US Veterans Health Administration FHIR Map Set Implementation Guide
1.6.49 - 250701
US Veterans Health Administration FHIR Map Set Implementation Guide
1.6.49 - 250701
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| Official URL: http://va.gov/fhir/StructureDefinition/LabObservationMicrobiologyParasitologyDiagnosticReport | Version: 1.6.49 | |||
| Draft as of 2025-06-13 | Computable Name: LabObservationMicrobiologyParasitologyDiagnosticReport | |||
This StructureDefinition contains the maps for VistA file MICROBIOLOGY (63.05) to us-core-diagnosticreport-lab.
See also the FHIR Shorthand.
Usages:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  DiagnosticReport |
C | 0..* | USCoreDiagnosticReportProfileLaboratoryReporting(5.0.1) | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: us-core-8, us-core-9 |
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
  Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
   extension:extension-DiagnosticReport-note |
0..1 | (Complex) | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note | |
  extension |
0..0 | |||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note" | |
  value[x] |
S | 1..1 | Annotation | Value of extension |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier |
Σ | 0..* | Identifier | Business identifier for report |
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
| system |
SΣ | 0..1 | uri | The namespace for the identifier value Required Pattern: http://va.gov/identifiers/$Sta3n/63.5 |
 value |
SΣ | 0..1 | string | The value that is unique Example General: 123456 |
 basedOn |
S | 0..* | Reference(ServiceRequest) | What was requested |
| status |
?!SΣC | 1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportLabStatus FHIR (required): see mapping VF_DiagnosticReportLabStatus |
 Slices for category |
SΣ | 1..* | CodeableConcept | Service category Slice: Unordered, Open by pattern:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. |
  category:All Slices |
Content/Rules for all slices | |||
  text |
SΣ | 0..1 | string | Plain text representation of the concept |
| category:LaboratorySlice |
SΣ | 1..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following |
  coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074 | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: LAB | |
| code |
SΣ | 1..1 | CodeableConcept | US Core Laboratory Report Order Code Binding: US Core Diagnostic Report Laboratory Codes (extensible): LOINC codes |
| coding |
SΣ | 0..* | Coding | Code defined by a terminology system |
| system |
SΣ | 0..1 | uri | Identity of the terminology system Required Pattern: http://loinc.org |
| code |
SΣ | 0..1 | code | Symbol in syntax defined by the system |
| display |
SΣ | 0..1 | string | Representation defined by the system |
| text |
SΣ | 0..1 | string | Plain text representation of the concept |
| subject |
SΣC | 1..1 | Reference(Patient) | The subject of the report - usually, but not always, the patient Constraints: lompdr-54-1421 |
| Slices for effective[x] |
SΣC | 0..1 | Diagnostically relevant time (typically the time of specimen collection) Slice: Unordered, Open by type:$this | |
 effectiveDateTime |
dateTime | |||
| effective[x]:effectiveDateTime |
SΣC | 0..1 | dateTime | Diagnostically relevant time (typically the time of specimen collection) |
| issued |
SΣC | 0..1 | instant | When the report was released |
| Slices for performer |
SΣ | 0..* | Reference(US Core Practitioner Profile(5.0.1)) | Responsible Diagnostic Service Slice: Unordered, Open by value:$this |
| performer:va-by |
SΣ | 0..1 | Reference(Practitioner) | Responsible Diagnostic Service |
| performer:va-at |
SΣ | 0..1 | Reference(Organization) | Responsible Diagnostic Service |
| result |
S | 0..* | Reference(Lab Observation: Microbiology Parasitology Observation) | Observations |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| DiagnosticReport.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1From the FHIR Standard | |
| DiagnosticReport.status | required | DiagnosticReportLabStatushttp://va.gov/fhir/ValueSet/DiagnosticReportLabStatusFrom this IG | |
| DiagnosticReport.category | example | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sectionsFrom the FHIR Standard | |
| DiagnosticReport.category:LaboratorySlice | example | Pattern Value: LABhttp://hl7.org/fhir/ValueSet/diagnostic-service-sectionsFrom the FHIR Standard | |
| DiagnosticReport.code | extensible | USCoreDiagnosticReportLabCodeshttp://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-lab-codes |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| lompdr-54-1421 | best practice | DiagnosticReport.subject | If {63>63} then reference /Patient based on (2-) : true | |
