Ontario CorHealth HL7® FHIR® Implementation Guide

Profiles & Operations Index > Profile: DiagnosticReport

Profile: DiagnosticReport

Simplifier project page: CorHealth DiagnosticReport

Canonical_URL	Profile_Status	FHIR_Version
https://corhealth-ontario.ca/fhir/StructureDefinition/corhealth-diagnosticreport	active	4.0.1

Formal Views of Profile Content

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

Differential View

CorHealthDiagnosticReport (DiagnosticReport)

DiagnosticReport

There are no (further) constraints on this element

Element id

DiagnosticReport

Short description

A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports

Alternate names

Report, Test, Result, Results, Labs, Laboratory

Definition

The findings and interpretation of diagnostic tests performed on patients, groups of patients, devices, and locations, and/or specimens derived from these. The report includes clinical context such as requesting and provider information, and some mix of atomic results, images, textual and coded interpretations, and formatted representation of diagnostic reports.

Comments

This is intended to capture a single report and is not suitable for use in displaying summary information that covers multiple reports. For example, this resource has not been designed for laboratory cumulative reporting formats nor detailed structured reports for sequencing.

Data type

DiagnosticReport

Constraints

dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
contained.contained.empty()
dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label
contained.meta.security.empty()
dom-6: A resource should have narrative for robust management
text.`div`.exists()

Mappings

rim: Entity. Role, or Act
workflow: Event
v2: ORU -> OBR
rim: Observation[classCode=OBS, moodCode=EVN]

0..1

string

There are no (further) constraints on this element

Element id

DiagnosticReport.id

Short description

Logical id of this artifact

Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Data type

string

Meta

There are no (further) constraints on this element

Element id

DiagnosticReport.meta

Short description

Metadata about the resource

Definition

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

Data type

Meta

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

implicitRules

Σ ?!

0..1

uri

There are no (further) constraints on this element

Element id

DiagnosticReport.implicitRules

Short description

A set of rules under which this content was created

Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Data type

uri

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

language

0..1

codeBinding

There are no (further) constraints on this element

Element id

DiagnosticReport.language

Short description

Language of the resource content

Definition

The base language in which the resource is written.

Comments

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

Data type

code

Binding

A human language.

CommonLanguages (preferred)

Binding extensions

maxValueSet	AllLanguages

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

text

0..1

Narrative

There are no (further) constraints on this element

Element id

DiagnosticReport.text

Short description

Text summary of the resource, for human interpretation

Alternate names

narrative, html, xhtml, display

Definition

A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

Comments

Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

Data type

Narrative

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: Act.text?

contained

0..*

Resource

There are no (further) constraints on this element

Element id

DiagnosticReport.contained

Short description

Contained, inline Resources

Alternate names

inline resources, anonymous resources, contained resources

Definition

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

Comments

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

Data type

Resource

Mappings

rim: N/A

extension

0..*

Extension

There are no (further) constraints on this element

Element id

DiagnosticReport.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Extension

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

modifierExtension

?! C

0..*

Extension

There are no (further) constraints on this element

Element id

DiagnosticReport.modifierExtension

Short description

Extensions that cannot be ignored

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Comments

Data type

Extension

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

identifier

0..*

Identifier

There are no (further) constraints on this element

Element id

DiagnosticReport.identifier

Short description

Business identifier for report

Alternate names

ReportID, Filler ID, Placer ID

Definition

Identifiers assigned to this report by the performer or other systems.

Requirements

Need to know what identifier to use when making queries about this report from the source laboratory, and for linking to the report outside FHIR context.

Comments

Usually assigned by the Information System of the diagnostic service provider (filler id).

Data type

Identifier

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.identifier
w5: FiveWs.identifier
v2: OBR-51/ for globally unique filler ID - OBR-3 , For non-globally unique filler-id the flller/placer number must be combined with the universal service Id - OBR-2(if present)+OBR-3+OBR-4
rim: id

0..1

string

There are no (further) constraints on this element

Element id

DiagnosticReport.identifier.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

DiagnosticReport.identifier.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

use

Σ ?!

0..1

codeBinding

There are no (further) constraints on this element

Element id

DiagnosticReport.identifier.use

Short description

usual | official | temp | secondary | old (If known)

Definition

The purpose of this identifier.

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Data type

code

Binding

Identifies the purpose for this identifier, if known .

IdentifierUse (required)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: N/A
rim: Role.code or implied by context

type

0..1

CodeableConceptBinding

There are no (further) constraints on this element

Element id

DiagnosticReport.identifier.type

Short description

Description of identifier

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Requirements

Allows users to make use of identifiers when the identifier system is not known.

Comments

This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

Data type

CodeableConcept

Binding

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

Identifier Type Codes (extensible)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: CX.5
rim: Role.code or implied by context

system

1..1

uriPattern

Element id

DiagnosticReport.identifier.system

Short description

The namespace for the identifier value

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Comments

Identifier.system is always case sensitive.

Data type

uri

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

https://corhealth-ontario.ca/NamingSystem/diagnostic-report-id

Examples
General

http://www.acme.com/identifiers/patient

Mappings

v2: CX.4 / EI-2-4
rim: II.root or Role.id.root
servd: ./IdentifierType

value

1..1

string

There are no (further) constraints on this element

Element id

DiagnosticReport.identifier.value

Short description

The value that is unique

Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Comments

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

Mappings

v2: CX.1 / EI.1
rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
servd: ./Value

period

0..1

Period

There are no (further) constraints on this element

Element id

DiagnosticReport.identifier.period

Short description

Time period when id is/was valid for use

Definition

Time period during which identifier is/was valid for use.

Data type

Period

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: CX.7 + CX.8
rim: Role.effectiveTime or implied by context
servd: ./StartDate and ./EndDate

assigner

0..1

Reference(Organization)

There are no (further) constraints on this element

Element id

DiagnosticReport.identifier.assigner

Short description

Organization that issued id (may be just text)

Definition

Organization that issued/manages the identifier.

Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Data type

Reference(Organization)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: CX.4 / (CX.4,CX.9,CX.10)
rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
servd: ./IdentifierIssuingAuthority

basedOn

1..1

Reference(CorHealthServiceRequest)

Element id

DiagnosticReport.basedOn

Short description

What was requested

Alternate names

Request

Definition

Details concerning a service requested.

Requirements

This allows tracing of authorization for the report and tracking whether proposals/recommendations were acted upon.

Comments

Note: Usually there is one test request for each result, however in some circumstances multiple test requests may be represented using a single test result resource. Note that there are also cases where one request leads to multiple reports.

Data type

Reference(CorHealthServiceRequest)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.basedOn
v2: ORC? OBR-2/3?
rim: outboundRelationship[typeCode=FLFS].target

status

Σ ?!

1..1

codeBindingPattern

Element id

DiagnosticReport.status

Short description

registered | partial | preliminary | final +

Definition

The status of the diagnostic report.

Requirements

Diagnostic services routinely issue provisional/incomplete reports, and sometimes withdraw previously released reports.

Data type

code

Binding

The status of the diagnostic report.

DiagnosticReportStatus (required)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

final

Mappings

workflow: Event.status
w5: FiveWs.status
v2: OBR-25 (not 1:1 mapping)
rim: statusCode Note: final and amended are distinguished by whether observation is the subject of a ControlAct event of type "revise"

category

0..*

CodeableConcept

There are no (further) constraints on this element

Element id

DiagnosticReport.category

Short description

Service category

Alternate names

Department, Sub-department, Service, Discipline

Definition

A code that classifies the clinical discipline, department or diagnostic service that created the report (e.g. cardiology, biochemistry, hematology, MRI). This is used for searching, sorting and display purposes.

Comments

Multiple categories are allowed using various categorization schemes. The level of granularity is defined by the category concepts in the value set. More fine-grained filtering can be performed using the metadata and/or terminology hierarchy in DiagnosticReport.code.

Data type

CodeableConcept

Binding

Codes for diagnostic service sections.

DiagnosticServiceSectionCodes (example)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

w5: FiveWs.class
v2: OBR-24
rim: inboundRelationship[typeCode=COMP].source[classCode=LIST, moodCode=EVN, code < LabService].code

code

1..1

CodeableConceptBindingPattern

Element id

DiagnosticReport.code

Short description

Name/Code for this diagnostic report

Alternate names

Type

Definition

A code or name that describes this diagnostic report.

Data type

CodeableConcept

Binding

Codes that describe Diagnostic Reports.

LOINCDiagnosticReportCodes (preferred)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

{
  "coding": [
    {
      "system": "http://loinc.org",
      "code": "34133-9",
      "display": "Summary of episode note"
    }
  ]
}

Mappings

workflow: Event.code
w5: FiveWs.what[x]
v2: OBR-4 (HL7 v2 doesn't provide an easy way to indicate both the ordered test and the performed panel)
rim: code

subject

S Σ

1..1

Reference(CorHealthPatient)

Element id

DiagnosticReport.subject

Short description

The subject of the report - usually, but not always, the patient

Alternate names

Patient

Definition

The subject of the report. Usually, but not always, this is a patient. However, diagnostic services also perform analyses on specimens collected from a variety of other sources.

Requirements

SHALL know the subject context.

