Profile: CareConnect-GPC-DiagnosticReport-1
| CareConnect-GPC-DiagnosticReport-1 (DiagnosticReport) | C | DiagnosticReport | |
| id | Σ | 0..1 | id |
| meta | Σ | 0..1 | Meta |
| id | 0..1 | string | |
| extension | 0..* | Extension | |
| versionId | Σ | 0..1 | id |
| lastUpdated | Σ | 0..1 | instant |
| profile | Σ | 1..* | uri |
| security | Σ | 0..* | CodingBinding |
| tag | Σ | 0..* | Coding |
| implicitRules | Σ ?! | 0..1 | uri |
| language | 0..1 | codeBinding | |
| text | C | 0..1 | Narrative |
| contained | 0..* | Resource | |
| extension | 0..* | Extension | |
| modifierExtension | ?! | 0..* | Extension |
| identifier | Σ | 1..* | Identifier |
| id | 0..1 | string | |
| extension | 0..* | Extension | |
| use | Σ ?! | 0..1 | codeBinding |
| type | Σ | 0..1 | CodeableConceptBinding |
| system | Σ | 1..1 | uri |
| value | Σ | 1..1 | string |
| period | Σ | 0..1 | Period |
| assigner | Σ | 0..1 | Reference(Organization) |
| basedOn | S | 0..* | Reference(CareConnect-GPC-ProcedureRequest-1) |
| status | Σ ?! | 1..1 | codeBinding |
| category | S Σ | 0..1 | CodeableConceptBinding |
| id | 0..1 | string | |
| extension | 0..* | Extension | |
| coding | Σ | 0..* | Coding |
| snomedCT | Σ | 0..* | Coding |
| id | 0..1 | string | |
| extension | 0..* | Extension | |
| snomedCTDescriptionID | C | 0..1 | Extension(Complex) |
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| descriptionId | C | 1..1 | Extension |
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| url | 1..1 | uriAuto Value | |
| valueId | 0..1 | id | |
| descriptionDisplay | C | 1..1 | Extension |
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| url | 1..1 | uriAuto Value | |
| valueString | 0..1 | string | |
| url | 1..1 | uriAuto Value | |
| value[x] | 0..0 | ||
| system | Σ | 1..1 | uriAuto Value |
| version | Σ | 0..1 | string |
| code | Σ | 1..1 | code |
| display | Σ | 1..1 | string |
| userSelected | Σ | 0..1 | boolean |
| text | Σ | 0..1 | string |
| code | Σ | 1..1 | CodeableConceptBinding |
| id | 0..1 | string | |
| extension | 0..* | Extension | |
| coding | Σ | 0..* | Coding |
| snomedCT | Σ | 0..* | CodingBinding |
| id | 0..1 | string | |
| extension | 0..* | Extension | |
| snomedCTDescriptionID | C | 0..1 | Extension(Complex) |
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| descriptionId | C | 1..1 | Extension |
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| url | 1..1 | uriAuto Value | |
| valueId | 0..1 | id | |
| descriptionDisplay | C | 1..1 | Extension |
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| url | 1..1 | uriAuto Value | |
| valueString | 0..1 | string | |
| url | 1..1 | uriAuto Value | |
| value[x] | 0..0 | ||
| system | Σ | 1..1 | uriAuto Value |
| version | Σ | 0..1 | string |
| code | Σ | 1..1 | code |
| display | Σ | 1..1 | string |
| userSelected | Σ | 0..1 | boolean |
| text | Σ | 0..1 | string |
| subject | Σ | 1..1 | Reference(Group | Device | CareConnect-GPC-Patient-1 | CareConnect-GPC-Location-1) |
| context | Σ | 0..1 | Reference(CareConnect-GPC-Encounter-1) |
| effective[x] | Σ | 0..1 | |
| effectiveDateTime | dateTime | ||
| effectivePeriod | Period | ||
| issued | Σ | 1..1 | instant |
| performer | S Σ | 0..* | BackboneElement |
| id | 0..1 | string | |
| extension | 0..* | Extension | |
| modifierExtension | Σ ?! | 0..* | Extension |
| role | Σ | 0..1 | CodeableConcept |
| actor | Σ | 1..1 | Reference(CareConnect-GPC-Organization-1 | CareConnect-GPC-Practitioner-1) |
| specimen | S | 0..* | Reference(CareConnect-GPC-Specimen-1) |
| result | S | 0..* | Reference(CareConnect-GPC-Observation-1) |
| imagingStudy | 0..* | Reference(ImagingStudy | ImagingManifest) | |
| image | Σ | 0..* | BackboneElement |
| id | 0..1 | string | |
| extension | 0..* | Extension | |
| modifierExtension | Σ ?! | 0..* | Extension |
| comment | 0..1 | string | |
| link | Σ | 1..1 | Reference(Media) |
| conclusion | S | 0..1 | string |
| codedDiagnosis | S | 0..* | CodeableConceptBinding |
| id | 0..1 | string | |
| extension | 0..* | Extension | |
| coding | Σ | 0..* | Coding |
| snomedCT | Σ | 0..* | CodingBinding |
| id | 0..1 | string | |
| extension | 0..* | Extension | |
| snomedCTDescriptionID | C | 0..1 | Extension(Complex) |
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| descriptionId | C | 1..1 | Extension |
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| url | 1..1 | uriAuto Value | |
| valueId | 0..1 | id | |
| descriptionDisplay | C | 1..1 | Extension |
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| url | 1..1 | uriAuto Value | |
| valueString | 0..1 | string | |
| url | 1..1 | uriAuto Value | |
| value[x] | 0..0 | ||
| system | Σ | 1..1 | uriAuto Value |
| version | Σ | 0..1 | string |
| code | Σ | 1..1 | code |
| display | Σ | 1..1 | string |
| userSelected | Σ | 0..1 | boolean |
| text | Σ | 0..1 | string |
| presentedForm | 0..* | Attachment |
| DiagnosticReport | |||
| Short | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | ||
| 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. | ||
| Cardinality | 0..* | ||
| Alias | Report, Test, Result, Results, Labs, Laboratory | ||
| 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. | ||
| Constraints |
| ||
| Mappings |
| ||
| DiagnosticReport.id | |||
| Short | 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. | ||
| Cardinality | 0..1 | ||
| Type | id | ||
| Summary | True | ||
| 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. | ||
| DiagnosticReport.meta | |||
| Short | Metadata about the resource | ||
| Definition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource. | ||
| Cardinality | 0..1 | ||
| Type | Meta | ||
| Summary | True | ||
| DiagnosticReport.meta.id | |||
| Short | xml:id (or equivalent in JSON) | ||
| Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||
| Cardinality | 0..1 | ||
| Type | string | ||
| Mappings |
| ||
| DiagnosticReport.meta.extension | |||
| Short | Additional Content defined by implementations | ||
| Definition | May be used to represent additional information that is not part of the basic definition of the element. In order 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. | ||
| Cardinality | 0..* | ||
| Type | Extension | ||
| Alias | extensions, user content | ||
| 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. | ||
| Slicing | Unordered, Open, by url(Value) Extensions are always sliced by (at least) url | ||
| Mappings |
| ||
| DiagnosticReport.meta.versionId | |||
| Short | Version specific identifier | ||
| Definition | The version specific identifier, as it appears in the version portion of the URL. This values changes when the resource is created, updated, or deleted. | ||
| Cardinality | 0..1 | ||
| Type | id | ||
| Summary | True | ||
| Comments | The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes. | ||
| DiagnosticReport.meta.lastUpdated | |||
| Short | When the resource version last changed | ||
| Definition | When the resource last changed - e.g. when the version changed. | ||
| Cardinality | 0..1 | ||
| Type | instant | ||
| Summary | True | ||
| Comments | This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. | ||
| DiagnosticReport.meta.profile | |||
| Short | Profiles this resource claims to conform to | ||
| Definition | A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. | ||
| Cardinality | 1..* | ||
| Type | uri | ||
| Summary | True | ||
| Comments | It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set. | ||
| DiagnosticReport.meta.security | |||
| Short | Security Labels applied to this resource | ||
| Definition | Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure. | ||
| Cardinality | 0..* | ||
| Type | Coding | ||
| Binding | Security Labels from the Healthcare Privacy and Security Classification System. | ||
| Summary | True | ||
| Comments | The security labels can be updated without changing the stated version of the resource The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored. | ||
| DiagnosticReport.meta.tag | |||
| Short | Tags applied to this resource | ||
| Definition | Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource. | ||
| Cardinality | 0..* | ||
| Type | Coding | ||
| Binding | Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones" | ||
| Summary | True | ||
| Comments | The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored. | ||
| DiagnosticReport.implicitRules | |||
| Short | 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. | ||
| Cardinality | 0..1 | ||
| Type | uri | ||
| Modifier | True | ||
| Summary | True | ||
| 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. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation. | ||
| DiagnosticReport.language | |||
| Short | Language of the resource content | ||
| Definition | The base language in which the resource is written. | ||
| Cardinality | 0..1 | ||
| Type | code | ||
| Binding | A human language. Binding extensions
| ||
| 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). | ||
| DiagnosticReport.text | |||
| Short | Text summary of the resource, for human interpretation | ||
| Definition | A human-readable narrative that contains a summary of the resource, and may 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. | ||
| Cardinality | 0..1 | ||
| Type | Narrative | ||
| Alias | narrative, html, xhtml, display | ||
| 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 in formation is added later. | ||
| Conditions | The cardinality or value of this element may be affected by these constraints: dom-1 | ||
| Mappings |
| ||
| DiagnosticReport.contained | |||
| Short | Contained, inline 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. | ||
| Cardinality | 0..* | ||
| Type | Resource | ||
| Alias | inline resources, anonymous resources, contained resources | ||
| 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. | ||
| Mappings |
| ||
| DiagnosticReport.extension | |||
| Short | Additional Content defined by implementations | ||
| Definition | May be used to represent additional information that is not part of the basic definition of the resource. In order 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. | ||
| Cardinality | 0..* | ||
| Type | Extension | ||
| Alias | extensions, user content | ||
| 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. | ||
| Mappings |
| ||
| DiagnosticReport.modifierExtension | |||
| Short | Extensions that cannot be ignored | ||
| 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. Usually modifier elements provide negation or qualification. In order 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. | ||
| Cardinality | 0..* | ||
| Type | Extension | ||
| Modifier | True | ||
| Alias | extensions, user content | ||
| 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. | ||
| Mappings |
| ||
| DiagnosticReport.identifier | |||
| Short | Business identifier for report | ||
| Definition | Identifiers assigned to this report by the performer or other systems. | ||
| Cardinality | 1..* | ||
| Type | Identifier | ||
| Summary | True | ||
| Alias | ReportID, Filler ID, Placer ID | ||
| 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). | ||
| Mappings |
| ||
| DiagnosticReport.identifier.id | |||
| Short | xml:id (or equivalent in JSON) | ||
| Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||
| Cardinality | 0..1 | ||
| Type | string | ||
| Mappings |
| ||
| DiagnosticReport.identifier.extension | |||
| Short | Additional Content defined by implementations | ||
| Definition | May be used to represent additional information that is not part of the basic definition of the element. In order 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. | ||
| Cardinality | 0..* | ||
| Type | Extension | ||
| Alias | extensions, user content | ||
| 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. | ||
| Slicing | Unordered, Open, by url(Value) Extensions are always sliced by (at least) url | ||
| Mappings |
| ||
| DiagnosticReport.identifier.use | |||
| Short | usual | official | temp | secondary (If known) | ||
| Definition | The purpose of this identifier. | ||
| Cardinality | 0..1 | ||
| Type | code | ||
| Binding | Identifies the purpose for this identifier, if known . | ||
| Modifier | True | ||
| Summary | True | ||
| Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. | ||
| Comments | This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. | ||
| Mappings |
| ||
| DiagnosticReport.identifier.type | |||
| Short | Description of identifier | ||
| Definition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. | ||
| Cardinality | 0..1 | ||
| Type | CodeableConcept | ||
| Binding | A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||
| Summary | True | ||
| 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. | ||
| Mappings |
| ||
| DiagnosticReport.identifier.system | |||
| Short | 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. | ||
| Cardinality | 1..1 | ||
| Type | uri | ||
| Summary | True | ||
| 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. | ||
| Examples | Generalhttp://www.acme.com/identifiers/patient | ||
| Mappings |
| ||
| DiagnosticReport.identifier.value | |||
| Short | 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. | ||
| Cardinality | 1..1 | ||
| Type | string | ||
| Summary | True | ||
| 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. | ||
| Examples | General123456 | ||
| Mappings |
| ||
| DiagnosticReport.identifier.period | |||
| Short | Time period when id is/was valid for use | ||
| Definition | Time period during which identifier is/was valid for use. | ||
| Cardinality | 0..1 | ||
| Type | Period | ||
| Summary | True | ||
| Mappings |
| ||
| DiagnosticReport.identifier.assigner | |||
| Short | Organization that issued id (may be just text) | ||
| Definition | Organization that issued/manages the identifier. | ||
| Cardinality | 0..1 | ||
| Type | Reference(Organization) | ||
| Summary | True | ||
| 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. | ||
| Mappings |
| ||
| DiagnosticReport.basedOn | |||
| Short | What was requested | ||
| Definition | Details concerning a test or procedure requested. | ||
| Cardinality | 0..* | ||
| Type | Reference(CareConnect-GPC-ProcedureRequest-1) | ||
| Must Support | True | ||
| Alias | Request | ||
| 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. | ||
| Mappings |
| ||
| DiagnosticReport.status | |||
| Short | registered | partial | preliminary | final + | ||
| Definition | The status of the diagnostic report as a whole. | ||
| Cardinality | 1..1 | ||
| Type | code | ||
| Binding | The status of the diagnostic report as a whole. | ||
| Modifier | True | ||
| Summary | True | ||
| Requirements | Diagnostic services routinely issue provisional/incomplete reports, and sometimes withdraw previously released reports. | ||
| Comments | This is labeled as "Is Modifier" because applications need to take appropriate action if a report is withdrawn. | ||
| Mappings |
| ||
| DiagnosticReport.category | |||
| Short | Service category | ||
| 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. | ||
| Cardinality | 0..1 | ||
| Type | CodeableConcept | ||
| Binding | Codes for diagnostic service sections. | ||
| Must Support | True | ||
| Summary | True | ||
| Alias | Department, Sub-department, Service, Discipline | ||
| Comments | 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. | ||
| Mappings |
| ||
| DiagnosticReport.category.id | |||
| Short | xml:id (or equivalent in JSON) | ||
| Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||
| Cardinality | 0..1 | ||
| Type | string | ||
| Mappings |
| ||
| DiagnosticReport.category.extension | |||
| Short | Additional Content defined by implementations | ||
| Definition | May be used to represent additional information that is not part of the basic definition of the element. In order 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. | ||
| Cardinality | 0..* | ||
| Type | Extension | ||
| Alias | extensions, user content | ||
| 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. | ||
| Slicing | Unordered, Open, by url(Value) Extensions are always sliced by (at least) url | ||
| Mappings |
| ||
| DiagnosticReport.category.coding | |||
| Short | Code defined by a terminology system | ||
| Definition | A reference to a code defined by a terminology system. | ||
| Cardinality | 0..* | ||
| Type | Coding | ||
| Summary | True | ||
| Requirements | Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. | ||
| Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||
| Slicing | Unordered, Open, by system(Value) | ||