| us-core-8 | error | DiagnosticReport | effective[x] SHALL be present if the status is 'partial', 'preliminary', 'final', 'amended', 'corrected' or 'appended' : (status='partial' or status='preliminary' or status='final' or status='amended' or status='corrected' or status='appended' ) implies effective.exists() | |
| us-core-9 | error | DiagnosticReport | issued SHALL be present if the status is 'partial', 'preliminary', 'final', 'amended', 'corrected' or 'appended' : (status='partial' or status='preliminary' or status='final' or status='amended' or status='corrected' or status='appended' ) implies issued.exists() |
This structure is derived from USCoreDiagnosticReportProfileLaboratoryReporting
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DiagnosticReport |
0..* | USCoreDiagnosticReportProfileLaboratoryReporting(5.0.1) | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:extension-DiagnosticReport-note |
0..1 | (Complex) | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note | |
| value[x] |
S | 1..1 | Annotation | Value of extension |
| identifier |
||||
| system |
S | 0..1 | uri | The namespace for the identifier value Required Pattern: http://va.gov/identifiers/$Sta3n/63.5 |
| value |
S | 0..1 | string | The value that is unique |
| basedOn |
S | 0..* | Reference(ServiceRequest) | What was requested |
| status |
1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportLabStatus FHIR (required): see mapping VF_DiagnosticReportLabStatus | |
| category |
1..* | CodeableConcept | Service category | |
| text |
S | 0..1 | string | Plain text representation of the concept |
| Slices for category |
Content/Rules for all slices | |||
| category:LaboratorySlice |
1..1 | CodeableConcept | Service category | |
| code |
||||
| coding |
S | 0..* | Coding | Code defined by a terminology system |
| system |
S | 0..1 | uri | Identity of the terminology system Required Pattern: http://loinc.org |
| code |
S | 0..1 | code | Symbol in syntax defined by the system |
| display |
S | 0..1 | string | Representation defined by the system |
| text |
S | 0..1 | string | Plain text representation of the concept |
| subject |
C | 1..1 | Reference(Patient) | The subject of the report - usually, but not always, the patient Constraints: lompdr-54-1421 |
| Slices for effective[x] |
0..1 | dateTime, Period | Diagnostically relevant time (typically the time of specimen collection) Slice: Unordered, Open by type:$this | |
| effective[x]:effectiveDateTime |
S | 0..1 | dateTime S | Diagnostically relevant time (typically the time of specimen collection) |
| issued |
0..1 | instant | When the report was released | |
| Slices for performer |
0..* | Reference(US Core Practitioner Profile(5.0.1) | US Core Organization Profile(5.0.1) | US Core CareTeam Profile(5.0.1) | US Core PractitionerRole Profile(5.0.1)) | Responsible Diagnostic Service Slice: Unordered, Open by value:$this | |
| performer:va-by |
S | 0..1 | Reference(Practitioner) | Responsible Diagnostic Service |
| performer:va-at |
S | 0..1 | Reference(Organization) | Responsible Diagnostic Service |
| result |
0..* | Reference(Lab Observation: Microbiology Parasitology Observation) | Observations | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| DiagnosticReport.status | required | DiagnosticReportLabStatushttp://va.gov/fhir/ValueSet/DiagnosticReportLabStatusFrom this IG |
| Id | Grade | Path(s) | Details | Requirements |
| lompdr-54-1421 | best practice | DiagnosticReport.subject | If {63>63} then reference /Patient based on (2-) : true |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| DiagnosticReport |
C | 0..* | USCoreDiagnosticReportProfileLaboratoryReporting(5.0.1) | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: us-core-8, us-core-9 | ||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:extension-DiagnosticReport-note |
0..1 | (Complex) | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | |||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note" | |||||
| value[x] |
S | 1..1 | Annotation | Value of extension | ||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 0..* | Identifier | Business identifier for report | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
| type |
Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
| system |
SΣ | 0..1 | uri | The namespace for the identifier value Required Pattern: http://va.gov/identifiers/$Sta3n/63.5 | ||||
| value |
SΣ | 0..1 | string | The value that is unique Example General: 123456 | ||||
| period |
Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
| assigner |
Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
| basedOn |
S | 0..* | Reference(ServiceRequest) | What was requested | ||||
| status |
?!SΣC | 1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportLabStatus FHIR (required): see mapping VF_DiagnosticReportLabStatus | ||||
| Slices for category |
SΣ | 1..* | CodeableConcept | Service category Slice: Unordered, Open by pattern:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. | ||||
