boolean | Požymis, nurodantis ar protokolo tyrimai buvo atliekami išorinėje laboratorijoje / Indicates if results were produced in another laboratory URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-performedExternally | ||||
requestedBy | S | 0..2 | Identifier | Reikšmė, nurodanti tyrimą užsakiusį specialistą ir organizaciją / Indicates the requesting specialist and organization URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-requestedBy | ||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | Σ | 0..* | Identifier | Business identifier for report | ||||
basedOn | S | 1..* | Reference(LtServiceRequest) | Užsakyti tyrimai, dėl kurių atsirado šis protokolas / What was requested | ||||
status | ?!SΣ | 1..1 | code | Statusas / status Binding: DiagnosticReportStatus (required): The status of the diagnostic report. | ||||
category | Σ | 0..* | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074 | ||||
code | SΣ | 1..1 | CodeableConcept | Protokolo tipas / Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): LOINC Codes for Diagnostic Reports | ||||
id | 0..1 | id | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | ||||
coding:Loinc | SΣ | 1..1 | Coding | Code defined by a terminology system | ||||
id | 0..1 | id | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://loinc.org | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | ΣC | 1..1 | code | Symbol in syntax defined by the system | ||||
display | ΣC | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
subject | SΣ | 1..1 | Reference(LtPatient) | Pacientas, kuriam buvo atliekami protokole esantys tyrimai / The subject of the report - the patient | ||||
encounter | SΣ | 1..1 | Reference(Encounter) | Apsilankymo kontekstas / Encounter context | ||||
effective[x] | SΣ | 1..1 | dateTime | Protokolo pateikimo laikas / Clinically relevant time/time-period for report | ||||
issued | SΣ | 0..1 | instant | Protokolo patvirtinimo laikas / Time this version was made | ||||
performer | SΣ | 1..1 | Reference(LtPractitionerRole) | Protokolą parengęs specialistas / Specialists who submitted the report | ||||
resultsInterpreter | SΣ | 0..1 | Reference(LtPractitionerRole) | Protokolą patvirtinęs specialistas / Who confirmed the results | ||||
specimen | S | 1..* | Reference(LtSpecimen) | Ėminiai, kuriais remiantis buvo gauti atsakymo rezultatai / Specimens this report is based on | ||||
result | SC | 1..* | Reference(LtObservation | LtObservationPanel) | Protokolą sudarančios atliktų tyrimų panelės ir analitės / Panels and/or observations | ||||
note | S | 0..* | Annotation | Pastabos / Comments about the diagnostic report | ||||
study | 0..* | Reference(GenomicStudy | ImagingStudy) | Reference to full details of an analysis associated with the diagnostic report | |||||
supportingInfo | 0..* | BackboneElement | Additional information supporting the diagnostic 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 | ||||
type | 1..1 | CodeableConcept | Supporting information role code Binding: hl7VS-VS-observationType (example): The code value for the role of the supporting information in the diagnostic report. | |||||
reference | 1..1 | Reference(Procedure | Observation | DiagnosticReport | Citation) | Supporting information reference | |||||
media | Σ | 0..* | BackboneElement | Key images or data 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 or data (e.g. explanation) | |||||
link | Σ | 1..1 | Reference(DocumentReference) | Reference to the image or data source | ||||
composition | C | 0..1 | Reference(Composition) | Reference to a Composition resource for the DiagnosticReport structure | ||||
conclusion | 0..1 | markdown | Clinical conclusion (interpretation) of test results | |||||
conclusionCode | 0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): SNOMED CT Clinical Findings | |||||
presentedForm | 0..* | Attachment | Entire report as issued | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI |
DiagnosticReport.language | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard | |
DiagnosticReport.status | required | DiagnosticReportStatushttp://hl7.org/fhir/ValueSet/diagnostic-report-status|5.0.0 from the FHIR Standard | |
DiagnosticReport.category | 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.supportingInfo.type | example | Hl7VSVSObservationTypehttp://terminology.hl7.org/ValueSet/v2-0936 | |
DiagnosticReport.conclusionCode | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
dgr-1 | error | DiagnosticReport | When a Composition is referenced in `Diagnostic.composition`, all Observation resources referenced in `Composition.entry` must also be referenced in `Diagnostic.entry` or in the references Observations in `Observation.hasMember` : composition.exists() implies (composition.resolve().section.entry.reference.where(resolve() is Observation) in (result.reference|result.reference.resolve().hasMember.reference)) | |
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 DiagnosticReport
Summary
Mandatory: 12 elements
Must-Support: 17 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from DiagnosticReport
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
DiagnosticReport | DiagnosticReport | |||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
sensitive | S | 0..1 | boolean | Požymis, nurodantis ar protokole yra jautri informacija paciento atžvilgiu / Indicates if results contain sensitive information for the patient URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-sensitive |
showToPatient | S | 0..1 | boolean | Požymis, leidžiantis rodyti šį protokolą pacientui protokole esant jautriai informacijai / Allow the results to be shown to the patient URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-showToPatient |
performedExternally | S | 0..1 | boolean | Požymis, nurodantis ar protokolo tyrimai buvo atliekami išorinėje laboratorijoje / Indicates if results were produced in another laboratory URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-performedExternally |
requestedBy | S | 0..2 | Identifier | Reikšmė, nurodanti tyrimą užsakiusį specialistą ir organizaciją / Indicates the requesting specialist and organization URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-requestedBy |
basedOn | S | 1..* | Reference(LtServiceRequest) | Užsakyti tyrimai, dėl kurių atsirado šis protokolas / What was requested |
status | S | 1..1 | code | Statusas / status |
code | S | 1..1 | CodeableConcept | Protokolo tipas / Name/Code for this diagnostic report |
Slices for coding | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | |
coding:Loinc | S | 1..1 | Coding | Code defined by a terminology system |
system | 1..1 | uri | Identity of the terminology system Required Pattern: http://loinc.org | |
code | 1..1 | code | Symbol in syntax defined by the system | |
subject | S | 1..1 | Reference(LtPatient) | Pacientas, kuriam buvo atliekami protokole esantys tyrimai / The subject of the report - the patient |
encounter | S | 1..1 | Reference(Encounter) | Apsilankymo kontekstas / Encounter context |
effective[x] | S | 1..1 | dateTime | Protokolo pateikimo laikas / Clinically relevant time/time-period for report |
issued | S | 0..1 | instant | Protokolo patvirtinimo laikas / Time this version was made |
performer | S | 1..1 | Reference(LtPractitionerRole) | Protokolą parengęs specialistas / Specialists who submitted the report |
resultsInterpreter | S | 0..1 | Reference(LtPractitionerRole) | Protokolą patvirtinęs specialistas / Who confirmed the results |
specimen | S | 1..* | Reference(LtSpecimen) | Ėminiai, kuriais remiantis buvo gauti atsakymo rezultatai / Specimens this report is based on |
result | S | 1..* | Reference(LtObservation | LtObservationPanel) | Protokolą sudarančios atliktų tyrimų panelės ir analitės / Panels and/or observations |
note | S | 0..* | Annotation | Pastabos / Comments about the diagnostic report |
Documentation for this format |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
DiagnosticReport | C | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports dgr-1: When a Composition is referenced in `Diagnostic.composition`, all Observation resources referenced in `Composition.entry` must also be referenced in `Diagnostic.entry` or in the references Observations in `Observation.hasMember` |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
contained | 0..* | Resource | Contained, inline Resources | |
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
sensitive | S | 0..1 | boolean | Požymis, nurodantis ar protokole yra jautri informacija paciento atžvilgiu / Indicates if results contain sensitive information for the patient URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-sensitive |
showToPatient | S | 0..1 | boolean | Požymis, leidžiantis rodyti šį protokolą pacientui protokole esant jautriai informacijai / Allow the results to be shown to the patient URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-showToPatient |
performedExternally | S | 0..1 | boolean | Požymis, nurodantis ar protokolo tyrimai buvo atliekami išorinėje laboratorijoje / Indicates if results were produced in another laboratory URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-performedExternally |
requestedBy | S | 0..2 | Identifier | Reikšmė, nurodanti tyrimą užsakiusį specialistą ir organizaciją / Indicates the requesting specialist and organization URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-requestedBy |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
basedOn | S | 1..* | Reference(LtServiceRequest) | Užsakyti tyrimai, dėl kurių atsirado šis protokolas / What was requested |
status | ?!SΣ | 1..1 | code | Statusas / status Binding: DiagnosticReportStatus (required): The status of the diagnostic report. |
code | SΣ | 1..1 | CodeableConcept | Protokolo tipas / Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): LOINC Codes for Diagnostic Reports |
Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system |
coding:Loinc | SΣ | 1..1 | Coding | Code defined by a terminology system |
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://loinc.org |
code | ΣC | 1..1 | code | Symbol in syntax defined by the system |
subject | SΣ | 1..1 | Reference(LtPatient) | Pacientas, kuriam buvo atliekami protokole esantys tyrimai / The subject of the report - the patient |
encounter | SΣ | 1..1 | Reference(Encounter) | Apsilankymo kontekstas / Encounter context |
effective[x] | SΣ | 1..1 | dateTime | Protokolo pateikimo laikas / Clinically relevant time/time-period for report |
issued | SΣ | 0..1 | instant | Protokolo patvirtinimo laikas / Time this version was made |
performer | SΣ | 1..1 | Reference(LtPractitionerRole) | Protokolą parengęs specialistas / Specialists who submitted the report |
resultsInterpreter | SΣ | 0..1 | Reference(LtPractitionerRole) | Protokolą patvirtinęs specialistas / Who confirmed the results |
specimen | S | 1..* | Reference(LtSpecimen) | Ėminiai, kuriais remiantis buvo gauti atsakymo rezultatai / Specimens this report is based on |
result | SC | 1..* | Reference(LtObservation | LtObservationPanel) | Protokolą sudarančios atliktų tyrimų panelės ir analitės / Panels and/or observations |
note | S | 0..* | Annotation | Pastabos / Comments about the diagnostic report |
Documentation for this format |
Path | Conformance | ValueSet | URI |
DiagnosticReport.status | required | DiagnosticReportStatushttp://hl7.org/fhir/ValueSet/diagnostic-report-status|5.0.0 from the FHIR Standard | |
DiagnosticReport.code | preferred | LOINCDiagnosticReportCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/report-codes from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
dgr-1 | error | DiagnosticReport | When a Composition is referenced in `Diagnostic.composition`, all Observation resources referenced in `Composition.entry` must also be referenced in `Diagnostic.entry` or in the references Observations in `Observation.hasMember` : composition.exists() implies (composition.resolve().section.entry.reference.where(resolve() is Observation) in (result.reference|result.reference.resolve().hasMember.reference)) | |
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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() |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
DiagnosticReport | C | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports dgr-1: When a Composition is referenced in `Diagnostic.composition`, all Observation resources referenced in `Composition.entry` must also be referenced in `Diagnostic.entry` or in the references Observations in `Observation.hasMember` | ||||
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: AllLanguages (required): IETF language tag for 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 | |||||
sensitive | S | 0..1 | boolean | Požymis, nurodantis ar protokole yra jautri informacija paciento atžvilgiu / Indicates if results contain sensitive information for the patient URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-sensitive | ||||
showToPatient | S | 0..1 | boolean | Požymis, leidžiantis rodyti šį protokolą pacientui protokole esant jautriai informacijai / Allow the results to be shown to the patient URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-showToPatient | ||||
performedExternally | S | 0..1 | boolean | Požymis, nurodantis ar protokolo tyrimai buvo atliekami išorinėje laboratorijoje / Indicates if results were produced in another laboratory URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-performedExternally | ||||
requestedBy | S | 0..2 | Identifier | Reikšmė, nurodanti tyrimą užsakiusį specialistą ir organizaciją / Indicates the requesting specialist and organization URL: http://esveikata.lt/fhir/StructureDefinition/diagnosticReport-requestedBy | ||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | Σ | 0..* | Identifier | Business identifier for report | ||||
basedOn | S | 1..* | Reference(LtServiceRequest) | Užsakyti tyrimai, dėl kurių atsirado šis protokolas / What was requested | ||||
status | ?!SΣ | 1..1 | code | Statusas / status Binding: DiagnosticReportStatus (required): The status of the diagnostic report. | ||||
category | Σ | 0..* | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074 | ||||
code | SΣ | 1..1 | CodeableConcept | Protokolo tipas / Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): LOINC Codes for Diagnostic Reports | ||||
id | 0..1 | id | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
Slices for coding | Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | ||||
coding:Loinc | SΣ | 1..1 | Coding | Code defined by a terminology system | ||||
id | 0..1 | id | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://loinc.org | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | ΣC | 1..1 | code | Symbol in syntax defined by the system | ||||
display | ΣC | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
subject | SΣ | 1..1 | Reference(LtPatient) | Pacientas, kuriam buvo atliekami protokole esantys tyrimai / The subject of the report - the patient | ||||
encounter | SΣ | 1..1 | Reference(Encounter) | Apsilankymo kontekstas / Encounter context | ||||
effective[x] | SΣ | 1..1 | dateTime | Protokolo pateikimo laikas / Clinically relevant time/time-period for report | ||||
issued | SΣ | 0..1 | instant | Protokolo patvirtinimo laikas / Time this version was made | ||||
performer | SΣ | 1..1 | Reference(LtPractitionerRole) | Protokolą parengęs specialistas / Specialists who submitted the report | ||||
resultsInterpreter | SΣ | 0..1 | Reference(LtPractitionerRole) | Protokolą patvirtinęs specialistas / Who confirmed the results | ||||
specimen | S | 1..* | Reference(LtSpecimen) | Ėminiai, kuriais remiantis buvo gauti atsakymo rezultatai / Specimens this report is based on | ||||
result | SC | 1..* | Reference(LtObservation | LtObservationPanel) | Protokolą sudarančios atliktų tyrimų panelės ir analitės / Panels and/or observations | ||||
note | S | 0..* | Annotation | Pastabos / Comments about the diagnostic report | ||||
study | 0..* | Reference(GenomicStudy | ImagingStudy) | Reference to full details of an analysis associated with the diagnostic report | |||||
supportingInfo | 0..* | BackboneElement | Additional information supporting the diagnostic 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 | ||||
type | 1..1 | CodeableConcept | Supporting information role code Binding: hl7VS-VS-observationType (example): The code value for the role of the supporting information in the diagnostic report. | |||||
reference | 1..1 | Reference(Procedure | Observation | DiagnosticReport | Citation) | Supporting information reference | |||||
media | Σ | 0..* | BackboneElement | Key images or data 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 or data (e.g. explanation) | |||||
link | Σ | 1..1 | Reference(DocumentReference) | Reference to the image or data source | ||||
composition | C | 0..1 | Reference(Composition) | Reference to a Composition resource for the DiagnosticReport structure | ||||
conclusion | 0..1 | markdown | Clinical conclusion (interpretation) of test results | |||||
conclusionCode | 0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): SNOMED CT Clinical Findings | |||||
presentedForm | 0..* | Attachment | Entire report as issued | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI |
DiagnosticReport.language | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard | |
DiagnosticReport.status | required | DiagnosticReportStatushttp://hl7.org/fhir/ValueSet/diagnostic-report-status|5.0.0 from the FHIR Standard | |
DiagnosticReport.category | 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.supportingInfo.type | example | Hl7VSVSObservationTypehttp://terminology.hl7.org/ValueSet/v2-0936 | |
DiagnosticReport.conclusionCode | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
dgr-1 | error | DiagnosticReport | When a Composition is referenced in `Diagnostic.composition`, all Observation resources referenced in `Composition.entry` must also be referenced in `Diagnostic.entry` or in the references Observations in `Observation.hasMember` : composition.exists() implies (composition.resolve().section.entry.reference.where(resolve() is Observation) in (result.reference|result.reference.resolve().hasMember.reference)) | |
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 DiagnosticReport
Summary
Mandatory: 12 elements
Must-Support: 17 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron