MediRecords FHIR Implementation Guide
1.4.1 - release


Resource Profile: MR DiagnosticReport

Defining URL:https://fhir.medirecords.com/StructureDefinition/mr-diagnosticreport
Version:1.4.1
Name:MRDiagnosticReport
Title:MR DiagnosticReport
Status:Active as of 2024-10-28 02:34:31+0000
Definition:

MediRecords Diagnostic Report profile to record diagnostic report for a patient

Source Resource:XML / JSON / Turtle

The official URL for this profile is: 

https://fhir.medirecords.com/StructureDefinition/mr-diagnosticreport

Formal Views of Profile Content

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

This structure is derived from AUBaseDiagnosticReport

NameFlagsCard.TypeDescription & Constraintsdoco
​.. DiagnosticReport 0..*AUBaseDiagnosticReportA diagnostic report in an Australian healthcare context
​... meta 0..1MRMetaMetadata about a resource
​.... lastUpdated S0..1instantWhen the resource version last changed
​.... security S0..1CodingConfidentiality code
​... Slices for contained 0..*ResourceContained, inline Resources
Slice: Unordered, Open by type:$this
​.... contained:request S0..1AUDiagnosticRequestContained ServiceRequest with the request details
​..... id S1..1idLocal id of contained resource
​..... status 1..1codecompleted
Fixed Value: completed
​..... intent 1..1codeorder
Fixed Value: order
​..... category S1..1CodeableConceptCode representing 'Laboratory procedure' or 'Imaging' service
Binding: MediRecords Diagnostic Request Categories (required)
​..... code S1..1CodeableConceptWhat is being requested/ordered
​...... text 1..1stringTest names
​..... subject S1..1Reference(MR Patient)Patient the tests were requested for
​...... reference 1..1stringLiteral reference, Relative, internal or absolute URL
​..... authoredOn S1..1dateTimeDate the test was requested
​..... requester S1..1Reference(MR PractitionerRole | MR Practitioner)Requester of the investigation
​...... reference 1..1stringRelative reference to PractitionerRole representing the requester's user/practice where possible, otherwise a Practitioner reference of the user
​... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
​... checked 0..1(Complex)Investigation Result checked
URL: https://fhir.medirecords.com/StructureDefinition/mr-diagnosticreport-checked
​.... extension:checked-on S0..1ExtensionExtension
​..... valueDateTime 1..1dateTimeDate/time report checked in UTC
​.... extension:checked-by S0..1ExtensionExtension
​..... valueReference 1..1Reference()Reference to Practitioner that checked report
​... recipient-interpretation S0..1CodeableConceptInvestigation Result Recipient Interpretation
URL: https://fhir.medirecords.com/StructureDefinition/mr-diagnosticreport-recipient-interpretation
Binding: MediRecords DiagnosticReport Recipient Interpretation ValueSet (extensible)
​... basedOn S1..*Reference(AU Diagnostic Request | MR DiagnosticRequest)Each requested test when linked to an investigation request, otherwise a single requested test from the investigation result
​.... reference 1..1stringRelative reference to ServiceRequest when linked to an investigation request, otherwise an internal reference to a contained ServiceRequest.
​... status S1..1codefinal | preliminary | corrected
Binding: MediRecords Diagnostic Report Status (required)
​... code S1..1CodeableConceptTest names
​.... text 1..1stringPlain text representation of the concept
​... subject S1..1Reference(MR Patient)Patient that is the subject of the report
​.... reference 1..1stringLiteral reference, Relative, internal or absolute URL
​... effective[x] 1..1dateTimeClinically relevant time/time-period for report
Slice: Unordered, Open by type:$this
​... effectiveDateTime S1..1dateTimeDate of the tests
​... performer S0..1Reference(MR Organisation Service Provider | MR Practitioner)Laboratory Service Provider Organisation that performed the test, or the Practitioner that performed a POC test
​... conclusion S0..1stringTest results
​... presentedForm S0..1AttachmentUploaded or imported test report attachment file
​.... contentType S0..1codeMime type of the content, with charset etc.
​.... data S1..1base64BinaryBASE64 encoded representation of the import file
​.... title S0..1stringUploaded file name

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport 0..*AUBaseDiagnosticReportA diagnostic report in an Australian healthcare context
... id Σ0..1idLogical id of this artifact
... meta 0..1MRMetaMetadata about a resource
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ0..1idVersion specific identifier
.... lastUpdated SΣ0..1instantWhen the resource version last changed
.... source Σ0..1uriIdentifies where the resource comes from
.... profile Σ1..*canonical(StructureDefinition)Profiles this resource claims to conform to
.... security SΣC0..1CodingConfidentiality 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 Σ0..*CodingTags 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 ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... Slices for contained 0..*ResourceContained, inline Resources
Slice: Unordered, Open by type:$this
.... contained:request S0..1AUDiagnosticRequestContained ServiceRequest with the request details
..... id SΣ1..1idLocal id of contained resource
..... meta Σ0..1MetaMetadata about the resource
..... implicitRules ?!Σ0..1uriA set of rules under which this content was created
..... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
..... text 0..1NarrativeText summary of the resource, for human interpretation
..... contained 0..*ResourceContained, inline Resources
..... Slices for extension 0..*ExtensionExtension
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..*ExtensionExtensions that cannot be ignored
..... identifier 0..*Identifier, AULocalOrderIdentifierIdentifiers assigned to this order
..... instantiatesCanonical Σ0..*canonical(ActivityDefinition | PlanDefinition)Instantiates FHIR protocol or definition
..... instantiatesUri Σ0..*uriInstantiates external protocol or definition
..... basedOn Σ0..*Reference(CarePlan | ServiceRequest | MedicationRequest)What request fulfills
..... replaces Σ0..*Reference(ServiceRequest)What request replaces
..... requisition Σ0..1IdentifierComposite Request ID
..... status ?!Σ1..1codecompleted
Binding: RequestStatus (required): The status of a service order.


Fixed Value: completed
..... intent ?!Σ1..1codeorder
Binding: RequestIntent (required): The kind of service request.


Fixed Value: order
..... category SΣ1..1CodeableConceptCode representing 'Laboratory procedure' or 'Imaging' service
Binding: MediRecords Diagnostic Request Categories (required)
..... priority Σ0..1coderoutine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

..... doNotPerform ?!Σ0..1booleanTrue if service/procedure should not be performed
..... code SΣ1..1CodeableConceptWhat is being requested/ordered
Binding: Evaluation Procedure . (example)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ0..*CodingCode defined by a terminology system
...... text Σ1..1stringTest names
..... orderDetail ΣC0..*CodeableConceptAdditional order information
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.


..... quantity[x] Σ0..1Service amount
...... quantityQuantityQuantity
...... quantityRatioRatio
...... quantityRangeRange
..... subject SΣ1..1Reference(MR Patient)Patient the tests were requested for
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
...... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

...... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
...... display Σ0..1stringText alternative for the resource
..... encounter Σ0..1Reference(Encounter)Encounter in which the request was created
..... occurrence[x] Σ0..1When service should occur
...... occurrenceDateTimedateTime
...... occurrencePeriodPeriod
...... occurrenceTimingTiming
..... asNeeded[x] Σ0..1Preconditions 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.

...... asNeededBooleanboolean
...... asNeededCodeableConceptCodeableConcept
..... authoredOn SΣ1..1dateTimeDate the test was requested
..... requester SΣ1..1Reference(MR PractitionerRole | MR Practitioner)Requester of the investigation
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC1..1stringRelative reference to PractitionerRole representing the requester's user/practice where possible, otherwise a Practitioner reference of the user
...... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

...... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
...... display Σ0..1stringText alternative for the resource
..... performerType Σ0..1CodeableConceptPerformer role
Binding: Practitioner Role . (preferred)
..... performer Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson)Requested performer
..... locationCode Σ0..*CodeableConceptRequested location
Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.