| category:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
Σ | 0..* | Coding | Code defined by a terminology system | ||||
| text |
SΣ | 0..1 | string | Plain text representation of the concept | ||||
| category:LaboratorySlice |
SΣ | 1..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
 coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
 id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074 | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: LAB | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| code |
SΣ | 1..1 | CodeableConcept | US Core Laboratory Report Order Code Binding: US Core Diagnostic Report Laboratory Codes (extensible): LOINC codes | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
SΣ | 0..* | Coding | Code defined by a terminology system | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
SΣ | 0..1 | uri | Identity of the terminology system Required Pattern: http://loinc.org | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
SΣ | 0..1 | code | Symbol in syntax defined by the system | ||||
| display |
SΣ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
SΣ | 0..1 | string | Plain text representation of the concept | ||||
| subject |
SΣC | 1..1 | Reference(Patient) | The subject of the report - usually, but not always, the patient Constraints: lompdr-54-1421 | ||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Health care event when test ordered | ||||
| Slices for effective[x] |
SΣC | 0..1 | Diagnostically relevant time (typically the time of specimen collection) Slice: Unordered, Open by type:$this | |||||
| effectiveDateTime |
dateTime S | |||||||
| effectivePeriod |
Period | |||||||
| effective[x]:effectiveDateTime |
SΣC | 0..1 | dateTime S | Diagnostically relevant time (typically the time of specimen collection) | ||||
| issued |
SΣC | 0..1 | instant | When the report was released | ||||
| Slices for performer |
SΣ | 0..* | Reference(US Core Practitioner Profile(5.0.1) S | US Core Organization Profile(5.0.1) | US Core CareTeam Profile(5.0.1) | US Core PractitionerRole Profile(5.0.1)) | Responsible Diagnostic Service Slice: Unordered, Open by value:$this | ||||
| performer:va-by |
SΣ | 0..1 | Reference(Practitioner) | Responsible Diagnostic Service | ||||
| performer:va-at |
SΣ | 0..1 | Reference(Organization) | Responsible Diagnostic Service | ||||
| resultsInterpreter |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter | ||||
| specimen |
0..* | Reference(Specimen) | Specimens this report is based on | |||||
| result |
S | 0..* | Reference(Lab Observation: Microbiology Parasitology Observation) | Observations | ||||
| imagingStudy |
0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic report | |||||
| media |
Σ | 0..* | BackboneElement | Key images associated with this report | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| comment |
0..1 | string | Comment about the image (e.g. explanation) | |||||
| link |
Σ | 1..1 | Reference(Media) | Reference to the image source | ||||
| conclusion |
0..1 | string | Clinical conclusion (interpretation) of test results | |||||
| conclusionCode |
0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. | |||||
| presentedForm |
0..* | Attachment | Entire report as issued | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| DiagnosticReport.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesFrom the FHIR Standard
| ||||
| DiagnosticReport.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1From the FHIR Standard | ||||
| DiagnosticReport.identifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-typeFrom the FHIR Standard | ||||
| DiagnosticReport.status | required | DiagnosticReportLabStatushttp://va.gov/fhir/ValueSet/DiagnosticReportLabStatusFrom this IG | ||||
| DiagnosticReport.category | example | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sectionsFrom the FHIR Standard | ||||
| DiagnosticReport.category:LaboratorySlice | example | Pattern Value: LABhttp://hl7.org/fhir/ValueSet/diagnostic-service-sectionsFrom the FHIR Standard | ||||
| DiagnosticReport.code | extensible | USCoreDiagnosticReportLabCodeshttp://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-lab-codes | ||||
| DiagnosticReport.conclusionCode | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findingsFrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| lompdr-54-1421 | best practice | DiagnosticReport.subject | If {63>63} then reference /Patient based on (2-) : true | |
| us-core-8 | error | DiagnosticReport | effective[x] SHALL be present if the status is 'partial', 'preliminary', 'final', 'amended', 'corrected' or 'appended' : (status='partial' or status='preliminary' or status='final' or status='amended' or status='corrected' or status='appended' ) implies effective.exists() | |