| Mappings |
| ||
| DiagnosticReport.category.coding:snomedCT | |||
| Short | Code defined by a terminology system | ||
| Definition | A reference to a code defined by a terminology system. | ||
| Cardinality | 0..* | ||
| Type | Coding | ||
| Summary | True | ||
| Requirements | Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. | ||
| Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||
| Mappings |
| ||
| DiagnosticReport.category.coding:snomedCT.id | |||
| Short | xml:id (or equivalent in JSON) | ||
| Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||
| Cardinality | 0..1 | ||
| Type | string | ||
| Mappings |
| ||
| DiagnosticReport.category.coding:snomedCT.extension | |||
| Short | Additional Content defined by implementations | ||
| Definition | May be used to represent additional information that is not part of the basic definition of the element. In order 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. | ||
| Cardinality | 0..* | ||
| Type | Extension | ||
| Alias | extensions, user content | ||
| 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. | ||
| Slicing | Unordered, Open, by url(Value) Extensions are always sliced by (at least) url | ||
| Mappings |
| ||
| DiagnosticReport.category.coding:snomedCT.extension:snomedCTDescriptionID | |||
| Short | The SNOMED CT Description ID for the display | ||
| Definition | The SNOMED CT Description ID for the display. | ||
| Cardinality | 0..1 | ||
| Type | Extension(Complex) | ||
| Alias | extensions, user content | ||
| 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. | ||
| Conditions | The cardinality or value of this element may be affected by these constraints: ele-1 | ||
| Constraints |
| ||
| Mappings |
| ||
| DiagnosticReport.category.coding:snomedCT.extension:snomedCTDescriptionID.id | |||
| Short | xml:id (or equivalent in JSON) | ||
| Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||
| Cardinality | 0..1 | ||
| Type | string | ||
| Comments | Note that FHIR strings may not exceed 1MB in size | ||
| Conditions | The cardinality or value of this element may be affected by these constraints: ele-1 | ||
| Constraints |
| ||
| Mappings |
| ||
| DiagnosticReport.category.coding:snomedCT.extension:snomedCTDescriptionID.extension | |||
| Short | Additional Content defined by implementations | ||
| Definition | May be used to represent additional information that is not part of the basic definition of the element. In order 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. | ||
| Cardinality | 0..* | ||
| Type | Extension | ||
| Alias | extensions, user content | ||
| 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. | ||
| Slicing | Unordered, Open, by url(Value) Extensions are always sliced by (at least) url | ||
| Conditions | The cardinality or value of this element may be affected by these constraints: ele-1 | ||
| Constraints |
| ||
| Mappings |
| ||
| DiagnosticReport.category.coding:snomedCT.extension:snomedCTDescriptionID.extension:descriptionId | |||
| Short | The SNOMED CT Description ID | ||
| Definition | May be used to represent additional information that is not part of the basic definition of the element. In order 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. | ||
| Cardinality | 1..1 | ||
| Type | Extension | ||
| Alias | extensions, user content | ||
| 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. | ||
| Conditions | The cardinality or value of this element may be affected by these constraints: ele-1 | ||
| Constraints |
| ||
| Mappings |
| ||
| DiagnosticReport.category.coding:snomedCT.extension:snomedCTDescriptionID.extension:descriptionId.id | |||
| Short | xml:id (or equivalent in JSON) | ||
| Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||
| Cardinality | 0..1 | ||
| Type | string | ||
| Comments | Note that FHIR strings may not exceed 1MB in size | ||
| Conditions | The cardinality or value of this element may be affected by these constraints: ele-1 | ||
| Constraints |
| ||
| Mappings |
| ||
| DiagnosticReport.category.coding:snomedCT.extension:snomedCTDescriptionID.extension:descriptionId.extension | |||
| Short | Additional Content defined by implementations | ||
| Definition | May be used to represent additional information that is not part of the basic definition of the element. In order 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. | ||
| Cardinality | 0..* | ||
| Type | Extension | ||
| Alias | extensions, user content | ||
| 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. | ||
| Slicing | Unordered, Open, by url(Value) Extensions are always sliced by (at least) url | ||
| Conditions | The cardinality or value of this element may be affected by these constraints: ele-1 | ||
| Constraints |
| ||
| Mappings |
| ||
| DiagnosticReport.category.coding:snomedCT.extension:snomedCTDescriptionID.extension:descriptionId.url | |||
| Short | identifies the meaning of the extension | ||
| Definition | Source of the definition for the extension code - a logical name or a URL. | ||
| Cardinality | 1..1 | ||
| Type | uri | ||
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||
| Conditions | The cardinality or value of this element may be affected by these constraints: ele-1 | ||
| Constraints |
| ||
| Auto Value | descriptionId | ||
| Mappings |
| ||
| DiagnosticReport.category.coding:snomedCT.extension:snomedCTDescriptionID.extension:descriptionId.value[x]:valueId | |||
| Short | The SNOMED CT Description ID | ||
| Definition | Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). | ||
| Cardinality | 0..1 | ||
| Type | id | ||
| Comments | A stream of bytes, base64 encoded | ||
| Conditions | The cardinality or value of this element may be affected by these constraints: ele-1 | ||
| Constraints |
| ||
| Mappings |
| ||
| DiagnosticReport.category.coding:snomedCT.extension:snomedCTDescriptionID.extension:descriptionDisplay | |||
| Short | The SNOMED CT display for the description ID | ||
| Definition | May be used to represent additional information that is not part of the basic definition of the element. In order 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. | ||
| Cardinality | 1..1 | ||
| Type | Extension | ||
| Alias | extensions, user content | ||
| 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. | ||
| Conditions | The cardinality or value of this element may be affected by these constraints: ele-1 | ||
| Constraints |
| ||
| Mappings |
| ||
| DiagnosticReport.category.coding:snomedCT.extension:snomedCTDescriptionID.extension:descriptionDisplay.id | |||
| Short | xml:id (or equivalent in JSON) | ||
| Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||
| Cardinality | 0..1 | ||
| Type | string | ||
| Comments | Note that FHIR strings may not exceed 1MB in size | ||
| Conditions | The cardinality or value of this element may be affected by these constraints: ele-1 | ||
| Constraints |
| ||
| Mappings |
| ||
| DiagnosticReport.category.coding:snomedCT.extension:snomedCTDescriptionID.extension:descriptionDisplay.extension | |||
| Short | Additional Content defined by implementations | ||
| Definition | May be used to represent additional information that is not part of the basic definition of the element. In order 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. | ||
| Cardinality | 0..* | ||
| Type | Extension | ||
| Alias | extensions, user content | ||
| 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. | ||
| Slicing | Unordered, Open, by url(Value) Extensions are always sliced by (at least) url | ||
| Conditions | The cardinality or value of this element may be affected by these constraints: ele-1 | ||
| Constraints |
| ||
| Mappings |
| ||
| DiagnosticReport.category.coding:snomedCT.extension:snomedCTDescriptionID.extension:descriptionDisplay.url | |||
| Short | identifies the meaning of the extension | ||
| Definition | Source of the definition for the extension code - a logical name or a URL. | ||
| Cardinality | 1..1 | ||
| Type | uri | ||
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||
| Conditions | The cardinality or value of this element may be affected by these constraints: ele-1 | ||
| Constraints |
| ||
| Auto Value | descriptionDisplay | ||
| Mappings |
| ||
| DiagnosticReport.category.coding:snomedCT.extension:snomedCTDescriptionID.extension:descriptionDisplay.value[x]:valueString | |||
| Short | The SNOMED CT display for the description ID | ||
| Definition | Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). | ||
| Cardinality | 0..1 | ||
| Type | string | ||
| Comments | A stream of bytes, base64 encoded | ||
| Conditions | The cardinality or value of this element may be affected by these constraints: ele-1 | ||
| Constraints |
| ||
| Mappings |
| ||
| DiagnosticReport.category.coding:snomedCT.extension:snomedCTDescriptionID.url | |||
| Short | identifies the meaning of the extension | ||
| Definition | Source of the definition for the extension code - a logical name or a URL. | ||
| Cardinality | 1..1 | ||
| Type | uri | ||
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||
| Conditions | The cardinality or value of this element may be affected by these constraints: ele-1 | ||
| Constraints |
| ||
| Auto Value | https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid | ||
| Mappings |
| ||
| DiagnosticReport.category.coding:snomedCT.extension:snomedCTDescriptionID.value[x] | |||
| Short | Value of extension | ||
| Definition | Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). | ||
| Cardinality | 0..0 | ||
| Type | Reference(), base64Binary, boolean, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, SampledData, Signature, Timing | ||
| Comments | A stream of bytes, base64 encoded | ||
| Conditions | The cardinality or value of this element may be affected by these constraints: ele-1 | ||
| Constraints |
| ||
| Mappings |
| ||
| DiagnosticReport.category.coding:snomedCT.system | |||
| Short | Identity of the terminology system | ||
| Definition | The identification of the code system that defines the meaning of the symbol in the code. | ||
| Cardinality | 1..1 | ||
| Type | uri | ||
| Summary | True | ||
| Requirements | Need to be unambiguous about the source of the definition of the symbol. | ||
| Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously. | ||
| Auto Value | http://snomed.info/sct | ||
| Mappings |
| ||
| DiagnosticReport.category.coding:snomedCT.version | |||
| Short | Version of the system - if relevant | ||
| Definition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. | ||
| Cardinality | 0..1 | ||
| Type | string | ||
| Summary | True | ||
| Comments | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. | ||
| Mappings |
| ||
| DiagnosticReport.category.coding:snomedCT.code | |||
| Short | Symbol in syntax defined by the system | ||
| Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). | ||
| Cardinality | 1..1 | ||
| Type | code | ||
| Summary | True | ||
| Requirements | Need to refer to a particular code in the system. | ||
| Mappings |
| ||
| DiagnosticReport.category.coding:snomedCT.display | |||
| Short | Representation defined by the system | ||
| Definition | A representation of the meaning of the code in the system, following the rules of the system. | ||
| Cardinality | 1..1 | ||
| Type | string | ||
| Summary | True | ||
| Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. | ||
| Mappings |
| ||
| DiagnosticReport.category.coding:snomedCT.userSelected | |||
| Short | If this coding was chosen directly by the user | ||
| Definition | Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays). | ||
| Cardinality | 0..1 | ||
| Type | boolean | ||
| Summary | True | ||
| Requirements | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. | ||
| Comments | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. | ||
| Mappings |
| ||
| DiagnosticReport.category.text | |||
| Short | Plain text representation of the concept | ||
| Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. | ||
| Cardinality | 0..1 | ||
| Type | string | ||
| Summary | True | ||
| Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. | ||
| Comments | Very often the text is the same as a displayName of one of the codings. | ||
| Mappings |
| ||
| DiagnosticReport.code | |||
| Short | Name/Code for this diagnostic report | ||
| Definition | A code or name that describes this diagnostic report. | ||
| Cardinality | 1..1 | ||
| Type | CodeableConcept | ||
| Binding | Codes that describe Diagnostic Reports. | ||
| Summary | True | ||
| Alias | Type | ||
| Mappings |
| ||
| DiagnosticReport.code.id | |||
| Short | xml:id (or equivalent in JSON) | ||
| Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||
| Cardinality | 0..1 | ||
| Type | string | ||
| Mappings |
| ||
| DiagnosticReport.code.extension | |||
| Short | Additional Content defined by implementations | ||
| Definition | May be used to represent additional information that is not part of the basic definition of the element. In order 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. | ||
| Cardinality | 0..* | ||
| Type | Extension | ||
| Alias | extensions, user content | ||
| 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. | ||
| Slicing | Unordered, Open, by url(Value) Extensions are always sliced by (at least) url | ||
| Mappings |
| ||
| DiagnosticReport.code.coding | |||
| Short | Code defined by a terminology system | ||
| Definition | A reference to a code defined by a terminology system. | ||
| Cardinality | 0..* | ||
| Type | Coding | ||
| Summary | True | ||
| Requirements | Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. | ||
| Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||
| Slicing | Unordered, Open, by system(Value) | ||
| Mappings |
| ||
| DiagnosticReport.code.coding:snomedCT | |||
| Short | Code defined by a terminology system | ||
| Definition | A reference to a code defined by a terminology system. | ||
| Cardinality | 0..* | ||
| Type | Coding | ||
| Binding | A code from the SNOMED Clinical Terminology UK | ||
| Summary | True | ||
| Requirements | Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. | ||
| Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||
| Mappings |
| ||
| DiagnosticReport.code.coding:snomedCT.id | |||
| Short | xml:id (or equivalent in JSON) | ||
| Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||
| Cardinality | 0..1 | ||
| Type | string | ||
| Mappings |
| ||
| DiagnosticReport.code.coding:snomedCT.extension | |||
| Short | Additional Content defined by implementations | ||
| Definition | May be used to represent additional information that is not part of the basic definition of the element. In order 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. | ||
| Cardinality | 0..* | ||
| Type | Extension | ||
| Alias | extensions, user content | ||
| 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. | ||
| Slicing | Unordered, Open, by url(Value) Extensions are always sliced by (at least) url | ||
| Mappings |
| ||
| DiagnosticReport.code.coding:snomedCT.extension:snomedCTDescriptionID | |||
| Short | The SNOMED CT Description ID for the display | ||
| Definition | The SNOMED CT Description ID for the display. | ||
| Cardinality | 0..1 | ||
| Type | Extension(Complex) | ||
| Alias | extensions, user content | ||
| 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. | ||
| Conditions | The cardinality or value of this element may be affected by these constraints: ele-1 | ||
| Constraints |
| ||
| Mappings |
| ||
| DiagnosticReport.code.coding:snomedCT.extension:snomedCTDescriptionID.id | |||
| Short | xml:id (or equivalent in JSON) | ||
| Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||
| Cardinality | 0..1 | ||
| Type | string | ||
| Comments | Note that FHIR strings may not exceed 1MB in size | ||
| Conditions | The cardinality or value of this element may be affected by these constraints: ele-1 | ||
| Constraints |
| ||
| Mappings |
| ||
| DiagnosticReport.code.coding:snomedCT.extension:snomedCTDescriptionID.extension | |||
| Short | Additional Content defined by implementations | ||
| Definition | May be used to represent additional information that is not part of the basic definition of the element. In order 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. | ||
| Cardinality | 0..* | ||
| Type | Extension | ||
| Alias | extensions, user content | ||
| 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. | ||
| Slicing | Unordered, Open, by url(Value) Extensions are always sliced by (at least) url | ||
