HRM Report Class CodeSystem Code system¶
| Canonical | ../CodeSystem/hrm-report-class |
|---|---|
| Status | draft · 1.26.0 |
| Content | complete |
| Source | FSH · JSON |
The report classification carried in an inbound Health Report Manager message, preserved on
DiagnosticReport.category.
Written alongside an HL7 v2-0074 coding, not instead of one. A report that states its class
carries both codings; one that states no class carries neither, and category is absent. Prefer
http://terminology.hl7.org/CodeSystem/v2-0074 unless you need what it cannot express: three of
the six classes here -- a consultant report, a medical records report and an other letter -- all
map to OTH, and the distinction is unrecoverable from the v2 coding alone.
TWO WARNINGS ABOUT THE v2-0074 CODING THIS ESTATE ACTUALLY WRITES, both of which a consumer has to know before trusting it. Neither is a property of this code system; both describe the companion coding beside it, and both are being corrected in the producer.
Its display is not v2-0074's. The converter writes this system's own class name into the
display of the v2-0074 coding -- so a reader meets {system: v2-0074, code: "RAD", display:
"DiagnosticImagingReport"}, where v2-0074's own display for RAD is Radiology. R4 defines
Coding.display as a representation of the meaning of the code in the system that declares it,
so a terminology service asked to validate that coding rejects it. Read the v2-0074 code; do not
read, match on, or re-publish its display.
CardioRespiratoryReport is coded CUS, which is narrower than the class. v2-0074's CUS is
Cardiac Ultrasound, one modality. This class covers a cardiology or respiratory study, and
v2-0074 spreads that across at least CUS, CTH (cardiac catheterization), EC (electrocardiac),
PF (pulmonary function) and RES (respiratory care) -- it has no single code for the class. So
CUS on one of these reports is not evidence that an ultrasound was performed. This is the fourth
class whose v2 coding loses information, and the sharpest: the other three collapse into OTH,
which claims nothing, while this one asserts something specific and wrong.
The code is the unspaced form; the display carries the spaced form. ConsultantReport is the
code, Consultant Report is the display. Match the code.
Content is complete. The six classes below are the whole classification the source message
schema defines, not a sample of what has been observed.
Nexus EMR writes this today at http://services.well.com/fhir/CodeSystem/hrm-report-class
(FHIR-372): it is live in stored category codings and in code, and is under migration to the
canonical declared here. Write the canonical; expect both until the migration completes. The two
share their final segment, so a reader may match on it, but matching both addresses exactly is
safer and is what the handbook's Canonical URLs page lists.
| Code | Display | Definition |
|---|---|---|
DiagnosticImagingReport |
Diagnostic Imaging Report | An imaging report. Also coded RAD in HL7 v2-0074 on the same category. |
DiagnosticTestReport |
Diagnostic Test Report | A diagnostic test result. Also coded LAB in HL7 v2-0074 on the same category. |
CardioRespiratoryReport |
Cardio Respiratory Report | A cardiology or respiratory study. Coded CUS in HL7 v2-0074 on the same category -- but CUS is Cardiac Ultrasound, one modality, and this class also covers catheterization… |
ConsultantReport |
Consultant Report | A consultant's report or letter back to the referring clinician. Also coded OTH in HL7 v2-0074, which does not distinguish it from a medical records report or an other letter --… |
MedicalRecordsReport |
Medical Records Report | A release from a medical records department. Also coded OTH in HL7 v2-0074, which does not distinguish it from a consultant report or an other letter. |
OtherLetter |
Other Letter | Correspondence that is none of the above. Also coded OTH in HL7 v2-0074, which does not distinguish it from a consultant report or a medical records report. |