{ "resourceType": "StructureDefinition", "id": "qicore-diagnosticreport", "text": { "status": "generated", "div": "
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NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" DiagnosticReport 0..*
\".\"\".\"\".\" id 0..1id
\".\"\".\"\".\" diagnosticReport-locationPerformed 0..1Reference(Location)Location Performed
URL: http://hl7.org/fhir/StructureDefinition/diagnosticReport-locationPerformed
\".\"\".\"\".\"\".\" valueReference 1..1Reference(QICore-Location)
\".\"\".\"\".\" basedOn 0..*Reference(CarePlan | QICore-ImmunizationRecommendation | MedicationRequest | NutritionOrder | ProcedureRequest | QICore-ReferralRequest)
\".\"\".\"\".\" status S1..1codeBinding: DiagnosticReportStatus (required)
\".\"\".\"\".\" category S1..1CodeableConceptBinding: Diagnostic Service Section Codes (preferred)
\".\"\".\"\".\" code S1..1CodeableConceptBinding: LOINC Diagnostic Report Codes (preferred)
\".\"\".\"\".\" subject S1..1Reference(QICore-Patient)
\".\"\".\"\".\" context S0..1Reference(QICore-Encounter | EpisodeOfCare)
\".\"\".\"\".\" effective[x] S1..1dateTime, Period
\".\"\".\"\".\" issued S1..1instant
\".\"\".\"\".\" performer S0..*BackboneElement
\".\"\".\"\".\"\".\" actor S1..1Reference(QICore-Practitioner | QICore-Organization)
\".\"\".\"\".\" specimen 0..*Reference(QICore-Specimen)
\".\"\".\"\".\" result S0..*Reference(QICore-Observation)
\".\"\".\"\".\" imagingStudy S0..*Reference(QICore-ImagingStudy | ImagingManifest)
\".\"\".\"\".\" image S0..*BackboneElement
\".\"\".\"\".\" codedDiagnosis S0..*CodeableConceptBinding: SNOMED CT Clinical Findings (preferred)
\".\"\".\"\".\" presentedForm S0..*Attachment

\"doco\" Documentation for this format
" }, "url": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-diagnosticreport", "version": "3.1.0", "name": "QICore-DiagnosticReport", "status": "draft", "date": "2018-08-21T14:00:00+00:00", "publisher": "Health Level Seven, Inc. - CQI WG", "contact": [ { "telecom": [ { "system": "url", "value": "http://hl7.org/special/committees/CQI" } ] } ], "description": "Profile of DiagnosticReport for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.", "fhirVersion": "3.0.1", "mapping": [ { "identity": "qdm", "uri": "http://www.healthit.gov/quality-data-model", "name": "Quality Data Model" }, { "identity": "argonaut-dq-dstu2", "uri": "http://unknown.org/Argonaut DQ DSTU2", "name": "Argonaut DQ DSTU2" }, { "identity": "workflow", "uri": "http://hl7.org/fhir/workflow", "name": "Workflow Mapping" }, { "identity": "v2", "uri": "http://hl7.org/v2", "name": "HL7 v2 Mapping" }, { "identity": "rim", "uri": "http://hl7.org/v3", "name": "RIM Mapping" }, { "identity": "w5", "uri": "http://hl7.org/fhir/w5", "name": "W5 Mapping" } ], "kind": "resource", "abstract": false, "type": "DiagnosticReport", "baseDefinition": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport", "derivation": "constraint", "differential": { "element": [ { "id": "DiagnosticReport", "path": "DiagnosticReport", "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "Diagnostic Study, Performed (used only in imaging studies. All others use QICore-Observation)\nNote: 1. FHIR DiagnosticReport does not address negation since there would be no report. QDM usage to indicate studies that have not been done should address negation rationale for the order or the recommendation (i.e., ProcedureRequest.extension (reasonRefused).\n2. FHIR DiagnosticReport does not address reason since reason is a function of the order or recommendation. QDM reference to indicate the reason for imaging studies should reference qicore-procedurerequest-appropriatenessScore. 3. FHIR DiagnosticReport addresses method through ImagingStudy.modalityList.code." } ] }, { "id": "DiagnosticReport.id", "path": "DiagnosticReport.id", "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "id" } ] }, { "id": "DiagnosticReport.extension:locationPerformed", "path": "DiagnosticReport.extension", "sliceName": "locationPerformed", "short": "Location Performed", "definition": "Facility location where this report was prepared.", "min": 0, "max": "1", "type": [ { "code": "Extension", "profile": "http://hl7.org/fhir/StructureDefinition/diagnosticReport-locationPerformed" } ], "mustSupport": false, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "facilityLocation" } ] }, { "id": "DiagnosticReport.extension:locationPerformed.valueReference:locationPerformed-valueReference", "path": "DiagnosticReport.extension.valueReference", "sliceName": "locationPerformed-valueReference", "min": 1, "max": "1", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location" } ], "mustSupport": false, "isModifier": false }, { "id": "DiagnosticReport.basedOn", "path": "DiagnosticReport.basedOn", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/CarePlan" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-immunizationrec" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/MedicationRequest" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/NutritionOrder" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/ProcedureRequest" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-referralrequest" } ], "mustSupport": false, "isModifier": false }, { "id": "DiagnosticReport.status", "path": "DiagnosticReport.status", "mustSupport": true, "isModifier": false, "binding": { "strength": "required", "description": "The status of the diagnostic report as a whole.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/diagnostic-report-status" } }, "mapping": [ { "identity": "qdm", "map": "status" } ] }, { "id": "DiagnosticReport.category", "path": "DiagnosticReport.category", "min": 1, "max": "1", "mustSupport": true, "isModifier": false, "binding": { "strength": "preferred", "description": "This value set includes all the codes in HL7 v2 table 0074.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/diagnostic-service-sections" } } }, { "id": "DiagnosticReport.code", "path": "DiagnosticReport.code", "mustSupport": true, "isModifier": false, "binding": { "strength": "preferred", "description": "This value set includes all the LOINC codes which relate to Diagnostic Observations.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/report-codes" } }, "mapping": [ { "identity": "qdm", "map": "code" } ] }, { "id": "DiagnosticReport.subject", "path": "DiagnosticReport.subject", "min": 1, "max": "1", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient" } ], "mustSupport": true, "isModifier": false }, { "id": "DiagnosticReport.context", "path": "DiagnosticReport.context", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare" } ], "mustSupport": true, "isModifier": false }, { "id": "DiagnosticReport.effective[x]", "path": "DiagnosticReport.effective[x]", "min": 1, "max": "1", "mustSupport": true, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "relevantPeriod" } ] }, { "id": "DiagnosticReport.issued", "path": "DiagnosticReport.issued", "min": 1, "max": "1", "mustSupport": true, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "resultDatetime" } ] }, { "id": "DiagnosticReport.performer", "path": "DiagnosticReport.performer", "type": [ { "code": "BackboneElement" } ], "mustSupport": true, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "source" } ] }, { "id": "DiagnosticReport.performer.actor", "path": "DiagnosticReport.performer.actor", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization" } ], "mustSupport": true, "isModifier": false }, { "id": "DiagnosticReport.specimen", "path": "DiagnosticReport.specimen", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-specimen" } ], "mustSupport": false, "isModifier": false }, { "id": "DiagnosticReport.result", "path": "DiagnosticReport.result", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation" } ], "mustSupport": true, "isModifier": false, "mapping": [ { "identity": "qdm", "map": "result" } ] }, { "id": "DiagnosticReport.imagingStudy", "path": "DiagnosticReport.imagingStudy", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-imagingstudy" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/ImagingManifest" } ], "mustSupport": true, "isModifier": false }, { "id": "DiagnosticReport.image", "path": "DiagnosticReport.image", "mustSupport": true, "isModifier": false }, { "id": "DiagnosticReport.codedDiagnosis", "path": "DiagnosticReport.codedDiagnosis", "mustSupport": true, "isModifier": false, "binding": { "strength": "preferred", "description": "This value set includes all the \"Clinical finding\" SNOMED CT codes - concepts where concept is-a 404684003 (Clinical finding (finding)).", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/clinical-findings" } } }, { "id": "DiagnosticReport.presentedForm", "path": "DiagnosticReport.presentedForm", "mustSupport": true, "isModifier": false } ] } }