| Conditions | The cardinality or value of this element may be affected by these constraints: ele-1 | ||
| Constraints |
| ||
| Mappings |
| ||
| DiagnosticReport.code.coding:snomedCT.extension:snomedCTDescriptionID.extension:descriptionId | |||
| Short | The SNOMED CT Description ID | ||
| Definition | May be used to represent additional information that is not part of the basic definition of the element. In order 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. | ||
| Cardinality | 1..1 | ||
| Type | Extension | ||
| Alias | extensions, user content | ||
| 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. | ||
| Conditions | The cardinality or value of this element may be affected by these constraints: ele-1 | ||
| Constraints |
| ||
| Mappings |
| ||
| DiagnosticReport.code.coding:snomedCT.extension:snomedCTDescriptionID.extension:descriptionId.id | |||
| Short | xml:id (or equivalent in JSON) | ||
| Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||
| Cardinality | 0..1 | ||
| Type | string | ||
| Comments | Note that FHIR strings may not exceed 1MB in size | ||
| Conditions | The cardinality or value of this element may be affected by these constraints: ele-1 | ||
| Constraints |
| ||
| Mappings |
| ||
| DiagnosticReport.code.coding:snomedCT.extension:snomedCTDescriptionID.extension:descriptionId.extension | |||
| Short | Additional Content defined by implementations | ||
| Definition | May be used to represent additional information that is not part of the basic definition of the element. In order 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. | ||
| Cardinality | 0..* | ||
| Type | Extension | ||
| Alias | extensions, user content | ||
| 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. | ||
| Slicing | Unordered, Open, by url(Value) Extensions are always sliced by (at least) url | ||
| Conditions | The cardinality or value of this element may be affected by these constraints: ele-1 | ||
| Constraints |
| ||
| Mappings |
| ||
| DiagnosticReport.code.coding:snomedCT.extension:snomedCTDescriptionID.extension:descriptionId.url | |||
| Short | identifies the meaning of the extension | ||
| Definition | Source of the definition for the extension code - a logical name or a URL. | ||
| Cardinality | 1..1 | ||
| Type | uri | ||
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||
| Conditions | The cardinality or value of this element may be affected by these constraints: ele-1 | ||
| Constraints |
| ||
| Auto Value | descriptionId | ||
| Mappings |
| ||
| DiagnosticReport.code.coding:snomedCT.extension:snomedCTDescriptionID.extension:descriptionId.value[x]:valueId | |||
| Short | The SNOMED CT Description ID | ||
| Definition | Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). | ||
| Cardinality | 0..1 | ||
| Type | id | ||
| Comments | A stream of bytes, base64 encoded | ||
| Conditions | The cardinality or value of this element may be affected by these constraints: ele-1 | ||
| Constraints |
| ||
| Mappings |
| ||
| DiagnosticReport.code.coding:snomedCT.extension:snomedCTDescriptionID.extension:descriptionDisplay | |||
| Short | The SNOMED CT display for the description ID | ||
| Definition | May be used to represent additional information that is not part of the basic definition of the element. In order 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. | ||
| Cardinality | 1..1 | ||
| Type | Extension | ||
| Alias | extensions, user content | ||
| 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. | ||
| Conditions | The cardinality or value of this element may be affected by these constraints: ele-1 | ||
| Constraints |
| ||
| Mappings |
| ||
| DiagnosticReport.code.coding:snomedCT.extension:snomedCTDescriptionID.extension:descriptionDisplay.id | |||
| Short | xml:id (or equivalent in JSON) | ||
| Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||
| Cardinality | 0..1 | ||
| Type | string | ||
| Comments | Note that FHIR strings may not exceed 1MB in size | ||
| Conditions | The cardinality or value of this element may be affected by these constraints: ele-1 | ||
| Constraints |
| ||
| Mappings |
| ||
| DiagnosticReport.code.coding:snomedCT.extension:snomedCTDescriptionID.extension:descriptionDisplay.extension | |||
| Short | Additional Content defined by implementations | ||
| Definition | May be used to represent additional information that is not part of the basic definition of the element. In order 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. | ||
| Cardinality | 0..* | ||
| Type | Extension | ||
| Alias | extensions, user content | ||
| 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. | ||
| Slicing | Unordered, Open, by url(Value) Extensions are always sliced by (at least) url | ||
| Conditions | The cardinality or value of this element may be affected by these constraints: ele-1 | ||
| Constraints |
| ||
| Mappings |
| ||
| DiagnosticReport.code.coding:snomedCT.extension:snomedCTDescriptionID.extension:descriptionDisplay.url | |||
| Short | identifies the meaning of the extension | ||
| Definition | Source of the definition for the extension code - a logical name or a URL. | ||
| Cardinality | 1..1 | ||
| Type | uri | ||
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||
| Conditions | The cardinality or value of this element may be affected by these constraints: ele-1 | ||
| Constraints |
| ||
| Auto Value | descriptionDisplay | ||
| Mappings |
| ||
| DiagnosticReport.code.coding:snomedCT.extension:snomedCTDescriptionID.extension:descriptionDisplay.value[x]:valueString | |||
| Short | The SNOMED CT display for the description ID | ||
| Definition | Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). | ||
| Cardinality | 0..1 | ||
| Type | string | ||
| Comments | A stream of bytes, base64 encoded | ||
| Conditions | The cardinality or value of this element may be affected by these constraints: ele-1 | ||
| Constraints |
| ||
| Mappings |
| ||
| DiagnosticReport.code.coding:snomedCT.extension:snomedCTDescriptionID.url | |||
| Short | identifies the meaning of the extension | ||
| Definition | Source of the definition for the extension code - a logical name or a URL. | ||
| Cardinality | 1..1 | ||
| Type | uri | ||
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||
| Conditions | The cardinality or value of this element may be affected by these constraints: ele-1 | ||
| Constraints |
| ||
| Auto Value | https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid | ||
| Mappings |
| ||
| DiagnosticReport.code.coding:snomedCT.extension:snomedCTDescriptionID.value[x] | |||
| Short | Value of extension | ||
| Definition | Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). | ||
| Cardinality | 0..0 | ||
| Type | Reference(), base64Binary, boolean, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, SampledData, Signature, Timing | ||
| Comments | A stream of bytes, base64 encoded | ||
| Conditions | The cardinality or value of this element may be affected by these constraints: ele-1 | ||
| Constraints |
| ||
| Mappings |
| ||
| DiagnosticReport.code.coding:snomedCT.system | |||
| Short | Identity of the terminology system | ||
| Definition | The identification of the code system that defines the meaning of the symbol in the code. | ||
| Cardinality | 1..1 | ||
| Type | uri | ||
| Summary | True | ||
| Requirements | Need to be unambiguous about the source of the definition of the symbol. | ||
| Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously. | ||
| Auto Value | http://snomed.info/sct | ||
| Mappings |
| ||
| DiagnosticReport.code.coding:snomedCT.version | |||
| Short | Version of the system - if relevant | ||
| Definition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. | ||
| Cardinality | 0..1 | ||
| Type | string | ||
| Summary | True | ||
| Comments | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. | ||
| Mappings |
| ||
| DiagnosticReport.code.coding:snomedCT.code | |||
| Short | Symbol in syntax defined by the system | ||
| Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). | ||
| Cardinality | 1..1 | ||
| Type | code | ||
| Summary | True | ||
| Requirements | Need to refer to a particular code in the system. | ||
| Mappings |
| ||
| DiagnosticReport.code.coding:snomedCT.display | |||
| Short | Representation defined by the system | ||
| Definition | A representation of the meaning of the code in the system, following the rules of the system. | ||
| Cardinality | 1..1 | ||
| Type | string | ||
| Summary | True | ||
| Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. | ||
| Mappings |
| ||
| DiagnosticReport.code.coding:snomedCT.userSelected | |||
| Short | If this coding was chosen directly by the user | ||
| Definition | Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays). | ||
| Cardinality | 0..1 | ||
| Type | boolean | ||
| Summary | True | ||
| Requirements | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. | ||
| Comments | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. | ||
| Mappings |
| ||
| DiagnosticReport.code.text | |||
| Short | Plain text representation of the concept | ||
| Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. | ||
| Cardinality | 0..1 | ||
| Type | string | ||
| Summary | True | ||
| Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. | ||
| Comments | Very often the text is the same as a displayName of one of the codings. | ||
| Mappings |
| ||
| DiagnosticReport.subject | |||
| Short | The subject of the report - usually, but not always, the 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. | ||
| Cardinality | 1..1 | ||
| Type | Reference(Group | Device | CareConnect-GPC-Patient-1 | CareConnect-GPC-Location-1) | ||
| Summary | True | ||
| Alias | Patient | ||
| Requirements | SHALL know the subject context. | ||
| Mappings |
| ||
| DiagnosticReport.context | |||
| Short | Health care event when test ordered | ||
| Definition | The healthcare event (e.g. a patient and healthcare provider interaction) which this DiagnosticReport per is about. | ||
| Cardinality | 0..1 | ||
| Type | Reference(CareConnect-GPC-Encounter-1) | ||
| Summary | True | ||
| Alias | Encounter | ||
| 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 or episode but still be tied to the context of the encounter or episode (e.g. pre-admission lab tests). | ||
| Mappings |
| ||
| DiagnosticReport.effective[x] | |||
| Short | Clinically relevant time/time-period for report | ||
| 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. | ||
| Cardinality | 0..1 | ||
| Type | dateTime, Period | ||
| Summary | True | ||
| Alias | Observation time, Effective Time, Occurrence | ||
| 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. | ||
| Mappings |
| ||
| DiagnosticReport.issued | |||
| Short | DateTime this version was released | ||
| Definition | The date and time that this version of the report was released from the source diagnostic service. | ||
| Cardinality | 1..1 | ||
| Type | instant | ||
| Summary | True | ||
| Alias | Date Created, Date published, Date Issued | ||
| 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. | ||
| Mappings |
| ||
| DiagnosticReport.performer | |||
| Short | Participants in producing the report | ||
| Definition | Indicates who or what participated in producing the report. | ||
| Cardinality | 0..* | ||
| Type | BackboneElement | ||
| Must Support | True | ||
| Summary | True | ||
| Alias | Laboratory, Service, Practitioner, Department, Company | ||
| Constraints |
| ||
| Mappings |
| ||
| DiagnosticReport.performer.id | |||
| Short | xml:id (or equivalent in JSON) | ||
| Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||
| Cardinality | 0..1 | ||
| Type | string | ||
| Mappings |
| ||
| DiagnosticReport.performer.extension | |||
| Short | Additional Content defined by implementations | ||
| Definition | May be used to represent additional information that is not part of the basic definition of the element. In order 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. | ||
| Cardinality | 0..* | ||
| Type | Extension | ||
| Alias | extensions, user content | ||
| 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. | ||
| Mappings |
| ||
| DiagnosticReport.performer.modifierExtension | |||
| Short | Extensions that cannot be ignored | ||
| 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 that contains it. Usually modifier elements provide negation or qualification. In order 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. | ||
| Cardinality | 0..* | ||
| Type | Extension | ||
| Modifier | True | ||
| Summary | True | ||
| Alias | extensions, user content, modifiers | ||
| 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. | ||
| Mappings |
| ||
| DiagnosticReport.performer.role | |||
| Short | Type of performer | ||
| Definition | Describes the type of participation (e.g. a responsible party, author, or verifier). | ||
| Cardinality | 0..1 | ||
| Type | CodeableConcept | ||
| Binding | Indicate a role of diagnostic report performer | ||
| Summary | True | ||
| Mappings |
| ||
| DiagnosticReport.performer.actor | |||
| Short | Practitioner or Organization participant | ||
| Definition | The reference to the practitioner or organization involved in producing the report. For example, the diagnostic service that is responsible for issuing the report. | ||
| Cardinality | 1..1 | ||
| Type | Reference(CareConnect-GPC-Organization-1 | CareConnect-GPC-Practitioner-1) | ||
| Summary | True | ||
| 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. It is the entity that takes responsibility for the clinical report. | ||
| Mappings |
| ||
| DiagnosticReport.specimen | |||
| Short | Specimens this report is based on | ||
| Definition | Details about the specimens on which this diagnostic report is based. | ||
| Cardinality | 0..* | ||
| Type | Reference(CareConnect-GPC-Specimen-1) | ||
| Must Support | True | ||
| 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. | ||
| Mappings |
| ||
| DiagnosticReport.result | |||
| Short | Observations - simple, or complex nested groups | ||
| Definition | Observations that are part of this diagnostic report. Observations can be simple name/value pairs (e.g. "atomic" results), or they can be grouping observations that include references to other members of the group (e.g. "panels"). | ||
| Cardinality | 0..* | ||
| Type | Reference(CareConnect-GPC-Observation-1) | ||
| Must Support | True | ||
| Alias | Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer | ||
| Requirements | Need to support individual results, or report groups of results, where the result grouping is arbitrary, but meaningful. This structure is recursive - observations can contain observations. | ||
| Mappings |
| ||
| DiagnosticReport.imagingStudy | |||
| Short | 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. | ||
| Cardinality | 0..* | ||
| Type | Reference(ImagingStudy | ImagingManifest) | ||
| Comments | ImagingStudy and ImageManifest 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. | ||
| Mappings |
| ||
| DiagnosticReport.image | |||
| Short | Key images associated with this report | ||
| 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). | ||
| Cardinality | 0..* | ||
| Type | BackboneElement | ||
| Summary | True | ||
| Alias | DICOM, Slides, Scans | ||
| Requirements | Many diagnostic services include images in the report as part of their service. | ||
| Constraints |
| ||
| Mappings |
| ||
| DiagnosticReport.image.id | |||
| Short | xml:id (or equivalent in JSON) | ||
| Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||
| Cardinality | 0..1 | ||
| Type | string | ||
| Mappings |
| ||
| DiagnosticReport.image.extension | |||
| Short | Additional Content defined by implementations | ||
| Definition | May be used to represent additional information that is not part of the basic definition of the element. In order 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. | ||
| Cardinality | 0..* | ||
| Type | Extension | ||
| Alias | extensions, user content | ||
| 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. | ||
| Mappings |
| ||
| DiagnosticReport.image.modifierExtension | |||
| Short | Extensions that cannot be ignored | ||
| 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 that contains it. Usually modifier elements provide negation or qualification. In order 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. | ||
| Cardinality | 0..* | ||
| Type | Extension | ||
| Modifier | True | ||
| Summary | True | ||
| Alias | extensions, user content, modifiers | ||
| 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. | ||
| Mappings |
| ||
| DiagnosticReport.image.comment | |||
