{ "resourceType" : "StructureDefinition", "id" : "polaris-core-diagnosticreport", "text" : { "status" : "extensions", "div" : "

Generated Narrative: StructureDefinition polaris-core-diagnosticreport

\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" DiagnosticReport C0..*DiagnosticReportPolaris Diagnostic Report Core
Constraints: diagnosticreport-has-polaris-id
\".\"\".\"\".\" meta
\".\"\".\"\".\"\".\" source S0..1uriIdentifies EMR instance & pipeline version the resource came from
\".\"\".\"\".\" text S0..1NarrativeNarrative
\".\"\".\"\".\" Slices for identifier S1..*IdentifierBusiness identifier(s) for diagnostic report
Slice: Unordered, Open by pattern:system
\".\"\".\"\".\"\".\" identifier:polarisId S1..1IdentifierPolaris DiagnosticReport ID
\".\"\".\"\".\"\".\"\".\" use 0..1codeusual | official | temp | secondary | old (If known)
Required Pattern: official
\".\"\".\"\".\"\".\"\".\" system 1..1uriPolaris diagnosticreport identifier system: https://fhir.apps.health/NamingSystem/<instance-id>-diagnosticreport-identifier
\".\"\".\"\".\"\".\"\".\" value 1..1stringThe actual Polaris diagnostic report ID value: unique in source system
\".\"\".\"\".\"\".\" identifier:rawCode S0..*IdentifierSource EMR diagnostic report identifier
\".\"\".\"\".\"\".\"\".\" use 0..1codeusual | official | temp | secondary | old (If known)
Required Pattern: secondary
\".\"\".\"\".\"\".\"\".\" system 1..1uriSource system URI or https://fhir.apps.health/NamingSystem/<instance-id>-diagnosticreport-raw-code
\".\"\".\"\".\"\".\"\".\" value 1..1stringThe value that is unique
\".\"\".\"\".\" status S1..1coderegistered | partial | preliminary | final | amended | corrected | appended | cancelled
Binding: DiagnosticReportStatus (required)
\".\"\".\"\".\" category S0..*CodeableConceptService category with raw code support
\".\"\".\"\".\"\".\" Slices for coding 0..*CodingCode defined by a terminology system
Slice: Unordered, Open by pattern:system
\".\"\".\"\".\"\".\"\".\" coding:standard S0..*CodingStandard service category code
\".\"\".\"\".\"\".\"\".\"\".\" system 1..1uriStandard terminology system URI
\".\"\".\"\".\"\".\"\".\"\".\" code 1..1codeSymbol in syntax defined by the system
\".\"\".\"\".\"\".\"\".\" coding:rawCode S0..*CodingSource EMR service category code
\".\"\".\"\".\"\".\"\".\"\".\" system 1..1uriSource system URI or https://fhir.apps.health/NamingSystem/<instance-id>-diagnosticreport-category-raw-code
\".\"\".\"\".\"\".\"\".\"\".\" code 1..1codeEMR-specific service category code
\".\"\".\"\".\"\".\"\".\"\".\" display 1..1stringEMR's display text for this category
\".\"\".\"\".\" code S1..1CodeableConceptDiagnostic report type with raw code support
\".\"\".\"\".\"\".\" Slices for coding 0..*CodingCode defined by a terminology system
Slice: Unordered, Open by pattern:system
\".\"\".\"\".\"\".\"\".\" coding:standard S0..*CodingStandard diagnostic report code (LOINC, SNOMED CT)
\".\"\".\"\".\"\".\"\".\"\".\" system 1..1uriStandard terminology system URI
\".\"\".\"\".\"\".\"\".\"\".\" code 1..1codeSymbol in syntax defined by the system
\".\"\".\"\".\"\".\"\".\" coding:rawCode S0..*CodingSource EMR diagnostic report type code
\".\"\".\"\".\"\".\"\".\"\".\" system 1..1uriSource system URI or https://fhir.apps.health/NamingSystem/<instance-id>-diagnosticreport-code-raw-code
\".\"\".\"\".\"\".\"\".\"\".\" code 1..1codeEMR-specific diagnostic report type code
\".\"\".\"\".\"\".\"\".\"\".\" display 1..1stringEMR's display text for this report type
\".\"\".\"\".\"\".\" text S1..1stringHuman-readable report type description (required)
\".\"\".\"\".\" subject S1..1Reference(Polaris Patient Core)The subject of the report - usually a patient
\".\"\".\"\".\" encounter S0..1Reference(Polaris Encounter Profile Core)Healthcare event when report was generated
\".\"\".\"\".\" effective[x] S1..1dateTime, PeriodClinically relevant time/time-period for report
\".\"\".\"\".\" issued 0..1instantDateTime report was released
\".\"\".\"\".\" result 0..*Reference(Polaris Observation Profile Core)Observations that are part of this report
\".\"\".\"\".\" conclusion 0..1stringClinical conclusion (interpretation) of test results
\".\"\".\"\".\" conclusionCode 0..*CodeableConceptCodes for the clinical conclusion
Binding: SNOMEDCTClinicalFindings (example)
\".\"\".\"\".\" presentedForm 0..*AttachmentEntire report as issued
\".\"\".\"\".\"\".\" contentType 1..1codeMime type of the content (e.g., application/pdf)
\".\"\".\"\".\"\".\" data 0..1base64BinaryData inline, base64 encoded

\"doco\" Documentation for this format
" }, "url" : "https://fhir.apps.health/StructureDefinition/polaris-core-diagnosticreport", "version" : "1.9.8", "name" : "PolarisCoreDiagnosticReport", "title" : "Polaris DiagnosticReport Profile Core", "status" : "draft", "date" : "2026-04-24T14:05:47-04:00", "description" : "Defines the Polaris FHIR profile for DiagnosticReport resources, based on CA-Core constraints, for aggregating diagnostic reports (e.g., Lab, Imaging) from multiple EMRs.", "fhirVersion" : "4.0.1", "mapping" : [{ "identity" : "workflow", "uri" : "http://hl7.org/fhir/workflow", "name" : "Workflow Pattern" }, { "identity" : "v2", "uri" : "http://hl7.org/v2", "name" : "HL7 v2 Mapping" }, { "identity" : "rim", "uri" : "http://hl7.org/v3", "name" : "RIM Mapping" }, { "identity" : "w5", "uri" : "http://hl7.org/fhir/fivews", "name" : "FiveWs Pattern Mapping" }], "kind" : "resource", "abstract" : false, "type" : "DiagnosticReport", "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DiagnosticReport", "derivation" : "constraint", "snapshot" : { "extension" : [{ "url" : "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version", "valueString" : "4.0.1" }], "element" : [{ "id" : "DiagnosticReport", "path" : "DiagnosticReport", "short" : "Polaris Diagnostic Report Core", "definition" : "Represents diagnostic test results and findings, capturing key details\nlike report status, code, subject, and result references using standard\nPolaris references. Uses instance-specific identifiers for tracking\ndiagnostic reports across systems.", "comment" : "This is intended to capture a single report and is not suitable for use in displaying summary information that covers multiple reports. For example, this resource has not been designed for laboratory cumulative reporting formats nor detailed structured reports for sequencing.", "alias" : ["Report", "Test", "Result", "Results", "Labs", "Laboratory"], "min" : 0, "max" : "*", "base" : { "path" : "DiagnosticReport", "min" : 0, "max" : "*" }, "constraint" : [{ "key" : "dom-2", "severity" : "error", "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources", "expression" : "contained.contained.empty()", "xpath" : "not(parent::f:contained and f:contained)", "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key" : "dom-3", "severity" : "error", "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource", "expression" : "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()", "xpath" : "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))", "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key" : "dom-4", "severity" : "error", "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated", "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()", "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))", "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key" : "dom-5", "severity" : "error", "human" : "If a resource is contained in another resource, it SHALL NOT have a security label", "expression" : "contained.meta.security.empty()", "xpath" : "not(exists(f:contained/*/f:meta/f:security))", "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice", "valueBoolean" : true }, { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation", "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." }], "key" : "dom-6", "severity" : "warning", "human" : "A resource should have narrative for robust management", "expression" : "text.`div`.exists()", "xpath" : "exists(f:text/h:div)", "source" : "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key" : "diagnosticreport-has-polaris-id", "severity" : "error", "human" : "Must have at least one identifier with a canonical Polaris system URI", "expression" : "identifier.exists(system.matches('^https://fhir.apps.health/NamingSystem/[A-Za-z0-9._-]+-diagnosticreport-identifier$'))", "source" : "https://fhir.apps.health/StructureDefinition/polaris-core-diagnosticreport" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "Entity. Role, or Act" }, { "identity" : "workflow", "map" : "Event" }, { "identity" : "v2", "map" : "ORU -> OBR" }, { "identity" : "rim", "map" : "Observation[classCode=OBS, moodCode=EVN]" }] }, { "id" : "DiagnosticReport.id", "path" : "DiagnosticReport.id", "short" : "Logical id of this artifact", "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.", "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.", "min" : 0, "max" : "1", "base" : { "path" : "Resource.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "id" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : true }, { "id" : "DiagnosticReport.meta", "path" : "DiagnosticReport.meta", "short" : "Metadata about the resource", "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.", "min" : 0, "max" : "1", "base" : { "path" : "Resource.meta", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Meta" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true }, { "id" : "DiagnosticReport.meta.id", "path" : "DiagnosticReport.meta.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "DiagnosticReport.meta.extension", "path" : "DiagnosticReport.meta.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "DiagnosticReport.meta.versionId", "path" : "DiagnosticReport.meta.versionId", "short" : "Version specific identifier", "definition" : "The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.", "comment" : "The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.", "min" : 0, "max" : "1", "base" : { "path" : "Meta.versionId", "min" : 0, "max" : "1" }, "type" : [{ "code" : "id" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true }, { "id" : "DiagnosticReport.meta.lastUpdated", "path" : "DiagnosticReport.meta.lastUpdated", "short" : "When the resource version last changed", "definition" : "When the resource last changed - e.g. when the version changed.", "comment" : "This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a [read](http://hl7.org/fhir/R4/http.html#read) interaction.", "min" : 0, "max" : "1", "base" : { "path" : "Meta.lastUpdated", "min" : 0, "max" : "1" }, "type" : [{ "code" : "instant" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true }, { "id" : "DiagnosticReport.meta.source", "path" : "DiagnosticReport.meta.source", "short" : "Identifies EMR instance & pipeline version the resource came from", "definition" : "A URI that identifies the EMR pipeline and version from which this resource originated. This tells you which EMR instance (recommend using the instance identifier), and the version of the pipeline code/transformations.", "comment" : "In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. \n\nThis element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.", "min" : 0, "max" : "1", "base" : { "path" : "Meta.source", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true }, { "id" : "DiagnosticReport.meta.profile", "path" : "DiagnosticReport.meta.profile", "short" : "Profiles this resource claims to conform to", "definition" : "A list of profiles (references to [StructureDefinition](http://hl7.org/fhir/R4/structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](http://hl7.org/fhir/R4/structuredefinition-definitions.html#StructureDefinition.url).", "comment" : "It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.", "min" : 0, "max" : "*", "base" : { "path" : "Meta.profile", "min" : 0, "max" : "*" }, "type" : [{ "code" : "canonical", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/StructureDefinition"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true }, { "id" : "DiagnosticReport.meta.security", "path" : "DiagnosticReport.meta.security", "short" : "Security Labels applied to this resource", "definition" : "Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.", "comment" : "The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.", "min" : 0, "max" : "*", "base" : { "path" : "Meta.security", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Coding" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "SecurityLabels" }], "strength" : "extensible", "description" : "Security Labels from the Healthcare Privacy and Security Classification System.", "valueSet" : "http://hl7.org/fhir/ValueSet/security-labels" } }, { "id" : "DiagnosticReport.meta.tag", "path" : "DiagnosticReport.meta.tag", "short" : "Tags applied to this resource", "definition" : "Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.", "comment" : "The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.", "min" : 0, "max" : "*", "base" : { "path" : "Meta.tag", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Coding" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "Tags" }], "strength" : "example", "description" : "Codes that represent various types of tags, commonly workflow-related; e.g. \"Needs review by Dr. Jones\".", "valueSet" : "http://hl7.org/fhir/ValueSet/common-tags" } }, { "id" : "DiagnosticReport.implicitRules", "path" : "DiagnosticReport.implicitRules", "short" : "A set of rules under which this content was created", "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.", "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.", "min" : 0, "max" : "1", "base" : { "path" : "Resource.implicitRules", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : true, "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation", "isSummary" : true }, { "id" : "DiagnosticReport.language", "path" : "DiagnosticReport.language", "short" : "Language of the resource content", "definition" : "The base language in which the resource is written.", "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).", "min" : 0, "max" : "1", "base" : { "path" : "Resource.language", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet", "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages" }, { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "Language" }], "strength" : "preferred", "description" : "A human language.", "valueSet" : "http://hl7.org/fhir/ValueSet/languages" } }, { "id" : "DiagnosticReport.text", "path" : "DiagnosticReport.text", "short" : "Narrative", "definition" : "A human-readable narrative summary of the PolarisCoreDiagnosticReport resource for human interpretation.", "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.", "alias" : ["narrative", "html", "xhtml", "display"], "min" : 0, "max" : "1", "base" : { "path" : "DomainResource.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Narrative" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "Act.text?" }] }, { "id" : "DiagnosticReport.contained", "path" : "DiagnosticReport.contained", "short" : "Contained, inline Resources", "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.", "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.", "alias" : ["inline resources", "anonymous resources", "contained resources"], "min" : 0, "max" : "*", "base" : { "path" : "DomainResource.contained", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Resource" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "DiagnosticReport.extension", "path" : "DiagnosticReport.extension", "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "DomainResource.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "DiagnosticReport.modifierExtension", "path" : "DiagnosticReport.modifierExtension", "short" : "Extensions that cannot be ignored", "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "DomainResource.modifierExtension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : true, "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them", "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "DiagnosticReport.identifier", "path" : "DiagnosticReport.identifier", "slicing" : { "discriminator" : [{ "type" : "pattern", "path" : "system" }], "description" : "Slice identifiers by system", "rules" : "open" }, "short" : "Business identifier(s) for diagnostic report", "definition" : "Unique identifiers for the diagnostic report.\n\nAt least one must use the Polaris naming convention pattern.\n\nWhen a source/local 'raw code' identifier exists (e.g. from source EMR),\nit SHOULD be included as an additional identifier.\n\nIf the raw code's system is known and appropriate, use that.\nIf no recognized system exists, implementers MAY:\n • invent a URI for the system, OR\n • use the fallback URI template: https://fhir.apps.health/NamingSystem/-diagnosticreport-raw-code", "comment" : "Usually assigned by the Information System of the diagnostic service provider (filler id).", "requirements" : "Need to know what identifier to use when making queries about this report from the source laboratory, and for linking to the report outside FHIR context.", "alias" : ["ReportID", "Filler ID", "Placer ID"], "min" : 1, "max" : "*", "base" : { "path" : "DiagnosticReport.identifier", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Identifier" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "workflow", "map" : "Event.identifier" }, { "identity" : "w5", "map" : "FiveWs.identifier" }, { "identity" : "v2", "map" : "OBR-51/ for globally unique filler ID - OBR-3 , For non-globally unique filler-id the flller/placer number must be combined with the universal service Id - OBR-2(if present)+OBR-3+OBR-4" }, { "identity" : "rim", "map" : "id" }] }, { "id" : "DiagnosticReport.identifier:polarisId", "path" : "DiagnosticReport.identifier", "sliceName" : "polarisId", "short" : "Polaris DiagnosticReport ID", "definition" : "The primary Polaris identifier for this diagnostic report, following the standard Polaris naming pattern", "comment" : "Usually assigned by the Information System of the diagnostic service provider (filler id).", "requirements" : "Need to know what identifier to use when making queries about this report from the source laboratory, and for linking to the report outside FHIR context.", "alias" : ["ReportID", "Filler ID", "Placer ID"], "min" : 1, "max" : "1", "base" : { "path" : "DiagnosticReport.identifier", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Identifier" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "workflow", "map" : "Event.identifier" }, { "identity" : "w5", "map" : "FiveWs.identifier" }, { "identity" : "v2", "map" : "OBR-51/ for globally unique filler ID - OBR-3 , For non-globally unique filler-id the flller/placer number must be combined with the universal service Id - OBR-2(if present)+OBR-3+OBR-4" }, { "identity" : "rim", "map" : "id" }] }, { "id" : "DiagnosticReport.identifier:polarisId.id", "path" : "DiagnosticReport.identifier.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "DiagnosticReport.identifier:polarisId.extension", "path" : "DiagnosticReport.identifier.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "DiagnosticReport.identifier:polarisId.use", "path" : "DiagnosticReport.identifier.use", "short" : "usual | official | temp | secondary | old (If known)", "definition" : "The purpose of this identifier.", "comment" : "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.", "requirements" : "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.", "min" : 0, "max" : "1", "base" : { "path" : "Identifier.use", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "patternCode" : "official", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : true, "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.", "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "IdentifierUse" }], "strength" : "required", "description" : "Identifies the purpose for this identifier, if known .", "valueSet" : "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1" }, "mapping" : [{ "identity" : "v2", "map" : "N/A" }, { "identity" : "rim", "map" : "Role.code or implied by context" }] }, { "id" : "DiagnosticReport.identifier:polarisId.type", "path" : "DiagnosticReport.identifier.type", "short" : "Description of identifier", "definition" : "A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.", "comment" : "This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.", "requirements" : "Allows users to make use of identifiers when the identifier system is not known.", "min" : 0, "max" : "1", "base" : { "path" : "Identifier.type", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "IdentifierType" }], "strength" : "extensible", "description" : "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.", "valueSet" : "http://hl7.org/fhir/ValueSet/identifier-type" }, "mapping" : [{ "identity" : "v2", "map" : "CX.5" }, { "identity" : "rim", "map" : "Role.code or implied by context" }] }, { "id" : "DiagnosticReport.identifier:polarisId.system", "path" : "DiagnosticReport.identifier.system", "short" : "Polaris diagnosticreport identifier system: https://fhir.apps.health/NamingSystem/-diagnosticreport-identifier", "definition" : "Must match the pattern: https://fhir.apps.health/NamingSystem/-diagnosticreport-identifier", "comment" : "Example: https://fhir.apps.health/NamingSystem/lab-system-12345-diagnosticreport-identifier", "requirements" : "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.", "min" : 1, "max" : "1", "base" : { "path" : "Identifier.system", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "example" : [{ "label" : "General", "valueUri" : "http://www.acme.com/identifiers/patient" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "CX.4 / EI-2-4" }, { "identity" : "rim", "map" : "II.root or Role.id.root" }, { "identity" : "servd", "map" : "./IdentifierType" }] }, { "id" : "DiagnosticReport.identifier:polarisId.value", "path" : "DiagnosticReport.identifier.value", "short" : "The actual Polaris diagnostic report ID value: unique in source system", "definition" : "The portion of the identifier typically relevant to the user and which is unique within the context of the system.", "comment" : "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.", "min" : 1, "max" : "1", "base" : { "path" : "Identifier.value", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "example" : [{ "label" : "General", "valueString" : "123456" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "CX.1 / EI.1" }, { "identity" : "rim", "map" : "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" }, { "identity" : "servd", "map" : "./Value" }] }, { "id" : "DiagnosticReport.identifier:polarisId.period", "path" : "DiagnosticReport.identifier.period", "short" : "Time period when id is/was valid for use", "definition" : "Time period during which identifier is/was valid for use.", "min" : 0, "max" : "1", "base" : { "path" : "Identifier.period", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Period" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "CX.7 + CX.8" }, { "identity" : "rim", "map" : "Role.effectiveTime or implied by context" }, { "identity" : "servd", "map" : "./StartDate and ./EndDate" }] }, { "id" : "DiagnosticReport.identifier:polarisId.assigner", "path" : "DiagnosticReport.identifier.assigner", "short" : "Organization that issued id (may be just text)", "definition" : "Organization that issued/manages the identifier.", "comment" : "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.", "min" : 0, "max" : "1", "base" : { "path" : "Identifier.assigner", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "CX.4 / (CX.4,CX.9,CX.10)" }, { "identity" : "rim", "map" : "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" }, { "identity" : "servd", "map" : "./IdentifierIssuingAuthority" }] }, { "id" : "DiagnosticReport.identifier:rawCode", "path" : "DiagnosticReport.identifier", "sliceName" : "rawCode", "short" : "Source EMR diagnostic report identifier", "definition" : "The original raw identifier(s) from the source EMR system", "comment" : "Usually assigned by the Information System of the diagnostic service provider (filler id).", "requirements" : "Need to know what identifier to use when making queries about this report from the source laboratory, and for linking to the report outside FHIR context.", "alias" : ["ReportID", "Filler ID", "Placer ID"], "min" : 0, "max" : "*", "base" : { "path" : "DiagnosticReport.identifier", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Identifier" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "workflow", "map" : "Event.identifier" }, { "identity" : "w5", "map" : "FiveWs.identifier" }, { "identity" : "v2", "map" : "OBR-51/ for globally unique filler ID - OBR-3 , For non-globally unique filler-id the flller/placer number must be combined with the universal service Id - OBR-2(if present)+OBR-3+OBR-4" }, { "identity" : "rim", "map" : "id" }] }, { "id" : "DiagnosticReport.identifier:rawCode.id", "path" : "DiagnosticReport.identifier.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "DiagnosticReport.identifier:rawCode.extension", "path" : "DiagnosticReport.identifier.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "DiagnosticReport.identifier:rawCode.use", "path" : "DiagnosticReport.identifier.use", "short" : "usual | official | temp | secondary | old (If known)", "definition" : "The purpose of this identifier.", "comment" : "Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.", "requirements" : "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.", "min" : 0, "max" : "1", "base" : { "path" : "Identifier.use", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "patternCode" : "secondary", "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : true, "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.", "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "IdentifierUse" }], "strength" : "required", "description" : "Identifies the purpose for this identifier, if known .", "valueSet" : "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1" }, "mapping" : [{ "identity" : "v2", "map" : "N/A" }, { "identity" : "rim", "map" : "Role.code or implied by context" }] }, { "id" : "DiagnosticReport.identifier:rawCode.type", "path" : "DiagnosticReport.identifier.type", "short" : "Description of identifier", "definition" : "A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.", "comment" : "This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.", "requirements" : "Allows users to make use of identifiers when the identifier system is not known.", "min" : 0, "max" : "1", "base" : { "path" : "Identifier.type", "min" : 0, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "IdentifierType" }], "strength" : "extensible", "description" : "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.", "valueSet" : "http://hl7.org/fhir/ValueSet/identifier-type" }, "mapping" : [{ "identity" : "v2", "map" : "CX.5" }, { "identity" : "rim", "map" : "Role.code or implied by context" }] }, { "id" : "DiagnosticReport.identifier:rawCode.system", "path" : "DiagnosticReport.identifier.system", "short" : "Source system URI or https://fhir.apps.health/NamingSystem/-diagnosticreport-raw-code", "definition" : "URI identifying the code system for the raw code.\nIf the system is known, use the appropriate URI.\nIf unknown, use a constructed URI or the fallback:\n`https://fhir.apps.health/NamingSystem/-diagnosticreport-raw-code`", "comment" : "Identifier.system is always case sensitive.", "requirements" : "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.", "min" : 1, "max" : "1", "base" : { "path" : "Identifier.system", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "example" : [{ "label" : "General", "valueUri" : "http://www.acme.com/identifiers/patient" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "CX.4 / EI-2-4" }, { "identity" : "rim", "map" : "II.root or Role.id.root" }, { "identity" : "servd", "map" : "./IdentifierType" }] }, { "id" : "DiagnosticReport.identifier:rawCode.value", "path" : "DiagnosticReport.identifier.value", "short" : "The value that is unique", "definition" : "The portion of the identifier typically relevant to the user and which is unique within the context of the system.", "comment" : "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.", "min" : 1, "max" : "1", "base" : { "path" : "Identifier.value", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "example" : [{ "label" : "General", "valueString" : "123456" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "CX.1 / EI.1" }, { "identity" : "rim", "map" : "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)" }, { "identity" : "servd", "map" : "./Value" }] }, { "id" : "DiagnosticReport.identifier:rawCode.period", "path" : "DiagnosticReport.identifier.period", "short" : "Time period when id is/was valid for use", "definition" : "Time period during which identifier is/was valid for use.", "min" : 0, "max" : "1", "base" : { "path" : "Identifier.period", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Period" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "CX.7 + CX.8" }, { "identity" : "rim", "map" : "Role.effectiveTime or implied by context" }, { "identity" : "servd", "map" : "./StartDate and ./EndDate" }] }, { "id" : "DiagnosticReport.identifier:rawCode.assigner", "path" : "DiagnosticReport.identifier.assigner", "short" : "Organization that issued id (may be just text)", "definition" : "Organization that issued/manages the identifier.", "comment" : "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.", "min" : 0, "max" : "1", "base" : { "path" : "Identifier.assigner", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "CX.4 / (CX.4,CX.9,CX.10)" }, { "identity" : "rim", "map" : "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper" }, { "identity" : "servd", "map" : "./IdentifierIssuingAuthority" }] }, { "id" : "DiagnosticReport.basedOn", "path" : "DiagnosticReport.basedOn", "short" : "What was requested", "definition" : "Details concerning a service requested.", "comment" : "Note: Usually there is one test request for each result, however in some circumstances multiple test requests may be represented using a single test result resource. Note that there are also cases where one request leads to multiple reports.", "requirements" : "This allows tracing of authorization for the report and tracking whether proposals/recommendations were acted upon.", "alias" : ["Request"], "min" : 0, "max" : "*", "base" : { "path" : "DiagnosticReport.basedOn", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CarePlan", "http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation", "http://hl7.org/fhir/StructureDefinition/MedicationRequest", "http://hl7.org/fhir/StructureDefinition/NutritionOrder", "http://hl7.org/fhir/StructureDefinition/ServiceRequest"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "workflow", "map" : "Event.basedOn" }, { "identity" : "v2", "map" : "ORC? OBR-2/3?" }, { "identity" : "rim", "map" : "outboundRelationship[typeCode=FLFS].target" }] }, { "id" : "DiagnosticReport.status", "path" : "DiagnosticReport.status", "short" : "registered | partial | preliminary | final | amended | corrected | appended | cancelled", "definition" : "The status of the diagnostic report. Indicates whether the report is complete and verified.", "comment" : "This is a modifier element. Preliminary reports should be interpreted with caution.", "requirements" : "Diagnostic services routinely issue provisional/incomplete reports, and sometimes withdraw previously released reports.", "min" : 1, "max" : "1", "base" : { "path" : "DiagnosticReport.status", "min" : 1, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : true, "isModifierReason" : "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid", "isSummary" : true, "binding" : { "strength" : "required", "valueSet" : "http://hl7.org/fhir/ValueSet/diagnostic-report-status" }, "mapping" : [{ "identity" : "workflow", "map" : "Event.status" }, { "identity" : "w5", "map" : "FiveWs.status" }, { "identity" : "v2", "map" : "OBR-25 (not 1:1 mapping)" }, { "identity" : "rim", "map" : "statusCode Note: final and amended are distinguished by whether observation is the subject of a ControlAct event of type \"revise\"" }] }, { "id" : "DiagnosticReport.category", "path" : "DiagnosticReport.category", "short" : "Service category with raw code support", "definition" : "Classification of the clinical discipline, department or diagnostic service that created the report.\n\nRECOMMENDED: Standard terminology codes (e.g., HL7 Diagnostic Service Section Codes)\nOPTIONAL: Raw EMR codes for source system preservation\n\nMultiple categories may be specified to classify the report in different ways.", "comment" : "Multiple categories are allowed using various categorization schemes. The level of granularity is defined by the category concepts in the value set. More fine-grained filtering can be performed using the metadata and/or terminology hierarchy in DiagnosticReport.code.", "alias" : ["Department", "Sub-department", "Service", "Discipline"], "min" : 0, "max" : "*", "base" : { "path" : "DiagnosticReport.category", "min" : 0, "max" : "*" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "DiagnosticServiceSection" }], "strength" : "example", "description" : "Codes for diagnostic service sections.", "valueSet" : "http://hl7.org/fhir/ValueSet/diagnostic-service-sections" }, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.class" }, { "identity" : "v2", "map" : "OBR-24" }, { "identity" : "rim", "map" : "inboundRelationship[typeCode=COMP].source[classCode=LIST, moodCode=EVN, code < LabService].code" }] }, { "id" : "DiagnosticReport.category.id", "path" : "DiagnosticReport.category.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "DiagnosticReport.category.extension", "path" : "DiagnosticReport.category.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "DiagnosticReport.category.coding", "path" : "DiagnosticReport.category.coding", "slicing" : { "discriminator" : [{ "type" : "pattern", "path" : "system" }], "description" : "Slice by code system", "rules" : "open" }, "short" : "Code defined by a terminology system", "definition" : "A reference to a code defined by a terminology system.", "comment" : "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.", "requirements" : "Allows for alternative encodings within a code system, and translations to other code systems.", "min" : 0, "max" : "*", "base" : { "path" : "CodeableConcept.coding", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Coding" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.1-8, C*E.10-22" }, { "identity" : "rim", "map" : "union(., ./translation)" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" }] }, { "id" : "DiagnosticReport.category.coding:standard", "path" : "DiagnosticReport.category.coding", "sliceName" : "standard", "short" : "Standard service category code", "definition" : "Standard terminology code for the service category when available", "comment" : "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.", "requirements" : "Allows for alternative encodings within a code system, and translations to other code systems.", "min" : 0, "max" : "*", "base" : { "path" : "CodeableConcept.coding", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Coding" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.1-8, C*E.10-22" }, { "identity" : "rim", "map" : "union(., ./translation)" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" }] }, { "id" : "DiagnosticReport.category.coding:standard.id", "path" : "DiagnosticReport.category.coding.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "DiagnosticReport.category.coding:standard.extension", "path" : "DiagnosticReport.category.coding.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "DiagnosticReport.category.coding:standard.system", "path" : "DiagnosticReport.category.coding.system", "short" : "Standard terminology system URI", "definition" : "The identification of the code system that defines the meaning of the symbol in the code.", "comment" : "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.", "requirements" : "Need to be unambiguous about the source of the definition of the symbol.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.system", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.3" }, { "identity" : "rim", "map" : "./codeSystem" }, { "identity" : "orim", "map" : "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" }] }, { "id" : "DiagnosticReport.category.coding:standard.version", "path" : "DiagnosticReport.category.coding.version", "short" : "Version of the system - if relevant", "definition" : "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.", "comment" : "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.version", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.7" }, { "identity" : "rim", "map" : "./codeSystemVersion" }, { "identity" : "orim", "map" : "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" }] }, { "id" : "DiagnosticReport.category.coding:standard.code", "path" : "DiagnosticReport.category.coding.code", "short" : "Symbol in syntax defined by the system", "definition" : "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).", "requirements" : "Need to refer to a particular code in the system.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.1" }, { "identity" : "rim", "map" : "./code" }, { "identity" : "orim", "map" : "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" }] }, { "id" : "DiagnosticReport.category.coding:standard.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "DiagnosticReport.category.coding.display", "short" : "Representation defined by the system", "definition" : "A representation of the meaning of the code in the system, following the rules of the system.", "requirements" : "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.display", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.2 - but note this is not well followed" }, { "identity" : "rim", "map" : "CV.displayName" }, { "identity" : "orim", "map" : "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" }] }, { "id" : "DiagnosticReport.category.coding:standard.userSelected", "path" : "DiagnosticReport.category.coding.userSelected", "short" : "If this coding was chosen directly by the user", "definition" : "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment" : "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.", "requirements" : "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "Sometimes implied by being first" }, { "identity" : "rim", "map" : "CD.codingRationale" }, { "identity" : "orim", "map" : "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" }] }, { "id" : "DiagnosticReport.category.coding:rawCode", "path" : "DiagnosticReport.category.coding", "sliceName" : "rawCode", "short" : "Source EMR service category code", "definition" : "Original service category code from source EMR system", "comment" : "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.", "requirements" : "Allows for alternative encodings within a code system, and translations to other code systems.", "min" : 0, "max" : "*", "base" : { "path" : "CodeableConcept.coding", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Coding" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.1-8, C*E.10-22" }, { "identity" : "rim", "map" : "union(., ./translation)" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" }] }, { "id" : "DiagnosticReport.category.coding:rawCode.id", "path" : "DiagnosticReport.category.coding.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "DiagnosticReport.category.coding:rawCode.extension", "path" : "DiagnosticReport.category.coding.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "DiagnosticReport.category.coding:rawCode.system", "path" : "DiagnosticReport.category.coding.system", "short" : "Source system URI or https://fhir.apps.health/NamingSystem/-diagnosticreport-category-raw-code", "definition" : "URI for the source EMR's service category coding system.\nIf no standard URI exists, use the pattern:\nhttps://fhir.apps.health/NamingSystem/-diagnosticreport-category-raw-code", "comment" : "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.", "requirements" : "Need to be unambiguous about the source of the definition of the symbol.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.system", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.3" }, { "identity" : "rim", "map" : "./codeSystem" }, { "identity" : "orim", "map" : "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" }] }, { "id" : "DiagnosticReport.category.coding:rawCode.version", "path" : "DiagnosticReport.category.coding.version", "short" : "Version of the system - if relevant", "definition" : "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.", "comment" : "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.version", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.7" }, { "identity" : "rim", "map" : "./codeSystemVersion" }, { "identity" : "orim", "map" : "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" }] }, { "id" : "DiagnosticReport.category.coding:rawCode.code", "path" : "DiagnosticReport.category.coding.code", "short" : "EMR-specific service category code", "definition" : "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).", "requirements" : "Need to refer to a particular code in the system.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.1" }, { "identity" : "rim", "map" : "./code" }, { "identity" : "orim", "map" : "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" }] }, { "id" : "DiagnosticReport.category.coding:rawCode.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "DiagnosticReport.category.coding.display", "short" : "EMR's display text for this category", "definition" : "A representation of the meaning of the code in the system, following the rules of the system.", "requirements" : "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.display", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.2 - but note this is not well followed" }, { "identity" : "rim", "map" : "CV.displayName" }, { "identity" : "orim", "map" : "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" }] }, { "id" : "DiagnosticReport.category.coding:rawCode.userSelected", "path" : "DiagnosticReport.category.coding.userSelected", "short" : "If this coding was chosen directly by the user", "definition" : "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment" : "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.", "requirements" : "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "Sometimes implied by being first" }, { "identity" : "rim", "map" : "CD.codingRationale" }, { "identity" : "orim", "map" : "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" }] }, { "id" : "DiagnosticReport.category.text", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "DiagnosticReport.category.text", "short" : "Plain text representation of the concept", "definition" : "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.", "comment" : "Very often the text is the same as a displayName of one of the codings.", "requirements" : "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min" : 0, "max" : "1", "base" : { "path" : "CodeableConcept.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.9. But note many systems use C*E.2 for this" }, { "identity" : "rim", "map" : "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" }] }, { "id" : "DiagnosticReport.code", "path" : "DiagnosticReport.code", "short" : "Diagnostic report type with raw code support", "definition" : "Type of diagnostic report (e.g., CBC, Chest X-ray, Lipid Panel).\n\nREQUIRED: text element for human readability\nRECOMMENDED: LOINC or other standard terminology when available\nOPTIONAL: Raw EMR codes for source system preservation\n\nPolaris does not mandate a specific coding system for diagnostic report types.\nThe text element ensures human readability even when coded values are not recognized.", "alias" : ["Type"], "min" : 1, "max" : "1", "base" : { "path" : "DiagnosticReport.code", "min" : 1, "max" : "1" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "DiagnosticReportCodes" }], "strength" : "preferred", "description" : "Codes that describe Diagnostic Reports.", "valueSet" : "http://hl7.org/fhir/ValueSet/report-codes" }, "mapping" : [{ "identity" : "workflow", "map" : "Event.code" }, { "identity" : "w5", "map" : "FiveWs.what[x]" }, { "identity" : "v2", "map" : "OBR-4 (HL7 v2 doesn't provide an easy way to indicate both the ordered test and the performed panel)" }, { "identity" : "rim", "map" : "code" }] }, { "id" : "DiagnosticReport.code.id", "path" : "DiagnosticReport.code.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "DiagnosticReport.code.extension", "path" : "DiagnosticReport.code.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "DiagnosticReport.code.coding", "path" : "DiagnosticReport.code.coding", "slicing" : { "discriminator" : [{ "type" : "pattern", "path" : "system" }], "description" : "Slice by code system", "rules" : "open" }, "short" : "Code defined by a terminology system", "definition" : "A reference to a code defined by a terminology system.", "comment" : "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.", "requirements" : "Allows for alternative encodings within a code system, and translations to other code systems.", "min" : 0, "max" : "*", "base" : { "path" : "CodeableConcept.coding", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Coding" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.1-8, C*E.10-22" }, { "identity" : "rim", "map" : "union(., ./translation)" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" }] }, { "id" : "DiagnosticReport.code.coding:standard", "path" : "DiagnosticReport.code.coding", "sliceName" : "standard", "short" : "Standard diagnostic report code (LOINC, SNOMED CT)", "definition" : "Standard terminology code for the diagnostic report type when available", "comment" : "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.", "requirements" : "Allows for alternative encodings within a code system, and translations to other code systems.", "min" : 0, "max" : "*", "base" : { "path" : "CodeableConcept.coding", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Coding" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.1-8, C*E.10-22" }, { "identity" : "rim", "map" : "union(., ./translation)" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" }] }, { "id" : "DiagnosticReport.code.coding:standard.id", "path" : "DiagnosticReport.code.coding.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "DiagnosticReport.code.coding:standard.extension", "path" : "DiagnosticReport.code.coding.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "DiagnosticReport.code.coding:standard.system", "path" : "DiagnosticReport.code.coding.system", "short" : "Standard terminology system URI", "definition" : "The identification of the code system that defines the meaning of the symbol in the code.", "comment" : "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.", "requirements" : "Need to be unambiguous about the source of the definition of the symbol.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.system", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.3" }, { "identity" : "rim", "map" : "./codeSystem" }, { "identity" : "orim", "map" : "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" }] }, { "id" : "DiagnosticReport.code.coding:standard.version", "path" : "DiagnosticReport.code.coding.version", "short" : "Version of the system - if relevant", "definition" : "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.", "comment" : "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.version", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.7" }, { "identity" : "rim", "map" : "./codeSystemVersion" }, { "identity" : "orim", "map" : "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" }] }, { "id" : "DiagnosticReport.code.coding:standard.code", "path" : "DiagnosticReport.code.coding.code", "short" : "Symbol in syntax defined by the system", "definition" : "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).", "requirements" : "Need to refer to a particular code in the system.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.1" }, { "identity" : "rim", "map" : "./code" }, { "identity" : "orim", "map" : "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" }] }, { "id" : "DiagnosticReport.code.coding:standard.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "DiagnosticReport.code.coding.display", "short" : "Representation defined by the system", "definition" : "A representation of the meaning of the code in the system, following the rules of the system.", "requirements" : "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.display", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.2 - but note this is not well followed" }, { "identity" : "rim", "map" : "CV.displayName" }, { "identity" : "orim", "map" : "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" }] }, { "id" : "DiagnosticReport.code.coding:standard.userSelected", "path" : "DiagnosticReport.code.coding.userSelected", "short" : "If this coding was chosen directly by the user", "definition" : "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment" : "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.", "requirements" : "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "Sometimes implied by being first" }, { "identity" : "rim", "map" : "CD.codingRationale" }, { "identity" : "orim", "map" : "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" }] }, { "id" : "DiagnosticReport.code.coding:rawCode", "path" : "DiagnosticReport.code.coding", "sliceName" : "rawCode", "short" : "Source EMR diagnostic report type code", "definition" : "Original diagnostic report type code from source EMR system", "comment" : "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.", "requirements" : "Allows for alternative encodings within a code system, and translations to other code systems.", "min" : 0, "max" : "*", "base" : { "path" : "CodeableConcept.coding", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Coding" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.1-8, C*E.10-22" }, { "identity" : "rim", "map" : "union(., ./translation)" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding" }] }, { "id" : "DiagnosticReport.code.coding:rawCode.id", "path" : "DiagnosticReport.code.coding.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "DiagnosticReport.code.coding:rawCode.extension", "path" : "DiagnosticReport.code.coding.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "DiagnosticReport.code.coding:rawCode.system", "path" : "DiagnosticReport.code.coding.system", "short" : "Source system URI or https://fhir.apps.health/NamingSystem/-diagnosticreport-code-raw-code", "definition" : "URI for the source EMR's diagnostic report type coding system.\nIf no standard URI exists, use the pattern:\nhttps://fhir.apps.health/NamingSystem/-diagnosticreport-code-raw-code", "comment" : "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.", "requirements" : "Need to be unambiguous about the source of the definition of the symbol.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.system", "min" : 0, "max" : "1" }, "type" : [{ "code" : "uri" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.3" }, { "identity" : "rim", "map" : "./codeSystem" }, { "identity" : "orim", "map" : "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem" }] }, { "id" : "DiagnosticReport.code.coding:rawCode.version", "path" : "DiagnosticReport.code.coding.version", "short" : "Version of the system - if relevant", "definition" : "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.", "comment" : "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.version", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.7" }, { "identity" : "rim", "map" : "./codeSystemVersion" }, { "identity" : "orim", "map" : "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion" }] }, { "id" : "DiagnosticReport.code.coding:rawCode.code", "path" : "DiagnosticReport.code.coding.code", "short" : "EMR-specific diagnostic report type code", "definition" : "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).", "requirements" : "Need to refer to a particular code in the system.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.code", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.1" }, { "identity" : "rim", "map" : "./code" }, { "identity" : "orim", "map" : "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code" }] }, { "id" : "DiagnosticReport.code.coding:rawCode.display", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "DiagnosticReport.code.coding.display", "short" : "EMR's display text for this report type", "definition" : "A representation of the meaning of the code in the system, following the rules of the system.", "requirements" : "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.", "min" : 1, "max" : "1", "base" : { "path" : "Coding.display", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.2 - but note this is not well followed" }, { "identity" : "rim", "map" : "CV.displayName" }, { "identity" : "orim", "map" : "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName" }] }, { "id" : "DiagnosticReport.code.coding:rawCode.userSelected", "path" : "DiagnosticReport.code.coding.userSelected", "short" : "If this coding was chosen directly by the user", "definition" : "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).", "comment" : "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.", "requirements" : "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.", "min" : 0, "max" : "1", "base" : { "path" : "Coding.userSelected", "min" : 0, "max" : "1" }, "type" : [{ "code" : "boolean" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "Sometimes implied by being first" }, { "identity" : "rim", "map" : "CD.codingRationale" }, { "identity" : "orim", "map" : "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]" }] }, { "id" : "DiagnosticReport.code.text", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "DiagnosticReport.code.text", "short" : "Human-readable report type description (required)", "definition" : "Plain text representation of the diagnostic report type, required for all entries", "comment" : "Very often the text is the same as a displayName of one of the codings.", "requirements" : "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.", "min" : 1, "max" : "1", "base" : { "path" : "CodeableConcept.text", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "C*E.9. But note many systems use C*E.2 for this" }, { "identity" : "rim", "map" : "./originalText[mediaType/code=\"text/plain\"]/data" }, { "identity" : "orim", "map" : "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText" }] }, { "id" : "DiagnosticReport.subject", "path" : "DiagnosticReport.subject", "short" : "The subject of the report - usually a patient", "definition" : "The patient who is the subject of the diagnostic report. Must reference using Polaris patient identifier.", "comment" : "References should use identifier-based references following Polaris patterns.", "requirements" : "SHALL know the subject context.", "alias" : ["Patient"], "min" : 1, "max" : "1", "base" : { "path" : "DiagnosticReport.subject", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["https://fhir.apps.health/StructureDefinition/polaris-core-patient"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "workflow", "map" : "Event.subject" }, { "identity" : "w5", "map" : "FiveWs.subject[x]" }, { "identity" : "v2", "map" : "PID-3 (no HL7 v2 mapping for Group or Device)" }, { "identity" : "rim", "map" : "participation[typeCode=SBJ]" }, { "identity" : "w5", "map" : "FiveWs.subject" }] }, { "id" : "DiagnosticReport.encounter", "path" : "DiagnosticReport.encounter", "short" : "Healthcare event when report was generated", "definition" : "The encounter during which this diagnostic report was generated. Optional but provides important clinical context.", "comment" : "Linking to encounter helps establish the clinical context and timing of the diagnostic testing.", "requirements" : "Links the request to the Encounter context.", "alias" : ["Context"], "min" : 0, "max" : "1", "base" : { "path" : "DiagnosticReport.encounter", "min" : 0, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["https://fhir.apps.health/StructureDefinition/polaris-core-encounter"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "workflow", "map" : "Event.encounter" }, { "identity" : "w5", "map" : "FiveWs.context" }, { "identity" : "v2", "map" : "PV1-19" }, { "identity" : "rim", "map" : "inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]" }] }, { "id" : "DiagnosticReport.effective[x]", "path" : "DiagnosticReport.effective[x]", "short" : "Clinically relevant time/time-period for report", "definition" : "The time or time-period the observed values are related to. This is usually the time specimen was collected or imaging was performed.", "comment" : "For lab reports, this is typically when specimen was collected. For imaging, when the images were taken.", "requirements" : "Need to know where in the patient history to file/present this report.", "alias" : ["Observation time", "Effective Time", "Occurrence"], "min" : 1, "max" : "1", "base" : { "path" : "DiagnosticReport.effective[x]", "min" : 0, "max" : "1" }, "type" : [{ "code" : "dateTime" }, { "code" : "Period" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "mustSupport" : true, "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "workflow", "map" : "Event.occurrence[x]" }, { "identity" : "w5", "map" : "FiveWs.done[x]" }, { "identity" : "v2", "map" : "OBR-7" }, { "identity" : "rim", "map" : "effectiveTime" }] }, { "id" : "DiagnosticReport.issued", "path" : "DiagnosticReport.issued", "short" : "DateTime report was released", "definition" : "The date and time that this version of the report was made available to providers.", "comment" : "May be different from the effective date, especially for amended reports.", "requirements" : "Clinicians need to be able to check the date that the report was released.", "alias" : ["Date published", "Date Issued", "Date Verified"], "min" : 0, "max" : "1", "base" : { "path" : "DiagnosticReport.issued", "min" : 0, "max" : "1" }, "type" : [{ "code" : "instant" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "w5", "map" : "FiveWs.recorded" }, { "identity" : "v2", "map" : "OBR-22" }, { "identity" : "rim", "map" : "participation[typeCode=VRF or AUT].time" }] }, { "id" : "DiagnosticReport.performer", "path" : "DiagnosticReport.performer", "short" : "Responsible Diagnostic Service", "definition" : "The diagnostic service that is responsible for issuing the report.", "comment" : "This is not necessarily the source of the atomic data items or the entity that interpreted the results. It is the entity that takes responsibility for the clinical report.", "requirements" : "Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis.", "alias" : ["Laboratory", "Service", "Practitioner", "Department", "Company", "Authorized by", "Director"], "min" : 0, "max" : "*", "base" : { "path" : "DiagnosticReport.performer", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/Organization", "http://hl7.org/fhir/StructureDefinition/CareTeam"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "workflow", "map" : "Event.performer.actor" }, { "identity" : "w5", "map" : "FiveWs.actor" }, { "identity" : "v2", "map" : "PRT-8 (where this PRT-4-Participation = \"PO\")" }, { "identity" : "rim", "map" : ".participation[typeCode=PRF]" }] }, { "id" : "DiagnosticReport.resultsInterpreter", "path" : "DiagnosticReport.resultsInterpreter", "short" : "Primary result interpreter", "definition" : "The practitioner or organization that is responsible for the report's conclusions and interpretations.", "comment" : "Might not be the same entity that takes responsibility for the clinical report.", "requirements" : "Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis.", "alias" : ["Analyzed by", "Reported by"], "min" : 0, "max" : "*", "base" : { "path" : "DiagnosticReport.resultsInterpreter", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/Organization", "http://hl7.org/fhir/StructureDefinition/CareTeam"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "workflow", "map" : "Event.performer.actor" }, { "identity" : "w5", "map" : "FiveWs.actor" }, { "identity" : "v2", "map" : "OBR-32, PRT-8 (where this PRT-4-Participation = \"PI\")" }, { "identity" : "rim", "map" : ".participation[typeCode=PRF]" }] }, { "id" : "DiagnosticReport.specimen", "path" : "DiagnosticReport.specimen", "short" : "Specimens this report is based on", "definition" : "Details about the specimens on which this diagnostic report is based.", "comment" : "If the specimen is sufficiently specified with a code in the test result name, then this additional data may be redundant. If there are multiple specimens, these may be represented per observation or group.", "requirements" : "Need to be able to report information about the collected specimens on which the report is based.", "min" : 0, "max" : "*", "base" : { "path" : "DiagnosticReport.specimen", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Specimen"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "v2", "map" : "SPM" }, { "identity" : "rim", "map" : "participation[typeCode=SBJ]" }] }, { "id" : "DiagnosticReport.result", "path" : "DiagnosticReport.result", "short" : "Observations that are part of this report", "definition" : "References to the Observations that are part of this diagnostic report.", "comment" : "Individual results are represented as separate Observation resources.", "requirements" : "Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.", "alias" : ["Data", "Atomic Value", "Result", "Atomic result", "Data", "Test", "Analyte", "Battery", "Organizer"], "min" : 0, "max" : "*", "base" : { "path" : "DiagnosticReport.result", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["https://fhir.apps.health/StructureDefinition/polaris-core-observation"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "v2", "map" : "OBXs" }, { "identity" : "rim", "map" : "outboundRelationship[typeCode=COMP].target" }] }, { "id" : "DiagnosticReport.imagingStudy", "path" : "DiagnosticReport.imagingStudy", "short" : "Reference to full details of imaging associated with the diagnostic report", "definition" : "One or more links to full details of any imaging performed during the diagnostic investigation. Typically, this is imaging performed by DICOM enabled modalities, but this is not required. A fully enabled PACS viewer can use this information to provide views of the source images.", "comment" : "ImagingStudy and the image element are somewhat overlapping - typically, the list of image references in the image element will also be found in one of the imaging study resources. However, each caters to different types of displays for different types of purposes. Neither, either, or both may be provided.", "min" : 0, "max" : "*", "base" : { "path" : "DiagnosticReport.imagingStudy", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ImagingStudy"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "outboundRelationship[typeCode=COMP].target[classsCode=DGIMG, moodCode=EVN]" }] }, { "id" : "DiagnosticReport.media", "path" : "DiagnosticReport.media", "short" : "Key images associated with this report", "definition" : "A list of key images associated with this report. The images are generally created during the diagnostic process, and may be directly of the patient, or of treated specimens (i.e. slides of interest).", "requirements" : "Many diagnostic services include images in the report as part of their service.", "alias" : ["DICOM", "Slides", "Scans"], "min" : 0, "max" : "*", "base" : { "path" : "DiagnosticReport.media", "min" : 0, "max" : "*" }, "type" : [{ "code" : "BackboneElement" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "OBX?" }, { "identity" : "rim", "map" : "outboundRelationship[typeCode=COMP].target" }] }, { "id" : "DiagnosticReport.media.id", "path" : "DiagnosticReport.media.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "DiagnosticReport.media.extension", "path" : "DiagnosticReport.media.extension", "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "DiagnosticReport.media.modifierExtension", "path" : "DiagnosticReport.media.modifierExtension", "short" : "Extensions that cannot be ignored even if unrecognized", "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).", "alias" : ["extensions", "user content", "modifiers"], "min" : 0, "max" : "*", "base" : { "path" : "BackboneElement.modifierExtension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : true, "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A" }] }, { "id" : "DiagnosticReport.media.comment", "path" : "DiagnosticReport.media.comment", "short" : "Comment about the image (e.g. explanation)", "definition" : "A comment about the image. Typically, this is used to provide an explanation for why the image is included, or to draw the viewer's attention to important features.", "comment" : "The comment should be displayed with the image. It would be common for the report to include additional discussion of the image contents in other sections such as the conclusion.", "requirements" : "The provider of the report should make a comment about each image included in the report.", "min" : 0, "max" : "1", "base" : { "path" : "DiagnosticReport.media.comment", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : ".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value" }] }, { "id" : "DiagnosticReport.media.link", "path" : "DiagnosticReport.media.link", "short" : "Reference to the image source", "definition" : "Reference to the image source.", "min" : 1, "max" : "1", "base" : { "path" : "DiagnosticReport.media.link", "min" : 1, "max" : "1" }, "type" : [{ "code" : "Reference", "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Media"] }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : ".value.reference" }] }, { "id" : "DiagnosticReport.conclusion", "path" : "DiagnosticReport.conclusion", "short" : "Clinical conclusion (interpretation) of test results", "definition" : "Concise and clinically contextualized summary conclusion of the diagnostic report.", "comment" : "The narrative conclusion shall only contain filtered information from the report.", "requirements" : "Need to be able to provide a conclusion that is not lost among the basic result data.", "alias" : ["Report"], "min" : 0, "max" : "1", "base" : { "path" : "DiagnosticReport.conclusion", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "v2", "map" : "OBX" }, { "identity" : "rim", "map" : "inboundRelationship[typeCode=\"SPRT\"].source[classCode=OBS, moodCode=EVN, code=LOINC:48767-8].value (type=ST)" }] }, { "id" : "DiagnosticReport.conclusionCode", "path" : "DiagnosticReport.conclusionCode", "short" : "Codes for the clinical conclusion", "definition" : "Coded representation of the conclusion.", "min" : 0, "max" : "*", "base" : { "path" : "DiagnosticReport.conclusionCode", "min" : 0, "max" : "*" }, "type" : [{ "code" : "CodeableConcept" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false, "binding" : { "strength" : "example", "valueSet" : "http://hl7.org/fhir/ValueSet/clinical-findings" }, "mapping" : [{ "identity" : "v2", "map" : "OBX" }, { "identity" : "rim", "map" : "inboundRelationship[typeCode=SPRT].source[classCode=OBS, moodCode=EVN, code=LOINC:54531-9].value (type=CD)" }] }, { "id" : "DiagnosticReport.presentedForm", "path" : "DiagnosticReport.presentedForm", "short" : "Entire report as issued", "definition" : "Rich text representation of the entire result as issued by the diagnostic service.", "comment" : "Multiple formats of the same report may be provided (e.g., PDF and HTML).", "requirements" : "Gives laboratory the ability to provide its own fully formatted report for clinical fidelity.", "min" : 0, "max" : "*", "base" : { "path" : "DiagnosticReport.presentedForm", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Attachment" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "v2", "map" : "OBX" }, { "identity" : "rim", "map" : "text (type=ED)" }] }, { "id" : "DiagnosticReport.presentedForm.id", "path" : "DiagnosticReport.presentedForm.id", "representation" : ["xmlAttr"], "short" : "Unique id for inter-element referencing", "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "min" : 0, "max" : "1", "base" : { "path" : "Element.id", "min" : 0, "max" : "1" }, "type" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl" : "string" }], "code" : "http://hl7.org/fhirpath/System.String" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "DiagnosticReport.presentedForm.extension", "path" : "DiagnosticReport.presentedForm.extension", "slicing" : { "discriminator" : [{ "type" : "value", "path" : "url" }], "description" : "Extensions are always sliced by (at least) url", "rules" : "open" }, "short" : "Additional content defined by implementations", "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.", "alias" : ["extensions", "user content"], "min" : 0, "max" : "*", "base" : { "path" : "Element.extension", "min" : 0, "max" : "*" }, "type" : [{ "code" : "Extension" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }, { "key" : "ext-1", "severity" : "error", "human" : "Must have either extensions or value[x], not both", "expression" : "extension.exists() != value.exists()", "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source" : "http://hl7.org/fhir/StructureDefinition/Extension" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "rim", "map" : "n/a" }] }, { "id" : "DiagnosticReport.presentedForm.contentType", "path" : "DiagnosticReport.presentedForm.contentType", "short" : "Mime type of the content (e.g., application/pdf)", "definition" : "Identifies the type of the data in the attachment and allows a method to be chosen to interpret or render the data. Includes mime type parameters such as charset where appropriate.", "requirements" : "Processors of the data need to be able to know how to interpret the data.", "min" : 1, "max" : "1", "base" : { "path" : "Attachment.contentType", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "example" : [{ "label" : "General", "valueCode" : "text/plain; charset=UTF-8, image/png" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "MimeType" }], "strength" : "required", "description" : "The mime type of an attachment. Any valid mime type is allowed.", "valueSet" : "http://hl7.org/fhir/ValueSet/mimetypes|4.0.1" }, "mapping" : [{ "identity" : "v2", "map" : "ED.2+ED.3/RP.2+RP.3. Note conversion may be needed if old style values are being used" }, { "identity" : "rim", "map" : "./mediaType, ./charset" }] }, { "id" : "DiagnosticReport.presentedForm.language", "path" : "DiagnosticReport.presentedForm.language", "short" : "Human language of the content (BCP-47)", "definition" : "The human language of the content. The value can be any valid value according to BCP 47.", "requirements" : "Users need to be able to choose between the languages in a set of attachments.", "min" : 0, "max" : "1", "base" : { "path" : "Attachment.language", "min" : 0, "max" : "1" }, "type" : [{ "code" : "code" }], "example" : [{ "label" : "General", "valueCode" : "en-AU" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "binding" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet", "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages" }, { "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString" : "Language" }], "strength" : "preferred", "description" : "A human language.", "valueSet" : "http://hl7.org/fhir/ValueSet/languages" }, "mapping" : [{ "identity" : "rim", "map" : "./language" }] }, { "id" : "DiagnosticReport.presentedForm.data", "path" : "DiagnosticReport.presentedForm.data", "short" : "Data inline, base64 encoded", "definition" : "The actual data of the attachment - a sequence of bytes, base64 encoded.", "comment" : "The base64-encoded data SHALL be expressed in the same character set as the base resource XML or JSON.", "requirements" : "The data needs to able to be transmitted inline.", "min" : 0, "max" : "1", "base" : { "path" : "Attachment.data", "min" : 0, "max" : "1" }, "type" : [{ "code" : "base64Binary" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : false, "mapping" : [{ "identity" : "v2", "map" : "ED.5" }, { "identity" : "rim", "map" : "./data" }] }, { "id" : "DiagnosticReport.presentedForm.url", "path" : "DiagnosticReport.presentedForm.url", "short" : "Uri where the data can be found", "definition" : "A location where the data can be accessed.", "comment" : "If both data and url are provided, the url SHALL point to the same content as the data contains. Urls may be relative references or may reference transient locations such as a wrapping envelope using cid: though this has ramifications for using signatures. Relative URLs are interpreted relative to the service url, like a resource reference, rather than relative to the resource itself. If a URL is provided, it SHALL resolve to actual data.", "requirements" : "The data needs to be transmitted by reference.", "min" : 0, "max" : "1", "base" : { "path" : "Attachment.url", "min" : 0, "max" : "1" }, "type" : [{ "code" : "url" }], "example" : [{ "label" : "General", "valueUrl" : "http://www.acme.com/logo-small.png" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "v2", "map" : "RP.1+RP.2 - if they refer to a URL (see v2.6)" }, { "identity" : "rim", "map" : "./reference/literal" }] }, { "id" : "DiagnosticReport.presentedForm.size", "path" : "DiagnosticReport.presentedForm.size", "short" : "Number of bytes of content (if url provided)", "definition" : "The number of bytes of data that make up this attachment (before base64 encoding, if that is done).", "comment" : "The number of bytes is redundant if the data is provided as a base64binary, but is useful if the data is provided as a url reference.", "requirements" : "Representing the size allows applications to determine whether they should fetch the content automatically in advance, or refuse to fetch it at all.", "min" : 0, "max" : "1", "base" : { "path" : "Attachment.size", "min" : 0, "max" : "1" }, "type" : [{ "code" : "unsignedInt" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A (needs data type R3 proposal)" }] }, { "id" : "DiagnosticReport.presentedForm.hash", "path" : "DiagnosticReport.presentedForm.hash", "short" : "Hash of the data (sha-1, base64ed)", "definition" : "The calculated hash of the data using SHA-1. Represented using base64.", "comment" : "The hash is calculated on the data prior to base64 encoding, if the data is based64 encoded. The hash is not intended to support digital signatures. Where protection against malicious threats a digital signature should be considered, see [Provenance.signature](http://hl7.org/fhir/R4/provenance-definitions.html#Provenance.signature) for mechanism to protect a resource with a digital signature.", "requirements" : "Included so that applications can verify that the contents of a location have not changed due to technical failures (e.g., storage rot, transport glitch, incorrect version).", "min" : 0, "max" : "1", "base" : { "path" : "Attachment.hash", "min" : 0, "max" : "1" }, "type" : [{ "code" : "base64Binary" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : ".integrityCheck[parent::ED/integrityCheckAlgorithm=\"SHA-1\"]" }] }, { "id" : "DiagnosticReport.presentedForm.title", "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable", "valueBoolean" : true }], "path" : "DiagnosticReport.presentedForm.title", "short" : "Label to display in place of the data", "definition" : "A label or set of text to display in place of the data.", "requirements" : "Applications need a label to display to a human user in place of the actual data if the data cannot be rendered or perceived by the viewer.", "min" : 0, "max" : "1", "base" : { "path" : "Attachment.title", "min" : 0, "max" : "1" }, "type" : [{ "code" : "string" }], "example" : [{ "label" : "General", "valueString" : "Official Corporate Logo" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "./title/data" }] }, { "id" : "DiagnosticReport.presentedForm.creation", "path" : "DiagnosticReport.presentedForm.creation", "short" : "Date attachment was first created", "definition" : "The date that the attachment was first created.", "requirements" : "This is often tracked as an integrity issue for use of the attachment.", "min" : 0, "max" : "1", "base" : { "path" : "Attachment.creation", "min" : 0, "max" : "1" }, "type" : [{ "code" : "dateTime" }], "constraint" : [{ "key" : "ele-1", "severity" : "error", "human" : "All FHIR elements must have a @value or children", "expression" : "hasValue() or (children().count() > id.count())", "xpath" : "@value|f:*|h:div", "source" : "http://hl7.org/fhir/StructureDefinition/Element" }], "isModifier" : false, "isSummary" : true, "mapping" : [{ "identity" : "rim", "map" : "N/A (needs data type R3 proposal)" }] }] }, "differential" : { "element" : [{ "id" : "DiagnosticReport", "path" : "DiagnosticReport", "short" : "Polaris Diagnostic Report Core", "definition" : "Represents diagnostic test results and findings, capturing key details\nlike report status, code, subject, and result references using standard\nPolaris references. Uses instance-specific identifiers for tracking\ndiagnostic reports across systems.", "constraint" : [{ "key" : "diagnosticreport-has-polaris-id", "severity" : "error", "human" : "Must have at least one identifier with a canonical Polaris system URI", "expression" : "identifier.exists(system.matches('^https://fhir.apps.health/NamingSystem/[A-Za-z0-9._-]+-diagnosticreport-identifier$'))", "source" : "https://fhir.apps.health/StructureDefinition/polaris-core-diagnosticreport" }] }, { "id" : "DiagnosticReport.meta.source", "path" : "DiagnosticReport.meta.source", "short" : "Identifies EMR instance & pipeline version the resource came from", "definition" : "A URI that identifies the EMR pipeline and version from which this resource originated. This tells you which EMR instance (recommend using the instance identifier), and the version of the pipeline code/transformations.", "mustSupport" : true }, { "id" : "DiagnosticReport.text", "path" : "DiagnosticReport.text", "short" : "Narrative", "definition" : "A human-readable narrative summary of the PolarisCoreDiagnosticReport resource for human interpretation.", "mustSupport" : true }, { "id" : "DiagnosticReport.identifier", "path" : "DiagnosticReport.identifier", "slicing" : { "discriminator" : [{ "type" : "pattern", "path" : "system" }], "description" : "Slice identifiers by system", "rules" : "open" }, "short" : "Business identifier(s) for diagnostic report", "definition" : "Unique identifiers for the diagnostic report.\n\nAt least one must use the Polaris naming convention pattern.\n\nWhen a source/local 'raw code' identifier exists (e.g. from source EMR),\nit SHOULD be included as an additional identifier.\n\nIf the raw code's system is known and appropriate, use that.\nIf no recognized system exists, implementers MAY:\n • invent a URI for the system, OR\n • use the fallback URI template: https://fhir.apps.health/NamingSystem/-diagnosticreport-raw-code", "min" : 1, "mustSupport" : true }, { "id" : "DiagnosticReport.identifier:polarisId", "path" : "DiagnosticReport.identifier", "sliceName" : "polarisId", "short" : "Polaris DiagnosticReport ID", "definition" : "The primary Polaris identifier for this diagnostic report, following the standard Polaris naming pattern", "min" : 1, "max" : "1", "mustSupport" : true }, { "id" : "DiagnosticReport.identifier:polarisId.use", "path" : "DiagnosticReport.identifier.use", "patternCode" : "official" }, { "id" : "DiagnosticReport.identifier:polarisId.system", "path" : "DiagnosticReport.identifier.system", "short" : "Polaris diagnosticreport identifier system: https://fhir.apps.health/NamingSystem/-diagnosticreport-identifier", "definition" : "Must match the pattern: https://fhir.apps.health/NamingSystem/-diagnosticreport-identifier", "comment" : "Example: https://fhir.apps.health/NamingSystem/lab-system-12345-diagnosticreport-identifier", "min" : 1 }, { "id" : "DiagnosticReport.identifier:polarisId.value", "path" : "DiagnosticReport.identifier.value", "short" : "The actual Polaris diagnostic report ID value: unique in source system", "min" : 1 }, { "id" : "DiagnosticReport.identifier:rawCode", "path" : "DiagnosticReport.identifier", "sliceName" : "rawCode", "short" : "Source EMR diagnostic report identifier", "definition" : "The original raw identifier(s) from the source EMR system", "min" : 0, "max" : "*", "mustSupport" : true }, { "id" : "DiagnosticReport.identifier:rawCode.use", "path" : "DiagnosticReport.identifier.use", "patternCode" : "secondary" }, { "id" : "DiagnosticReport.identifier:rawCode.system", "path" : "DiagnosticReport.identifier.system", "short" : "Source system URI or https://fhir.apps.health/NamingSystem/-diagnosticreport-raw-code", "definition" : "URI identifying the code system for the raw code.\nIf the system is known, use the appropriate URI.\nIf unknown, use a constructed URI or the fallback:\n`https://fhir.apps.health/NamingSystem/-diagnosticreport-raw-code`", "min" : 1 }, { "id" : "DiagnosticReport.identifier:rawCode.value", "path" : "DiagnosticReport.identifier.value", "min" : 1 }, { "id" : "DiagnosticReport.status", "path" : "DiagnosticReport.status", "short" : "registered | partial | preliminary | final | amended | corrected | appended | cancelled", "definition" : "The status of the diagnostic report. Indicates whether the report is complete and verified.", "comment" : "This is a modifier element. Preliminary reports should be interpreted with caution.", "mustSupport" : true, "binding" : { "strength" : "required", "valueSet" : "http://hl7.org/fhir/ValueSet/diagnostic-report-status" } }, { "id" : "DiagnosticReport.category", "path" : "DiagnosticReport.category", "short" : "Service category with raw code support", "definition" : "Classification of the clinical discipline, department or diagnostic service that created the report.\n\nRECOMMENDED: Standard terminology codes (e.g., HL7 Diagnostic Service Section Codes)\nOPTIONAL: Raw EMR codes for source system preservation\n\nMultiple categories may be specified to classify the report in different ways.", "mustSupport" : true }, { "id" : "DiagnosticReport.category.coding", "path" : "DiagnosticReport.category.coding", "slicing" : { "discriminator" : [{ "type" : "pattern", "path" : "system" }], "description" : "Slice by code system", "rules" : "open" } }, { "id" : "DiagnosticReport.category.coding:standard", "path" : "DiagnosticReport.category.coding", "sliceName" : "standard", "short" : "Standard service category code", "definition" : "Standard terminology code for the service category when available", "min" : 0, "max" : "*", "mustSupport" : true }, { "id" : "DiagnosticReport.category.coding:standard.system", "path" : "DiagnosticReport.category.coding.system", "short" : "Standard terminology system URI", "min" : 1 }, { "id" : "DiagnosticReport.category.coding:standard.code", "path" : "DiagnosticReport.category.coding.code", "min" : 1 }, { "id" : "DiagnosticReport.category.coding:rawCode", "path" : "DiagnosticReport.category.coding", "sliceName" : "rawCode", "short" : "Source EMR service category code", "definition" : "Original service category code from source EMR system", "min" : 0, "max" : "*", "mustSupport" : true }, { "id" : "DiagnosticReport.category.coding:rawCode.system", "path" : "DiagnosticReport.category.coding.system", "short" : "Source system URI or https://fhir.apps.health/NamingSystem/-diagnosticreport-category-raw-code", "definition" : "URI for the source EMR's service category coding system.\nIf no standard URI exists, use the pattern:\nhttps://fhir.apps.health/NamingSystem/-diagnosticreport-category-raw-code", "min" : 1 }, { "id" : "DiagnosticReport.category.coding:rawCode.code", "path" : "DiagnosticReport.category.coding.code", "short" : "EMR-specific service category code", "min" : 1 }, { "id" : "DiagnosticReport.category.coding:rawCode.display", "path" : "DiagnosticReport.category.coding.display", "short" : "EMR's display text for this category", "min" : 1 }, { "id" : "DiagnosticReport.code", "path" : "DiagnosticReport.code", "short" : "Diagnostic report type with raw code support", "definition" : "Type of diagnostic report (e.g., CBC, Chest X-ray, Lipid Panel).\n\nREQUIRED: text element for human readability\nRECOMMENDED: LOINC or other standard terminology when available\nOPTIONAL: Raw EMR codes for source system preservation\n\nPolaris does not mandate a specific coding system for diagnostic report types.\nThe text element ensures human readability even when coded values are not recognized.", "mustSupport" : true }, { "id" : "DiagnosticReport.code.coding", "path" : "DiagnosticReport.code.coding", "slicing" : { "discriminator" : [{ "type" : "pattern", "path" : "system" }], "description" : "Slice by code system", "rules" : "open" } }, { "id" : "DiagnosticReport.code.coding:standard", "path" : "DiagnosticReport.code.coding", "sliceName" : "standard", "short" : "Standard diagnostic report code (LOINC, SNOMED CT)", "definition" : "Standard terminology code for the diagnostic report type when available", "min" : 0, "max" : "*", "mustSupport" : true }, { "id" : "DiagnosticReport.code.coding:standard.system", "path" : "DiagnosticReport.code.coding.system", "short" : "Standard terminology system URI", "min" : 1 }, { "id" : "DiagnosticReport.code.coding:standard.code", "path" : "DiagnosticReport.code.coding.code", "min" : 1 }, { "id" : "DiagnosticReport.code.coding:rawCode", "path" : "DiagnosticReport.code.coding", "sliceName" : "rawCode", "short" : "Source EMR diagnostic report type code", "definition" : "Original diagnostic report type code from source EMR system", "min" : 0, "max" : "*", "mustSupport" : true }, { "id" : "DiagnosticReport.code.coding:rawCode.system", "path" : "DiagnosticReport.code.coding.system", "short" : "Source system URI or https://fhir.apps.health/NamingSystem/-diagnosticreport-code-raw-code", "definition" : "URI for the source EMR's diagnostic report type coding system.\nIf no standard URI exists, use the pattern:\nhttps://fhir.apps.health/NamingSystem/-diagnosticreport-code-raw-code", "min" : 1 }, { "id" : "DiagnosticReport.code.coding:rawCode.code", "path" : "DiagnosticReport.code.coding.code", "short" : "EMR-specific diagnostic report type code", "min" : 1 }, { "id" : "DiagnosticReport.code.coding:rawCode.display", "path" : "DiagnosticReport.code.coding.display", "short" : "EMR's display text for this report type", "min" : 1 }, { "id" : "DiagnosticReport.code.text", "path" : "DiagnosticReport.code.text", "short" : "Human-readable report type description (required)", "definition" : "Plain text representation of the diagnostic report type, required for all entries", "min" : 1, "mustSupport" : true }, { "id" : "DiagnosticReport.subject", "path" : "DiagnosticReport.subject", "short" : "The subject of the report - usually a patient", "definition" : "The patient who is the subject of the diagnostic report. Must reference using Polaris patient identifier.", "comment" : "References should use identifier-based references following Polaris patterns.", "min" : 1, "type" : [{ "code" : "Reference", "targetProfile" : ["https://fhir.apps.health/StructureDefinition/polaris-core-patient"] }], "mustSupport" : true }, { "id" : "DiagnosticReport.encounter", "path" : "DiagnosticReport.encounter", "short" : "Healthcare event when report was generated", "definition" : "The encounter during which this diagnostic report was generated. Optional but provides important clinical context.", "comment" : "Linking to encounter helps establish the clinical context and timing of the diagnostic testing.", "type" : [{ "code" : "Reference", "targetProfile" : ["https://fhir.apps.health/StructureDefinition/polaris-core-encounter"] }], "mustSupport" : true }, { "id" : "DiagnosticReport.effective[x]", "path" : "DiagnosticReport.effective[x]", "definition" : "The time or time-period the observed values are related to. This is usually the time specimen was collected or imaging was performed.", "comment" : "For lab reports, this is typically when specimen was collected. For imaging, when the images were taken.", "min" : 1, "mustSupport" : true }, { "id" : "DiagnosticReport.issued", "path" : "DiagnosticReport.issued", "short" : "DateTime report was released", "definition" : "The date and time that this version of the report was made available to providers.", "comment" : "May be different from the effective date, especially for amended reports." }, { "id" : "DiagnosticReport.result", "path" : "DiagnosticReport.result", "short" : "Observations that are part of this report", "definition" : "References to the Observations that are part of this diagnostic report.", "comment" : "Individual results are represented as separate Observation resources.", "type" : [{ "code" : "Reference", "targetProfile" : ["https://fhir.apps.health/StructureDefinition/polaris-core-observation"] }] }, { "id" : "DiagnosticReport.conclusion", "path" : "DiagnosticReport.conclusion", "definition" : "Concise and clinically contextualized summary conclusion of the diagnostic report.", "comment" : "The narrative conclusion shall only contain filtered information from the report." }, { "id" : "DiagnosticReport.conclusionCode", "path" : "DiagnosticReport.conclusionCode", "short" : "Codes for the clinical conclusion", "definition" : "Coded representation of the conclusion.", "binding" : { "strength" : "example", "valueSet" : "http://hl7.org/fhir/ValueSet/clinical-findings" } }, { "id" : "DiagnosticReport.presentedForm", "path" : "DiagnosticReport.presentedForm", "definition" : "Rich text representation of the entire result as issued by the diagnostic service.", "comment" : "Multiple formats of the same report may be provided (e.g., PDF and HTML)." }, { "id" : "DiagnosticReport.presentedForm.contentType", "path" : "DiagnosticReport.presentedForm.contentType", "short" : "Mime type of the content (e.g., application/pdf)", "min" : 1 }, { "id" : "DiagnosticReport.presentedForm.data", "path" : "DiagnosticReport.presentedForm.data", "short" : "Data inline, base64 encoded" }] } }