National Pathology FHIR Message Profiles
The Test Report for a Haemotology or Chemical Biology Test
Mapping for Diagnostic Report
How to populate the Specimen instance to conform to the profiles below:
| Level 1 | DiagnosticReport Resource | Level 2 | CareConnect-DiagnosticReport-1 | Level 3 | None |
| View Used FHIR Elements | View All FHIR Elements |
| Name | Card. | Conformance | Type | Description, Constraints and Mapping for National Pathology Implementation |
|---|---|---|---|---|
| DiagnosticReport | | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraint (dom-2): If the resource is contained in another resource, it SHALL NOT contain nested Resources Constraint (dom-1): If the resource is contained in another resource, it SHALL NOT contain any narrative Constraint (dom-4): If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated Constraint (dom-3): If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource |
||
| - id | 0..1 | Not Used | Id | Logical id of this artifact |
| - meta | 0..1 | Not Used | Meta | Metadata about the resource |
| - implicitRules | 0..1 | Not Used | Uri | A set of rules under which this content was created |
| - language | 0..1 | Not Used | Code | Language of the resource content Binding (extensible): A human language. Common Languages |
| - text | 0..1 | Not Used | Narrative | Text summary of the resource, for human interpretation |
| - contained | 0..* | Not Used | Resource | Contained, inline Resources |
| - modifierExtension | 0..* | Not Used | Extension | Extensions that cannot be ignored Constraint (ext-1): Must have either extensions or value[x], not both Slicing: Description: Extensions are always sliced by (at least) url, Discriminator: url, Ordering: false, Rules: Open |
| - identifier | 0..* | Mandatory | Identifier | Business identifier for report |
| - - use | 0..1 | Not Used | Code | usual : official : temp : secondary (If known) Binding (required): Identifies the purpose for this identifier, if known. IdentifierUse |
| - - type | 0..1 | Not Used | CodeableConcept | Description of identifier Binding (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes |
| - - - coding | 0..* | Not Used | Coding | Code defined by a terminology system |
| - - - - system | 0..1 | Not Used | Uri | Identity of the terminology system |
| - - - - version | 0..1 | Not Used | String | Version of the system - if relevant |
| - - - - code | 0..1 | Not Used | Code | Symbol in syntax defined by the system |
| - - - - display | 0..1 | Not Used | String | Representation defined by the system |
| - - - - userSelected | 0..1 | Not Used | Boolean | If this coding was chosen directly by the user |
| - - - text | 0..1 | Not Used | String | Plain text representation of the concept |
| - - system | 1..1 | Not Used | Uri | The namespace for the identifier value |
| - - value | 1..1 | Not Used | String | The value that is unique |
| - - period | 0..1 | Not Used | Period | Time period when id is/was valid for use Constraint (per-1): If present, start SHALL have a lower value than end |
| - - - start | 0..1 | Not Used | dateTime | Starting time with inclusive boundary |
| - - - end | 0..1 | Not Used | dateTime | End time with inclusive boundary, if not ongoing |
| - - assigner | 0..1 | Not Used | Reference | Organization that issued id (may be just text) Constraint (ref-1): SHALL have a contained resource if a local reference is provided |
| - basedOn | 0..* | Required | Reference | What was requested Constraint (ref-1): SHALL have a contained resource if a local reference is provided |
| Required | CareConnect-ProcedureRequest-1 | The value attribute of the profile element MUST contain the value 'https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ProcedueRequest-1' | ||
| - status | 1..1 | Mandatory | Code | registered : partial : preliminary : final + Binding (required): The status of the diagnostic report as a whole. Diagnostic-Report-Status |
| - category | 0..1 | Optional | CodeableConcept | Service category Binding (preferred): Codes for diagnostic service sections. CareConnect-ClinicalDisciplines Clinical Discipline |
| - code | 1..1 | Mandatory | CodeableConcept | Name/Code for this diagnostic report Binding (preferred): Codes that describe Diagnostic Reports. Report Codes Test Report Name |
| - - coding | 0..* | Not Used | Coding | Code defined by a terminology system |
| - - - system | 1..1 | Mandatory | Uri | Identity of the terminology system |
| - - - version | 0..1 | Not Used | String | Version of the system - if relevant |
| - - - code | 1..1 | Mandatory | Code | Symbol in syntax defined by the system |
| - - - display | 1..1 | Mandatory | String | Representation defined by the system |
| - - - userSelected | 0..1 | Not Used | Boolean | If this coding was chosen directly by the user |
| - - text | 0..1 | Not Used | String | Plain text representation of the concept |
| - subject | 1..1 | Mandatory | Reference | The subject of the report - usually, but not always, the patient Constraint (ref-1): SHALL have a contained resource if a local reference is provided |
| Mandatory | CareConnect-Patient-1 | The value attribute of the profile element MUST contain the value 'https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ProcedueRequest-1' | ||
| Not Used | Group | |||
| Not Used | Device | |||
| Not Used | CareConnect-Location-1 | |||
| - context | 0..1 | Not Used | Reference | Health care event when test ordered Constraint (ref-1): SHALL have a contained resource if a local reference is provided |
| 0..1 | Not Used | CareConnect-Encounter-1 | ||
| 0..1 | Not Used | EpisodeOfCare | ||
| -effective[x] | 1..1 | Not Used | dateTime | Clinically relevant time/time-period for report |
| 1..1 | Not Used | Period | ||
| - - issued | 1..1 | Mandatory | Instant | DateTime this version was released The date and time on which the test report was issued by the performer to the requester. |
| - performer | 0..* | Optional | BackboneElement | Participants in producing the report |
| - - modifierExtension | 0..* | Not Used | Extension | Extensions that cannot be ignored Constraint (ext-1): Must have either extensions or value[x], not both |
| - - role | 0..1 | Not Used | CodeableConcept | Type of performer Binding (example): Indicate a role of diagnostic report performer Performer Role |
| - - actor | 1..1 | Not Used | Reference | Practitioner or Organization participant Constraint (ref-1): SHALL have a contained resource if a local reference is provided |
| 1..1 | Mandatory | CareConnect-Organization-1 | The value attribute of the profile element MUST contain the value 'https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-Organization-1 if a Practitioner is also recorded.' | |
| 1..1 | Mandatory | CareConnect-Practitioner-1 | The value attribute of the profile element MUST contain the value 'https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-Practitioner-1' | |
| - specimen | 0..* | Optional | Reference | Specimens this report is based on Constraint (ref-1): SHALL have a contained resource if a local reference is provided |
| 0..* | Optional | CareConnect-Specimen-1 | The value attribute of the profile element MUST contain the value 'https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-Specimen-1' | |
| - result | 0..* | Optional | Reference | Observations - simple, or complex nested groups Constraint (ref-1): SHALL have a contained resource if a local reference is provided |
| 0..* | Optional | CareConnect-Observation-1 | The value attribute of the profile element MUST contain the value 'https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-Observation-1' | |
| - imagingStudy | 0..* | Not Used | Reference | Reference to full details of imaging associated with the diagnostic report Constraint (ref-1): SHALL have a contained resource if a local reference is provided |
| 0..* | Not Used | ImagingStudy | ||
| 0..* | Not Used | ImagingManifest | ||
| - image | 0..* | Not Used | BackboneElement | Key images associated with this report |
| - - modifierExtension | 0..* | Not Used | Extension | Extensions that cannot be ignored Constraint (ext-1): Must have either extensions or value[x], not both |
| - - comment | 0..1 | Not Used | String | Comment about the image (e.g. explanation) |
| - - link | 1..1 | Not Used | Reference | Reference to the image source Constraint (ref-1): SHALL have a contained resource if a local reference is provided |
| Not Used | Media | |||
| - conclusion | 0..1 | Optional | String | Clinical Interpretation of test results Human readable clinical summary relating to the test report. |
| - codedDiagnosis | 0..1 | Required | CodeableConcept | Codes for the conclusion Binding (preferred): A SNOMED Coded finding for the test report. CareConnect-Finding-Code Finding Code |
| - - coding | 0..* | Required | Coding | Code defined by a terminology system |
| - - - system | 1..1 | Mandatory | Uri | Identity of the terminology system |
| - - - version | 0..1 | Not Used | String | Version of the system - if relevant |
| - - - code | 1..1 | Mandatory | Code | Symbol in syntax defined by the system |
| - - - display | 1..1 | Mandatory | String | Representation defined by the system |
| - - - userSelected | 0..1 | Not Used | Boolean | If this coding was chosen directly by the user |
| - - - text | 0..1 | Not Used | String | Plain text representation of the concept |
| - presentedForm | 0..* | Not Used | Attachment | Entire report as issued Constraint (att-1): It the Attachment has data, it SHALL have a contentType |
| - - contentType | 0..1 | Not Used | Code | Mime type of the content, with charset etc. Binding (required): The mime type of an attachment. Any valid mime type is allowed. ( http://www.rfc-editor.org/bcp/bcp13.txt ) |
| - - language | 0..1 | Not Used | Code | Human language of the content (BCP-47) Binding (extensible): A human language. ( http://hl7.org/fhir/stu3/valueset-languages.html ) |
| - - data | 0..1 | Not Used | base64Binary | Data inline, base64ed |
| - - url | 0..1 | Not Used | Uri | Uri where the data can be found |
| - - size | 0..1 | Not Used | unsignedInt | Number of bytes of content (if url provided) |
| - - hash | 0..1 | Not Used | base64Binary | Hash of the data (sha-1, base64ed) |
| - - title | 0..1 | Not Used | String | Label to display in place of the data |
| - - creation | 0..1 | Not Used | dateTime | Date attachment was first created |