| Short | 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. | ||
| Cardinality | 0..1 | ||
| Type | string | ||
| 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. | ||
| Mappings |
| ||
| DiagnosticReport.image.link | |||
| Short | Reference to the image source | ||
| Definition | Reference to the image source. | ||
| Cardinality | 1..1 | ||
| Type | Reference(Media) | ||
| Summary | True | ||
| Mappings |
| ||
| DiagnosticReport.conclusion | |||
| Short | Clinical Interpretation of test results | ||
| Definition | Concise and clinically contextualized impression / summary of the diagnostic report. | ||
| Cardinality | 0..1 | ||
| Type | string | ||
| Must Support | True | ||
| Alias | Report | ||
| Requirements | Need to be able to provide a conclusion that is not lost among the basic result data. | ||
| Mappings |
| ||
| DiagnosticReport.codedDiagnosis | |||
| Short | Codes for the conclusion | ||
| Definition | Codes for the conclusion. | ||
| Cardinality | 0..* | ||
| Type | CodeableConcept | ||
| Binding | A SNOMED Coded finding for the test report. | ||
| Must Support | True | ||
| Mappings |
| ||
| DiagnosticReport.codedDiagnosis.id | |||
| Short | xml:id (or equivalent in JSON) | ||
| Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||
| Cardinality | 0..1 | ||
| Type | string | ||
| Mappings |
| ||
| DiagnosticReport.codedDiagnosis.extension | |||
| Short | Additional Content defined by implementations | ||
| Definition | May be used to represent additional information that is not part of the basic definition of the element. In order 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. | ||
| Cardinality | 0..* | ||
| Type | Extension | ||
| Alias | extensions, user content | ||
| 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. | ||
| Slicing | Unordered, Open, by url(Value) Extensions are always sliced by (at least) url | ||
| Mappings |
| ||
| DiagnosticReport.codedDiagnosis.coding | |||
| Short | Code defined by a terminology system | ||
| Definition | A reference to a code defined by a terminology system. | ||
| Cardinality | 0..* | ||
| Type | Coding | ||
| Summary | True | ||
| Requirements | Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. | ||
| Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||
| Slicing | Unordered, Open, by system(Value) | ||
| Mappings |
| ||
| DiagnosticReport.codedDiagnosis.coding:snomedCT | |||
| Short | Code defined by a terminology system | ||
| Definition | A reference to a code defined by a terminology system. | ||
| Cardinality | 0..* | ||
| Type | Coding | ||
| Binding | A code from the SNOMED Clinical Terminology UK | ||
| Summary | True | ||
| Requirements | Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. | ||
| Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||
| Mappings |
| ||
| DiagnosticReport.codedDiagnosis.coding:snomedCT.id | |||
| Short | xml:id (or equivalent in JSON) | ||
| Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||
| Cardinality | 0..1 | ||
| Type | string | ||
| Mappings |
| ||
| DiagnosticReport.codedDiagnosis.coding:snomedCT.extension | |||
| Short | Additional Content defined by implementations | ||
| Definition | May be used to represent additional information that is not part of the basic definition of the element. In order 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. | ||
| Cardinality | 0..* | ||
| Type | Extension | ||
| Alias | extensions, user content | ||
| 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. | ||
| Slicing | Unordered, Open, by url(Value) Extensions are always sliced by (at least) url | ||
| Mappings |
| ||
| DiagnosticReport.codedDiagnosis.coding:snomedCT.extension:snomedCTDescriptionID | |||
| Short | The SNOMED CT Description ID for the display | ||
| Definition | The SNOMED CT Description ID for the display. | ||
| Cardinality | 0..1 | ||
| Type | Extension(Complex) | ||
| Alias | extensions, user content | ||
| 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. | ||
| Conditions | The cardinality or value of this element may be affected by these constraints: ele-1 | ||
| Constraints |
| ||
| Mappings |
| ||
| DiagnosticReport.codedDiagnosis.coding:snomedCT.extension:snomedCTDescriptionID.id | |||
| Short | xml:id (or equivalent in JSON) | ||
| Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||
| Cardinality | 0..1 | ||
| Type | string | ||
| Comments | Note that FHIR strings may not exceed 1MB in size | ||
| Conditions | The cardinality or value of this element may be affected by these constraints: ele-1 | ||
| Constraints |
| ||
| Mappings |
| ||
| DiagnosticReport.codedDiagnosis.coding:snomedCT.extension:snomedCTDescriptionID.extension | |||
| Short | Additional Content defined by implementations | ||
| Definition | May be used to represent additional information that is not part of the basic definition of the element. In order 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. | ||
| Cardinality | 0..* | ||
| Type | Extension | ||
| Alias | extensions, user content | ||
| 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. | ||
| Slicing | Unordered, Open, by url(Value) Extensions are always sliced by (at least) url | ||
| Conditions | The cardinality or value of this element may be affected by these constraints: ele-1 | ||
| Constraints |
| ||
| Mappings |
| ||
| DiagnosticReport.codedDiagnosis.coding:snomedCT.extension:snomedCTDescriptionID.extension:descriptionId | |||
| Short | The SNOMED CT Description ID | ||
| Definition | May be used to represent additional information that is not part of the basic definition of the element. In order 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. | ||
| Cardinality | 1..1 | ||
| Type | Extension | ||
| Alias | extensions, user content | ||
| 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. | ||
| Conditions | The cardinality or value of this element may be affected by these constraints: ele-1 | ||
| Constraints |
| ||
| Mappings |
| ||
| DiagnosticReport.codedDiagnosis.coding:snomedCT.extension:snomedCTDescriptionID.extension:descriptionId.id | |||
| Short | xml:id (or equivalent in JSON) | ||
| Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||
| Cardinality | 0..1 | ||
| Type | string | ||
| Comments | Note that FHIR strings may not exceed 1MB in size | ||
| Conditions | The cardinality or value of this element may be affected by these constraints: ele-1 | ||
| Constraints |
| ||
| Mappings |
| ||
| DiagnosticReport.codedDiagnosis.coding:snomedCT.extension:snomedCTDescriptionID.extension:descriptionId.extension | |||
| Short | Additional Content defined by implementations | ||
| Definition | May be used to represent additional information that is not part of the basic definition of the element. In order 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. | ||
| Cardinality | 0..* | ||
| Type | Extension | ||
| Alias | extensions, user content | ||
| 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. | ||
| Slicing | Unordered, Open, by url(Value) Extensions are always sliced by (at least) url | ||
| Conditions | The cardinality or value of this element may be affected by these constraints: ele-1 | ||
| Constraints |
| ||
| Mappings |
| ||
| DiagnosticReport.codedDiagnosis.coding:snomedCT.extension:snomedCTDescriptionID.extension:descriptionId.url | |||
| Short | identifies the meaning of the extension | ||
| Definition | Source of the definition for the extension code - a logical name or a URL. | ||
| Cardinality | 1..1 | ||
| Type | uri | ||
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||
| Conditions | The cardinality or value of this element may be affected by these constraints: ele-1 | ||
| Constraints |
| ||
| Auto Value | descriptionId | ||
| Mappings |
| ||
| DiagnosticReport.codedDiagnosis.coding:snomedCT.extension:snomedCTDescriptionID.extension:descriptionId.value[x]:valueId | |||
| Short | The SNOMED CT Description ID | ||
| Definition | Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). | ||
| Cardinality | 0..1 | ||
| Type | id | ||
| Comments | A stream of bytes, base64 encoded | ||
| Conditions | The cardinality or value of this element may be affected by these constraints: ele-1 | ||
| Constraints |
| ||
| Mappings |
| ||
| DiagnosticReport.codedDiagnosis.coding:snomedCT.extension:snomedCTDescriptionID.extension:descriptionDisplay | |||
| Short | The SNOMED CT display for the description ID | ||
| Definition | May be used to represent additional information that is not part of the basic definition of the element. In order 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. | ||
| Cardinality | 1..1 | ||
| Type | Extension | ||
| Alias | extensions, user content | ||
| 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. | ||
| Conditions | The cardinality or value of this element may be affected by these constraints: ele-1 | ||
| Constraints |
| ||
| Mappings |
| ||
| DiagnosticReport.codedDiagnosis.coding:snomedCT.extension:snomedCTDescriptionID.extension:descriptionDisplay.id | |||
| Short | xml:id (or equivalent in JSON) | ||
| Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||
| Cardinality | 0..1 | ||
| Type | string | ||
| Comments | Note that FHIR strings may not exceed 1MB in size | ||
| Conditions | The cardinality or value of this element may be affected by these constraints: ele-1 | ||
| Constraints |
| ||
| Mappings |
| ||
| DiagnosticReport.codedDiagnosis.coding:snomedCT.extension:snomedCTDescriptionID.extension:descriptionDisplay.extension | |||
| Short | Additional Content defined by implementations | ||
| Definition | May be used to represent additional information that is not part of the basic definition of the element. In order 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. | ||
| Cardinality | 0..* | ||
| Type | Extension | ||
| Alias | extensions, user content | ||
| 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. | ||
| Slicing | Unordered, Open, by url(Value) Extensions are always sliced by (at least) url | ||
| Conditions | The cardinality or value of this element may be affected by these constraints: ele-1 | ||
| Constraints |
| ||
| Mappings |
| ||
| DiagnosticReport.codedDiagnosis.coding:snomedCT.extension:snomedCTDescriptionID.extension:descriptionDisplay.url | |||
| Short | identifies the meaning of the extension | ||
| Definition | Source of the definition for the extension code - a logical name or a URL. | ||
| Cardinality | 1..1 | ||
| Type | uri | ||
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||
| Conditions | The cardinality or value of this element may be affected by these constraints: ele-1 | ||
| Constraints |
| ||
| Auto Value | descriptionDisplay | ||
| Mappings |
| ||
| DiagnosticReport.codedDiagnosis.coding:snomedCT.extension:snomedCTDescriptionID.extension:descriptionDisplay.value[x]:valueString | |||
| Short | The SNOMED CT display for the description ID | ||
| Definition | Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). | ||
| Cardinality | 0..1 | ||
| Type | string | ||
| Comments | A stream of bytes, base64 encoded | ||
| Conditions | The cardinality or value of this element may be affected by these constraints: ele-1 | ||
| Constraints |
| ||
| Mappings |
| ||
| DiagnosticReport.codedDiagnosis.coding:snomedCT.extension:snomedCTDescriptionID.url | |||
| Short | identifies the meaning of the extension | ||
| Definition | Source of the definition for the extension code - a logical name or a URL. | ||
| Cardinality | 1..1 | ||
| Type | uri | ||
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||
| Conditions | The cardinality or value of this element may be affected by these constraints: ele-1 | ||
| Constraints |
| ||
| Auto Value | https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid | ||
| Mappings |
| ||
| DiagnosticReport.codedDiagnosis.coding:snomedCT.extension:snomedCTDescriptionID.value[x] | |||
| Short | Value of extension | ||
| Definition | Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). | ||
| Cardinality | 0..0 | ||
| Type | Reference(), base64Binary, boolean, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, SampledData, Signature, Timing | ||
| Comments | A stream of bytes, base64 encoded | ||
| Conditions | The cardinality or value of this element may be affected by these constraints: ele-1 | ||
| Constraints |
| ||
| Mappings |
| ||
| DiagnosticReport.codedDiagnosis.coding:snomedCT.system | |||
| Short | Identity of the terminology system | ||
| Definition | The identification of the code system that defines the meaning of the symbol in the code. | ||
| Cardinality | 1..1 | ||
| Type | uri | ||
| Summary | True | ||
| Requirements | Need to be unambiguous about the source of the definition of the symbol. | ||
| Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously. | ||
| Auto Value | http://snomed.info/sct | ||
| Mappings |
| ||
| DiagnosticReport.codedDiagnosis.coding:snomedCT.version | |||
| Short | Version of the system - if relevant | ||
| Definition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. | ||
| Cardinality | 0..1 | ||
| Type | string | ||
| Summary | True | ||
| Comments | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. | ||
| Mappings |
| ||
| DiagnosticReport.codedDiagnosis.coding:snomedCT.code | |||
| Short | Symbol in syntax defined by the system | ||
| Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). | ||
| Cardinality | 1..1 | ||
| Type | code | ||
| Summary | True | ||
| Requirements | Need to refer to a particular code in the system. | ||
| Mappings |
| ||
| DiagnosticReport.codedDiagnosis.coding:snomedCT.display | |||
| Short | Representation defined by the system | ||
| Definition | A representation of the meaning of the code in the system, following the rules of the system. | ||
| Cardinality | 1..1 | ||
| Type | string | ||
| Summary | True | ||
| Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. | ||
| Mappings |
| ||
| DiagnosticReport.codedDiagnosis.coding:snomedCT.userSelected | |||
| Short | If this coding was chosen directly by the user | ||
| Definition | Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays). | ||
| Cardinality | 0..1 | ||
| Type | boolean | ||
| Summary | True | ||
| Requirements | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. | ||
| Comments | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. | ||
| Mappings |
| ||
| DiagnosticReport.codedDiagnosis.text | |||
| Short | Plain text representation of the concept | ||
| Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. | ||
| Cardinality | 0..1 | ||
| Type | string | ||
| Summary | True | ||
| Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. | ||
| Comments | Very often the text is the same as a displayName of one of the codings. | ||
| Mappings |
| ||
| DiagnosticReport.presentedForm | |||
| Short | 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. | ||
| Cardinality | 0..* | ||
| Type | Attachment | ||
| 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. | ||
| Mappings |
| ||
</telecom>
</contact>
<description value="A test report for National Pathology that contains data on the pathology tests performed on patients specimens populated by the performing orgnaisation." />
<purpose value="CURATED BY INTEROPen see: http://www.interopen.org/careconnect-curation-methodology/" />
<copyright value="Copyright © 2020 HL7 UK\n \nLicensed under the Apache License, Version 2.0 (the "License"); you may not use this file except in compliance with the License. You may obtain a copy of the License at\n \nhttp://www.apache.org/licenses/LICENSE-2.0\n \nUnless required by applicable law or agreed to in writing, software distributed under the License is distributed on an "AS IS" BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License.\n \nHL7® FHIR® standard Copyright © 2011+ HL7\n \nThe HL7® FHIR® standard is used under the FHIR license. You may obtain a copy of the FHIR license at\n \nhttps://www.hl7.org/fhir/license.html" />
<short value="A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports" />
<definition value="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." />
<comment value="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." />
</base>
<human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources" />
</constraint>
<human value="If the resource is contained in another resource, it SHALL NOT contain any narrative" />
</constraint>
<human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" />
<xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" />
</constraint>
<human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource" />