| us-core-9 | error | DiagnosticReport | issued SHALL be present if the status is 'partial', 'preliminary', 'final', 'amended', 'corrected' or 'appended' : (status='partial' or status='preliminary' or status='final' or status='amended' or status='corrected' or status='appended' ) implies issued.exists() |
This structure is derived from USCoreDiagnosticReportProfileLaboratoryReporting
Summary
Must-Support: 13 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DiagnosticReport |
C | 0..* | USCoreDiagnosticReportProfileLaboratoryReporting(5.0.1) | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: us-core-8, us-core-9 |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:extension-DiagnosticReport-note |
0..1 | (Complex) | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note | |
| extension |
0..0 | |||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note" | |
| value[x] |
S | 1..1 | Annotation | Value of extension |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier |
Σ | 0..* | Identifier | Business identifier for report |
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
| system |
SΣ | 0..1 | uri | The namespace for the identifier value Required Pattern: http://va.gov/identifiers/$Sta3n/63.5 |
| value |
SΣ | 0..1 | string | The value that is unique Example General: 123456 |
| basedOn |
S | 0..* | Reference(ServiceRequest) | What was requested |
| status |
?!SΣC | 1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportLabStatus FHIR (required): see mapping VF_DiagnosticReportLabStatus |
| Slices for category |
SΣ | 1..* | CodeableConcept | Service category Slice: Unordered, Open by pattern:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. |
| category:All Slices |
Content/Rules for all slices | |||
| text |
SΣ | 0..1 | string | Plain text representation of the concept |
| category:LaboratorySlice |
SΣ | 1..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074 | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: LAB | |
| code |
SΣ | 1..1 | CodeableConcept | US Core Laboratory Report Order Code Binding: US Core Diagnostic Report Laboratory Codes (extensible): LOINC codes |
| coding |
SΣ | 0..* | Coding | Code defined by a terminology system |
| system |
SΣ | 0..1 | uri | Identity of the terminology system Required Pattern: http://loinc.org |
| code |
SΣ | 0..1 | code | Symbol in syntax defined by the system |
| display |
SΣ | 0..1 | string | Representation defined by the system |
| text |
SΣ | 0..1 | string | Plain text representation of the concept |
| subject |
SΣC | 1..1 | Reference(Patient) | The subject of the report - usually, but not always, the patient Constraints: lompdr-54-1421 |
| Slices for effective[x] |
SΣC | 0..1 | Diagnostically relevant time (typically the time of specimen collection) Slice: Unordered, Open by type:$this | |
| effectiveDateTime |
dateTime | |||
| effective[x]:effectiveDateTime |
SΣC | 0..1 | dateTime | Diagnostically relevant time (typically the time of specimen collection) |
| issued |
SΣC | 0..1 | instant | When the report was released |
| Slices for performer |
SΣ | 0..* | Reference(US Core Practitioner Profile(5.0.1)) | Responsible Diagnostic Service Slice: Unordered, Open by value:$this |
| performer:va-by |
SΣ | 0..1 | Reference(Practitioner) | Responsible Diagnostic Service |
| performer:va-at |
SΣ | 0..1 | Reference(Organization) | Responsible Diagnostic Service |
| result |
S | 0..* | Reference(Lab Observation: Microbiology Parasitology Observation) | Observations |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| DiagnosticReport.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1From the FHIR Standard | |
| DiagnosticReport.status | required | DiagnosticReportLabStatushttp://va.gov/fhir/ValueSet/DiagnosticReportLabStatusFrom this IG | |
| DiagnosticReport.category | example | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sectionsFrom the FHIR Standard | |
| DiagnosticReport.category:LaboratorySlice | example | Pattern Value: LABhttp://hl7.org/fhir/ValueSet/diagnostic-service-sectionsFrom the FHIR Standard | |
| DiagnosticReport.code | extensible | USCoreDiagnosticReportLabCodeshttp://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-lab-codes |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| lompdr-54-1421 | best practice | DiagnosticReport.subject | If {63>63} then reference /Patient based on (2-) : true | |
| us-core-8 | error | DiagnosticReport | effective[x] SHALL be present if the status is 'partial', 'preliminary', 'final', 'amended', 'corrected' or 'appended' : (status='partial' or status='preliminary' or status='final' or status='amended' or status='corrected' or status='appended' ) implies effective.exists() | |
| us-core-9 | error | DiagnosticReport | issued SHALL be present if the status is 'partial', 'preliminary', 'final', 'amended', 'corrected' or 'appended' : (status='partial' or status='preliminary' or status='final' or status='amended' or status='corrected' or status='appended' ) implies issued.exists() |
