DiagnosticReport Profile¶
| Canonical | ../StructureDefinition/nexus-emr-core-diagnosticreport |
|---|---|
| Status | draft · 1.26.0 |
| Base | DiagnosticReport (constraint) |
| Source | FSH · JSON |
Defines the Nexus EMR FHIR profile for DiagnosticReport resources, based on CA-Core constraints, for aggregating diagnostic reports (e.g., Lab, Imaging) from multiple EMRs.
Elements / Snapshot
The full effective definition: base DiagnosticReport with this profile's constraints applied.
| Element | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| DiagnosticReport | 0..* | Nexus EMR Diagnostic Report Core i Invariants: dom-2, dom-3, dom-4, dom-5, dom-6 |
||
| id | 0..1 | http://hl7.org/fhirpath/System.String | Logical id of this artifact i | |
| meta | 0..1 | Meta | Metadata about the resource Invariants: ele-1 |
|
| id | 0..1 | http://hl7.org/fhirpath/System.String | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations i Slicing: value:url (open) Invariants: ele-1, ext-1 |
|
| versionId | 0..1 | id | Version specific identifier i Invariants: ele-1 |
|
| lastUpdated | 0..1 | instant | When the resource version last changed i Invariants: ele-1 |
|
| source | S | 0..1 | uri | Identifies EMR instance & pipeline version the resource came from i Invariants: ele-1 |
| profile | 0..* | canonical | Profiles this resource claims to conform to i Invariants: ele-1 |
|
| security | 0..* | Coding | Security Labels applied to this resource i Binding: security-labels ( extensible)Invariants: ele-1 |
|
| tag | 0..* | Coding | Tags applied to this resource i Binding: common-tags ( example)Invariants: ele-1 |
|
| implicitRules | ?! | 0..1 | uri | A set of rules under which this content was created i Invariants: ele-1 |
| language | 0..1 | code | Language of the resource content i Binding: languages ( preferred)Invariants: ele-1 |
|
| text | S | 0..1 | Narrative | Narrative i Invariants: ele-1 |
| contained | 0..* | Resource | Contained, inline Resources i | |
| extension | 0..* | Extension | Additional content defined by implementations i Slicing: value:url (open) Invariants: ele-1, ext-1 |
|
| extension:reviewed | S | 0..1 | Extension(Reviewed) | Review acknowledgement (absent = unreviewed) i Invariants: ele-1, ext-1 |
| extension:imagingModality | S | 0..* | Extension(Imaging Modality Extension) | Acquisition modality (imaging reports; repeats for PET-CT) i Invariants: ele-1, ext-1 |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored i Invariants: ele-1, ext-1 |
| identifier | S | 0..* | Identifier | Business identifier(s) for diagnostic report i Invariants: ele-1 |
| id | 0..1 | http://hl7.org/fhirpath/System.String | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations i Slicing: value:url (open) Invariants: ele-1, ext-1 |
|
| use | ?! | 0..1 | code | usual | official | temp | secondary | old (If known) i Binding: identifier-use ( required)Invariants: ele-1 |
| type | 0..1 | CodeableConcept | Description of identifier i Binding: identifier-type ( extensible)Invariants: ele-1 |
|
| system | 1..1 | uri | The namespace for the identifier value i Invariants: ele-1 |
|
| value | 1..1 | string | The value that is unique i Invariants: ele-1 |
|
| period | 0..1 | Period | Time period when id is/was valid for use Invariants: ele-1 |
|
| assigner | 0..1 | Reference(Organization) | Organization that issued id (may be just text) i Invariants: ele-1 |
|
| basedOn | 0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested i Invariants: ele-1 |
|
| status | S ?! | 1..1 | code | Where the report is in its lifecycle i Binding: diagnostic-report-status ( required)Invariants: ele-1 |
| category | S | 0..* | CodeableConcept | Service category with raw code support i Binding: diagnostic-service-sections ( example)Invariants: ele-1 |
| code | S | 1..1 | CodeableConcept | Diagnostic report type with raw code support i Binding: report-codes ( preferred)Invariants: ele-1 |
| id | 0..1 | http://hl7.org/fhirpath/System.String | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations i Slicing: value:url (open) Invariants: ele-1, ext-1 |
|
| coding | 0..* | Coding | Code defined by a terminology system i Invariants: ele-1 |
|
| text | S | 1..1 | string | Human-readable report type description (required) i Invariants: ele-1 |
| subject | S | 1..1 | Reference(Patient Profile) | The subject of the report - usually a patient i Invariants: ele-1 |
| encounter | S | 0..1 | Reference(Encounter Profile) | Healthcare event when report was generated i Invariants: ele-1 |
| effective[x] | S | 1..1 | dateTime, Period | Clinically relevant time/time-period for report i Invariants: ele-1 |
| issued | 0..1 | instant | DateTime report was released i Invariants: ele-1 |
|
| performer | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service i Invariants: ele-1 |
|
| resultsInterpreter | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter i Invariants: ele-1 |
|
| specimen | 0..* | Reference(Specimen) | Specimens this report is based on i Invariants: ele-1 |
|
| result | 0..* | Reference(Observation Profile) | Observations that are part of this report i Invariants: ele-1 |
|
| imagingStudy | 0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic report i Invariants: ele-1 |
|
| media | 0..* | BackboneElement | Key images associated with this report Invariants: ele-1 |
|
| id | 0..1 | http://hl7.org/fhirpath/System.String | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations i Invariants: ele-1, ext-1 |
|
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored even if unrecognized i Invariants: ele-1, ext-1 |
| comment | 0..1 | string | Comment about the image (e.g. explanation) i Invariants: ele-1 |
|
| link | 1..1 | Reference(Media) | Reference to the image source Invariants: ele-1 |
|
| conclusion | 0..1 | string | Clinical conclusion (interpretation) of test results i Invariants: ele-1 |
|
| conclusionCode | 0..* | CodeableConcept | Codes for the clinical conclusion i Binding: clinical-findings ( example)Invariants: ele-1 |
|
| presentedForm | 0..* | Attachment | Entire report as issued i Invariants: ele-1 |
|
| id | 0..1 | http://hl7.org/fhirpath/System.String | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations i Slicing: value:url (open) Invariants: ele-1, ext-1 |
|
| contentType | 1..1 | code | Mime type of the content (e.g., application/pdf) Binding: mimetypes ( required)Invariants: ele-1 |
|
| language | 0..1 | code | Human language of the content (BCP-47) Binding: languages ( preferred)Invariants: ele-1 |
|
| data | 0..1 | base64Binary | Data inline, base64 encoded i Invariants: ele-1 |
|
| url | 0..1 | url | Uri where the data can be found i Invariants: ele-1 |
|
| size | 0..1 | unsignedInt | Number of bytes of content (if url provided) i Invariants: ele-1 |
|
| hash | 0..1 | base64Binary | Hash of the data (sha-1, base64ed) i Invariants: ele-1 |
|
| title | 0..1 | string | Label to display in place of the data Invariants: ele-1 |
|
| creation | 0..1 | dateTime | Date attachment was first created Invariants: ele-1 |