MediRecords FHIR Implementation Guide
1.4.1 - release
| Defining URL: | https://fhir.medirecords.com/StructureDefinition/mr-diagnosticpathologyreport |
| Version: | 1.4.1 |
| Name: | MRDiagnosticPathologyReport |
| Title: | MR DiagnosticReport Pathology |
| Status: | Active as of 2024-10-28 02:34:31+0000 |
| Definition: | MediRecords Diagnostic Pathology Report profile to record pathology report for a patient |
| Source Resource: | XML / JSON / Turtle |
The official URL for this profile is:
https://fhir.medirecords.com/StructureDefinition/mr-diagnosticpathologyreport
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from MRDiagnosticReport
This structure is derived from MRDiagnosticReport
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  DiagnosticReport | 0..* | MRDiagnosticReport | A diagnostic report in an Australian healthcare context | |
  contained:result | S | 0..* | MRDiagnosticPathologyResult | Contained Observation with the report results |
  result | S | 0..* | Reference(MR DiagnosticReport Pathology Result) | Reference to contained pathology result |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| DiagnosticReport | 0..* | MRDiagnosticReport | A diagnostic report in an Australian healthcare context | |||||
 id | Σ | 0..1 | id | Logical id of this artifact | ||||
  meta | 0..1 | MRMeta | Metadata about a resource | |||||
 id | 0..1 | string | Unique id for inter-element referencing | |||||
 extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| versionId | Σ | 0..1 | id | Version specific identifier | ||||
| lastUpdated | SΣ | 0..1 | instant | When the resource version last changed | ||||
| source | Σ | 0..1 | uri | Identifies where the resource comes from | ||||
| profile | Σ | 1..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||
| security | SΣC | 0..1 | Coding | Confidentiality code Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. inv-mr-meta-security-01: Medirecords supports only U, R security code | ||||
| tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||
| 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 | |||||
 Slices for contained | 0..* | Resource | Contained, inline Resources Slice: Unordered, Open by type:$this | |||||
 contained:request | S | 0..1 | AUDiagnosticRequest | Contained ServiceRequest with the request details | ||||
  id | SΣ | 1..1 | id | Local id of contained resource | ||||
| 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 | |||||
| targetBodyStructure | 0..* | Reference(BodyStructure) | The target point for this procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure | |||||
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | 0..* | Identifier, AULocalOrderIdentifier | Identifiers assigned to this order | |||||
| instantiatesCanonical | Σ | 0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition | ||||
| instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition | ||||
| basedOn | Σ | 0..* | Reference(CarePlan | ServiceRequest | MedicationRequest) | What request fulfills | ||||
| replaces | Σ | 0..* | Reference(ServiceRequest) | What request replaces | ||||
| requisition | Σ | 0..1 | Identifier | Composite Request ID | ||||
| status | ?!Σ | 1..1 | code | completed Binding: RequestStatus (required): The status of a service order. Fixed Value: completed | ||||
| intent | ?!Σ | 1..1 | code | order Binding: RequestIntent (required): The kind of service request. Fixed Value: order | ||||
| category | SΣ | 1..1 | CodeableConcept | Code representing 'Laboratory procedure' or 'Imaging' service Binding: MediRecords Diagnostic Request Categories (required) | ||||
| priority | Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | ||||
| doNotPerform | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed | ||||
 code | SΣ | 1..1 | CodeableConcept | What is being requested/ordered Binding: Evaluation Procedure  (example) | ||||
 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 | Σ | 1..1 | string | Test names | ||||
| orderDetail | ΣC | 0..* | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context. | ||||
 quantity[x] | Σ | 0..1 | Service amount | |||||
| quantityQuantity | Quantity | |||||||
| quantityRatio | Ratio | |||||||
| quantityRange | Range | |||||||
| subject | SΣ | 1..1 | Reference(MR Patient) | Patient the tests were requested for | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display | Σ | 0..1 | string | Text alternative for the resource | ||||