Differential View
This structure is derived from USCoreDiagnosticReportProfileLaboratoryReporting
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DiagnosticReport |
0..* | USCoreDiagnosticReportProfileLaboratoryReporting(5.0.1) | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:extension-DiagnosticReport-note |
0..1 | (Complex) | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note | |
| value[x] |
S | 1..1 | Annotation | Value of extension |
| identifier |
||||
| system |
S | 0..1 | uri | The namespace for the identifier value Required Pattern: http://va.gov/identifiers/$Sta3n/63.5 |
| value |
S | 0..1 | string | The value that is unique |
| basedOn |
S | 0..* | Reference(ServiceRequest) | What was requested |
| status |
1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportLabStatus FHIR (required): see mapping VF_DiagnosticReportLabStatus | |
| category |
1..* | CodeableConcept | Service category | |
| text |
S | 0..1 | string | Plain text representation of the concept |
| Slices for category |
Content/Rules for all slices | |||
| category:LaboratorySlice |
1..1 | CodeableConcept | Service category | |
| code |
||||
| coding |
S | 0..* | Coding | Code defined by a terminology system |
| system |
S | 0..1 | uri | Identity of the terminology system Required Pattern: http://loinc.org |
| code |
S | 0..1 | code | Symbol in syntax defined by the system |
| display |
S | 0..1 | string | Representation defined by the system |
| text |
S | 0..1 | string | Plain text representation of the concept |
| subject |
C | 1..1 | Reference(Patient) | The subject of the report - usually, but not always, the patient Constraints: lompdr-54-1421 |
| Slices for effective[x] |
0..1 | dateTime, Period | Diagnostically relevant time (typically the time of specimen collection) Slice: Unordered, Open by type:$this | |
| effective[x]:effectiveDateTime |
S | 0..1 | dateTime S | Diagnostically relevant time (typically the time of specimen collection) |
| issued |
0..1 | instant | When the report was released | |
| Slices for performer |
0..* | Reference(US Core Practitioner Profile(5.0.1) | US Core Organization Profile(5.0.1) | US Core CareTeam Profile(5.0.1) | US Core PractitionerRole Profile(5.0.1)) | Responsible Diagnostic Service Slice: Unordered, Open by value:$this | |
| performer:va-by |
S | 0..1 | Reference(Practitioner) | Responsible Diagnostic Service |
| performer:va-at |
S | 0..1 | Reference(Organization) | Responsible Diagnostic Service |
| result |
0..* | Reference(Lab Observation: Microbiology Parasitology Observation) | Observations | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| DiagnosticReport.status | required | DiagnosticReportLabStatushttp://va.gov/fhir/ValueSet/DiagnosticReportLabStatusFrom this IG |
| Id | Grade | Path(s) | Details | Requirements |
| lompdr-54-1421 | best practice | DiagnosticReport.subject | If {63>63} then reference /Patient based on (2-) : true |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| DiagnosticReport |
C | 0..* | USCoreDiagnosticReportProfileLaboratoryReporting(5.0.1) | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: us-core-8, us-core-9 | ||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:extension-DiagnosticReport-note |
0..1 | (Complex) | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | |||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note" | |||||
| value[x] |
S | 1..1 | Annotation | Value of extension | ||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 0..* | Identifier | Business identifier for report | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
| type |
Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
| system |
SΣ | 0..1 | uri | The namespace for the identifier value Required Pattern: http://va.gov/identifiers/$Sta3n/63.5 | ||||
| value |
SΣ | 0..1 | string | The value that is unique Example General: 123456 | ||||
| period |
Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
| assigner |
Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
| basedOn |
S | 0..* | Reference(ServiceRequest) | What was requested | ||||
| status |
?!SΣC | 1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportLabStatus FHIR (required): see mapping VF_DiagnosticReportLabStatus | ||||
| Slices for category |
SΣ | 1..* | CodeableConcept | Service category Slice: Unordered, Open by pattern:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. | ||||
| category:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
Σ | 0..* | Coding | Code defined by a terminology system | ||||
| text |
SΣ | 0..1 | string | Plain text representation of the concept | ||||
| category:LaboratorySlice |