<xpath value="not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))" />
</constraint>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
<definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes." />
<comment value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation." />
</base>
</type>
</constraint>
</mapping>
</element>
<definition value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource." />
</base>
</type>
</constraint>
</mapping>
</mapping>
</element>
<definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
</base>
</type>
</constraint>
</mapping>
</element>
</discriminator>
</slicing>
<definition value="May be used to represent additional information that is not part of the basic definition of the element. In order 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." />
<comment value="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." />
</base>
</type>
</constraint>
</constraint>
</mapping>
</mapping>
</element>
<definition value="The version specific identifier, as it appears in the version portion of the URL. This values changes when the resource is created, updated, or deleted." />
<comment value="The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes." />
</base>
</type>
</constraint>
</mapping>
</element>
<comment value="This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant." />
</base>
</type>
</constraint>
</mapping>
</element>
<definition value="A list of profiles (references to [StructureDefinition](structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url]()." />
<comment value="It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set." />
</base>
</type>
</constraint>
</mapping>
</element>
<definition value="Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure." />
<comment value="The security labels can be updated without changing the stated version of the resource The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored." />
</base>
</type>
</constraint>
</extension>
</extension>
<description value="Security Labels from the Healthcare Privacy and Security Classification System." />
</valueSetReference>
</binding>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
<definition value="Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource." />
<comment value="The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored." />
</base>
</type>
</constraint>
</extension>
<description value="Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones"" />
</valueSetReference>
</binding>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
<definition value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content." />
<comment value="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. \n\nThis element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation." />
</base>
</type>
</constraint>
</mapping>
</element>
<comment value="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)." />
</base>
</type>
</constraint>
</extension>
</extension>
</extension>
</valueSetReference>
</binding>
</mapping>
</element>
<definition value="A human-readable narrative that contains a summary of the resource, and may 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." />
<comment value="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 in formation is added later." />
</base>
</type>
</constraint>
</mapping>
</mapping>
</mapping>
</element>
<definition value="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." />
<comment value="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." />
</base>
</type>
</mapping>
</mapping>
</element>
</discriminator>
</slicing>
<definition value="May be used to represent additional information that is not part of the basic definition of the resource. In order 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." />
<comment value="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." />
</base>
</type>
</constraint>
</constraint>
</mapping>
</mapping>
</element>
</discriminator>
</slicing>
<definition value="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. Usually modifier elements provide negation or qualification. In order 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." />
<comment value="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." />
</base>
</type>
</constraint>
</constraint>
</mapping>
</mapping>
</element>
<comment value="Usually assigned by the Information System of the diagnostic service provider (filler id)." />
<requirements value="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." />
</base>
</type>
</constraint>
</mapping>
</mapping>
<map value="II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]" />
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
<definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
</base>
</type>
</constraint>
</mapping>
</element>
</discriminator>
</slicing>
<definition value="May be used to represent additional information that is not part of the basic definition of the element. In order 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." />
<comment value="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." />
</base>
</type>
</constraint>
</constraint>
</mapping>
</mapping>
</element>
<comment value="This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary." />
<requirements value="Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers." />
</base>
</type>
</constraint>
</extension>
</valueSetReference>
</binding>
</mapping>
</mapping>
</mapping>
</element>
<definition value="A coded type for the identifier that can be used to determine which identifier to use for a specific purpose." />
<comment value="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. \n\nWhere 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." />
<requirements value="Allows users to make use of identifiers when the identifier system is not known." />
</base>
</type>
</constraint>
</extension>
</extension>
<description value="A coded type for an identifier that can be used to determine which identifier to use for a specific purpose." />
</valueSetReference>
</binding>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
<definition value="Establishes the namespace for the value - that is, a URL that describes a set values that are unique." />
<requirements value="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." />
</base>
</type>
<valueUri value="http://www.acme.com/identifiers/patient or urn:ietf:rfc:3986 if the Identifier.value itself is a full uri" />
</example>
</constraint>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
<definition value="The portion of the identifier typically relevant to the user and which is unique within the context of the system." />
<comment value="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](extension-rendered-value.html)." />
</base>
</type>
</example>
</constraint>
</mapping>
</mapping>
<map value="II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" />
</mapping>
</mapping>
</element>
<comment value="This is not a duration - that's a measure of time (a separate type), but a duration that occurs at a fixed value of time. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). If duration is required, specify the type as Interval|Duration." />
</base>
</type>
</constraint>
</constraint>
</mapping>
</mapping>
<map value="IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]" />
</mapping>
</mapping>
</mapping>
</mapping>
</element>
<comment value="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." />
</base>
</type>
</constraint>
<expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))" />
<xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" />
</constraint>
</mapping>
</mapping>
</mapping>
<map value="II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" />
</mapping>
</mapping>
</element>
<comment value="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." />
<requirements value="This allows tracing of authorization for the report and tracking whether proposals/recommendations were acted upon." />
</base>
<targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ProcedureRequest-1" />
</type>
</constraint>
<expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))" />
<xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" />
</constraint>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
<comment value="This is labeled as "Is Modifier" because applications need to take appropriate action if a report is withdrawn." />
<requirements value="Diagnostic services routinely issue provisional/incomplete reports, and sometimes withdraw previously released reports." />
</base>
</type>
</constraint>
</extension>
</valueSetReference>
</binding>
</mapping>
</mapping>
</mapping>
<map value="statusCode Note: final and amended are distinguished by whether observation is the subject of a ControlAct event of type "revise"" />
</mapping>
</mapping>
</element>
<definition value="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." />
<comment value="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." />
</base>
</type>
</constraint>
</extension>
</valueSetReference>
</binding>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
<map value="inboundRelationship[typeCode=COMP].source[classCode=LIST, moodCode=EVN, code < LabService].code" />
</mapping>
</mapping>
</element>
<definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
</base>
</type>
</constraint>
</mapping>
</element>
</discriminator>
</slicing>
<definition value="May be used to represent additional information that is not part of the basic definition of the element. In order 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." />
<comment value="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." />
</base>
</type>
</constraint>
</constraint>
</mapping>
</mapping>
</element>
</discriminator>
</slicing>
<comment value="Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true." />
<requirements value="Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings." />
</base>
</type>
</constraint>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
<comment value="Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true." />
<requirements value="Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings." />
</base>
</type>
</constraint>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
<definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
</base>
</type>
</constraint>
</mapping>
</element>
</discriminator>
</slicing>
<definition value="May be used to represent additional information that is not part of the basic definition of the element. In order 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." />
<comment value="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." />
</base>
</type>
</constraint>
</constraint>
</mapping>
</mapping>
</element>
<definition value="May be used to represent additional information that is not part of the basic definition of the element. In order 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." />
<comment value="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." />
</base>
</type>
</constraint>
</constraint>
</mapping>
</mapping>
</element>
<definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
</base>
</type>
</constraint>
</mapping>
</element>
</discriminator>
</slicing>
<definition value="May be used to represent additional information that is not part of the basic definition of the element. In order 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." />
<comment value="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." />
</base>
</type>
</constraint>
</constraint>
</mapping>
</mapping>
</element>
<comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension." />
</base>
</type>
</constraint>
</mapping>
</mapping>
</element>
<definition value="Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list)." />
</base>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</constraint>
</mapping>
</mapping>
</element>
<definition value="The identification of the code system that defines the meaning of the symbol in the code." />
<comment value="The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously." />
</base>
</type>
</constraint>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
<definition value="The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged." />
<comment value="Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date." />
</base>
</type>
</constraint>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
<definition value="A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination)." />
</base>
</type>
</constraint>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
</extension>
<definition value="A representation of the meaning of the code in the system, following the rules of the system." />
<requirements value="Need to be able to carry a human-readable meaning of the code for readers that do not know the system." />
</base>
</type>
</constraint>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
<definition value="Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays)." />
<comment value="Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely." />
<requirements value="This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing." />
</base>
</type>
</constraint>
</mapping>
</mapping>
</mapping>
<map value="fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]" />
</mapping>
</element>
</extension>
<definition value="A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user." />
<requirements value="The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source." />
</base>
</type>
</constraint>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
<comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination." />
</base>
</type>
</constraint>
</extension>
</valueSetReference>
</binding>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
<map value="OBR-4 (HL7 v2 doesn't provide an easy way to indicate both the ordered test and the performed panel)" />
</mapping>
</mapping>
</mapping>
</element>
<definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
</base>
</type>
</constraint>
</mapping>
</element>
</discriminator>
</slicing>
<definition value="May be used to represent additional information that is not part of the basic definition of the element. In order 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." />
<comment value="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." />
</base>
</type>
</constraint>
</constraint>
</mapping>
</mapping>
</element>
</discriminator>
</slicing>
<comment value="Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true." />
<requirements value="Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings." />
</base>
</type>
</constraint>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
<comment value="Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true." />
<requirements value="Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings." />
</base>
</type>
</constraint>
</valueSetReference>
</binding>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
<definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
</base>
</type>
</constraint>
</mapping>
</element>
</discriminator>
</slicing>
<definition value="May be used to represent additional information that is not part of the basic definition of the element. In order 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." />
<comment value="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." />
</base>
</type>
</constraint>
</constraint>
</mapping>
</mapping>
</element>
<definition value="May be used to represent additional information that is not part of the basic definition of the element. In order 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." />
<comment value="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." />
</base>
</type>
</constraint>
</constraint>
</mapping>
</mapping>
</element>
<definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
</base>
</type>
</constraint>
</mapping>
</element>
</discriminator>
</slicing>
<definition value="May be used to represent additional information that is not part of the basic definition of the element. In order 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." />
<comment value="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." />
</base>
</type>
</constraint>
</constraint>
</mapping>
</mapping>
</element>
<comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension." />
</base>
</type>
</constraint>
</mapping>
</mapping>
</element>
<definition value="Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list)." />
</base>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</constraint>
</mapping>
</mapping>
</element>
<definition value="The identification of the code system that defines the meaning of the symbol in the code." />
<comment value="The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously." />
</base>
</type>
</constraint>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
<definition value="The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged." />
<comment value="Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date." />
</base>
</type>
</constraint>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
<definition value="A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination)." />
</base>
</type>
</constraint>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
</extension>
<definition value="A representation of the meaning of the code in the system, following the rules of the system." />
<requirements value="Need to be able to carry a human-readable meaning of the code for readers that do not know the system." />
</base>
</type>
</constraint>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
<definition value="Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays)." />
<comment value="Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely." />
<requirements value="This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing." />
</base>
</type>
</constraint>
</mapping>
</mapping>
</mapping>
<map value="fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]" />
</mapping>
</element>
</extension>
<definition value="A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user." />
<requirements value="The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source." />
</base>
</type>
</constraint>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
<definition value="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." />
<comment value="References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository." />
</base>
</type>
</type>
</type>
</type>
</constraint>
<expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))" />
<xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" />
</constraint>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
<definition value="The healthcare event (e.g. a patient and healthcare provider interaction) which this DiagnosticReport per is about." />
<comment value="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 or episode but still be tied to the context of the encounter or episode (e.g. pre-admission lab tests)." />
</base>
</type>
</constraint>
<expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))" />
<xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" />
</constraint>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
<definition value="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." />
<comment value="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." />
</base>
</type>
</type>
</constraint>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
<definition value="The date and time that this version of the report was released from the source diagnostic service." />
<comment value="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." />
</base>
</type>
</constraint>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
</base>
</type>
</constraint>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
<definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
</base>
</type>
</constraint>
</mapping>
</element>
</discriminator>
</slicing>
<definition value="May be used to represent additional information that is not part of the basic definition of the element. In order 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." />
<comment value="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." />
</base>
</type>
</constraint>
</constraint>
</mapping>
</mapping>
</element>
<definition value="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 that contains it. Usually modifier elements provide negation or qualification. In order 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." />
<comment value="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." />
</base>
</type>
</constraint>
</constraint>
</mapping>
</mapping>
</element>
<definition value="Describes the type of participation (e.g. a responsible party, author, or verifier)." />
<comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination." />
</base>
</type>
</constraint>
</extension>
</valueSetReference>
</binding>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
<definition value="The reference to the practitioner or organization involved in producing the report. For example, the diagnostic service that is responsible for issuing the report." />
<comment value="This is not necessarily the source of the atomic data items. It is the entity that takes responsibility for the clinical report." />
<requirements value="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." />
</base>
<targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1" />
</type>
<targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1" />
</type>
</constraint>
<expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))" />
<xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" />
</constraint>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
<comment value="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." />
<requirements value="Need to be able to report information about the collected specimens on which the report is based." />
</base>
</type>
</constraint>
<expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))" />
<xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" />
</constraint>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
<definition value="Observations that are part of this diagnostic report. Observations can be simple name/value pairs (e.g. "atomic" results), or they can be grouping observations that include references to other members of the group (e.g. "panels")." />
<comment value="References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository." />
<requirements value="Need to support individual results, or report groups of results, where the result grouping is arbitrary, but meaningful. This structure is recursive - observations can contain observations." />
</base>
<targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" />
</type>
</constraint>
<expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))" />
<xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" />
</constraint>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
<definition value="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." />
<comment value="ImagingStudy and ImageManifest 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." />
</base>
</type>
</type>
</constraint>
<expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))" />
<xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" />
</constraint>
</mapping>
</mapping>
</mapping>
</element>
<definition value="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 value="Many diagnostic services include images in the report as part of their service." />
</base>
</type>
</constraint>
</mapping>
</mapping>
</mapping>
</element>
<definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
</base>
</type>
</constraint>
</mapping>
</element>
</discriminator>
</slicing>
<definition value="May be used to represent additional information that is not part of the basic definition of the element. In order 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." />
<comment value="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." />
</base>
</type>
</constraint>
</constraint>
</mapping>
</mapping>
</element>
<definition value="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 that contains it. Usually modifier elements provide negation or qualification. In order 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." />
<comment value="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." />
</base>
</type>
</constraint>
</constraint>
</mapping>
</mapping>
</element>
<definition value="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." />
<comment value="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." />
<requirements value="The provider of the report should make a comment about each image included in the report." />
</base>
</type>
</constraint>
</mapping>
<map value=".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="annotation"].value" />
</mapping>
</element>
<comment value="References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository." />
</base>
</type>
</constraint>
<expression value="reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))" />
<xpath value="not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])" />
</constraint>
</mapping>
</mapping>
</mapping>
</element>
<definition value="Concise and clinically contextualized impression / summary of the diagnostic report." />
<requirements value="Need to be able to provide a conclusion that is not lost among the basic result data." />
</base>
</type>
</constraint>
</mapping>
</mapping>
<map value="inboundRelationship[typeCode="SPRT"].source[classCode=OBS, moodCode=EVN, code=LOINC:48767-8].value (type=ST)" />
</mapping>
</element>
<comment value="Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination." />
</base>
</type>
</constraint>
</extension>
</valueSetReference>
</binding>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
<map value="inboundRelationship[typeCode=SPRT].source[classCode=OBS, moodCode=EVN, code=LOINC:54531-9].value (type=CD)" />
</mapping>
</element>
<definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
</base>
</type>
</constraint>
</mapping>
</element>
</discriminator>
</slicing>
<definition value="May be used to represent additional information that is not part of the basic definition of the element. In order 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." />
<comment value="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." />
</base>
</type>
</constraint>
</constraint>
</mapping>
</mapping>
</element>
</discriminator>
</slicing>
<comment value="Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true." />
<requirements value="Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings." />
</base>
</type>
</constraint>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
<comment value="Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true." />
<requirements value="Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings." />
</base>
</type>
</constraint>
</valueSetReference>
</binding>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
<definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
</base>
</type>
</constraint>
</mapping>
</element>
</discriminator>
</slicing>
<definition value="May be used to represent additional information that is not part of the basic definition of the element. In order 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." />
<comment value="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." />
</base>
</type>
</constraint>
</constraint>
</mapping>
</mapping>
</element>
<definition value="May be used to represent additional information that is not part of the basic definition of the element. In order 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." />
<comment value="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." />
</base>
</type>
</constraint>
</constraint>
</mapping>
</mapping>
</element>
<definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
</base>
</type>
</constraint>
</mapping>
</element>
<element id="DiagnosticReport.codedDiagnosis.coding:snomedCT.extension:snomedCTDescriptionID.extension">
</discriminator>
</slicing>
<definition value="May be used to represent additional information that is not part of the basic definition of the element. In order 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." />
<comment value="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." />
</base>
</type>
</constraint>
</constraint>
</mapping>
</mapping>
</element>
<comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension." />
</base>
</type>
</constraint>
</mapping>
</mapping>
</element>
<element id="DiagnosticReport.codedDiagnosis.coding:snomedCT.extension:snomedCTDescriptionID.value[x]">
<definition value="Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list)." />
</base>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</constraint>
</mapping>
</mapping>
</element>
<definition value="The identification of the code system that defines the meaning of the symbol in the code." />
<comment value="The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously." />
</base>
</type>
</constraint>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
<definition value="The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged." />
<comment value="Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date." />
</base>
</type>
</constraint>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
<definition value="A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination)." />
</base>
</type>
</constraint>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
</extension>
<definition value="A representation of the meaning of the code in the system, following the rules of the system." />
<requirements value="Need to be able to carry a human-readable meaning of the code for readers that do not know the system." />
</base>
</type>
</constraint>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
<definition value="Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays)." />
<comment value="Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely." />
<requirements value="This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing." />
</base>
</type>
</constraint>
</mapping>
</mapping>
</mapping>
<map value="fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]" />
</mapping>
</element>
</extension>
<definition value="A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user." />
<requirements value="The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source." />
</base>
</type>
</constraint>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
<definition value="Rich text representation of the entire result as issued by the diagnostic service. Multiple formats are allowed but they SHALL be semantically equivalent." />
<comment value=""application/pdf" is recommended as the most reliable and interoperable in this context." />
<requirements value="Gives laboratory the ability to provide its own fully formatted report for clinical fidelity." />
</base>
</type>
</constraint>
</constraint>
</mapping>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
</snapshot>
</element>
</element>
</element>
</element>
<targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ProcedureRequest-1" />
</type>
</element>
</extension>
</binding>
</element>
</discriminator>
</slicing>
</element>
</element>
</slicing>
</element>
</type>
</element>
</element>
</element>
</element>
</extension>
</element>
</discriminator>
</slicing>
</element>
</valueSetReference>
</binding>
</element>
</slicing>
</element>
</type>
</element>
</element>
</element>
</element>
</extension>
</element>
</type>
</type>
</type>
</type>
</element>
</type>
</element>
</element>
</element>
<targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1" />
</type>
<targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1" />
</type>
</element>
</type>
</element>
<targetProfile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" />
</type>
</element>
</element>
</extension>
</valueSetReference>
</binding>
</element>
</discriminator>
</slicing>
</element>
</valueSetReference>
</binding>
</element>
</slicing>
</element>
</type>
</element>
</element>
</element>
</element>
</extension>
</element>
</differential>
</StructureDefinition>
{
{
]
}
],
"description": "A test report for National Pathology that contains data on the pathology tests performed on patients specimens populated by the performing orgnaisation.",
"copyright": "Copyright © 2020 HL7 UK\n \nLicensed under the Apache License, Version 2.0 (the \"License\"); you may not use this file except in compliance with the License. You may obtain a copy of the License at\n \nhttp://www.apache.org/licenses/LICENSE-2.0\n \nUnless required by applicable law or agreed to in writing, software distributed under the License is distributed on an \"AS IS\" BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License.\n \nHL7® FHIR® standard Copyright © 2011+ HL7\n \nThe HL7® FHIR® standard is used under the FHIR license. You may obtain a copy of the FHIR license at\n \nhttps://www.hl7.org/fhir/license.html",
{
"short": "A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports",
"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.",
"comment": "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.",
"Report",
"Test",
"Result",
"Results",
"Labs",
"Laboratory"
],
},
{
},
{
},
{
"human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"
},
{
"human": "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource",
"xpath": "not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))"
}
],
{
},
{
},
{
},
{
},
{
}
]
},
{
"definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
},
],
"ele-1"
],
{
}
],
]
},
{
"definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.",
},
],
"ele-1"
],
{
}
],
]
},
{
"xmlAttr"
],
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
},
],
"ele-1"
],
{
}
],
]
},
{
],
},
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
"comment": "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.",
"extensions",
"user content"
],
},
],
"ele-1"
],
{
},
{
}
],
]
},
{
"definition": "The version specific identifier, as it appears in the version portion of the URL. This values changes when the resource is created, updated, or deleted.",
"comment": "The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.",
},
],
"ele-1"
],
{
}
],
]
},
{
"comment": "This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant.",
},
],
"ele-1"
],
{
}
],
]
},
{
"definition": "A list of profiles (references to [StructureDefinition](structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url]().",
"comment": "It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.",
},
],
"ele-1"
],
{
}
],
]
},
{
"definition": "Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.",
"comment": "The security labels can be updated without changing the stated version of the resource The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.",
},
],
"ele-1"
],
{
}
],
{
},
{
}
],
}
},
{
},
{
},
{
},
{
}
]
},
{
"definition": "Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.",
"comment": "The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.",
},
],
"ele-1"
],
{
}
],
{
}
],
"description": "Codes that represent various types of tags, commonly workflow-related; e.g. \"Needs review by Dr. Jones\"",
}
},
{
},
{
},
{
},
{
}
]
},
{
"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.",
"comment": "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. \n\nThis element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.",
},
],
"ele-1"
],
{
}
],
]
},
{
"comment": "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).",
},
],
"ele-1"
],
{
}
],
{
}
},
{
},
{
}
],
}
},
]
},
{
"definition": "A human-readable narrative that contains a summary of the resource, and may 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.",
"comment": "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 in formation is added later.",
"narrative",
"html",
"xhtml",
"display"
],
},
],
"ele-1",
"dom-1"
],
{
}
],
{
},
{
},
{
}
]
},
{
"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.",
"comment": "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.",
"inline resources",
"anonymous resources",
"contained resources"
],
},
],
]
},
{
],
},
"definition": "May be used to represent additional information that is not part of the basic definition of the resource. In order 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.",
"comment": "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.",
"extensions",
"user content"
],
},
],
"ele-1"
],
{
},
{
}
],
]
},
{
],
},
"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. Usually modifier elements provide negation or qualification. In order 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.",
"comment": "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.",
"extensions",
"user content"
],
},
],
"ele-1"
],
{
},
{
}
],
]
},
{
"comment": "Usually assigned by the Information System of the diagnostic service provider (filler id).",
"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.",
"ReportID",
"Filler ID",
"Placer ID"
],
},
],
"ele-1"
],
{
}
],
{
},
{
},
{
"map": "II - see see identifier pattern at http://wiki.hl7.org/index.php?title=Common_Design_Patterns#Identifier_Pattern for relevant discussion. The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]"
},
{
},
{
},
{
},
{
},
{
}
]
},
{
"xmlAttr"
],
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
},
],
"ele-1"
],
{
}
],
]
},
{
],
},
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
"comment": "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.",
"extensions",
"user content"
],
},
],
"ele-1"
],
{
},
{
}
],
]
},
{
"comment": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.",
"requirements": "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.",
},
],
"ele-1"
],
{
}
],
{
}
],
}
},
{
},
{
},
{
}
]
},
{
"definition": "A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.",
"comment": "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. \n\nWhere 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.",
},
],
"ele-1"
],
{
}
],
{
},
{
}
],
"description": "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.",
}
},
{
},
{
},
{
},
{
},
{
},
{
}
]
},
{
"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.",
},
],
{
"valueUri": "http://www.acme.com/identifiers/patient or urn:ietf:rfc:3986 if the Identifier.value itself is a full uri"
}
],
"ele-1"
],
{
}
],
{
},
{
},
{
},
{
}
]
},
{
"definition": "The portion of the identifier typically relevant to the user and which is unique within the context of the system.",
"comment": "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](extension-rendered-value.html).",
},
],
],
"ele-1"
],
{
}
],
{
},
{
},
{
},
{
}
]
},
{
"comment": "This is not a duration - that's a measure of time (a separate type), but a duration that occurs at a fixed value of time. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. \"the patient was an inpatient of the hospital for this time range\") or one value from the range applies (e.g. \"give to the patient between these two times\"). If duration is required, specify the type as Interval|Duration.",
},
],
"ele-1"
],
{
},
{
}
],
{
},
{
},
{
"map": "IVL<TS>[lowClosed=\"true\" and highClosed=\"true\"] or URG<TS>[lowClosed=\"true\" and highClosed=\"true\"]"
},
{
},
{
},
{
}
]
},
{
"comment": "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.",
},
],
"ele-1"
],
{
},
{
"expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])"
}
],
{
},
{
},
{
},
{
"map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper"
},
{
}
]
},
{
"comment": "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.",
"requirements": "This allows tracing of authorization for the report and tracking whether proposals/recommendations were acted upon.",
"Request"
],
},
{
}
],
"ele-1"
],
{
},
{
"expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])"
}
],
{
},
{
},
{
},
{
},
{
}
]
},
{
"comment": "This is labeled as \"Is Modifier\" because applications need to take appropriate action if a report is withdrawn.",
"requirements": "Diagnostic services routinely issue provisional/incomplete reports, and sometimes withdraw previously released reports.",
},
],
"ele-1"
],
{
}
],
{
}
],
}
},
{
},
{
},
{
},
{
"map": "statusCode Note: final and amended are distinguished by whether observation is the subject of a ControlAct event of type \"revise\""
},
{
}
]
},
{
"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.",
"comment": "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.",
"Department",
"Sub-department",
"Service",
"Discipline"
],
},
],
"ele-1"
],
{
}
],
{
}
],
}
},
{
},
{
},
{
},
{
},
{
},
{
"map": "inboundRelationship[typeCode=COMP].source[classCode=LIST, moodCode=EVN, code < LabService].code"
},
{
}
]
},
{
"xmlAttr"
],
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
},
],
"ele-1"
],
{
}
],
]
},
{
],
},
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
"comment": "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.",
"extensions",
"user content"
],
},
],
"ele-1"
],
{
},
{
}
],
]
},
{
},
"comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",
"requirements": "Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.",
},
],
"ele-1"
],
{
}
],
{
},
{
},
{
},
{
},
{
},
{
},
{
}
]
},
{
"comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",
"requirements": "Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.",
},
],
"ele-1"
],
{
}
],
{
},
{
},
{
},
{
},
{
},
{
},
{
}
]
},
{
"xmlAttr"
],
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
},
],
"ele-1"
],
{
}
],
]
},
{
],
},
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
"comment": "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.",
"extensions",
"user content"
],
},
],
"ele-1"
],
{
},
{
}
],
]
},
{
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
"comment": "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.",
"extensions",
"user content"
],
},
{
}
],
"ele-1"
],
{
},
{
}
],
]
},
{
"xmlAttr"
],
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
},
],
"ele-1"
],
{
}
],
]
},
{
],
},
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
"comment": "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.",
"extensions",
"user content"
],
},
],
"ele-1"
],
{
},
{
}
],
]
},
{
"xmlAttr"
],
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
},
],
"ele-1"
],
{
}
],
]
},
{
"definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
}
],
"ele-1"
],
{
}
],
]
},
{
"definition": "The identification of the code system that defines the meaning of the symbol in the code.",
"comment": "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.",
},
],
"ele-1"
],
{
}
],
{
},
{
},
{
},
{
}
]
},
{
"definition": "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.",
"comment": "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.",
},
],
"ele-1"
],
{
}
],
{
},
{
},
{
},
{
}
]
},
{
"definition": "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).",
},
],
"ele-1"
],
{
}
],
{
},
{
},
{
},
{
}
]
},
{
{
}
],
"definition": "A representation of the meaning of the code in the system, following the rules of the system.",
"requirements": "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.",
},
],
"ele-1"
],
{
}
],
{
},
{
},
{
},
{
}
]
},
{
"definition": "Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).",
"comment": "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.",
"requirements": "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.",
},
],
"ele-1"
],
{
}
],
{
},
{
},
{
},
{
"map": "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]"
}
]
},
{
{
}
],
"definition": "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.",
"requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.",
},
],
"ele-1"
],
{
}
],
{
},
{
},
{
},
{
}
]
},
{
"comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
"Type"
],
},
],
"ele-1"
],
{
}
],
{
}
],
}
},
{
},
{
},
{
},
{
},
{
},
{
"map": "OBR-4 (HL7 v2 doesn't provide an easy way to indicate both the ordered test and the performed panel)"
},
{
},
{
}
]
},
{
"xmlAttr"
],
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
},
],
"ele-1"
],
{
}
],
]
},
{
],
},
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
"comment": "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.",
"extensions",
"user content"
],
},
],
"ele-1"
],
{
},
{
}
],
]
},
{
},
"comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",
"requirements": "Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.",
},
],
"ele-1"
],
{
}
],
{
},
{
},
{
},
{
},
{
},
{
},
{
}
]
},
{
"comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",
"requirements": "Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.",
},
],
"ele-1"
],
{
}
],
}
},
{
},
{
},
{
},
{
},
{
},
{
},
{
}
]
},
{
"xmlAttr"
],
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
},
],
"ele-1"
],
{
}
],
]
},
{
],
},
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
"comment": "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.",
"extensions",
"user content"
],
},
],
"ele-1"
],
{
},
{
}
],
]
},
{
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
"comment": "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.",
"extensions",
"user content"
],
},
{
}
],
"ele-1"
],
{
},
{
}
],
]
},
{
"xmlAttr"
],
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
},
],
"ele-1"
],
{
}
],
]
},
{
],
},
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
"comment": "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.",
"extensions",
"user content"
],
},
],
"ele-1"
],
{
},
{
}
],
]
},
{
"xmlAttr"
],
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
},
],
"ele-1"
],
{
}
],
]
},
{
"definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
}
],
"ele-1"
],
{
}
],
]
},
{
"definition": "The identification of the code system that defines the meaning of the symbol in the code.",
"comment": "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.",
},
],
"ele-1"
],
{
}
],
{
},
{
},
{
},
{
}
]
},
{
"definition": "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.",
"comment": "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.",
},
],
"ele-1"
],
{
}
],
{
},
{
},
{
},
{
}
]
},
{
"definition": "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).",
},
],
"ele-1"
],
{
}
],
{
},
{
},
{
},
{
}
]
},
{
{
}
],
"definition": "A representation of the meaning of the code in the system, following the rules of the system.",
"requirements": "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.",
},
],
"ele-1"
],
{
}
],
{
},
{
},
{
},
{
}
]
},
{
"definition": "Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).",
"comment": "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.",
"requirements": "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.",
},
],
"ele-1"
],
{
}
],
{
},
{
},
{
},
{
"map": "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]"
}
]
},
{
{
}
],
"definition": "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.",
"requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.",
},
],
"ele-1"
],
{
}
],
{
},
{
},
{
},
{
}
]
},
{
"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.",
"comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.",
"Patient"
],
},
{
},
{
},
{
},
{
}
],
"ele-1"
],
{
},
{
"expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])"
}
],
{
},
{
},
{
},
{
},
{
},
{
}
]
},
{
"definition": "The healthcare event (e.g. a patient and healthcare provider interaction) which this DiagnosticReport per is about.",
"comment": "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 or episode but still be tied to the context of the encounter or episode (e.g. pre-admission lab tests).",
"Encounter"
],
},
{
}
],
"ele-1"
],
{
},
{
"expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])"
}
],
{
},
{
},
{
},
{
},
{
},
{
}
]
},
{
"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.",
"comment": "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.",
"Observation time",
"Effective Time",
"Occurrence"
],
},
],
"ele-1"
],
{
}
],
{
},
{
},
{
},
{
},
{
}
]
},
{
"definition": "The date and time that this version of the report was released from the source diagnostic service.",
"comment": "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.",
"Date Created",
"Date published",
"Date Issued"
],
},
],
"ele-1"
],
{
}
],
{
},
{
},
{
},
{
}
]
},
{
"Laboratory",
"Service",
"Practitioner",
"Department",
"Company"
],
},
],
"ele-1"
],
{
}
],
{
},
{
},
{
},
{
},
{
}
]
},
{
"xmlAttr"
],
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
},
],
"ele-1"
],
{
}
],
]
},
{
],
},
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
"comment": "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.",
"extensions",
"user content"
],
},
],
"ele-1"
],
{
},
{
}
],
]
},
{
"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 that contains it. Usually modifier elements provide negation or qualification. In order 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.",
"comment": "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.",
"extensions",
"user content",
"modifiers"
],
},
],
"ele-1"
],
{
},
{
}
],
]
},
{
"definition": "Describes the type of participation (e.g. a responsible party, author, or verifier).",
"comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
},
],
"ele-1"
],
{
}
],
{
}
],
}
},
{
},
{
},
{
},
{
},
{
},
{
},
{
}
]
},
{
"definition": "The reference to the practitioner or organization involved in producing the report. For example, the diagnostic service that is responsible for issuing the report.",
"comment": "This is not necessarily the source of the atomic data items. It is the entity that takes responsibility for the clinical 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.",
},
{
},
{
}
],
"ele-1"
],
{
},
{
"expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])"
}
],
{
},
{
},
{
},
{
},
{
}
]
},
{
"comment": "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.",
"requirements": "Need to be able to report information about the collected specimens on which the report is based.",
},
{
}
],
"ele-1"
],
{
},
{
"expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])"
}
],
{
},
{
},
{
},
{
}
]
},
{
"definition": "Observations that are part of this diagnostic report. Observations can be simple name/value pairs (e.g. \"atomic\" results), or they can be grouping observations that include references to other members of the group (e.g. \"panels\").",
"comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.",
"requirements": "Need to support individual results, or report groups of results, where the result grouping is arbitrary, but meaningful. This structure is recursive - observations can contain observations.",
"Data",
"Atomic Value",
"Result",
"Atomic result",
"Test",
"Analyte",
"Battery",
"Organizer"
],
},
{
}
],
"ele-1"
],
{
},
{
"expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])"
}
],
{
},
{
},
{
},
{
}
]
},
{
"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.",
"comment": "ImagingStudy and ImageManifest 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.",
},
{
},
{
}
],
"ele-1"
],
{
},
{
"expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])"
}
],
{
},
{
},
{
}
]
},
{
"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).",
"DICOM",
"Slides",
"Scans"
],
},
],
"ele-1"
],
{
}
],
{
},
{
},
{
}
]
},
{
"xmlAttr"
],
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
},
],
"ele-1"
],
{
}
],
]
},
{
],
},
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
"comment": "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.",
"extensions",
"user content"
],
},
],
"ele-1"
],
{
},
{
}
],
]
},
{
"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 that contains it. Usually modifier elements provide negation or qualification. In order 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.",
"comment": "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.",
"extensions",
"user content",
"modifiers"
],
},
],
"ele-1"
],
{
},
{
}
],
]
},
{
"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.",
"comment": "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.",
"requirements": "The provider of the report should make a comment about each image included in the report.",
},
],
"ele-1"
],
{
}
],
{
},
{
"map": ".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value"
}
]
},
{
"comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.",
},
],
"ele-1"
],
{
},
{
"expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %resource.contained.id.trace('ids'))",
"xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])"
}
],
{
},
{
},
{
}
]
},
{
"definition": "Concise and clinically contextualized impression / summary of the diagnostic report.",
"requirements": "Need to be able to provide a conclusion that is not lost among the basic result data.",
"Report"
],
},
],
"ele-1"
],
{
}
],
{
},
{
},
{
"map": "inboundRelationship[typeCode=\"SPRT\"].source[classCode=OBS, moodCode=EVN, code=LOINC:48767-8].value (type=ST)"
}
]
},
{
"comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
},
],
"ele-1"
],
{
}
],
{
}
],
}
},
{
},
{
},
{
},
{
},
{
},
{
"map": "inboundRelationship[typeCode=SPRT].source[classCode=OBS, moodCode=EVN, code=LOINC:54531-9].value (type=CD)"
}
]
},
{
"xmlAttr"
],
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
},
],
"ele-1"
],
{
}
],
]
},
{
],
},
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
"comment": "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.",
"extensions",
"user content"
],
},
],
"ele-1"
],
{
},
{
}
],
]
},
{
},
"comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",
"requirements": "Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.",
},
],
"ele-1"
],
{
}
],
{
},
{
},
{
},
{
},
{
},
{
},
{
}
]
},
{
"comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",
"requirements": "Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.",
},
],
"ele-1"
],
{
}
],
}
},
{
},
{
},
{
},
{
},
{
},
{
},
{
}
]
},
{
"xmlAttr"
],
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
},
],
"ele-1"
],
{
}
],
]
},
{
],
},
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
"comment": "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.",
"extensions",
"user content"
],
},
],
"ele-1"
],
{
},
{
}
],
]
},
{
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
"comment": "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.",
"extensions",
"user content"
],
},
{
}
],
"ele-1"
],
{
},
{
}
],
]
},
{
"xmlAttr"
],
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
},
],
"ele-1"
],
{
}
],
]
},
{
],
},
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
"comment": "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.",
"extensions",
"user content"
],
},
],
"ele-1"
],
{
},
{
}
],
]
},
{
"xmlAttr"
],
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
},
],
"ele-1"
],
{
}
],
]
},
{
"definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
}
],
"ele-1"
],
{
}
],
]
},
{
"definition": "The identification of the code system that defines the meaning of the symbol in the code.",
"comment": "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.",
},
],
"ele-1"
],
{
}
],
{
},
{
},
{
},
{
}
]
},
{
"definition": "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.",
"comment": "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.",
},
],
"ele-1"
],
{
}
],
{
},
{
},
{
},
{
}
]
},
{
"definition": "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).",
},
],
"ele-1"
],
{
}
],
{
},
{
},
{
},
{
}
]
},
{
{
}
],
"definition": "A representation of the meaning of the code in the system, following the rules of the system.",
"requirements": "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.",
},
],
"ele-1"
],
{
}
],
{
},
{
},
{
},
{
}
]
},
{
"definition": "Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).",
"comment": "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.",
"requirements": "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.",
},
],
"ele-1"
],
{
}
],
{
},
{
},
{
},
{
"map": "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]"
}
]
},
{
{
}
],
"definition": "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.",
"requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.",
},
],
"ele-1"
],
{
}
],
{
},
{
},
{
},
{
}
]
},
{
"definition": "Rich text representation of the entire result as issued by the diagnostic service. Multiple formats are allowed but they SHALL be semantically equivalent.",
"comment": "\"application/pdf\" is recommended as the most reliable and interoperable in this context.",
"requirements": "Gives laboratory the ability to provide its own fully formatted report for clinical fidelity.",
},
],
"ele-1"
],
{
},
{
}
],
{
},
{
},
{
},
{
},
{
}
]
}
]
},
{
},
{
},
{
},
{
},
{
{
}
],
},
{
{
}
],
}
},
{
}
},
{
},
{
}
},
{
{
}
]
},
{
},
{
},
{
},
{
{
}
],
},
{
}
},
{
}
}
},
{
}
},
{
{
}
]
},
{
},
{
},
{
},
{
{
}
],
},
{
{
},
{
},
{
},
{
}
]
},
{
{
}
]
},
{
},
{
},
{
{
},
{
}
]
},
{
{
}
],
},
{
{
}
],
},
{
},
{
{
}
],
}
}
},
{
}
},
{
}
}
},
{
}
},
{
{
}
]
},
{
},
{
},
{
},
{
{
}
],
}
]
}
}
Data model element usage
| Element | Use | CareConnect (STU3) | UK Core (R4) |
|---|---|---|---|
| id | |||
| meta.versionId | |||
| meta.lastUpdated | |||
| meta.profile | |||
| meta.security | |||
| meta.tag | |||
| basedOn | |||
| status | |||
| category | |||
| code | |||
| subject | |||
| context | |||
| effective[x] | |||
| issued | |||
| performer | |||
| specimen | |||
| result | |||
| imagingStudy | |||
| image | |||
| conclusion | |||
| codedDiagnosis | |||
| presentedForm |
id
Usage
Optional
Guidance
The id is the logical identifier for the CareConnect-GPC-DiagnosticReport-1 profile.
Example
<id value="2f153424-0354-4e8c-9d88-627270ff75bb" />
meta.versionId
Usage
Optional
Guidance
The population of the meta.versionId element could be useful if sending an adendum of something previously sent to help the consumer (receiver) in understanding there is a "newer" version.
Example
<meta> <versionId value="1" /> </meta>
meta.lastUpdated
Usage
Optional
Guidance
The meta.lastUpdated element could be useful alongside the meta.versionIdelement could be useful if sending an adendum of something previously sent to help the consumer (receiver) in understanding there is a "newer" version.
Example
<meta> <lastUpdated value="2022-10-28T08:06:00+00:00" /> </meta>
meta.profile
Usage
Mandatory
Guidance
The meta.profile contains a fixed value of the URL for the CareConnect-GPC-DiagnosticReport-1 profile.
Example
<meta> <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-DiagnosticReport-1" /> </meta>
meta.security
Usage
Optional
Guidance
The security label(s) applicable to the resource.
See Resources not to be disclosed to a patient for more details on how to populate the element.
Example
<meta> <security> <system value="http://hl7.org/fhir/v3/ActCode"/> <code value="NOPAT"/> <display value="no disclosure to patient, family or caregivers without attending provider's authorization"/> </security> </meta>
meta.tag
Usage
Optional
Guidance
A use-case for the meta.tag element within GP Connect has not been defined.
Example
<meta> <tag> <coding> <system value="http://hl7.org/fhir/common-tags" /> <code value="actionable" /> <display value="Actionable" /> </coding> </tag> </meta>
identifier
Usage
Mandatory
Guidance
This MUST be populated with a globally unique and persistent identifier (that is, it doesn’t change between requests and therefore stored with the source data). An identifier scoped by a provider specific namespace MUST be included. If there is a lab report ID, and if it is scoped to the NHS PMIP Report Numbers CodeSystem (from HL7 UK Issued OIDs) and it could be used to assist in matching lab reports this SHOULD also be included. In this case identifier.system would be urn:oid:2.16.840.1.113883.2.1.4.5.5.
Where consuming systems are integrating data from this resource to their local system, they MUST also persist this identifier at the same time.
Example
<identifier> <system value="https://foo.bar/id/diagnostic-report" /> <value value="dac264ca-cbb2-43b0-b1f9-867901d769b4" /> </identifier>
basedOn
Usage
Required
Guidance
The basedOn element SHOULD be populated with a reference to a ProcedureRequest that contains details of a request that was made, providing it is known.
Where present this may also include details of who requested the tests and why the test was requested.
Test requests are not usually submitted in a FHIR format, so this may not be the original request, but rather a container to hold details that were present in the original request.
Example
<basedOn> <reference value="procedure-request--001ksid8" /> </basedOn>
status
Usage
Mandatory
Guidance
The status of the DiagnosticReport.
In GP systems these are most likely to be final; however, other statuses, such as preliminary reports are possible.
For example, some work can be sub-contracted to other labs.
In circumstances where the provider (sender) is unable to determine the status of a report, then it should default to the unknown value.
Value set diagnostic report status
Example
<status value="final" />
category
Usage
Required
Guidance
The general type of test report.
A default value of LAB (Laboratory) should be used if a more specific value is not available - for example, pathology, or microbiology.
Note: Consuming systems need to be aware that where more detailed categories are provided the categorisation may vary. How laboratories categorise in the UK is not consistent, and this needs to be taken into account if any type of filtering is being considered.
Example
<category> <coding> <system value="http://snomed.info/sct"/> <display value="Pathology"/> <code value="39459002"/> </coding> </category>
code
Usage
Mandatory
Guidance
It is expected in most cases, and in particular within the Access Record: Structured capability, that the value for the code element will be:
721981007 | Diagnostic studies report (record artifact) |
Example
<code> <coding> <display value="Diagnostic studies report (record artifact)" /> <code value="721981007" /> <system value="http://snomed.info/sct" /> <snomedCT> <url value="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid" /> <extension> <valueId value="721981007" /> <descriptionId value="721981007" /> <descriptionDisplay value="Diagnostic studies report (record artifact)" /> </extesion> </snomedCT> </coding> <text value="Diagnostic studies report (record artifact)" /> </code>
subject
Usage
Mandatory
Guidance
A reference to the Patient whom the DiagnosticReport is regarding.
Example
<subject> <reference value="patient-00112339" /> </subject>
context
Usage
Optional
Guidance
Warning: This element has been renamed to
encounter in FHIR R4.
A reference to the Encounter profile representing the consultation the test report is associated to.
Example
<context> <reference value="encounter--4fs10sa" /> </category>
effective[x]
Usage
Optional
Guidance
A clinically relevant date/time or time-period for the DiagnosticReport.
Example
<effectiveDateTime value="2022-12-05T10:09:00+00:00" />
issued
Usage
Mandatory
Guidance
The date and time that the DiagnosticReport was issued by the laboratory or other report provider.
Example
<issued value="2022-12-05T10:1:00+00:00" />
performer
Usage
Required
Guidance
A reference to the resource for the Organization or Practitioner that produced the DiagnosticReport.
Note: A practitioner resource may be referenced here but only where an organization is reference is provided.
Example
<performer> <reference value="organization--009sk1s" /> </performer>
specimen
Usage
Required
Guidance
A reference to the specimen(s) on which these results were based.
Example
<performer> <reference value="specimen--007ttp6" /> </performer>
result
Usage
Required
Guidance
A reference to the result(s) which are contained in the DiagnosticReport.
This may contain references to standalone test results, test group headers (which then reference further results) or a mixture of both.
Test results which are part of a test group will not be referenced by this element, the reference will be to the test group which will in turn reference the test results.
In GP systems this will also contain a reference to an observation that contains the details of the time that the report was filed into the record.
This will be identified in the Observation.code element, and will be populated with the SNOMED code:
37331000000100 | Comment note (record artifact) |
Example
<result> <reference value="observation--002lpi2" /> </result>
imagingStudy
Usage
Optional
Guidance
A reference to full details of imaging associated with the diagnostic report.
Example
<imagingStudy> <reference value="imaging-study--manifest--009uio1p" /> </imagingStudy>
image
Usage
Optional
Guidance
Any key images associated with this report
Example
<image> <comment value="A picture of a cat" /> <link value="media--purr1ng" /> </image>
conclusion
Usage
Required
Guidance
Clinical Interpretation of test results in a text format and notes written by performing organisation in addition to the interpretation. For example, the specimen has haemolysed, or has leaked.
For clarity notes may be captured at a number of levels within a DiagnosticReport.
There may also be notes related to the:
- specimen
- test group header
- individual test result
It is the consuming systems responsibility to make sure all relevant notes are displayed to the user.
Example
<conclusion value="The most worth-while thing is to try to put happiness into the lives of others." />
codedDiagnosis
Usage
Optional
Guidance
Warning: This element has been renamed to
conclusionCode in FHIR R4.
A coded finding of the test report that is usually produced by the organisation that performed the tests.
Example
<codedDiagnosis> <coding> <display value="Plantar fasciitis (disorder)" /> <code value="202882003" /> <system value="http://snomed.info/sct" /> <snomedCT> <url value="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid" /> <extension> <valueId value="202882003" /> <descriptionId value="202882003" /> <descriptionDisplay value="Plantar fasciitis (disorder)" /> </extesion> </snomedCT> </coding> <text value="Plantar fasciitis (disorder)" /> </codedDiagnosis>
presentedForm
Usage
Optional
Guidance
The entire report as issued.
Example
<presentedForm> <contentType value="application/pdf" /> <data value="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" /> </presentedForm>