Data type

Reference(CorHealthPatient)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.subject
w5: FiveWs.subject[x]
v2: PID-3 (no HL7 v2 mapping for Group or Device)
rim: participation[typeCode=SBJ]
w5: FiveWs.subject

encounter

0..1

Reference(Encounter)

There are no (further) constraints on this element

Element id

DiagnosticReport.encounter

Short description

Health care event when test ordered

Alternate names

Context

Definition

The healthcare event (e.g. a patient and healthcare provider interaction) which this DiagnosticReport is about.

Requirements

Links the request to the Encounter context.

Comments

This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission laboratory tests).

Data type

Reference(Encounter)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.encounter
w5: FiveWs.context
v2: PV1-19
rim: inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]

effective[x]

0..1

There are no (further) constraints on this element

Element id

DiagnosticReport.effective[x]

Short description

Clinically relevant time/time-period for report

Alternate names

Observation time, Effective Time, Occurrence

Definition

The time or time-period the observed values are related to. When the subject of the report is a patient, this is usually either the time of the procedure or of specimen collection(s), but very often the source of the date/time is not known, only the date/time itself.

Requirements

Need to know where in the patient history to file/present this report.

Comments

If the diagnostic procedure was performed on the patient, this is the time it was performed. If there are specimens, the diagnostically relevant time can be derived from the specimen collection times, but the specimen information is not always available, and the exact relationship between the specimens and the diagnostically relevant time is not always automatic.

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.occurrence[x]
w5: FiveWs.done[x]
v2: OBR-7
rim: effectiveTime

effectiveDateTime

dateTime

There are no (further) constraints on this element

Data type

dateTime

effectivePeriod

Period

There are no (further) constraints on this element

Data type

Period

issued

0..1

instant

There are no (further) constraints on this element

Element id

DiagnosticReport.issued

Short description

DateTime this version was made

Alternate names

Date published, Date Issued, Date Verified

Definition

The date and time that this version of the report was made available to providers, typically after the report was reviewed and verified.

Requirements

Clinicians need to be able to check the date that the report was released.

Comments

May be different from the update time of the resource itself, because that is the status of the record (potentially a secondary copy), not the actual release time of the report.

Data type

instant

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

w5: FiveWs.recorded
v2: OBR-22
rim: participation[typeCode=VRF or AUT].time

performer

0..*

Reference(Practitioner | PractitionerRole | Organization | CareTeam)

There are no (further) constraints on this element

Element id

DiagnosticReport.performer

Short description

Responsible Diagnostic Service

Alternate names

Laboratory, Service, Practitioner, Department, Company, Authorized by, Director

Definition

The diagnostic service that is responsible for issuing the report.

Requirements

Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis.

Comments

This is not necessarily the source of the atomic data items or the entity that interpreted the results. It is the entity that takes responsibility for the clinical report.

Data type

Reference(Practitioner | PractitionerRole | Organization | CareTeam)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.performer.actor
w5: FiveWs.actor
v2: PRT-8 (where this PRT-4-Participation = "PO")
rim: .participation[typeCode=PRF]

resultsInterpreter

0..*

Reference(Practitioner | PractitionerRole | Organization | CareTeam)

There are no (further) constraints on this element

Element id

DiagnosticReport.resultsInterpreter

Short description

Primary result interpreter

Alternate names

Analyzed by, Reported by

Definition

The practitioner or organization that is responsible for the report's conclusions and interpretations.

Requirements

Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis.

Comments

Might not be the same entity that takes responsibility for the clinical report.

Data type

Reference(Practitioner | PractitionerRole | Organization | CareTeam)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.performer.actor
w5: FiveWs.actor
v2: OBR-32, PRT-8 (where this PRT-4-Participation = "PI")
rim: .participation[typeCode=PRF]

specimen

0..*

Reference(Specimen)

There are no (further) constraints on this element

Element id

DiagnosticReport.specimen

Short description

Specimens this report is based on

Definition

Details about the specimens on which this diagnostic report is based.

Requirements

Need to be able to report information about the collected specimens on which the report is based.

Comments

If the specimen is sufficiently specified with a code in the test result name, then this additional data may be redundant. If there are multiple specimens, these may be represented per observation or group.

Data type

Reference(Specimen)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: SPM
rim: participation[typeCode=SBJ]

result

0..*

Reference(Observation)

Element id

DiagnosticReport.result

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(Observation)

Slicing

Unordered, Open, by $this(Pattern)

Slice based on $this pattern

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs042

0..1

Reference(CorHealthObservation042)

Element id

DiagnosticReport.result:obs042

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation042)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs043

0..1

Reference(CorHealthObservation043)

Element id

DiagnosticReport.result:obs043

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation043)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs044

0..1

Reference(CorHealthObservation044)

Element id

DiagnosticReport.result:obs044

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation044)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs045

0..1

Reference(CorHealthObservation045)

Element id

DiagnosticReport.result:obs045

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation045)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs046

0..1

Reference(CorHealthObservation046)

Element id

DiagnosticReport.result:obs046

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation046)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs047

0..1

Reference(CorHealthObservation047)

Element id

DiagnosticReport.result:obs047

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation047)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs048

0..1

Reference(CorHealthObservation048)

Element id

DiagnosticReport.result:obs048

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation048)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs049

0..1

Reference(CorHealthObservation049)

Element id

DiagnosticReport.result:obs049

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation049)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs050

0..1

Reference(CorHealthObservation050)

Element id

DiagnosticReport.result:obs050

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation050)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs051

0..1

Reference(CorHealthObservation051)

Element id

DiagnosticReport.result:obs051

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation051)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs052

0..1

Reference(CorHealthObservation052)

Element id

DiagnosticReport.result:obs052

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation052)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs053

0..1

Reference(CorHealthObservation053)

Element id

DiagnosticReport.result:obs053

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation053)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs055

0..1

Reference(CorHealthObservation055)

Element id

DiagnosticReport.result:obs055

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation055)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs056

0..1

Reference(CorHealthObservation056)

Element id

DiagnosticReport.result:obs056

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation056)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs057

0..1

Reference(CorHealthObservation057)

Element id

DiagnosticReport.result:obs057

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation057)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs058

0..1

Reference(CorHealthObservation058)

Element id

DiagnosticReport.result:obs058

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation058)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs059

0..1

Reference(CorHealthObservation059)

Element id

DiagnosticReport.result:obs059

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation059)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs060

0..1

Reference(CorHealthObservation060)

Element id

DiagnosticReport.result:obs060

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation060)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs061

0..1

Reference(CorHealthObservation061)

Element id

DiagnosticReport.result:obs061

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation061)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs062

0..1

Reference(CorHealthObservation062)

Element id

DiagnosticReport.result:obs062

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation062)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs063

0..1

Reference(CorHealthObservation063)

Element id

DiagnosticReport.result:obs063

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation063)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs065

0..1

Reference(CorHealthObservation065)

Element id

DiagnosticReport.result:obs065

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation065)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs067

0..1

Reference(CorHealthObservation067)

Element id

DiagnosticReport.result:obs067

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation067)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs068

0..1

Reference(CorHealthObservation068)

Element id

DiagnosticReport.result:obs068

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation068)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs069

0..1

Reference(CorHealthObservation069)

Element id

DiagnosticReport.result:obs069

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation069)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs070

0..1

Reference(CorHealthObservation070)

Element id

DiagnosticReport.result:obs070

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation070)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs071

0..1

Reference(CorHealthObservation071)

Element id

DiagnosticReport.result:obs071

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation071)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs072

0..1

Reference(CorHealthObservation072)

Element id

DiagnosticReport.result:obs072

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation072)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs073

0..1

Reference(CorHealthObservation073)

Element id

DiagnosticReport.result:obs073

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation073)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs074

0..1

Reference(CorHealthObservation074)

Element id

DiagnosticReport.result:obs074

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation074)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs075

0..1

Reference(CorHealthObservation075)

Element id

DiagnosticReport.result:obs075

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation075)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs076

0..1

Reference(CorHealthObservation076)

Element id

DiagnosticReport.result:obs076

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation076)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs077

0..1

Reference(CorHealthObservation077)

Element id

DiagnosticReport.result:obs077

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation077)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs078

0..1

Reference(CorHealthObservation078)

Element id

DiagnosticReport.result:obs078

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation078)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs079

0..1

Reference(CorHealthObservation079)

Element id

DiagnosticReport.result:obs079

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation079)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs080

0..1

Reference(CorHealthObservation080)

Element id

DiagnosticReport.result:obs080

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation080)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs081

0..1

Reference(CorHealthObservation081)

Element id

DiagnosticReport.result:obs081

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation081)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs082

0..1

Reference(CorHealthObservation082)

Element id

DiagnosticReport.result:obs082

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation082)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs083

0..1

Reference(CorHealthObservation083)

Element id

DiagnosticReport.result:obs083

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation083)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs084

0..1

Reference(CorHealthObservation084)

Element id

DiagnosticReport.result:obs084

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation084)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs085

0..1

Reference(CorHealthObservation085)

Element id

DiagnosticReport.result:obs085

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation085)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs088

0..1

Reference(CorHealthObservation088)

Element id

DiagnosticReport.result:obs088

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation088)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs089

0..1

Reference(CorHealthObservation089)

Element id

DiagnosticReport.result:obs089

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation089)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs091

0..1

Reference(CorHealthObservation091)

Element id

DiagnosticReport.result:obs091

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation091)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs093

0..1

Reference(CorHealthObservation093)

Element id

DiagnosticReport.result:obs093

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation093)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs095

0..1

Reference(CorHealthObservation095)

Element id

DiagnosticReport.result:obs095

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation095)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs097

0..1

Reference(CorHealthObservation097)

Element id

DiagnosticReport.result:obs097

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation097)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs099

0..1

Reference(CorHealthObservation099)

Element id

DiagnosticReport.result:obs099

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation099)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs101

0..1

Reference(CorHealthObservation101)

Element id

DiagnosticReport.result:obs101

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation101)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

imagingStudy

0..*

Reference(ImagingStudy)

There are no (further) constraints on this element

Element id

DiagnosticReport.imagingStudy

Short description

Reference to full details of imaging associated with the diagnostic report

Definition

One or more links to full details of any imaging performed during the diagnostic investigation. Typically, this is imaging performed by DICOM enabled modalities, but this is not required. A fully enabled PACS viewer can use this information to provide views of the source images.