..... locationReference Σ0..*Reference(Location)Requested location
..... reasonCode Σ0..*CodeableConceptExplanation/Justification for procedure or service
Binding: Reason for Request . (preferred)
..... reasonReference Σ0..*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 Σ0..*Reference(AU Base Specimen)Procedure Samples
..... bodySite Σ0..*CodeableConceptLocation on Body
Binding: Body Site . (preferred)
..... note 0..*AnnotationComments
..... patientInstruction Σ0..1stringPatient or consumer-oriented instructions
..... relevantHistory 0..*Reference(Provenance)Request provenance
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... note S0..1AnnotationComments 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..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... extension:checked-on S0..1ExtensionExtension
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"checked-on"
..... Slices for value[x] 1..1dateTimeValue of extension
Slice: Unordered, Closed by type:$this
...... value[x]:valueDateTime 1..1dateTimeDate/time report checked in UTC
.... extension:checked-by S0..1ExtensionExtension
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"checked-by"
..... Slices for value[x] 1..1Reference(MR Practitioner)Value of extension
Slice: Unordered, Closed by type:$this
...... value[x]:valueReference 1..1Reference()Reference to Practitioner that checked report
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... reference ΣC1..1stringRelative reference to Practitioner
....... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

....... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
....... display Σ0..1stringText alternative for the resource
.... url 1..1uri"https://fhir.medirecords.com/StructureDefinition/mr-diagnosticreport-checked"
... recipient-interpretation S0..1CodeableConceptInvestigation Result Recipient Interpretation
URL: https://fhir.medirecords.com/StructureDefinition/mr-diagnosticreport-recipient-interpretation
Binding: MediRecords DiagnosticReport Recipient Interpretation ValueSet (extensible)
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier 0..*Identifier, AULocalOrderIdentifier, AULocalReportIdentifier, AUAccessionNumberBusiness identifier for report
... basedOn S1..*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..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC1..1stringRelative reference to ServiceRequest when linked to an investigation request, otherwise an internal reference to a contained ServiceRequest.
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... status ?!SΣ1..1codefinal | preliminary | corrected
Binding: MediRecords Diagnostic Report Status (required)
... category Σ0..*CodeableConceptService category
Binding: DiagnosticServiceSectionCodes (preferred)
... code SΣ1..1CodeableConceptTest names
Binding: Evaluation Procedure . (example)
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ0..*CodingCode defined by a terminology system
.... text Σ1..1stringPlain text representation of the concept
... subject SΣ1..1Reference(MR Patient)Patient that is the subject of the report
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... encounter Σ0..1Reference(Encounter)Health care event when test ordered
... Slices for effective[x] Σ1..1dateTimeClinically relevant time/time-period for report
Slice: Unordered, Closed by type:$this
.... effective[x]:effectiveDateTime SΣ1..1dateTimeDate of the tests
... issued Σ0..1instantDateTime this version was made
... performer SΣ0..1Reference(MR Organisation Service Provider | MR Practitioner)Laboratory Service Provider Organisation that performed the test, or the Practitioner that performed a POC test
... resultsInterpreter Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam)Primary result interpreter
... specimen 0..*Reference(AU Base Specimen)Specimens this report is based on
... result 0..*Reference(Observation | AU Diagnostic Result | AU Diagnostic Imaging Result | AU Pathology Result)Observations
... imagingStudy 0..*Reference(ImagingStudy)Reference to full details of imaging associated with the diagnostic report
... media Σ0..*BackboneElementKey images associated with this report
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... comment 0..1stringComment about the image (e.g. explanation)
.... link Σ1..1Reference(Media)Reference to the image source
... conclusion S0..1stringTest results
... conclusionCode 0..*CodeableConceptCodes for the clinical conclusion of test results
Binding: Clinical Finding . (preferred)
... presentedForm S0..1AttachmentUploaded or imported test report attachment file
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... contentType SΣ0..1codeMime 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 Σ0..1codeHuman language of the content (BCP-47)
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding

Example General: en-AU
.... data S1..1base64BinaryBASE64 encoded representation of the import file
.... url Σ0..1urlUri where the data can be found
Example General: http://www.acme.com/logo-small.png
.... size Σ0..1unsignedIntNumber of bytes of content (if url provided)
.... hash Σ0..1base64BinaryHash of the data (sha-1, base64ed)
.... title SΣ0..1stringUploaded file name
Example General: Official Corporate Logo
.... creation Σ0..1dateTimeDate attachment was first created

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
​.. DiagnosticReport 0..*AUBaseDiagnosticReportA diagnostic report in an Australian healthcare context
​... meta 0..1MRMetaMetadata about a resource
​.... lastUpdated Σ0..1instantWhen the resource version last changed
​.... security ΣC0..1CodingConfidentiality 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..1AUDiagnosticRequestContained ServiceRequest with the request details
​.... id Σ1..1idLocal id of contained resource
​.... category Σ1..1CodeableConceptCode representing 'Laboratory procedure' or 'Imaging' service
Binding: MediRecords Diagnostic Request Categories (required)
​.... code Σ1..1CodeableConceptWhat is being requested/ordered
Binding: Evaluation Procedure . (example)
​.... subject Σ1..1Reference(MR Patient)Patient the tests were requested for
​.... authoredOn Σ1..1dateTimeDate the test was requested
​.... requester Σ1..1Reference(MR PractitionerRole | MR Practitioner)Requester of the investigation
​... note 0..1AnnotationComments about the diagnostic report
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note
​.... extension:checked-on 0..1ExtensionExtension
​.... extension:checked-by 0..1ExtensionExtension
​... recipient-interpretation 0..1CodeableConceptInvestigation 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 ?!Σ1..1codefinal | preliminary | corrected
Binding: MediRecords Diagnostic Report Status (required)
​... code Σ1..1CodeableConceptTest names
Binding: Evaluation Procedure . (example)
​... subject Σ1..1Reference(MR Patient)Patient that is the subject of the report
​... effective[x]:effectiveDateTime Σ1..1dateTimeDate of the tests
​... performer Σ0..1Reference(MR Organisation Service Provider | MR Practitioner)Laboratory Service Provider Organisation that performed the test, or the Practitioner that performed a POC test
​... conclusion 0..1stringTest results
​... presentedForm 0..1AttachmentUploaded or imported test report attachment file
​.... contentType Σ0..1codeMime 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..1base64BinaryBASE64 encoded representation of the import file
​.... title Σ0..1stringUploaded file name

doco Documentation for this format

Differential View

This structure is derived from AUBaseDiagnosticReport

NameFlagsCard.TypeDescription & Constraintsdoco
​.. DiagnosticReport 0..*AUBaseDiagnosticReportA diagnostic report in an Australian healthcare context
​... meta 0..1MRMetaMetadata about a resource
​.... lastUpdated S0..1instantWhen the resource version last changed
​.... security S0..1CodingConfidentiality code
​... Slices for contained 0..*ResourceContained, inline Resources
Slice: Unordered, Open by type:$this
​.... contained:request S0..1AUDiagnosticRequestContained ServiceRequest with the request details
​..... id S1..1idLocal id of contained resource
​..... status 1..1codecompleted
Fixed Value: completed
​..... intent 1..1codeorder
Fixed Value: order
​..... category S1..1CodeableConceptCode representing 'Laboratory procedure' or 'Imaging' service
Binding: MediRecords Diagnostic Request Categories (required)
​..... code S1..1CodeableConceptWhat is being requested/ordered
​...... text 1..1stringTest names
​..... subject S1..1Reference(MR Patient)Patient the tests were requested for
​...... reference 1..1stringLiteral reference, Relative, internal or absolute URL
​..... authoredOn S1..1dateTimeDate the test was requested
​..... requester S1..1Reference(MR PractitionerRole | MR Practitioner)Requester of the investigation
​...... reference 1..1stringRelative reference to PractitionerRole representing the requester's user/practice where possible, otherwise a Practitioner reference of the user
​... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
​... checked 0..1(Complex)Investigation Result checked
URL: https://fhir.medirecords.com/StructureDefinition/mr-diagnosticreport-checked
​.... extension:checked-on S0..1ExtensionExtension
​..... valueDateTime 1..1dateTimeDate/time report checked in UTC
​.... extension:checked-by S0..1ExtensionExtension
​..... valueReference 1..1Reference()Reference to Practitioner that checked report
​... recipient-interpretation S0..1CodeableConceptInvestigation Result Recipient Interpretation
URL: https://fhir.medirecords.com/StructureDefinition/mr-diagnosticreport-recipient-interpretation
Binding: MediRecords DiagnosticReport Recipient Interpretation ValueSet (extensible)
​... basedOn S1..*Reference(AU Diagnostic Request | MR DiagnosticRequest)Each requested test when linked to an investigation request, otherwise a single requested test from the investigation result
​.... reference 1..1stringRelative reference to ServiceRequest when linked to an investigation request, otherwise an internal reference to a contained ServiceRequest.
​... status S1..1codefinal | preliminary | corrected
Binding: MediRecords Diagnostic Report Status (required)
​... code S1..1CodeableConceptTest names
​.... text 1..1stringPlain text representation of the concept
​... subject S1..1Reference(MR Patient)Patient that is the subject of the report
​.... reference 1..1stringLiteral reference, Relative, internal or absolute URL
​... effective[x] 1..1dateTimeClinically relevant time/time-period for report
Slice: Unordered, Open by type:$this
​... effectiveDateTime S1..1dateTimeDate of the tests
​... performer S0..1Reference(MR Organisation Service Provider | MR Practitioner)Laboratory Service Provider Organisation that performed the test, or the Practitioner that performed a POC test
​... conclusion S0..1stringTest results
​... presentedForm S0..1AttachmentUploaded or imported test report attachment file
​.... contentType S0..1codeMime type of the content, with charset etc.
​.... data S1..1base64BinaryBASE64 encoded representation of the import file
​.... title S0..1stringUploaded file name

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport 0..*AUBaseDiagnosticReportA diagnostic report in an Australian healthcare context
... id Σ0..1idLogical id of this artifact
... meta 0..1MRMetaMetadata about a resource
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ0..1idVersion specific identifier
.... lastUpdated SΣ0..1instantWhen the resource version last changed
.... source Σ0..1uriIdentifies where the resource comes from
.... profile Σ1..*canonical(StructureDefinition)Profiles this resource claims to conform to
.... security SΣC0..1CodingConfidentiality 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 Σ0..*CodingTags 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 ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... Slices for contained 0..*ResourceContained, inline Resources
Slice: Unordered, Open by type:$this
.... contained:request S0..1AUDiagnosticRequestContained ServiceRequest with the request details
..... id SΣ1..1idLocal id of contained resource
..... meta Σ0..1MetaMetadata about the resource
..... implicitRules ?!Σ0..1uriA set of rules under which this content was created
..... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
..... text 0..1NarrativeText summary of the resource, for human interpretation
..... contained 0..*ResourceContained, inline Resources
..... Slices for extension 0..*ExtensionExtension
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..*ExtensionExtensions that cannot be ignored
..... identifier 0..*Identifier, AULocalOrderIdentifierIdentifiers assigned to this order
..... instantiatesCanonical Σ0..*canonical(ActivityDefinition | PlanDefinition)Instantiates FHIR protocol or definition
..... instantiatesUri Σ0..*uriInstantiates external protocol or definition
..... basedOn Σ0..*Reference(CarePlan | ServiceRequest | MedicationRequest)What request fulfills
..... replaces Σ0..*Reference(ServiceRequest)What request replaces
..... requisition Σ0..1IdentifierComposite Request ID
..... status ?!Σ1..1codecompleted
Binding: RequestStatus (required): The status of a service order.


Fixed Value: completed
..... intent ?!Σ1..1codeorder
Binding: RequestIntent (required): The kind of service request.


Fixed Value: order
..... category SΣ1..1CodeableConceptCode representing 'Laboratory procedure' or 'Imaging' service
Binding: MediRecords Diagnostic Request Categories (required)
..... priority Σ0..1coderoutine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

..... doNotPerform ?!Σ0..1booleanTrue if service/procedure should not be performed
..... code SΣ1..1CodeableConceptWhat is being requested/ordered
Binding: Evaluation Procedure . (example)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ0..*CodingCode defined by a terminology system
...... text Σ1..1stringTest names
..... orderDetail ΣC0..*CodeableConceptAdditional order information
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.


..... quantity[x] Σ0..1Service amount
...... quantityQuantityQuantity
...... quantityRatioRatio
...... quantityRangeRange
..... subject SΣ1..1Reference(MR Patient)Patient the tests were requested for
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
...... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

...... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
...... display Σ0..1stringText alternative for the resource
..... encounter Σ0..1Reference(Encounter)Encounter in which the request was created
..... occurrence[x] Σ0..1When service should occur
...... occurrenceDateTimedateTime
...... occurrencePeriodPeriod
...... occurrenceTimingTiming
..... asNeeded[x] Σ0..1Preconditions 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.

...... asNeededBooleanboolean
...... asNeededCodeableConceptCodeableConcept
..... authoredOn SΣ1..1dateTimeDate the test was requested
..... requester SΣ1..1Reference(MR PractitionerRole | MR Practitioner)Requester of the investigation
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... reference ΣC1..1stringRelative reference to PractitionerRole representing the requester's user/practice where possible, otherwise a Practitioner reference of the user
...... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

...... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
...... display Σ0..1stringText alternative for the resource
..... performerType Σ0..1CodeableConceptPerformer role
Binding: Practitioner Role . (preferred)
..... performer Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson)Requested performer
..... locationCode Σ0..*CodeableConceptRequested location
Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.


..... locationReference Σ0..*Reference(Location)Requested location
..... reasonCode Σ0..*CodeableConceptExplanation/Justification for procedure or service
Binding: Reason for Request . (preferred)
..... reasonReference Σ0..*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 Σ0..*Reference(AU Base Specimen)Procedure Samples
..... bodySite Σ0..*CodeableConceptLocation on Body
Binding: Body Site . (preferred)
..... note 0..*AnnotationComments
..... patientInstruction Σ0..1stringPatient or consumer-oriented instructions
..... relevantHistory 0..*Reference(Provenance)Request provenance
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... note S0..1AnnotationComments 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..1stringUnique id for inter-element referencing
.... Slices for extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... extension:checked-on S0..1ExtensionExtension
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"checked-on"
..... Slices for value[x] 1..1dateTimeValue of extension
Slice: Unordered, Closed by type:$this
...... value[x]:valueDateTime 1..1dateTimeDate/time report checked in UTC
.... extension:checked-by S0..1ExtensionExtension
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"checked-by"
..... Slices for value[x] 1..1Reference(MR Practitioner)Value of extension
Slice: Unordered, Closed by type:$this
...... value[x]:valueReference 1..1Reference()Reference to Practitioner that checked report
....... id 0..1stringUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... reference ΣC1..1stringRelative reference to Practitioner
....... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

....... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
....... display Σ0..1stringText alternative for the resource
.... url 1..1uri"https://fhir.medirecords.com/StructureDefinition/mr-diagnosticreport-checked"
... recipient-interpretation S0..1CodeableConceptInvestigation Result Recipient Interpretation
URL: https://fhir.medirecords.com/StructureDefinition/mr-diagnosticreport-recipient-interpretation
Binding: MediRecords DiagnosticReport Recipient Interpretation ValueSet (extensible)
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier 0..*Identifier, AULocalOrderIdentifier, AULocalReportIdentifier, AUAccessionNumberBusiness identifier for report
... basedOn S1..*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..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC1..1stringRelative reference to ServiceRequest when linked to an investigation request, otherwise an internal reference to a contained ServiceRequest.
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... status ?!SΣ1..1codefinal | preliminary | corrected
Binding: MediRecords Diagnostic Report Status (required)
... category Σ0..*CodeableConceptService category
Binding: DiagnosticServiceSectionCodes (preferred)
... code SΣ1..1CodeableConceptTest names
Binding: Evaluation Procedure . (example)
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ0..*CodingCode defined by a terminology system
.... text Σ1..1stringPlain text representation of the concept
... subject SΣ1..1Reference(MR Patient)Patient that is the subject of the report
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC1..1stringLiteral reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... encounter Σ0..1Reference(Encounter)Health care event when test ordered
... Slices for effective[x] Σ1..1dateTimeClinically relevant time/time-period for report
Slice: Unordered, Closed by type:$this
.... effective[x]:effectiveDateTime SΣ1..1dateTimeDate of the tests
... issued Σ0..1instantDateTime this version was made
... performer SΣ0..1Reference(MR Organisation Service Provider | MR Practitioner)Laboratory Service Provider Organisation that performed the test, or the Practitioner that performed a POC test
... resultsInterpreter Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam)Primary result interpreter
... specimen 0..*Reference(AU Base Specimen)Specimens this report is based on
... result 0..*Reference(Observation | AU Diagnostic Result | AU Diagnostic Imaging Result | AU Pathology Result)Observations
... imagingStudy 0..*Reference(ImagingStudy)Reference to full details of imaging associated with the diagnostic report
... media Σ0..*BackboneElementKey images associated with this report
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... comment 0..1stringComment about the image (e.g. explanation)
.... link Σ1..1Reference(Media)Reference to the image source
... conclusion S0..1stringTest results
... conclusionCode 0..*CodeableConceptCodes for the clinical conclusion of test results
Binding: Clinical Finding . (preferred)
... presentedForm S0..1AttachmentUploaded or imported test report attachment file
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... contentType SΣ0..1codeMime 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 Σ0..1codeHuman language of the content (BCP-47)
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding

Example General: en-AU
.... data S1..1base64BinaryBASE64 encoded representation of the import file
.... url Σ0..1urlUri where the data can be found
Example General: http://www.acme.com/logo-small.png
.... size Σ0..1unsignedIntNumber of bytes of content (if url provided)
.... hash Σ0..1base64BinaryHash of the data (sha-1, base64ed)
.... title SΣ0..1stringUploaded file name
Example General: Official Corporate Logo
.... creation Σ0..1dateTimeDate attachment was first created

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSet / CodeURI
DiagnosticReport.meta.securityextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
DiagnosticReport.meta.tagexampleCommonTags
http://hl7.org/fhir/ValueSet/common-tags
from the FHIR Standard
DiagnosticReport.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
DiagnosticReport.contained:request.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
DiagnosticReport.contained:request.statusrequiredFixed Value: completed
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
DiagnosticReport.contained:request.intentrequiredFixed Value: order
http://hl7.org/fhir/ValueSet/request-intent|4.0.1
from the FHIR Standard
DiagnosticReport.contained:request.categoryrequiredMRDiagnosticRequestCategories
https://fhir.medirecords.com/ValueSet/mr-diagnostic-request-categories
from this IG
DiagnosticReport.contained:request.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
DiagnosticReport.contained:request.codeexampleEvaluationProcedure .
https://healthterminologies.gov.au/fhir/ValueSet/evaluation-procedure-1
DiagnosticReport.contained:request.orderDetailexampleServiceRequestOrderDetailsCodes
http://hl7.org/fhir/ValueSet/servicerequest-orderdetail
from the FHIR Standard
DiagnosticReport.contained:request.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
DiagnosticReport.contained:request.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
from the FHIR Standard
DiagnosticReport.contained:request.requester.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
DiagnosticReport.contained:request.performerTypepreferredPractitionerRole .
https://healthterminologies.gov.au/fhir/ValueSet/practitioner-role-1
DiagnosticReport.contained:request.locationCodeexampleServiceDeliveryLocationRoleType
http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
DiagnosticReport.contained:request.reasonCodepreferredReasonForRequest .
https://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1
DiagnosticReport.contained:request.bodySitepreferredBodySite .
https://healthterminologies.gov.au/fhir/ValueSet/body-site-1
DiagnosticReport.extension:checked.extension:checked-by.value[x]:valueReference.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
DiagnosticReport.basedOn.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
DiagnosticReport.statusrequiredMRDiagnosticReportStatus
https://fhir.medirecords.com/ValueSet/mr-diagnostic-report-status
from this IG
DiagnosticReport.categorypreferredDiagnosticServiceSectionCodes
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
from the FHIR Standard
DiagnosticReport.codeexampleEvaluationProcedure .
https://healthterminologies.gov.au/fhir/ValueSet/evaluation-procedure-1
DiagnosticReport.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
DiagnosticReport.conclusionCodepreferredClinicalFinding .
https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1
DiagnosticReport.presentedForm.contentTyperequiredMime Types (a valid code from urn:ietf:bcp:13)
http://hl7.org/fhir/ValueSet/mimetypes|4.0.1
from the FHIR Standard
DiagnosticReport.presentedForm.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorDiagnosticReportIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDiagnosticReportIf 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-4errorDiagnosticReportIf 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-5errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDiagnosticReportA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
inv-mr-meta-security-01errorDiagnosticReport.meta.securityMedirecords supports only U, R security code
: code.exists() implies (code = 'U' or code = 'R')