SΣ | 1..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0074 | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: LAB | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| code |
SΣ | 1..1 | CodeableConcept | US Core Laboratory Report Order Code Binding: US Core Diagnostic Report Laboratory Codes (extensible): LOINC codes | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
SΣ | 0..* | Coding | Code defined by a terminology system | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
SΣ | 0..1 | uri | Identity of the terminology system Required Pattern: http://loinc.org | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
SΣ | 0..1 | code | Symbol in syntax defined by the system | ||||
| display |
SΣ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text |
SΣ | 0..1 | string | Plain text representation of the concept | ||||
| subject |
SΣC | 1..1 | Reference(Patient) | The subject of the report - usually, but not always, the patient Constraints: lompdr-54-1421 | ||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Health care event when test ordered | ||||
| Slices for effective[x] |
SΣC | 0..1 | Diagnostically relevant time (typically the time of specimen collection) Slice: Unordered, Open by type:$this | |||||
| effectiveDateTime |
dateTime S | |||||||
| effectivePeriod |
Period | |||||||
| effective[x]:effectiveDateTime |
SΣC | 0..1 | dateTime S | Diagnostically relevant time (typically the time of specimen collection) | ||||
| issued |
SΣC | 0..1 | instant | When the report was released | ||||
| Slices for performer |
SΣ | 0..* | Reference(US Core Practitioner Profile(5.0.1) S | US Core Organization Profile(5.0.1) | US Core CareTeam Profile(5.0.1) | US Core PractitionerRole Profile(5.0.1)) | Responsible Diagnostic Service Slice: Unordered, Open by value:$this | ||||
| performer:va-by |
SΣ | 0..1 | Reference(Practitioner) | Responsible Diagnostic Service | ||||
| performer:va-at |
SΣ | 0..1 | Reference(Organization) | Responsible Diagnostic Service | ||||
| resultsInterpreter |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter | ||||
| specimen |
0..* | Reference(Specimen) | Specimens this report is based on | |||||
| result |
S | 0..* | Reference(Lab Observation: Microbiology Parasitology Observation) | Observations | ||||
| imagingStudy |
0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic report | |||||
| media |
Σ | 0..* | BackboneElement | Key images associated with this report | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| comment |
0..1 | string | Comment about the image (e.g. explanation) | |||||
| link |
Σ | 1..1 | Reference(Media) | Reference to the image source | ||||
| conclusion |
0..1 | string | Clinical conclusion (interpretation) of test results | |||||
| conclusionCode |
0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. | |||||
| presentedForm |
0..* | Attachment | Entire report as issued | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| DiagnosticReport.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesFrom the FHIR Standard
| ||||
| DiagnosticReport.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1From the FHIR Standard | ||||
| DiagnosticReport.identifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-typeFrom the FHIR Standard | ||||
| DiagnosticReport.status | required | DiagnosticReportLabStatushttp://va.gov/fhir/ValueSet/DiagnosticReportLabStatusFrom this IG | ||||
| DiagnosticReport.category | example | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sectionsFrom the FHIR Standard | ||||
| DiagnosticReport.category:LaboratorySlice | example | Pattern Value: LABhttp://hl7.org/fhir/ValueSet/diagnostic-service-sectionsFrom the FHIR Standard | ||||
| DiagnosticReport.code | extensible | USCoreDiagnosticReportLabCodeshttp://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-lab-codes | ||||
| DiagnosticReport.conclusionCode | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findingsFrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| lompdr-54-1421 | best practice | DiagnosticReport.subject | If {63>63} then reference /Patient based on (2-) : true | |
| us-core-8 | error | DiagnosticReport | effective[x] SHALL be present if the status is 'partial', 'preliminary', 'final', 'amended', 'corrected' or 'appended' : (status='partial' or status='preliminary' or status='final' or status='amended' or status='corrected' or status='appended' ) implies effective.exists() | |
| us-core-9 | error | DiagnosticReport | issued SHALL be present if the status is 'partial', 'preliminary', 'final', 'amended', 'corrected' or 'appended' : (status='partial' or status='preliminary' or status='final' or status='amended' or status='corrected' or status='appended' ) implies issued.exists() |
This structure is derived from USCoreDiagnosticReportProfileLaboratoryReporting
Summary
Must-Support: 13 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron