MediRecords FHIR Implementation Guide
1.3.0 - release
| Defining URL: | https://fhir.medirecords.com/StructureDefinition/mr-diagnosticreport |
| Version: | 1.3.0 |
| Name: | MRDiagnosticReport |
| Title: | MediRecords Diagnostic Report |
| Status: | Active as of 2023-09-15 01:10:47+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
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from AUBaseDiagnosticReport
Summary
Mandatory: 7 elements (9 nested mandatory elements)
Must-Support: 24 elements
Fixed Value: 2 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
This structure is derived from AUBaseDiagnosticReport
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  DiagnosticReport | 0..* | AUBaseDiagnosticReport | A diagnostic report in an Australian healthcare context | |
  meta | 0..1 | MRMeta | Metadata about a resource | |
   lastUpdated | S | 0..1 | instant | When the resource version last changed |
 security | S | 0..1 | Coding | Confidentiality code |
 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 | S | 1..1 | id | Local id of contained resource |
| status | 1..1 | code | completed Fixed Value: completed | |
| intent | 1..1 | code | order Fixed Value: order | |
| category | S | 1..1 | CodeableConcept | Code representing 'Laboratory procedure' or 'Imaging' service Binding: MediRecords Diagnostic Request Categories (required) |
 code | S | 1..1 | CodeableConcept | What is being requested/ordered |
 text | 1..1 | string | Test names | |
 subject | S | 1..1 | Reference(MediRecords Core Patient) | Patient the tests were requested for |
| reference | 1..1 | string | Literal reference, Relative, internal or absolute URL | |
| authoredOn | S | 1..1 | dateTime | Date the test was requested |
 requester | S | 1..1 | Reference(MediRecords Core PractitionerRole | MediRecords Core Practitioner) | Requester of the investigation |
| reference | 1..1 | string | Relative reference to PractitionerRole representing the requester's user/practice where possible, otherwise a Practitioner reference of the user | |
 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 | |
| extension:checked-on | S | 0..1 | Extension | Extension |
 valueDateTime | 1..1 | dateTime | Date/time report checked in UTC | |
| extension:checked-by | S | 0..1 | Extension | Extension |
| valueReference | 1..1 | Reference() | Reference to Practitioner that checked report | |
| 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) |
| basedOn | S | 1..* | Reference(AU Diagnostic Request | MediRecords Diagnostic Request) | Each requested test when linked to an investigation request, otherwise a single requested test from the investigation result |
| reference | 1..1 | string | Relative reference to ServiceRequest when linked to an investigation request, otherwise an internal reference to a contained ServiceRequest. | |
| status | S | 1..1 | code | final | preliminary | corrected Binding: MediRecords Diagnostic Report Status (required) |
| code | S | 1..1 | CodeableConcept | Test names |
| text | 1..1 | string | Plain text representation of the concept | |
| subject | S | 1..1 | Reference(MediRecords Core Patient) | Patient that is the subject of the report |
| reference | 1..1 | string | Literal reference, Relative, internal or absolute URL | |
| effective[x] | 1..1 | dateTime | Clinically relevant time/time-period for report Slice: Unordered, Open by type:$this | |
 effectiveDateTime | S | 1..1 | dateTime | Date of the tests |
| performer | S | 0..1 | Reference(MR Organisation Service Provider | MediRecords Core Practitioner) | Laboratory Service Provider Organisation that performed the test, or the Practitioner that performed a POC test |
| conclusion | S | 0..1 | string | Test results |
 presentedForm | S | 0..1 | Attachment | Uploaded or imported test report attachment file |
| contentType | S | 0..1 | code | Mime type of the content, with charset etc. |
| data | S | 1..1 | base64Binary | BASE64 encoded representation of the import file |
| title | S | 0..1 | string | Uploaded file name |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| DiagnosticReport | 0..* | AUBaseDiagnosticReport | 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. | ||||
| 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 | SC | 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: https://healthterminologies.gov.au/fhir/ValueSet/evaluation-procedure-1 (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(MediRecords Core 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(MediRecords Core PractitionerRole | MediRecords Core 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: https://healthterminologies.gov.au/fhir/ValueSet/practitioner-role-1 (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: https://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1 (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: https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 (preferred) | ||||
| note | 0..* | Annotation | Comments | |||||
| patientInstruction | Σ | 0..1 | string | Patient or consumer-oriented instructions | ||||
| relevantHistory | 0..* | Reference(Provenance) | Request provenance | |||||
| 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(MediRecords Core 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 | MediRecords Diagnostic Request) | 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: https://healthterminologies.gov.au/fhir/ValueSet/evaluation-procedure-1 (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(MediRecords Core 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 | MediRecords Core 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 | 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 | 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: https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1 (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..* | AUBaseDiagnosticReport | 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. |
| contained:request | C | 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: https://healthterminologies.gov.au/fhir/ValueSet/evaluation-procedure-1 (example) |
| subject | Σ | 1..1 | Reference(MediRecords Core Patient) | Patient the tests were requested for |
| authoredOn | Σ | 1..1 | dateTime | Date the test was requested |
| requester | Σ | 1..1 | Reference(MediRecords Core PractitionerRole | MediRecords Core Practitioner) | Requester of the investigation |
| 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 | MediRecords Diagnostic Request) | 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: https://healthterminologies.gov.au/fhir/ValueSet/evaluation-procedure-1 (example) |
| subject | Σ | 1..1 | Reference(MediRecords Core 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 | MediRecords Core Practitioner) | Laboratory Service Provider Organisation that performed the test, or the Practitioner that performed a POC test |
| 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 AUBaseDiagnosticReport
Summary
Mandatory: 7 elements (9 nested mandatory elements)
Must-Support: 24 elements
Fixed Value: 2 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from AUBaseDiagnosticReport
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| DiagnosticReport | 0..* | AUBaseDiagnosticReport | A diagnostic report in an Australian healthcare context | |
| meta | 0..1 | MRMeta | Metadata about a resource | |
| lastUpdated | S | 0..1 | instant | When the resource version last changed |
| security | S | 0..1 | Coding | Confidentiality code |
| 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 | S | 1..1 | id | Local id of contained resource |
| status | 1..1 | code | completed Fixed Value: completed | |
| intent | 1..1 | code | order Fixed Value: order | |
| category | S | 1..1 | CodeableConcept | Code representing 'Laboratory procedure' or 'Imaging' service Binding: MediRecords Diagnostic Request Categories (required) |
| code | S | 1..1 | CodeableConcept | What is being requested/ordered |
| text | 1..1 | string | Test names | |
| subject | S | 1..1 | Reference(MediRecords Core Patient) | Patient the tests were requested for |
| reference | 1..1 | string | Literal reference, Relative, internal or absolute URL | |
| authoredOn | S | 1..1 | dateTime | Date the test was requested |
| requester | S | 1..1 | Reference(MediRecords Core PractitionerRole | MediRecords Core Practitioner) | Requester of the investigation |
| reference | 1..1 | string | Relative reference to PractitionerRole representing the requester's user/practice where possible, otherwise a Practitioner reference of the user | |
| 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 | |
| extension:checked-on | S | 0..1 | Extension | Extension |
| valueDateTime | 1..1 | dateTime | Date/time report checked in UTC | |
| extension:checked-by | S | 0..1 | Extension | Extension |
| valueReference | 1..1 | Reference() | Reference to Practitioner that checked report | |
| 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) |
| basedOn | S | 1..* | Reference(AU Diagnostic Request | MediRecords Diagnostic Request) | Each requested test when linked to an investigation request, otherwise a single requested test from the investigation result |
| reference | 1..1 | string | Relative reference to ServiceRequest when linked to an investigation request, otherwise an internal reference to a contained ServiceRequest. | |
| status | S | 1..1 | code | final | preliminary | corrected Binding: MediRecords Diagnostic Report Status (required) |
| code | S | 1..1 | CodeableConcept | Test names |
| text | 1..1 | string | Plain text representation of the concept | |
| subject | S | 1..1 | Reference(MediRecords Core Patient) | Patient that is the subject of the report |
| reference | 1..1 | string | Literal reference, Relative, internal or absolute URL | |
| effective[x] | 1..1 | dateTime | Clinically relevant time/time-period for report Slice: Unordered, Open by type:$this | |
| effectiveDateTime | S | 1..1 | dateTime | Date of the tests |
| performer | S | 0..1 | Reference(MR Organisation Service Provider | MediRecords Core Practitioner) | Laboratory Service Provider Organisation that performed the test, or the Practitioner that performed a POC test |
| conclusion | S | 0..1 | string | Test results |
| presentedForm | S | 0..1 | Attachment | Uploaded or imported test report attachment file |
| contentType | S | 0..1 | code | Mime type of the content, with charset etc. |
| data | S | 1..1 | base64Binary | BASE64 encoded representation of the import file |
| title | S | 0..1 | string | Uploaded file name |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| DiagnosticReport | 0..* | AUBaseDiagnosticReport | 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. | ||||
| 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 | SC | 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: https://healthterminologies.gov.au/fhir/ValueSet/evaluation-procedure-1 (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(MediRecords Core 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(MediRecords Core PractitionerRole | MediRecords Core 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: https://healthterminologies.gov.au/fhir/ValueSet/practitioner-role-1 (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: https://healthterminologies.gov.au/fhir/ValueSet/reason-for-request-1 (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: https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 (preferred) | ||||
| note | 0..* | Annotation | Comments | |||||
| patientInstruction | Σ | 0..1 | string | Patient or consumer-oriented instructions | ||||
| relevantHistory | 0..* | Reference(Provenance) | Request provenance | |||||
| 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(MediRecords Core 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 | MediRecords Diagnostic Request) | 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: https://healthterminologies.gov.au/fhir/ValueSet/evaluation-procedure-1 (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(MediRecords Core 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 | MediRecords Core 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 | 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 | 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: https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1 (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 | ||||||||