Comments

ImagingStudy and the image element are somewhat overlapping - typically, the list of image references in the image element will also be found in one of the imaging study resources. However, each caters to different types of displays for different types of purposes. Neither, either, or both may be provided.

Data type

Reference(ImagingStudy)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: outboundRelationship[typeCode=COMP].target[classsCode=DGIMG, moodCode=EVN]

media

0..*

BackboneElement

There are no (further) constraints on this element

Element id

DiagnosticReport.media

Short description

Key images associated with this report

Alternate names

DICOM, Slides, Scans

Definition

A list of key images associated with this report. The images are generally created during the diagnostic process, and may be directly of the patient, or of treated specimens (i.e. slides of interest).

Requirements

Many diagnostic services include images in the report as part of their service.

Data type

BackboneElement

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBX?
rim: outboundRelationship[typeCode=COMP].target

0..1

string

There are no (further) constraints on this element

Element id

DiagnosticReport.media.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

DiagnosticReport.media.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

modifierExtension

Σ ?! C

0..*

Extension

There are no (further) constraints on this element

Element id

DiagnosticReport.media.modifierExtension

Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Comments

Data type

Extension

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

comment

0..1

string

There are no (further) constraints on this element

Element id

DiagnosticReport.media.comment

Short description

Comment about the image (e.g. explanation)

Definition

A comment about the image. Typically, this is used to provide an explanation for why the image is included, or to draw the viewer's attention to important features.

Requirements

The provider of the report should make a comment about each image included in the report.

Comments

The comment should be displayed with the image. It would be common for the report to include additional discussion of the image contents in other sections such as the conclusion.

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="annotation"].value

link

1..1

Reference(Media)

There are no (further) constraints on this element

Element id

DiagnosticReport.media.link

Short description

Reference to the image source

Definition

Reference to the image source.

Data type

Reference(Media)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .value.reference

conclusion

0..1

string

There are no (further) constraints on this element

Element id

DiagnosticReport.conclusion

Short description

Clinical conclusion (interpretation) of test results

Alternate names

Report

Definition

Concise and clinically contextualized summary conclusion (interpretation/impression) of the diagnostic report.

Requirements

Need to be able to provide a conclusion that is not lost among the basic result data.

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBX
rim: inboundRelationship[typeCode="SPRT"].source[classCode=OBS, moodCode=EVN, code=LOINC:48767-8].value (type=ST)

conclusionCode

0..*

CodeableConcept

There are no (further) constraints on this element

Element id

DiagnosticReport.conclusionCode

Short description

Codes for the clinical conclusion of test results

Definition

One or more codes that represent the summary conclusion (interpretation/impression) of the diagnostic report.

Data type

CodeableConcept

Binding

Diagnosis codes provided as adjuncts to the report.

SNOMEDCTClinicalFindings (example)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBX
rim: inboundRelationship[typeCode=SPRT].source[classCode=OBS, moodCode=EVN, code=LOINC:54531-9].value (type=CD)

presentedForm

0..*

Attachment

There are no (further) constraints on this element

Element id

DiagnosticReport.presentedForm

Short description

Entire report as issued

Definition

Rich text representation of the entire result as issued by the diagnostic service. Multiple formats are allowed but they SHALL be semantically equivalent.

Requirements

Gives laboratory the ability to provide its own fully formatted report for clinical fidelity.

Comments

"application/pdf" is recommended as the most reliable and interoperable in this context.

Data type

Attachment

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBX
rim: text (type=ED)

Hybrid View

CorHealthDiagnosticReport (DiagnosticReport)

DiagnosticReport

There are no (further) constraints on this element

Element id

DiagnosticReport

Short description

A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports

Alternate names

Report, Test, Result, Results, Labs, Laboratory

Definition

Comments

Data type

DiagnosticReport

Constraints

dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
contained.contained.empty()
dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label
contained.meta.security.empty()
dom-6: A resource should have narrative for robust management
text.`div`.exists()

Mappings

rim: Entity. Role, or Act
workflow: Event
v2: ORU -> OBR
rim: Observation[classCode=OBS, moodCode=EVN]

0..1

string

There are no (further) constraints on this element

Element id

DiagnosticReport.id

Short description

Logical id of this artifact

Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Data type

string

Meta

There are no (further) constraints on this element

Element id

DiagnosticReport.meta

Short description

Metadata about the resource

Definition

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

Data type

Meta

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

implicitRules

Σ ?!

0..1

uri

There are no (further) constraints on this element

Element id

DiagnosticReport.implicitRules

Short description

A set of rules under which this content was created

Definition

Comments

Data type

uri

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

language

0..1

codeBinding

There are no (further) constraints on this element

Element id

DiagnosticReport.language

Short description

Language of the resource content

Definition

The base language in which the resource is written.

Comments

Data type

code

Binding

A human language.

CommonLanguages (preferred)

Binding extensions

maxValueSet	AllLanguages

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

text

0..1

Narrative

There are no (further) constraints on this element

Element id

DiagnosticReport.text

Short description

Text summary of the resource, for human interpretation

Alternate names

narrative, html, xhtml, display

Definition

Comments

Data type

Narrative

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: Act.text?

contained

0..*

Resource

There are no (further) constraints on this element

Element id

DiagnosticReport.contained

Short description

Contained, inline Resources

Alternate names

inline resources, anonymous resources, contained resources

Definition

Comments

Data type

Resource

Mappings

rim: N/A

extension

0..*

Extension

There are no (further) constraints on this element

Element id

DiagnosticReport.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

modifierExtension

?! C

0..*

Extension

There are no (further) constraints on this element

Element id

DiagnosticReport.modifierExtension

Short description

Extensions that cannot be ignored

Alternate names

extensions, user content

Definition

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Comments

Data type

Extension

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

identifier

0..*

Identifier

There are no (further) constraints on this element

Element id

DiagnosticReport.identifier

Short description

Business identifier for report

Alternate names

ReportID, Filler ID, Placer ID

Definition

Identifiers assigned to this report by the performer or other systems.

Requirements

Need to know what identifier to use when making queries about this report from the source laboratory, and for linking to the report outside FHIR context.

Comments

Usually assigned by the Information System of the diagnostic service provider (filler id).

Data type

Identifier

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.identifier
w5: FiveWs.identifier
v2: OBR-51/ for globally unique filler ID - OBR-3 , For non-globally unique filler-id the flller/placer number must be combined with the universal service Id - OBR-2(if present)+OBR-3+OBR-4
rim: id

0..1

string

There are no (further) constraints on this element

Element id

DiagnosticReport.identifier.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

DiagnosticReport.identifier.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

use

Σ ?!

0..1

codeBinding

There are no (further) constraints on this element

Element id

DiagnosticReport.identifier.use

Short description

usual | official | temp | secondary | old (If known)

Definition

The purpose of this identifier.

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Data type

code

Binding

Identifies the purpose for this identifier, if known .

IdentifierUse (required)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: N/A
rim: Role.code or implied by context

type

0..1

CodeableConceptBinding

There are no (further) constraints on this element

Element id

DiagnosticReport.identifier.type

Short description

Description of identifier

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Requirements

Allows users to make use of identifiers when the identifier system is not known.

Comments

Data type

CodeableConcept

Binding

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

Identifier Type Codes (extensible)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: CX.5
rim: Role.code or implied by context

system

1..1

uriPattern

Element id

DiagnosticReport.identifier.system

Short description

The namespace for the identifier value

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Comments

Identifier.system is always case sensitive.

Data type

uri

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

https://corhealth-ontario.ca/NamingSystem/diagnostic-report-id

Examples
General

http://www.acme.com/identifiers/patient

Mappings

v2: CX.4 / EI-2-4
rim: II.root or Role.id.root
servd: ./IdentifierType

value

1..1

string

There are no (further) constraints on this element

Element id

DiagnosticReport.identifier.value

Short description

The value that is unique

Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Comments

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

Mappings

v2: CX.1 / EI.1
rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
servd: ./Value

period

0..1

Period

There are no (further) constraints on this element

Element id

DiagnosticReport.identifier.period

Short description

Time period when id is/was valid for use

Definition

Time period during which identifier is/was valid for use.

Data type

Period

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: CX.7 + CX.8
rim: Role.effectiveTime or implied by context
servd: ./StartDate and ./EndDate

assigner

0..1

Reference(Organization)

There are no (further) constraints on this element

Element id

DiagnosticReport.identifier.assigner

Short description

Organization that issued id (may be just text)

Definition

Organization that issued/manages the identifier.

Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Data type

Reference(Organization)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: CX.4 / (CX.4,CX.9,CX.10)
rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
servd: ./IdentifierIssuingAuthority

basedOn

1..1

Reference(CorHealthServiceRequest)

Element id

DiagnosticReport.basedOn

Short description

What was requested

Alternate names

Request

Definition

Details concerning a service requested.

Requirements

This allows tracing of authorization for the report and tracking whether proposals/recommendations were acted upon.

Comments

Data type

Reference(CorHealthServiceRequest)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.basedOn
v2: ORC? OBR-2/3?
rim: outboundRelationship[typeCode=FLFS].target

status

Σ ?!

1..1

codeBindingPattern

Element id

DiagnosticReport.status

Short description

registered | partial | preliminary | final +

Definition

The status of the diagnostic report.

Requirements

Diagnostic services routinely issue provisional/incomplete reports, and sometimes withdraw previously released reports.

Data type

code

Binding

The status of the diagnostic report.

DiagnosticReportStatus (required)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

final

Mappings

workflow: Event.status
w5: FiveWs.status
v2: OBR-25 (not 1:1 mapping)
rim: statusCode Note: final and amended are distinguished by whether observation is the subject of a ControlAct event of type "revise"

category

0..*

CodeableConcept

There are no (further) constraints on this element

Element id

DiagnosticReport.category

Short description

Service category

Alternate names

Department, Sub-department, Service, Discipline

Definition

Comments

Data type

CodeableConcept

Binding

Codes for diagnostic service sections.

DiagnosticServiceSectionCodes (example)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

w5: FiveWs.class
v2: OBR-24
rim: inboundRelationship[typeCode=COMP].source[classCode=LIST, moodCode=EVN, code < LabService].code

code

1..1

CodeableConceptBindingPattern

Element id

DiagnosticReport.code

Short description

Name/Code for this diagnostic report

Alternate names

Type

Definition

A code or name that describes this diagnostic report.

Data type

CodeableConcept

Binding

Codes that describe Diagnostic Reports.

LOINCDiagnosticReportCodes (preferred)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

{
  "coding": [
    {
      "system": "http://loinc.org",
      "code": "34133-9",
      "display": "Summary of episode note"
    }
  ]
}

Mappings

workflow: Event.code
w5: FiveWs.what[x]
v2: OBR-4 (HL7 v2 doesn't provide an easy way to indicate both the ordered test and the performed panel)
rim: code

subject

S Σ

1..1

Reference(CorHealthPatient)

Element id

DiagnosticReport.subject

Short description

The subject of the report - usually, but not always, the patient

Alternate names

Patient

Definition

The subject of the report. Usually, but not always, this is a patient. However, diagnostic services also perform analyses on specimens collected from a variety of other sources.

Requirements

SHALL know the subject context.

Data type

Reference(CorHealthPatient)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.subject
w5: FiveWs.subject[x]
v2: PID-3 (no HL7 v2 mapping for Group or Device)
rim: participation[typeCode=SBJ]
w5: FiveWs.subject

encounter

0..1

Reference(Encounter)

There are no (further) constraints on this element

Element id

DiagnosticReport.encounter

Short description

Health care event when test ordered

Alternate names

Context

Definition

The healthcare event (e.g. a patient and healthcare provider interaction) which this DiagnosticReport is about.

Requirements

Links the request to the Encounter context.

Comments

Data type

Reference(Encounter)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.encounter
w5: FiveWs.context
v2: PV1-19
rim: inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]

effective[x]

0..1

There are no (further) constraints on this element

Element id

DiagnosticReport.effective[x]

Short description

Clinically relevant time/time-period for report

Alternate names

Observation time, Effective Time, Occurrence

Definition

Requirements

Need to know where in the patient history to file/present this report.

Comments

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.occurrence[x]
w5: FiveWs.done[x]
v2: OBR-7
rim: effectiveTime

effectiveDateTime

dateTime

There are no (further) constraints on this element

Data type

dateTime

effectivePeriod

Period

There are no (further) constraints on this element

Data type

Period

issued

0..1

instant

There are no (further) constraints on this element

Element id

DiagnosticReport.issued

Short description

DateTime this version was made

Alternate names

Date published, Date Issued, Date Verified

Definition

The date and time that this version of the report was made available to providers, typically after the report was reviewed and verified.

Requirements

Clinicians need to be able to check the date that the report was released.

Comments

May be different from the update time of the resource itself, because that is the status of the record (potentially a secondary copy), not the actual release time of the report.

Data type

instant

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

w5: FiveWs.recorded
v2: OBR-22
rim: participation[typeCode=VRF or AUT].time

performer

0..*

Reference(Practitioner | PractitionerRole | Organization | CareTeam)

There are no (further) constraints on this element

Element id

DiagnosticReport.performer

Short description

Responsible Diagnostic Service

Alternate names

Laboratory, Service, Practitioner, Department, Company, Authorized by, Director

Definition

The diagnostic service that is responsible for issuing the report.

Requirements

Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis.

Comments

This is not necessarily the source of the atomic data items or the entity that interpreted the results. It is the entity that takes responsibility for the clinical report.

Data type

Reference(Practitioner | PractitionerRole | Organization | CareTeam)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.performer.actor
w5: FiveWs.actor
v2: PRT-8 (where this PRT-4-Participation = "PO")
rim: .participation[typeCode=PRF]

resultsInterpreter

0..*

Reference(Practitioner | PractitionerRole | Organization | CareTeam)

There are no (further) constraints on this element

Element id

DiagnosticReport.resultsInterpreter

Short description

Primary result interpreter

Alternate names

Analyzed by, Reported by

Definition

The practitioner or organization that is responsible for the report's conclusions and interpretations.

Requirements

Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis.

Comments

Might not be the same entity that takes responsibility for the clinical report.

Data type

Reference(Practitioner | PractitionerRole | Organization | CareTeam)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.performer.actor
w5: FiveWs.actor
v2: OBR-32, PRT-8 (where this PRT-4-Participation = "PI")
rim: .participation[typeCode=PRF]

specimen

0..*

Reference(Specimen)

There are no (further) constraints on this element

Element id

DiagnosticReport.specimen

Short description

Specimens this report is based on

Definition

Details about the specimens on which this diagnostic report is based.

Requirements

Need to be able to report information about the collected specimens on which the report is based.

Comments

Data type

Reference(Specimen)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: SPM
rim: participation[typeCode=SBJ]

result

0..*

Reference(Observation)

Element id

DiagnosticReport.result

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(Observation)

Slicing

Unordered, Open, by $this(Pattern)

Slice based on $this pattern

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs042

0..1

Reference(CorHealthObservation042)

Element id

DiagnosticReport.result:obs042

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation042)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs043

0..1

Reference(CorHealthObservation043)

Element id

DiagnosticReport.result:obs043

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation043)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs044

0..1

Reference(CorHealthObservation044)

Element id

DiagnosticReport.result:obs044

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation044)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs045

0..1

Reference(CorHealthObservation045)

Element id

DiagnosticReport.result:obs045

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation045)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs046

0..1

Reference(CorHealthObservation046)

Element id

DiagnosticReport.result:obs046

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation046)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs047

0..1

Reference(CorHealthObservation047)

Element id

DiagnosticReport.result:obs047

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation047)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs048

0..1

Reference(CorHealthObservation048)

Element id

DiagnosticReport.result:obs048

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation048)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs049

0..1

Reference(CorHealthObservation049)

Element id

DiagnosticReport.result:obs049

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation049)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs050

0..1

Reference(CorHealthObservation050)

Element id

DiagnosticReport.result:obs050

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation050)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs051

0..1

Reference(CorHealthObservation051)

Element id

DiagnosticReport.result:obs051

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation051)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs052

0..1

Reference(CorHealthObservation052)

Element id

DiagnosticReport.result:obs052

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation052)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs053

0..1

Reference(CorHealthObservation053)

Element id

DiagnosticReport.result:obs053

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation053)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs055

0..1

Reference(CorHealthObservation055)

Element id

DiagnosticReport.result:obs055

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation055)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs056

0..1

Reference(CorHealthObservation056)

Element id

DiagnosticReport.result:obs056

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation056)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs057

0..1

Reference(CorHealthObservation057)

Element id

DiagnosticReport.result:obs057

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation057)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs058

0..1

Reference(CorHealthObservation058)

Element id

DiagnosticReport.result:obs058

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation058)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs059

0..1

Reference(CorHealthObservation059)

Element id

DiagnosticReport.result:obs059

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation059)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs060

0..1

Reference(CorHealthObservation060)

Element id

DiagnosticReport.result:obs060

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation060)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs061

0..1

Reference(CorHealthObservation061)

Element id

DiagnosticReport.result:obs061

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation061)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs062

0..1

Reference(CorHealthObservation062)

Element id

DiagnosticReport.result:obs062

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation062)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs063

0..1

Reference(CorHealthObservation063)

Element id

DiagnosticReport.result:obs063

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation063)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs065

0..1

Reference(CorHealthObservation065)

Element id

DiagnosticReport.result:obs065

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation065)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs067

0..1

Reference(CorHealthObservation067)

Element id

DiagnosticReport.result:obs067

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation067)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs068

0..1

Reference(CorHealthObservation068)

Element id

DiagnosticReport.result:obs068

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation068)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs069

0..1

Reference(CorHealthObservation069)

Element id

DiagnosticReport.result:obs069

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation069)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs070

0..1

Reference(CorHealthObservation070)

Element id

DiagnosticReport.result:obs070

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation070)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs071

0..1

Reference(CorHealthObservation071)

Element id

DiagnosticReport.result:obs071

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation071)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs072

0..1

Reference(CorHealthObservation072)

Element id

DiagnosticReport.result:obs072

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation072)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs073

0..1

Reference(CorHealthObservation073)

Element id

DiagnosticReport.result:obs073

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation073)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs074

0..1

Reference(CorHealthObservation074)

Element id

DiagnosticReport.result:obs074

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation074)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs075

0..1

Reference(CorHealthObservation075)

Element id

DiagnosticReport.result:obs075

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation075)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs076

0..1

Reference(CorHealthObservation076)

Element id

DiagnosticReport.result:obs076

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation076)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs077

0..1

Reference(CorHealthObservation077)

Element id

DiagnosticReport.result:obs077

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation077)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs078

0..1

Reference(CorHealthObservation078)

Element id

DiagnosticReport.result:obs078

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation078)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs079

0..1

Reference(CorHealthObservation079)

Element id

DiagnosticReport.result:obs079

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation079)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs080

0..1

Reference(CorHealthObservation080)

Element id

DiagnosticReport.result:obs080

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation080)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs081

0..1

Reference(CorHealthObservation081)

Element id

DiagnosticReport.result:obs081

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation081)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs082

0..1

Reference(CorHealthObservation082)

Element id

DiagnosticReport.result:obs082

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation082)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs083

0..1

Reference(CorHealthObservation083)

Element id

DiagnosticReport.result:obs083

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation083)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs084

0..1

Reference(CorHealthObservation084)

Element id

DiagnosticReport.result:obs084

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation084)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs085

0..1

Reference(CorHealthObservation085)

Element id

DiagnosticReport.result:obs085

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation085)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs088

0..1

Reference(CorHealthObservation088)

Element id

DiagnosticReport.result:obs088

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation088)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs089

0..1

Reference(CorHealthObservation089)

Element id

DiagnosticReport.result:obs089

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation089)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs091

0..1

Reference(CorHealthObservation091)

Element id

DiagnosticReport.result:obs091

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation091)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs093

0..1

Reference(CorHealthObservation093)

Element id

DiagnosticReport.result:obs093

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation093)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs095

0..1

Reference(CorHealthObservation095)

Element id

DiagnosticReport.result:obs095

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation095)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs097

0..1

Reference(CorHealthObservation097)

Element id

DiagnosticReport.result:obs097

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation097)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs099

0..1

Reference(CorHealthObservation099)

Element id

DiagnosticReport.result:obs099

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation099)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs101

0..1

Reference(CorHealthObservation101)

Element id

DiagnosticReport.result:obs101

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation101)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

imagingStudy

0..*

Reference(ImagingStudy)

There are no (further) constraints on this element

Element id

DiagnosticReport.imagingStudy

Short description

Reference to full details of imaging associated with the diagnostic report

Definition

Comments

Data type

Reference(ImagingStudy)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: outboundRelationship[typeCode=COMP].target[classsCode=DGIMG, moodCode=EVN]

media

0..*

BackboneElement

There are no (further) constraints on this element

Element id

DiagnosticReport.media

Short description

Key images associated with this report

Alternate names

DICOM, Slides, Scans

Definition

Requirements

Many diagnostic services include images in the report as part of their service.

Data type

BackboneElement

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBX?
rim: outboundRelationship[typeCode=COMP].target

0..1

string

There are no (further) constraints on this element

Element id

DiagnosticReport.media.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

DiagnosticReport.media.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

modifierExtension

Σ ?! C

0..*

Extension

There are no (further) constraints on this element

Element id

DiagnosticReport.media.modifierExtension

Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Comments

Data type

Extension

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

comment

0..1

string

There are no (further) constraints on this element

Element id

DiagnosticReport.media.comment

Short description

Comment about the image (e.g. explanation)

Definition

A comment about the image. Typically, this is used to provide an explanation for why the image is included, or to draw the viewer's attention to important features.

Requirements

The provider of the report should make a comment about each image included in the report.

Comments

The comment should be displayed with the image. It would be common for the report to include additional discussion of the image contents in other sections such as the conclusion.

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="annotation"].value

link

1..1

Reference(Media)

There are no (further) constraints on this element

Element id

DiagnosticReport.media.link

Short description

Reference to the image source

Definition

Reference to the image source.

Data type

Reference(Media)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .value.reference

conclusion

0..1

string

There are no (further) constraints on this element

Element id

DiagnosticReport.conclusion

Short description

Clinical conclusion (interpretation) of test results

Alternate names

Report

Definition

Concise and clinically contextualized summary conclusion (interpretation/impression) of the diagnostic report.

Requirements

Need to be able to provide a conclusion that is not lost among the basic result data.

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBX
rim: inboundRelationship[typeCode="SPRT"].source[classCode=OBS, moodCode=EVN, code=LOINC:48767-8].value (type=ST)

conclusionCode

0..*

CodeableConcept

There are no (further) constraints on this element

Element id

DiagnosticReport.conclusionCode

Short description

Codes for the clinical conclusion of test results

Definition

One or more codes that represent the summary conclusion (interpretation/impression) of the diagnostic report.

Data type

CodeableConcept

Binding

Diagnosis codes provided as adjuncts to the report.

SNOMEDCTClinicalFindings (example)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBX
rim: inboundRelationship[typeCode=SPRT].source[classCode=OBS, moodCode=EVN, code=LOINC:54531-9].value (type=CD)

presentedForm

0..*

Attachment

There are no (further) constraints on this element

Element id

DiagnosticReport.presentedForm

Short description

Entire report as issued

Definition

Rich text representation of the entire result as issued by the diagnostic service. Multiple formats are allowed but they SHALL be semantically equivalent.

Requirements

Gives laboratory the ability to provide its own fully formatted report for clinical fidelity.

Comments

"application/pdf" is recommended as the most reliable and interoperable in this context.

Data type

Attachment

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBX
rim: text (type=ED)

Snapshot View

CorHealthDiagnosticReport (DiagnosticReport)

DiagnosticReport

There are no (further) constraints on this element

Element id

DiagnosticReport

Short description

A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports

Alternate names

Report, Test, Result, Results, Labs, Laboratory

Definition

Comments

Data type

DiagnosticReport

Constraints

dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
contained.contained.empty()
dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label
contained.meta.security.empty()
dom-6: A resource should have narrative for robust management
text.`div`.exists()

Mappings

rim: Entity. Role, or Act
workflow: Event
v2: ORU -> OBR
rim: Observation[classCode=OBS, moodCode=EVN]

0..1

string

There are no (further) constraints on this element

Element id

DiagnosticReport.id

Short description

Logical id of this artifact

Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Data type

string

Meta

There are no (further) constraints on this element

Element id

DiagnosticReport.meta

Short description

Metadata about the resource

Definition

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

Data type

Meta

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

implicitRules

Σ ?!

0..1

uri

There are no (further) constraints on this element

Element id

DiagnosticReport.implicitRules

Short description

A set of rules under which this content was created

Definition

Comments

Data type

uri

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

language

0..1

codeBinding

There are no (further) constraints on this element

Element id

DiagnosticReport.language

Short description

Language of the resource content

Definition

The base language in which the resource is written.

Comments

Data type

code

Binding

A human language.

CommonLanguages (preferred)

Binding extensions

maxValueSet	AllLanguages

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

text

0..1

Narrative

There are no (further) constraints on this element

Element id

DiagnosticReport.text

Short description

Text summary of the resource, for human interpretation

Alternate names

narrative, html, xhtml, display

Definition

Comments

Data type

Narrative

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: Act.text?

contained

0..*

Resource

There are no (further) constraints on this element

Element id

DiagnosticReport.contained

Short description

Contained, inline Resources

Alternate names

inline resources, anonymous resources, contained resources

Definition

Comments

Data type

Resource

Mappings

rim: N/A

extension

0..*

Extension

There are no (further) constraints on this element

Element id

DiagnosticReport.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

modifierExtension

?! C

0..*

Extension

There are no (further) constraints on this element

Element id

DiagnosticReport.modifierExtension

Short description

Extensions that cannot be ignored

Alternate names

extensions, user content

Definition

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Comments

Data type

Extension

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

identifier

0..*

Identifier

There are no (further) constraints on this element

Element id

DiagnosticReport.identifier

Short description

Business identifier for report

Alternate names

ReportID, Filler ID, Placer ID

Definition

Identifiers assigned to this report by the performer or other systems.

Requirements

Need to know what identifier to use when making queries about this report from the source laboratory, and for linking to the report outside FHIR context.

Comments

Usually assigned by the Information System of the diagnostic service provider (filler id).

Data type

Identifier

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.identifier
w5: FiveWs.identifier
v2: OBR-51/ for globally unique filler ID - OBR-3 , For non-globally unique filler-id the flller/placer number must be combined with the universal service Id - OBR-2(if present)+OBR-3+OBR-4
rim: id

0..1

string

There are no (further) constraints on this element

Element id

DiagnosticReport.identifier.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

DiagnosticReport.identifier.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

use

Σ ?!

0..1

codeBinding

There are no (further) constraints on this element

Element id

DiagnosticReport.identifier.use

Short description

usual | official | temp | secondary | old (If known)

Definition

The purpose of this identifier.

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Data type

code

Binding

Identifies the purpose for this identifier, if known .

IdentifierUse (required)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: N/A
rim: Role.code or implied by context

type

0..1

CodeableConceptBinding

There are no (further) constraints on this element

Element id

DiagnosticReport.identifier.type

Short description

Description of identifier

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Requirements

Allows users to make use of identifiers when the identifier system is not known.

Comments

Data type

CodeableConcept

Binding

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

Identifier Type Codes (extensible)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: CX.5
rim: Role.code or implied by context

system

1..1

uriPattern

Element id

DiagnosticReport.identifier.system

Short description

The namespace for the identifier value

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Comments

Identifier.system is always case sensitive.

Data type

uri

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

https://corhealth-ontario.ca/NamingSystem/diagnostic-report-id

Examples
General

http://www.acme.com/identifiers/patient

Mappings

v2: CX.4 / EI-2-4
rim: II.root or Role.id.root
servd: ./IdentifierType

value

1..1

string

There are no (further) constraints on this element

Element id

DiagnosticReport.identifier.value

Short description

The value that is unique

Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Comments

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

Mappings

v2: CX.1 / EI.1
rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
servd: ./Value

period

0..1

Period

There are no (further) constraints on this element

Element id

DiagnosticReport.identifier.period

Short description

Time period when id is/was valid for use

Definition

Time period during which identifier is/was valid for use.

Data type

Period

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: CX.7 + CX.8
rim: Role.effectiveTime or implied by context
servd: ./StartDate and ./EndDate

assigner

0..1

Reference(Organization)

There are no (further) constraints on this element

Element id

DiagnosticReport.identifier.assigner

Short description

Organization that issued id (may be just text)

Definition

Organization that issued/manages the identifier.

Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Data type

Reference(Organization)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: CX.4 / (CX.4,CX.9,CX.10)
rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
servd: ./IdentifierIssuingAuthority

basedOn

1..1

Reference(CorHealthServiceRequest)

Element id

DiagnosticReport.basedOn

Short description

What was requested

Alternate names

Request

Definition

Details concerning a service requested.

Requirements

This allows tracing of authorization for the report and tracking whether proposals/recommendations were acted upon.

Comments

Data type

Reference(CorHealthServiceRequest)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.basedOn
v2: ORC? OBR-2/3?
rim: outboundRelationship[typeCode=FLFS].target

status

Σ ?!

1..1

codeBindingPattern

Element id

DiagnosticReport.status

Short description

registered | partial | preliminary | final +

Definition

The status of the diagnostic report.

Requirements

Diagnostic services routinely issue provisional/incomplete reports, and sometimes withdraw previously released reports.

Data type

code

Binding

The status of the diagnostic report.

DiagnosticReportStatus (required)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

final

Mappings

workflow: Event.status
w5: FiveWs.status
v2: OBR-25 (not 1:1 mapping)
rim: statusCode Note: final and amended are distinguished by whether observation is the subject of a ControlAct event of type "revise"

category

0..*

CodeableConcept

There are no (further) constraints on this element

Element id

DiagnosticReport.category

Short description

Service category

Alternate names

Department, Sub-department, Service, Discipline

Definition

Comments

Data type

CodeableConcept

Binding

Codes for diagnostic service sections.

DiagnosticServiceSectionCodes (example)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

w5: FiveWs.class
v2: OBR-24
rim: inboundRelationship[typeCode=COMP].source[classCode=LIST, moodCode=EVN, code < LabService].code

code

1..1

CodeableConceptBindingPattern

Element id

DiagnosticReport.code

Short description

Name/Code for this diagnostic report

Alternate names

Type

Definition

A code or name that describes this diagnostic report.

Data type

CodeableConcept

Binding

Codes that describe Diagnostic Reports.

LOINCDiagnosticReportCodes (preferred)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

{
  "coding": [
    {
      "system": "http://loinc.org",
      "code": "34133-9",
      "display": "Summary of episode note"
    }
  ]
}

Mappings

workflow: Event.code
w5: FiveWs.what[x]
v2: OBR-4 (HL7 v2 doesn't provide an easy way to indicate both the ordered test and the performed panel)
rim: code

subject

S Σ

1..1

Reference(CorHealthPatient)

Element id

DiagnosticReport.subject

Short description

The subject of the report - usually, but not always, the patient

Alternate names

Patient

Definition

The subject of the report. Usually, but not always, this is a patient. However, diagnostic services also perform analyses on specimens collected from a variety of other sources.

Requirements

SHALL know the subject context.

Data type

Reference(CorHealthPatient)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.subject
w5: FiveWs.subject[x]
v2: PID-3 (no HL7 v2 mapping for Group or Device)
rim: participation[typeCode=SBJ]
w5: FiveWs.subject

encounter

0..1

Reference(Encounter)

There are no (further) constraints on this element

Element id

DiagnosticReport.encounter

Short description

Health care event when test ordered

Alternate names

Context

Definition

The healthcare event (e.g. a patient and healthcare provider interaction) which this DiagnosticReport is about.

Requirements

Links the request to the Encounter context.

Comments

Data type

Reference(Encounter)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.encounter
w5: FiveWs.context
v2: PV1-19
rim: inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]

effective[x]

0..1

There are no (further) constraints on this element

Element id

DiagnosticReport.effective[x]

Short description

Clinically relevant time/time-period for report

Alternate names

Observation time, Effective Time, Occurrence

Definition

Requirements

Need to know where in the patient history to file/present this report.

Comments

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.occurrence[x]
w5: FiveWs.done[x]
v2: OBR-7
rim: effectiveTime

effectiveDateTime

dateTime

There are no (further) constraints on this element

Data type

dateTime

effectivePeriod

Period

There are no (further) constraints on this element

Data type

Period

issued

0..1

instant

There are no (further) constraints on this element

Element id

DiagnosticReport.issued

Short description

DateTime this version was made

Alternate names

Date published, Date Issued, Date Verified

Definition

The date and time that this version of the report was made available to providers, typically after the report was reviewed and verified.

Requirements

Clinicians need to be able to check the date that the report was released.

Comments

May be different from the update time of the resource itself, because that is the status of the record (potentially a secondary copy), not the actual release time of the report.

Data type

instant

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

w5: FiveWs.recorded
v2: OBR-22
rim: participation[typeCode=VRF or AUT].time

performer

0..*

Reference(Practitioner | PractitionerRole | Organization | CareTeam)

There are no (further) constraints on this element

Element id

DiagnosticReport.performer

Short description

Responsible Diagnostic Service

Alternate names

Laboratory, Service, Practitioner, Department, Company, Authorized by, Director

Definition

The diagnostic service that is responsible for issuing the report.

Requirements

Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis.

Comments

This is not necessarily the source of the atomic data items or the entity that interpreted the results. It is the entity that takes responsibility for the clinical report.

Data type

Reference(Practitioner | PractitionerRole | Organization | CareTeam)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.performer.actor
w5: FiveWs.actor
v2: PRT-8 (where this PRT-4-Participation = "PO")
rim: .participation[typeCode=PRF]

resultsInterpreter

0..*

Reference(Practitioner | PractitionerRole | Organization | CareTeam)

There are no (further) constraints on this element

Element id

DiagnosticReport.resultsInterpreter

Short description

Primary result interpreter

Alternate names

Analyzed by, Reported by

Definition

The practitioner or organization that is responsible for the report's conclusions and interpretations.

Requirements

Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis.

Comments

Might not be the same entity that takes responsibility for the clinical report.

Data type

Reference(Practitioner | PractitionerRole | Organization | CareTeam)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

workflow: Event.performer.actor
w5: FiveWs.actor
v2: OBR-32, PRT-8 (where this PRT-4-Participation = "PI")
rim: .participation[typeCode=PRF]

specimen

0..*

Reference(Specimen)

There are no (further) constraints on this element

Element id

DiagnosticReport.specimen

Short description

Specimens this report is based on

Definition

Details about the specimens on which this diagnostic report is based.

Requirements

Need to be able to report information about the collected specimens on which the report is based.

Comments

Data type

Reference(Specimen)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: SPM
rim: participation[typeCode=SBJ]

result

0..*

Reference(Observation)

Element id

DiagnosticReport.result

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(Observation)

Slicing

Unordered, Open, by $this(Pattern)

Slice based on $this pattern

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs042

0..1

Reference(CorHealthObservation042)

Element id

DiagnosticReport.result:obs042

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation042)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs043

0..1

Reference(CorHealthObservation043)

Element id

DiagnosticReport.result:obs043

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation043)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs044

0..1

Reference(CorHealthObservation044)

Element id

DiagnosticReport.result:obs044

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation044)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs045

0..1

Reference(CorHealthObservation045)

Element id

DiagnosticReport.result:obs045

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation045)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs046

0..1

Reference(CorHealthObservation046)

Element id

DiagnosticReport.result:obs046

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation046)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs047

0..1

Reference(CorHealthObservation047)

Element id

DiagnosticReport.result:obs047

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation047)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs048

0..1

Reference(CorHealthObservation048)

Element id

DiagnosticReport.result:obs048

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation048)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs049

0..1

Reference(CorHealthObservation049)

Element id

DiagnosticReport.result:obs049

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation049)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs050

0..1

Reference(CorHealthObservation050)

Element id

DiagnosticReport.result:obs050

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation050)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs051

0..1

Reference(CorHealthObservation051)

Element id

DiagnosticReport.result:obs051

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation051)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs052

0..1

Reference(CorHealthObservation052)

Element id

DiagnosticReport.result:obs052

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation052)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs053

0..1

Reference(CorHealthObservation053)

Element id

DiagnosticReport.result:obs053

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation053)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs055

0..1

Reference(CorHealthObservation055)

Element id

DiagnosticReport.result:obs055

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation055)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs056

0..1

Reference(CorHealthObservation056)

Element id

DiagnosticReport.result:obs056

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation056)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs057

0..1

Reference(CorHealthObservation057)

Element id

DiagnosticReport.result:obs057

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation057)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs058

0..1

Reference(CorHealthObservation058)

Element id

DiagnosticReport.result:obs058

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation058)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs059

0..1

Reference(CorHealthObservation059)

Element id

DiagnosticReport.result:obs059

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation059)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs060

0..1

Reference(CorHealthObservation060)

Element id

DiagnosticReport.result:obs060

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation060)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs061

0..1

Reference(CorHealthObservation061)

Element id

DiagnosticReport.result:obs061

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation061)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs062

0..1

Reference(CorHealthObservation062)

Element id

DiagnosticReport.result:obs062

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation062)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs063

0..1

Reference(CorHealthObservation063)

Element id

DiagnosticReport.result:obs063

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation063)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs065

0..1

Reference(CorHealthObservation065)

Element id

DiagnosticReport.result:obs065

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation065)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs067

0..1

Reference(CorHealthObservation067)

Element id

DiagnosticReport.result:obs067

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation067)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs068

0..1

Reference(CorHealthObservation068)

Element id

DiagnosticReport.result:obs068

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation068)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs069

0..1

Reference(CorHealthObservation069)

Element id

DiagnosticReport.result:obs069

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation069)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs070

0..1

Reference(CorHealthObservation070)

Element id

DiagnosticReport.result:obs070

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation070)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs071

0..1

Reference(CorHealthObservation071)

Element id

DiagnosticReport.result:obs071

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation071)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs072

0..1

Reference(CorHealthObservation072)

Element id

DiagnosticReport.result:obs072

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation072)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs073

0..1

Reference(CorHealthObservation073)

Element id

DiagnosticReport.result:obs073

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation073)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs074

0..1

Reference(CorHealthObservation074)

Element id

DiagnosticReport.result:obs074

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation074)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs075

0..1

Reference(CorHealthObservation075)

Element id

DiagnosticReport.result:obs075

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation075)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs076

0..1

Reference(CorHealthObservation076)

Element id

DiagnosticReport.result:obs076

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation076)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs077

0..1

Reference(CorHealthObservation077)

Element id

DiagnosticReport.result:obs077

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation077)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs078

0..1

Reference(CorHealthObservation078)

Element id

DiagnosticReport.result:obs078

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation078)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs079

0..1

Reference(CorHealthObservation079)

Element id

DiagnosticReport.result:obs079

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation079)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs080

0..1

Reference(CorHealthObservation080)

Element id

DiagnosticReport.result:obs080

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation080)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs081

0..1

Reference(CorHealthObservation081)

Element id

DiagnosticReport.result:obs081

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation081)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs082

0..1

Reference(CorHealthObservation082)

Element id

DiagnosticReport.result:obs082

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation082)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs083

0..1

Reference(CorHealthObservation083)

Element id

DiagnosticReport.result:obs083

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation083)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs084

0..1

Reference(CorHealthObservation084)

Element id

DiagnosticReport.result:obs084

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation084)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs085

0..1

Reference(CorHealthObservation085)

Element id

DiagnosticReport.result:obs085

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation085)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs088

0..1

Reference(CorHealthObservation088)

Element id

DiagnosticReport.result:obs088

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation088)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs089

0..1

Reference(CorHealthObservation089)

Element id

DiagnosticReport.result:obs089

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation089)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs091

0..1

Reference(CorHealthObservation091)

Element id

DiagnosticReport.result:obs091

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation091)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs093

0..1

Reference(CorHealthObservation093)

Element id

DiagnosticReport.result:obs093

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation093)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs095

0..1

Reference(CorHealthObservation095)

Element id

DiagnosticReport.result:obs095

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation095)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs097

0..1

Reference(CorHealthObservation097)

Element id

DiagnosticReport.result:obs097

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation097)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs099

0..1

Reference(CorHealthObservation099)

Element id

DiagnosticReport.result:obs099

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation099)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

obs101

0..1

Reference(CorHealthObservation101)

Element id

DiagnosticReport.result:obs101

Short description

Observations

Alternate names

Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer

Definition

Observations that are part of this diagnostic report.

Requirements

Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.

Comments

Observations can contain observations.

Data type

Reference(CorHealthObservation101)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBXs
rim: outboundRelationship[typeCode=COMP].target

imagingStudy

0..*

Reference(ImagingStudy)

There are no (further) constraints on this element

Element id

DiagnosticReport.imagingStudy

Short description

Reference to full details of imaging associated with the diagnostic report

Definition

Comments

Data type

Reference(ImagingStudy)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: outboundRelationship[typeCode=COMP].target[classsCode=DGIMG, moodCode=EVN]

media

0..*

BackboneElement

There are no (further) constraints on this element

Element id

DiagnosticReport.media

Short description

Key images associated with this report

Alternate names

DICOM, Slides, Scans

Definition

Requirements

Many diagnostic services include images in the report as part of their service.

Data type

BackboneElement

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBX?
rim: outboundRelationship[typeCode=COMP].target

0..1

string

There are no (further) constraints on this element

Element id

DiagnosticReport.media.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

string

Mappings

rim: n/a

extension

0..*

Extension

There are no (further) constraints on this element

Element id

DiagnosticReport.media.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Extension

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a

modifierExtension

Σ ?! C

0..*

Extension

There are no (further) constraints on this element

Element id

DiagnosticReport.media.modifierExtension

Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Comments

Data type

Extension

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: N/A

comment

0..1

string

There are no (further) constraints on this element

Element id

DiagnosticReport.media.comment

Short description

Comment about the image (e.g. explanation)

Definition

A comment about the image. Typically, this is used to provide an explanation for why the image is included, or to draw the viewer's attention to important features.

Requirements

The provider of the report should make a comment about each image included in the report.

Comments

The comment should be displayed with the image. It would be common for the report to include additional discussion of the image contents in other sections such as the conclusion.

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="annotation"].value

link

1..1

Reference(Media)

There are no (further) constraints on this element

Element id

DiagnosticReport.media.link

Short description

Reference to the image source

Definition

Reference to the image source.

Data type

Reference(Media)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: .value.reference

conclusion

0..1

string

There are no (further) constraints on this element

Element id

DiagnosticReport.conclusion

Short description

Clinical conclusion (interpretation) of test results

Alternate names

Report

Definition

Concise and clinically contextualized summary conclusion (interpretation/impression) of the diagnostic report.

Requirements

Need to be able to provide a conclusion that is not lost among the basic result data.

Data type

string

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBX
rim: inboundRelationship[typeCode="SPRT"].source[classCode=OBS, moodCode=EVN, code=LOINC:48767-8].value (type=ST)

conclusionCode

0..*

CodeableConcept

There are no (further) constraints on this element

Element id

DiagnosticReport.conclusionCode

Short description

Codes for the clinical conclusion of test results

Definition

One or more codes that represent the summary conclusion (interpretation/impression) of the diagnostic report.

Data type

CodeableConcept

Binding

Diagnosis codes provided as adjuncts to the report.

SNOMEDCTClinicalFindings (example)

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBX
rim: inboundRelationship[typeCode=SPRT].source[classCode=OBS, moodCode=EVN, code=LOINC:54531-9].value (type=CD)

presentedForm

0..*

Attachment

There are no (further) constraints on this element

Element id

DiagnosticReport.presentedForm

Short description

Entire report as issued

Definition

Rich text representation of the entire result as issued by the diagnostic service. Multiple formats are allowed but they SHALL be semantically equivalent.

Requirements

Gives laboratory the ability to provide its own fully formatted report for clinical fidelity.

Comments

"application/pdf" is recommended as the most reliable and interoperable in this context.

Data type

Attachment

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

v2: OBX
rim: text (type=ED)

Table View

DiagnosticReport		..
DiagnosticReport.identifier		..
DiagnosticReport.identifier.system		1..
DiagnosticReport.identifier.value		1..
DiagnosticReport.basedOn	Reference(CorHealthServiceRequest)	1..1
DiagnosticReport.status		..
DiagnosticReport.code		..
DiagnosticReport.subject	Reference(CorHealthPatient)	1..
DiagnosticReport.result		..
DiagnosticReport.result:obs042	Reference(CorHealthObservation042)	0..1
DiagnosticReport.result:obs043	Reference(CorHealthObservation043)	0..1
DiagnosticReport.result:obs044	Reference(CorHealthObservation044)	0..1
DiagnosticReport.result:obs045	Reference(CorHealthObservation045)	0..1
DiagnosticReport.result:obs046	Reference(CorHealthObservation046)	0..1
DiagnosticReport.result:obs047	Reference(CorHealthObservation047)	0..1
DiagnosticReport.result:obs048	Reference(CorHealthObservation048)	0..1
DiagnosticReport.result:obs049	Reference(CorHealthObservation049)	0..1
DiagnosticReport.result:obs050	Reference(CorHealthObservation050)	0..1
DiagnosticReport.result:obs051	Reference(CorHealthObservation051)	0..1
DiagnosticReport.result:obs052	Reference(CorHealthObservation052)	0..1
DiagnosticReport.result:obs053	Reference(CorHealthObservation053)	0..1
DiagnosticReport.result:obs055	Reference(CorHealthObservation055)	0..1
DiagnosticReport.result:obs056	Reference(CorHealthObservation056)	0..1
DiagnosticReport.result:obs057	Reference(CorHealthObservation057)	0..1
DiagnosticReport.result:obs058	Reference(CorHealthObservation058)	0..1
DiagnosticReport.result:obs059	Reference(CorHealthObservation059)	0..1
DiagnosticReport.result:obs060	Reference(CorHealthObservation060)	0..1
DiagnosticReport.result:obs061	Reference(CorHealthObservation061)	0..1
DiagnosticReport.result:obs062	Reference(CorHealthObservation062)	0..1
DiagnosticReport.result:obs063	Reference(CorHealthObservation063)	0..1
DiagnosticReport.result:obs065	Reference(CorHealthObservation065)	0..1
DiagnosticReport.result:obs067	Reference(CorHealthObservation067)	0..1
DiagnosticReport.result:obs068	Reference(CorHealthObservation068)	0..1
DiagnosticReport.result:obs069	Reference(CorHealthObservation069)	0..1
DiagnosticReport.result:obs070	Reference(CorHealthObservation070)	0..1
DiagnosticReport.result:obs071	Reference(CorHealthObservation071)	0..1
DiagnosticReport.result:obs072	Reference(CorHealthObservation072)	0..1
DiagnosticReport.result:obs073	Reference(CorHealthObservation073)	0..1
DiagnosticReport.result:obs074	Reference(CorHealthObservation074)	0..1
DiagnosticReport.result:obs075	Reference(CorHealthObservation075)	0..1
DiagnosticReport.result:obs076	Reference(CorHealthObservation076)	0..1
DiagnosticReport.result:obs077	Reference(CorHealthObservation077)	0..1
DiagnosticReport.result:obs078	Reference(CorHealthObservation078)	0..1
DiagnosticReport.result:obs079	Reference(CorHealthObservation079)	0..1
DiagnosticReport.result:obs080	Reference(CorHealthObservation080)	0..1
DiagnosticReport.result:obs081	Reference(CorHealthObservation081)	0..1
DiagnosticReport.result:obs082	Reference(CorHealthObservation082)	0..1
DiagnosticReport.result:obs083	Reference(CorHealthObservation083)	0..1
DiagnosticReport.result:obs084	Reference(CorHealthObservation084)	0..1
DiagnosticReport.result:obs085	Reference(CorHealthObservation085)	0..1
DiagnosticReport.result:obs088	Reference(CorHealthObservation088)	0..1
DiagnosticReport.result:obs089	Reference(CorHealthObservation089)	0..1
DiagnosticReport.result:obs091	Reference(CorHealthObservation091)	0..1
DiagnosticReport.result:obs093	Reference(CorHealthObservation093)	0..1
DiagnosticReport.result:obs095	Reference(CorHealthObservation095)	0..1
DiagnosticReport.result:obs097	Reference(CorHealthObservation097)	0..1
DiagnosticReport.result:obs099	Reference(CorHealthObservation099)	0..1
DiagnosticReport.result:obs101	Reference(CorHealthObservation101)	0..1

JSON View

{

"resourceType": "StructureDefinition",
"id": "corhealth-diagnosticreport",
"url": "https://corhealth-ontario.ca/fhir/StructureDefinition/corhealth-diagnosticreport",
"name": "CorHealthDiagnosticReport",
"title": "CorHealth DiagnosticReport",
"status": "active",
"description": "CorHealth DiagnosticReport",
"fhirVersion": "4.0.1",
"kind": "resource",
"abstract": false,
"type": "DiagnosticReport",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
"derivation": "constraint",
"differential": {
"element": [
{
"id": "DiagnosticReport.identifier.system",
"path": "DiagnosticReport.identifier.system",
"min": 1,
"patternUri": "https://corhealth-ontario.ca/NamingSystem/diagnostic-report-id"
},
{
"id": "DiagnosticReport.identifier.value",
"path": "DiagnosticReport.identifier.value",
"min": 1
},
{
"id": "DiagnosticReport.basedOn",
"path": "DiagnosticReport.basedOn",
"min": 1,
"max": "1",
"type": [
{
"code": "Reference",
"targetProfile": [
"https://corhealth-ontario.ca/fhir/StructureDefinition/corhealth-servicerequest"
]
}
],
"mustSupport": true
},
{
"id": "DiagnosticReport.status",
"path": "DiagnosticReport.status",
"patternCode": "final"
},
{
"id": "DiagnosticReport.code",
"path": "DiagnosticReport.code",
"patternCodeableConcept": {
"coding": [
{
"code": "34133-9",
"system": "http://loinc.org",
"display": "Summary of episode note"
}
]
}
},
{
"id": "DiagnosticReport.subject",
"path": "DiagnosticReport.subject",
"min": 1,
"type": [
{
"code": "Reference",
"targetProfile": [
"https://corhealth-ontario.ca/fhir/StructureDefinition/corhealth-patient"
]
}
],
"mustSupport": true
},
{
"id": "DiagnosticReport.result",
"path": "DiagnosticReport.result",
"slicing": {
"discriminator": [
{
"type": "pattern",
"path": "$this"
}
],
"rules": "open",
"description": "Slice based on $this pattern"
},
"mustSupport": true
},
{
"id": "DiagnosticReport.result:obs042",
"path": "DiagnosticReport.result",
"sliceName": "obs042",
"min": 0,
"max": "1",
"type": [
{
"code": "Reference",
"targetProfile": [
"https://corhealth-ontario.ca/fhir/StructureDefinition/corhealth-observation-042"
]
}
],
"mustSupport": true
},
{
"id": "DiagnosticReport.result:obs043",
"path": "DiagnosticReport.result",
"sliceName": "obs043",
"min": 0,
"max": "1",
"type": [
{
"code": "Reference",
"targetProfile": [
"https://corhealth-ontario.ca/fhir/StructureDefinition/corhealth-observation-043"
]
}
],
"mustSupport": true
},
{
"id": "DiagnosticReport.result:obs044",
"path": "DiagnosticReport.result",
"sliceName": "obs044",
"min": 0,
"max": "1",
"type": [
{
"code": "Reference",
"targetProfile": [
"https://corhealth-ontario.ca/fhir/StructureDefinition/corhealth-observation-044"
]
}
],
"mustSupport": true
},
{
"id": "DiagnosticReport.result:obs045",
"path": "DiagnosticReport.result",
"sliceName": "obs045",
"min": 0,
"max": "1",
"type": [
{
"code": "Reference",
"targetProfile": [
"https://corhealth-ontario.ca/fhir/StructureDefinition/corhealth-observation-045"
]
}
],
"mustSupport": true
},
{
"id": "DiagnosticReport.result:obs046",
"path": "DiagnosticReport.result",
"sliceName": "obs046",
"min": 0,
"max": "1",
"type": [
{
"code": "Reference",
"targetProfile": [
"https://corhealth-ontario.ca/fhir/StructureDefinition/corhealth-observation-046"
]
}
],
"mustSupport": true
},
{
"id": "DiagnosticReport.result:obs047",
"path": "DiagnosticReport.result",
"sliceName": "obs047",
"min": 0,
"max": "1",
"type": [
{
"code": "Reference",
"targetProfile": [
"https://corhealth-ontario.ca/fhir/StructureDefinition/corhealth-observation-047"
]
}
],
"mustSupport": true
},
{
"id": "DiagnosticReport.result:obs048",
"path": "DiagnosticReport.result",
"sliceName": "obs048",
"min": 0,
"max": "1",
"type": [
{
"code": "Reference",
"targetProfile": [
"https://corhealth-ontario.ca/fhir/StructureDefinition/corhealth-observation-048"
]
}
],
"mustSupport": true
},
{
"id": "DiagnosticReport.result:obs049",
"path": "DiagnosticReport.result",
"sliceName": "obs049",
"min": 0,
"max": "1",
"type": [
{
"code": "Reference",
"targetProfile": [
"https://corhealth-ontario.ca/fhir/StructureDefinition/corhealth-observation-049"
]
}
],
"mustSupport": true
},
{
"id": "DiagnosticReport.result:obs050",
"path": "DiagnosticReport.result",
"sliceName": "obs050",
"min": 0,
"max": "1",
"type": [
{
"code": "Reference",
"targetProfile": [
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]
}
],
"mustSupport": true
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"path": "DiagnosticReport.result",
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]
}
],
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{
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],
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],
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}
],
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]
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],
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},
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]
}
],
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}
]
}

}

Usage

The DiagnosticReport resource supports the submission and retrieval of a diagnostic report. This is the main entry point of the CorHealth report.

Notes

.identifier

SHOULD contain an identifier of the diagnostic report.

.basedOn

SHALL contain a reference to a ServiceRequest for the order associated to the report

.status

SHALL contain the 'final' status of the diagnsotic report

.code

SHALL contain a hard fixed LOINC code 34133-9 indicating this is a 'Summary of episode note'

.subject

SHALL contain a reference to the patient

.result

SHOULD contain all observations of the report