| encounter | Σ | 0..1 | Reference(Encounter) | Encounter in which the request was created | ||||
| occurrence[x] | Σ | 0..1 | When service should occur | |||||
| occurrenceDateTime | dateTime | |||||||
| occurrencePeriod | Period | |||||||
| occurrenceTiming | Timing | |||||||
| asNeeded[x] | Σ | 0..1 | Preconditions for service Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc. | |||||
| asNeededBoolean | boolean | |||||||
| asNeededCodeableConcept | CodeableConcept | |||||||
| authoredOn | SΣ | 1..1 | dateTime | Date the test was requested | ||||
| requester | SΣ | 1..1 | Reference(MR PractitionerRole | MR Practitioner) | Requester of the investigation | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference | ΣC | 1..1 | string | Relative reference to PractitionerRole representing the requester's user/practice where possible, otherwise a Practitioner reference of the user | ||||
| type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display | Σ | 0..1 | string | Text alternative for the resource | ||||
| performerType | Σ | 0..1 | CodeableConcept | Performer role Binding: Practitioner Role (preferred) | ||||
| performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) | Requested performer | ||||
| locationCode | Σ | 0..* | CodeableConcept | Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered. | ||||
| locationReference | Σ | 0..* | Reference(Location) | Requested location | ||||
| reasonCode | Σ | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: Reason for Request (preferred) | ||||
| reasonReference | Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service | ||||
| insurance | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||
| supportingInfo | 0..* | Reference(Resource) | Additional clinical information | |||||
| specimen | Σ | 0..* | Reference(AU Base Specimen) | Procedure Samples | ||||
| bodySite | Σ | 0..* | CodeableConcept | Location on Body Binding: Body Site (preferred) | ||||
| note | 0..* | Annotation | Comments | |||||
| patientInstruction | Σ | 0..1 | string | Patient or consumer-oriented instructions | ||||
 relevantHistory | 0..* | Reference(Provenance) | Request provenance | |||||
 contained:result | S | 0..* | MRDiagnosticPathologyResult | Contained Observation with the report results | ||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| note | S | 0..1 | Annotation | Comments about the diagnostic report URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note | ||||
| checked | 0..1 | (Complex) | Investigation Result checked URL: https://fhir.medirecords.com/StructureDefinition/mr-diagnosticreport-checked | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| extension:checked-on | S | 0..1 | Extension | Extension | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..0 | |||||||
| url | 1..1 | uri | "checked-on" | |||||
 Slices for value[x] | 1..1 | dateTime | Value of extension Slice: Unordered, Closed by type:$this | |||||
 value[x]:valueDateTime | 1..1 | dateTime | Date/time report checked in UTC | |||||
| extension:checked-by | S | 0..1 | Extension | Extension | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..0 | |||||||
| url | 1..1 | uri | "checked-by" | |||||
| Slices for value[x] | 1..1 | Reference(MR Practitioner) | Value of extension Slice: Unordered, Closed by type:$this | |||||
 value[x]:valueReference | 1..1 | Reference() | Reference to Practitioner that checked 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 | |||||
| reference | ΣC | 1..1 | string | Relative reference to Practitioner | ||||
| type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display | Σ | 0..1 | string | Text alternative for the resource | ||||
| url | 1..1 | uri | "https://fhir.medirecords.com/StructureDefinition/mr-diagnosticreport-checked" | |||||
| recipient-interpretation | S | 0..1 | CodeableConcept | Investigation Result Recipient Interpretation URL: https://fhir.medirecords.com/StructureDefinition/mr-diagnosticreport-recipient-interpretation Binding: MediRecords DiagnosticReport Recipient Interpretation ValueSet (extensible) | ||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | 0..* | Identifier, AULocalOrderIdentifier, AULocalReportIdentifier, AUAccessionNumber | Business identifier for report | |||||
| basedOn | S | 1..* | Reference(AU Diagnostic Request | MR DiagnosticRequest) | Each requested test when linked to an investigation request, otherwise a single requested test from the investigation result | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference | ΣC | 1..1 | string | Relative reference to ServiceRequest when linked to an investigation request, otherwise an internal reference to a contained ServiceRequest. | ||||
| type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display | Σ | 0..1 | string | Text alternative for the resource | ||||
| status | ?!SΣ | 1..1 | code | final | preliminary | corrected Binding: MediRecords Diagnostic Report Status (required) | ||||
| category | Σ | 0..* | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (preferred) | ||||
| code | SΣ | 1..1 | CodeableConcept | Test names Binding: Evaluation Procedure (example) | ||||
| 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 | Σ | 1..1 | string | Plain text representation of the concept | ||||
| subject | SΣ | 1..1 | Reference(MR Patient) | Patient that is the subject of the 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 | |||||
| reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display | Σ | 0..1 | string | Text alternative for the resource | ||||
| encounter | Σ | 0..1 | Reference(Encounter) | Health care event when test ordered | ||||
| Slices for effective[x] | Σ | 1..1 | dateTime | Clinically relevant time/time-period for report Slice: Unordered, Closed by type:$this | ||||
| effective[x]:effectiveDateTime | SΣ | 1..1 | dateTime | Date of the tests | ||||
| issued | Σ | 0..1 | instant | DateTime this version was made | ||||
| performer | SΣ | 0..1 | Reference(MR Organisation Service Provider | MR Practitioner) | Laboratory Service Provider Organisation that performed the test, or the Practitioner that performed a POC test | ||||
| resultsInterpreter | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter | ||||
| specimen | 0..* | Reference(AU Base Specimen) | Specimens this report is based on | |||||
| result | S | 0..* | Reference(MR DiagnosticReport Pathology Result) | Reference to contained pathology result | ||||
| 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 | S | 0..1 | string | Test results | ||||
| conclusionCode | 0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: Clinical Finding (preferred) | |||||
 presentedForm | S | 0..1 | Attachment | Uploaded or imported test report attachment file | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| contentType | SΣ | 0..1 | code | Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Example General: text/plain; charset=UTF-8, image/png | ||||
| language | Σ | 0..1 | code | Human language of the content (BCP-47) Binding: CommonLanguages (preferred): A human language.
Example General: en-AU | ||||
| data | S | 1..1 | base64Binary | BASE64 encoded representation of the import file | ||||
| url | Σ | 0..1 | url | Uri where the data can be found Example General: http://www.acme.com/logo-small.png | ||||
| size | Σ | 0..1 | unsignedInt | Number of bytes of content (if url provided) | ||||
| hash | Σ | 0..1 | base64Binary | Hash of the data (sha-1, base64ed) | ||||
| title | SΣ | 0..1 | string | Uploaded file name Example General: Official Corporate Logo | ||||
| creation | Σ | 0..1 | dateTime | Date attachment was first created | ||||
| Documentation for this format | ||||||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| DiagnosticReport | 0..* | MRDiagnosticReport | A diagnostic report in an Australian healthcare context | |
| meta | 0..1 | MRMeta | Metadata about a resource | |
| lastUpdated | Σ | 0..1 | instant | When the resource version last changed |
| security | ΣC | 0..1 | Coding | Confidentiality code Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. inv-mr-meta-security-01: Medirecords supports only U, R security code |
| contained:request | 0..1 | AUDiagnosticRequest | Contained ServiceRequest with the request details | |
| id | Σ | 1..1 | id | Local id of contained resource |
| category | Σ | 1..1 | CodeableConcept | Code representing 'Laboratory procedure' or 'Imaging' service Binding: MediRecords Diagnostic Request Categories (required) |
| code | Σ | 1..1 | CodeableConcept | What is being requested/ordered Binding: Evaluation Procedure (example) |
| subject | Σ | 1..1 | Reference(MR Patient) | Patient the tests were requested for |
| authoredOn | Σ | 1..1 | dateTime | Date the test was requested |
| requester | Σ | 1..1 | Reference(MR PractitionerRole | MR Practitioner) | Requester of the investigation |
| contained:result | 0..* | MRDiagnosticPathologyResult | Contained Observation with the report results | |
| note | 0..1 | Annotation | Comments about the diagnostic report URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note | |
| checked | 0..1 | (Complex) | Investigation Result checked URL: https://fhir.medirecords.com/StructureDefinition/mr-diagnosticreport-checked | |
| extension:checked-on | 0..1 | Extension | Extension | |
| extension:checked-by | 0..1 | Extension | Extension | |
| recipient-interpretation | 0..1 | CodeableConcept | Investigation Result Recipient Interpretation URL: https://fhir.medirecords.com/StructureDefinition/mr-diagnosticreport-recipient-interpretation Binding: MediRecords DiagnosticReport Recipient Interpretation ValueSet (extensible) | |
| basedOn | 1..* | Reference(AU Diagnostic Request | MR DiagnosticRequest) | Each requested test when linked to an investigation request, otherwise a single requested test from the investigation result | |
| status | ?!Σ | 1..1 | code | final | preliminary | corrected Binding: MediRecords Diagnostic Report Status (required) |
| code | Σ | 1..1 | CodeableConcept | Test names Binding: Evaluation Procedure (example) |
| subject | Σ | 1..1 | Reference(MR Patient) | Patient that is the subject of the report |
| effective[x]:effectiveDateTime | Σ | 1..1 | dateTime | Date of the tests |
| performer | Σ | 0..1 | Reference(MR Organisation Service Provider | MR Practitioner) | Laboratory Service Provider Organisation that performed the test, or the Practitioner that performed a POC test |
| result | 0..* | Reference(MR DiagnosticReport Pathology Result) | Reference to contained pathology result | |
| conclusion | 0..1 | string | Test results | |
| presentedForm | 0..1 | Attachment | Uploaded or imported test report attachment file | |
| contentType | Σ | 0..1 | code | Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. |
| data | 1..1 | base64Binary | BASE64 encoded representation of the import file | |
| title | Σ | 0..1 | string | Uploaded file name |
| Documentation for this format | ||||
This structure is derived from MRDiagnosticReport
Differential View
This structure is derived from MRDiagnosticReport
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| DiagnosticReport | 0..* | MRDiagnosticReport | A diagnostic report in an Australian healthcare context | |
| contained:result | S | 0..* | MRDiagnosticPathologyResult | Contained Observation with the report results |
| result | S | 0..* | Reference(MR DiagnosticReport Pathology Result) | Reference to contained pathology result |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| DiagnosticReport | 0..* | MRDiagnosticReport | A diagnostic report in an Australian healthcare context | |||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| meta | 0..1 | MRMeta | Metadata about a resource | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| versionId | Σ | 0..1 | id | Version specific identifier | ||||
| lastUpdated | SΣ | 0..1 | instant | When the resource version last changed | ||||
| source | Σ | 0..1 | uri | Identifies where the resource comes from | ||||
| profile | Σ | 1..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||
| security | SΣC | 0..1 | Coding | Confidentiality code Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. inv-mr-meta-security-01: Medirecords supports only U, R security code | ||||
| tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||
| 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 | |||||
| Slices for contained | 0..* | Resource | Contained, inline Resources Slice: Unordered, Open by type:$this | |||||
| contained:request | S | 0..1 | AUDiagnosticRequest | Contained ServiceRequest with the request details | ||||
| id | SΣ | 1..1 | id | Local id of contained resource | ||||
| 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 | |||||
| targetBodyStructure | 0..* | Reference(BodyStructure) | The target point for this procedure URL: http://hl7.org/fhir/StructureDefinition/procedure-targetBodyStructure | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | 0..* | Identifier, AULocalOrderIdentifier | Identifiers assigned to this order | |||||
| instantiatesCanonical | Σ | 0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition | ||||
| instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition | ||||
| basedOn | Σ | 0..* | Reference(CarePlan | ServiceRequest | MedicationRequest) | What request fulfills | ||||
| replaces | Σ | 0..* | Reference(ServiceRequest) | What request replaces | ||||
| requisition | Σ | 0..1 | Identifier | Composite Request ID | ||||
| status | ?!Σ | 1..1 | code | completed Binding: RequestStatus (required): The status of a service order. Fixed Value: completed | ||||
| intent | ?!Σ | 1..1 | code | order Binding: RequestIntent (required): The kind of service request. Fixed Value: order | ||||
| category | SΣ | 1..1 | CodeableConcept | Code representing 'Laboratory procedure' or 'Imaging' service Binding: MediRecords Diagnostic Request Categories (required) | ||||
| priority | Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | ||||
| doNotPerform | ?!Σ | 0..1 | boolean | True if service/procedure should not be performed | ||||
| code | SΣ | 1..1 | CodeableConcept | What is being requested/ordered Binding: Evaluation Procedure (example) | ||||
| 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 | Σ | 1..1 | string | Test names | ||||
| orderDetail | ΣC | 0..* | CodeableConcept | Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context. | ||||
| quantity[x] | Σ | 0..1 | Service amount | |||||
| quantityQuantity | Quantity | |||||||
| quantityRatio | Ratio | |||||||
| quantityRange | Range | |||||||
| subject | SΣ | 1..1 | Reference(MR Patient) | Patient the tests were requested for | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display | Σ | 0..1 | string | Text alternative for the resource | ||||
| encounter | Σ | 0..1 | Reference(Encounter) | Encounter in which the request was created | ||||
| occurrence[x] | Σ | 0..1 | When service should occur | |||||
| occurrenceDateTime | dateTime | |||||||
| occurrencePeriod | Period | |||||||
| occurrenceTiming | Timing | |||||||
| asNeeded[x] | Σ | 0..1 | Preconditions for service Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the pre-condition that should hold prior to performing a procedure. For example "pain", "on flare-up", etc. | |||||
| asNeededBoolean | boolean | |||||||
| asNeededCodeableConcept | CodeableConcept | |||||||
| authoredOn | SΣ | 1..1 | dateTime | Date the test was requested | ||||
| requester | SΣ | 1..1 | Reference(MR PractitionerRole | MR Practitioner) | Requester of the investigation | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference | ΣC | 1..1 | string | Relative reference to PractitionerRole representing the requester's user/practice where possible, otherwise a Practitioner reference of the user | ||||
| type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display | Σ | 0..1 | string | Text alternative for the resource | ||||
| performerType | Σ | 0..1 | CodeableConcept | Performer role Binding: Practitioner Role (preferred) | ||||
| performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) | Requested performer | ||||
| locationCode | Σ | 0..* | CodeableConcept | Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered. | ||||
| locationReference | Σ | 0..* | Reference(Location) | Requested location | ||||
| reasonCode | Σ | 0..* | CodeableConcept | Explanation/Justification for procedure or service Binding: Reason for Request (preferred) | ||||
| reasonReference | Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Explanation/Justification for service or service | ||||
| insurance | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||
| supportingInfo | 0..* | Reference(Resource) | Additional clinical information | |||||
| specimen | Σ | 0..* | Reference(AU Base Specimen) | Procedure Samples | ||||
| bodySite | Σ | 0..* | CodeableConcept | Location on Body Binding: Body Site (preferred) | ||||
| note | 0..* | Annotation | Comments | |||||
| patientInstruction | Σ | 0..1 | string | Patient or consumer-oriented instructions | ||||
| relevantHistory | 0..* | Reference(Provenance) | Request provenance | |||||
| contained:result | S | 0..* | MRDiagnosticPathologyResult | Contained Observation with the report results | ||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| note | S | 0..1 | Annotation | Comments about the diagnostic report URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note | ||||
| checked | 0..1 | (Complex) | Investigation Result checked URL: https://fhir.medirecords.com/StructureDefinition/mr-diagnosticreport-checked | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| extension:checked-on | S | 0..1 | Extension | Extension | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..0 | |||||||
| url | 1..1 | uri | "checked-on" | |||||
| Slices for value[x] | 1..1 | dateTime | Value of extension Slice: Unordered, Closed by type:$this | |||||
| value[x]:valueDateTime | 1..1 | dateTime | Date/time report checked in UTC | |||||
| extension:checked-by | S | 0..1 | Extension | Extension | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..0 | |||||||
| url | 1..1 | uri | "checked-by" | |||||
| Slices for value[x] | 1..1 | Reference(MR Practitioner) | Value of extension Slice: Unordered, Closed by type:$this | |||||
| value[x]:valueReference | 1..1 | Reference() | Reference to Practitioner that checked 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 | |||||
| reference | ΣC | 1..1 | string | Relative reference to Practitioner | ||||
| type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display | Σ | 0..1 | string | Text alternative for the resource | ||||
| url | 1..1 | uri | "https://fhir.medirecords.com/StructureDefinition/mr-diagnosticreport-checked" | |||||
| recipient-interpretation | S | 0..1 | CodeableConcept | Investigation Result Recipient Interpretation URL: https://fhir.medirecords.com/StructureDefinition/mr-diagnosticreport-recipient-interpretation Binding: MediRecords DiagnosticReport Recipient Interpretation ValueSet (extensible) | ||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | 0..* | Identifier, AULocalOrderIdentifier, AULocalReportIdentifier, AUAccessionNumber | Business identifier for report | |||||
| basedOn | S | 1..* | Reference(AU Diagnostic Request | MR DiagnosticRequest) | Each requested test when linked to an investigation request, otherwise a single requested test from the investigation result | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference | ΣC | 1..1 | string | Relative reference to ServiceRequest when linked to an investigation request, otherwise an internal reference to a contained ServiceRequest. | ||||
| type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display | Σ | 0..1 | string | Text alternative for the resource | ||||
| status | ?!SΣ | 1..1 | code | final | preliminary | corrected Binding: MediRecords Diagnostic Report Status (required) | ||||
| category | Σ | 0..* | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (preferred) | ||||
| code | SΣ | 1..1 | CodeableConcept | Test names Binding: Evaluation Procedure (example) | ||||
| 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 | Σ | 1..1 | string | Plain text representation of the concept | ||||
| subject | SΣ | 1..1 | Reference(MR Patient) | Patient that is the subject of the 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 | |||||
| reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display | Σ | 0..1 | string | Text alternative for the resource | ||||
| encounter | Σ | 0..1 | Reference(Encounter) | Health care event when test ordered | ||||
| Slices for effective[x] | Σ | 1..1 | dateTime | Clinically relevant time/time-period for report Slice: Unordered, Closed by type:$this | ||||
| effective[x]:effectiveDateTime | SΣ | 1..1 | dateTime | Date of the tests | ||||
| issued | Σ | 0..1 | instant | DateTime this version was made | ||||
| performer | SΣ | 0..1 | Reference(MR Organisation Service Provider | MR Practitioner) | Laboratory Service Provider Organisation that performed the test, or the Practitioner that performed a POC test | ||||
| resultsInterpreter | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter | ||||
| specimen | 0..* | Reference(AU Base Specimen) | Specimens this report is based on | |||||
| result | S | 0..* | Reference(MR DiagnosticReport Pathology Result) | Reference to contained pathology result | ||||
| 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 | S | 0..1 | string | Test results | ||||
| conclusionCode | 0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: Clinical Finding (preferred) | |||||
| presentedForm | S | 0..1 | Attachment | Uploaded or imported test report attachment file | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| contentType | SΣ | 0..1 | code | Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Example General: text/plain; charset=UTF-8, image/png | ||||
| language | Σ | 0..1 | code | Human language of the content (BCP-47) Binding: CommonLanguages (preferred): A human language.
Example General: en-AU | ||||
| data | S | 1..1 | base64Binary | BASE64 encoded representation of the import file | ||||
| url | Σ | 0..1 | url | Uri where the data can be found Example General: http://www.acme.com/logo-small.png | ||||
| size | Σ | 0..1 | unsignedInt | Number of bytes of content (if url provided) | ||||
| hash | Σ | 0..1 | base64Binary | Hash of the data (sha-1, base64ed) | ||||
| title | SΣ | 0..1 | string | Uploaded file name Example General: Official Corporate Logo | ||||
| creation | Σ | 0..1 | dateTime | Date attachment was first created | ||||
| Documentation for this format | ||||||||
Other representations of profile: CSV, Excel, Schematron
| Path | Conformance | ValueSet / Code | URI | |||
| DiagnosticReport.meta.security | extensible | All Security Labelshttp://hl7.org/fhir/ValueSet/security-labelsfrom the FHIR Standard | ||||
| DiagnosticReport.meta.tag | example | CommonTagshttp://hl7.org/fhir/ValueSet/common-tagsfrom the FHIR Standard | ||||
| DiagnosticReport.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| DiagnosticReport.contained:request.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| DiagnosticReport.contained:request.status | required | Fixed Value: completedhttp://hl7.org/fhir/ValueSet/request-status|4.0.1from the FHIR Standard | ||||
| DiagnosticReport.contained:request.intent | required | Fixed Value: orderhttp://hl7.org/fhir/ValueSet/request-intent|4.0.1from the FHIR Standard | ||||
| DiagnosticReport.contained:request.category | required | MRDiagnosticRequestCategorieshttps://fhir.medirecords.com/ValueSet/mr-diagnostic-request-categoriesfrom this IG | ||||
| DiagnosticReport.contained:request.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1from the FHIR Standard | ||||
| DiagnosticReport.contained:request.code | example | EvaluationProcedure https://healthterminologies.gov.au/fhir/ValueSet/evaluation-procedure-1 | ||||
| DiagnosticReport.contained:request.orderDetail | example | ServiceRequestOrderDetailsCodeshttp://hl7.org/fhir/ValueSet/servicerequest-orderdetailfrom the FHIR Standard | ||||
| DiagnosticReport.contained:request.subject.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesfrom the FHIR Standard | ||||
| DiagnosticReport.contained:request.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reasonfrom the FHIR Standard | ||||
| DiagnosticReport.contained:request.requester.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesfrom the FHIR Standard | ||||
| DiagnosticReport.contained:request.performerType | preferred | PractitionerRole https://healthterminologies.gov.au/fhir/ValueSet/practitioner-role-1 | ||||
| DiagnosticReport.contained:request.locationCode | example | ServiceDeliveryLocationRoleTypehttp://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType | ||||
| DiagnosticReport.contained:request.reasonCode | preferred | ReasonForRequest https://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1 | ||||
| DiagnosticReport.contained:request.bodySite | preferred | BodySite https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 | ||||
| DiagnosticReport.extension:checked.extension:checked-by.value[x]:valueReference.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesfrom the FHIR Standard | ||||
| DiagnosticReport.basedOn.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesfrom the FHIR Standard | ||||
| DiagnosticReport.status | required | MRDiagnosticReportStatushttps://fhir.medirecords.com/ValueSet/mr-diagnostic-report-statusfrom this IG | ||||
| DiagnosticReport.category | preferred | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sectionsfrom the FHIR Standard | ||||
| DiagnosticReport.code | example | EvaluationProcedure https://healthterminologies.gov.au/fhir/ValueSet/evaluation-procedure-1 | ||||
| DiagnosticReport.subject.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesfrom the FHIR Standard | ||||
| DiagnosticReport.conclusionCode | preferred | ClinicalFinding https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1 | ||||
| DiagnosticReport.presentedForm.contentType | required | Mime Types (a valid code from urn:ietf:bcp:13)http://hl7.org/fhir/ValueSet/mimetypes|4.0.1from the FHIR Standard | ||||
| DiagnosticReport.presentedForm.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom 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() | |
| inv-mr-meta-security-01 | error | DiagnosticReport.meta.security | Medirecords supports only U, R security code : code.exists() implies (code = 'U' or code = 'R') |