IL Core Implementation Guide
0.18.0 - draft Israel flag

This page is part of the IL-Core IG (v0.18.0: draft-1 Draft) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Resource Profile: ILCore DiagnosticReport Profile

Official URL: http://fhir.health.gov.il/StructureDefinition/il-core-diagnostic-report Version: 0.18.0
Standards status: Draft Maturity Level: 0 Computable Name: ILCoreDiagnosticReport

Israel Core proposed constraints and extensions on the DiagnosticReport Resource

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport 0..* DiagnosticReport ILCore DiagnosticReport Profile
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... basedOn 0..* Reference(ILCore CarePlan Profile | ILCore ImmunizationRecommendation Profile | ILCore MedicationRequest Profile | ILCore Molecular Sequence | ILCore ServiceRequest Profile) What was requested
... code Σ 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.

... subject Σ 0..1 Reference(ILCore Patient Profile | ILCore Group Profile | ILCore Device Profile | ILCore Location Profile) The subject of the report - usually, but not always, the patient
... encounter Σ 0..1 Reference(ILCore Encounter Profile) Health care event when test ordered
... performer Σ 0..* Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore Organization Profile | ILCore CareTeam Profile) Responsible Diagnostic Service
... resultsInterpreter Σ 0..* Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore Organization Profile | ILCore CareTeam Profile) Primary result interpreter
... specimen 0..* Reference(ILCore Specimen Profile) Specimens this report is based on
... result 0..* Reference(ILCore Observation Profile) Observations
... imagingStudy 0..* Reference(ILCore ImagingStudy Profile) Reference to full details of imaging associated with the diagnostic report

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DiagnosticReport.statusrequiredDiagnosticReportStatus
http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1
from the FHIR Standard
DiagnosticReport.codepreferredLOINCDiagnosticReportCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/report-codes
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport 0..* DiagnosticReport ILCore DiagnosticReport Profile
... 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business identifier for report
... basedOn 0..* Reference(ILCore CarePlan Profile | ILCore ImmunizationRecommendation Profile | ILCore MedicationRequest Profile | ILCore Molecular Sequence | ILCore ServiceRequest Profile) What was requested
... status ?!Σ 1..1 code registered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.

... category Σ 0..* CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.


... code Σ 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.

... subject Σ 0..1 Reference(ILCore Patient Profile | ILCore Group Profile | ILCore Device Profile | ILCore Location Profile) The subject of the report - usually, but not always, the patient
... encounter Σ 0..1 Reference(ILCore Encounter Profile) Health care event when test ordered
... effective[x] Σ 0..1 Clinically relevant time/time-period for report
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued Σ 0..1 instant DateTime this version was made
... performer Σ 0..* Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore Organization Profile | ILCore CareTeam Profile) Responsible Diagnostic Service
... resultsInterpreter Σ 0..* Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore Organization Profile | ILCore CareTeam Profile) Primary result interpreter
... specimen 0..* Reference(ILCore Specimen Profile) Specimens this report is based on
... result 0..* Reference(ILCore Observation Profile) Observations
... imagingStudy 0..* Reference(ILCore ImagingStudy Profile) 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(ILCore Media Profile) 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DiagnosticReport.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
DiagnosticReport.statusrequiredDiagnosticReportStatus
http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1
from the FHIR Standard
DiagnosticReport.categoryexampleDiagnosticServiceSectionCodes
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
from the FHIR Standard
DiagnosticReport.codepreferredLOINCDiagnosticReportCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/report-codes
from the FHIR Standard
DiagnosticReport.conclusionCodeexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings
from the FHIR Standard

This structure is derived from DiagnosticReport

Summary

Structures

This structure refers to these other structures:

Maturity: 0

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport 0..* DiagnosticReport ILCore DiagnosticReport Profile
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... basedOn 0..* Reference(ILCore CarePlan Profile | ILCore ImmunizationRecommendation Profile | ILCore MedicationRequest Profile | ILCore Molecular Sequence | ILCore ServiceRequest Profile) What was requested
... code Σ 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.

... subject Σ 0..1 Reference(ILCore Patient Profile | ILCore Group Profile | ILCore Device Profile | ILCore Location Profile) The subject of the report - usually, but not always, the patient
... encounter Σ 0..1 Reference(ILCore Encounter Profile) Health care event when test ordered
... performer Σ 0..* Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore Organization Profile | ILCore CareTeam Profile) Responsible Diagnostic Service
... resultsInterpreter Σ 0..* Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore Organization Profile | ILCore CareTeam Profile) Primary result interpreter
... specimen 0..* Reference(ILCore Specimen Profile) Specimens this report is based on
... result 0..* Reference(ILCore Observation Profile) Observations
... imagingStudy 0..* Reference(ILCore ImagingStudy Profile) Reference to full details of imaging associated with the diagnostic report

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DiagnosticReport.statusrequiredDiagnosticReportStatus
http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1
from the FHIR Standard
DiagnosticReport.codepreferredLOINCDiagnosticReportCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/report-codes
from the FHIR Standard

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport 0..* DiagnosticReport ILCore DiagnosticReport Profile
... 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business identifier for report
... basedOn 0..* Reference(ILCore CarePlan Profile | ILCore ImmunizationRecommendation Profile | ILCore MedicationRequest Profile | ILCore Molecular Sequence | ILCore ServiceRequest Profile) What was requested
... status ?!Σ 1..1 code registered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.

... category Σ 0..* CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.


... code Σ 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.

... subject Σ 0..1 Reference(ILCore Patient Profile | ILCore Group Profile | ILCore Device Profile | ILCore Location Profile) The subject of the report - usually, but not always, the patient
... encounter Σ 0..1 Reference(ILCore Encounter Profile) Health care event when test ordered
... effective[x] Σ 0..1 Clinically relevant time/time-period for report
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued Σ 0..1 instant DateTime this version was made
... performer Σ 0..* Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore Organization Profile | ILCore CareTeam Profile) Responsible Diagnostic Service
... resultsInterpreter Σ 0..* Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore Organization Profile | ILCore CareTeam Profile) Primary result interpreter
... specimen 0..* Reference(ILCore Specimen Profile) Specimens this report is based on
... result 0..* Reference(ILCore Observation Profile) Observations
... imagingStudy 0..* Reference(ILCore ImagingStudy Profile) 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(ILCore Media Profile) 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DiagnosticReport.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
DiagnosticReport.statusrequiredDiagnosticReportStatus
http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1
from the FHIR Standard
DiagnosticReport.categoryexampleDiagnosticServiceSectionCodes
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
from the FHIR Standard
DiagnosticReport.codepreferredLOINCDiagnosticReportCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/report-codes
from the FHIR Standard
DiagnosticReport.conclusionCodeexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings
from the FHIR Standard

This structure is derived from DiagnosticReport

Summary

Structures

This structure refers to these other structures:

Maturity: 0

 

Other representations of profile: CSV, Excel, Schematron