OpenMRS Core FHIR Implementation Guide
0.1.0 - ci-build
OpenMRS Core FHIR Implementation Guide - Local Development build (v0.1.0). See the Directory of published versions
Official URL: http://fhir.openmrs.org/core/StructureDefinition/OpenMRS-diagnostic-report | Version: 0.1.0 | |||
Active as of 2023-06-23 | Computable Name: OpenMRSDiagnosticReport |
DiagnosticReport resource created by a OpenMRS that representing results of diagnostic tests that are performed in a given clinical context.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from DiagnosticReport
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
![]() ![]() ![]() | 1..1 | id | Logical id of this artifact | |
![]() ![]() ![]() | 1..1 | code | registered | partial | preliminary | final + | |
![]() ![]() ![]() | 1..1 | CodeableConcept | Name/Code for this diagnostic report | |
![]() ![]() ![]() ![]() | 0..* | Coding | Code defined by a terminology system Binding: OpenMRS Order Code (required) | |
![]() ![]() ![]() | 0..1 | Reference(Patient | Group | Device | Location) | The subject of the report - usually, but not always, the patient | |
![]() ![]() ![]() | 0..1 | Reference(Encounter) | Health care event when test ordered | |
![]() ![]() ![]() | 0..1 | instant | DateTime this version was made | |
![]() ![]() ![]() | 0..* | Reference(OpenMRS Observation) | Observations | |
![]() |
Path | Conformance | ValueSet |
DiagnosticReport.code.coding | required | OpenMRSOrderCodeVS (a valid code from LOINC) |
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
![]() ![]() ![]() | Σ | 1..1 | id | Logical id of this artifact |
![]() ![]() ![]() | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() ![]() | ?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() ![]() | ?!Σ | 1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. |
![]() ![]() ![]() | Σ | 1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. |
![]() ![]() ![]() ![]() | Σ | 0..* | Coding | Code defined by a terminology system Binding: OpenMRS Order Code (required) |
![]() ![]() ![]() | Σ | 0..1 | Reference(Patient | Group | Device | Location) | The subject of the report - usually, but not always, the patient |
![]() ![]() ![]() | Σ | 0..1 | Reference(Encounter) | Health care event when test ordered |
![]() ![]() ![]() | Σ | 0..1 | instant | DateTime this version was made |
![]() ![]() ![]() | 0..* | Reference(OpenMRS Observation) | Observations | |
![]() |
Path | Conformance | ValueSet |
DiagnosticReport.status | required | DiagnosticReportStatus |
DiagnosticReport.code | preferred | LOINCDiagnosticReportCodes (a valid code from LOINC) |
DiagnosticReport.code.coding | required | OpenMRSOrderCodeVS (a valid code from LOINC) |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Name | Flags | Card. | Type | Description & Constraints![]() | ||||
---|---|---|---|---|---|---|---|---|
![]() ![]() | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |||||
![]() ![]() ![]() | Σ | 1..1 | id | Logical id of this artifact | ||||
![]() ![]() ![]() | Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() ![]() | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() ![]() | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() ![]() | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
![]() ![]() ![]() | 0..* | Resource | Contained, inline Resources | |||||
![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() ![]() | Σ | 0..* | Identifier | Business identifier for report | ||||
![]() ![]() ![]() | 0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested | |||||
![]() ![]() ![]() | ?!Σ | 1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. | ||||
![]() ![]() ![]() | Σ | 0..* | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. | ||||
![]() ![]() ![]() | Σ | 1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. | ||||
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() | Σ | 0..* | Coding | Code defined by a terminology system Binding: OpenMRS Order Code (required) | ||||
![]() ![]() ![]() ![]() | Σ | 0..1 | string | Plain text representation of the concept | ||||
![]() ![]() ![]() | Σ | 0..1 | Reference(Patient | Group | Device | Location) | The subject of the report - usually, but not always, the patient | ||||
![]() ![]() ![]() | Σ | 0..1 | Reference(Encounter) | Health care event when test ordered | ||||
![]() ![]() ![]() | Σ | 0..1 | Clinically relevant time/time-period for report | |||||
![]() ![]() ![]() ![]() | dateTime | |||||||
![]() ![]() ![]() ![]() | Period | |||||||
![]() ![]() ![]() | Σ | 0..1 | instant | DateTime this version was made | ||||
![]() ![]() ![]() | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service | ||||
![]() ![]() ![]() | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter | ||||
![]() ![]() ![]() | 0..* | Reference(Specimen) | Specimens this report is based on | |||||
![]() ![]() ![]() | 0..* | Reference(OpenMRS Observation) | Observations | |||||
![]() ![]() ![]() | 0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic report | |||||
![]() ![]() ![]() | Σ | 0..* | BackboneElement | Key images associated with this report | ||||
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() | 0..1 | string | Comment about the image (e.g. explanation) | |||||
![]() ![]() ![]() ![]() | Σ | 1..1 | Reference(Media) | Reference to the image source | ||||
![]() ![]() ![]() | 0..1 | string | Clinical conclusion (interpretation) of test results | |||||
![]() ![]() ![]() | 0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. | |||||
![]() ![]() ![]() | 0..* | Attachment | Entire report as issued | |||||
![]() |
Path | Conformance | ValueSet | ||||
DiagnosticReport.language | preferred | CommonLanguages
| ||||
DiagnosticReport.status | required | DiagnosticReportStatus | ||||
DiagnosticReport.category | example | DiagnosticServiceSectionCodes | ||||
DiagnosticReport.code | preferred | LOINCDiagnosticReportCodes (a valid code from LOINC) | ||||
DiagnosticReport.code.coding | required | OpenMRSOrderCodeVS (a valid code from LOINC) | ||||
DiagnosticReport.conclusionCode | example | SNOMEDCTClinicalFindings |
Id | Grade | Path(s) | Details | Requirements |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from DiagnosticReport
Differential View
This structure is derived from DiagnosticReport
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
![]() ![]() ![]() | 1..1 | id | Logical id of this artifact | |
![]() ![]() ![]() | 1..1 | code | registered | partial | preliminary | final + | |
![]() ![]() ![]() | 1..1 | CodeableConcept | Name/Code for this diagnostic report | |
![]() ![]() ![]() ![]() | 0..* | Coding | Code defined by a terminology system Binding: OpenMRS Order Code (required) | |
![]() ![]() ![]() | 0..1 | Reference(Patient | Group | Device | Location) | The subject of the report - usually, but not always, the patient | |
![]() ![]() ![]() | 0..1 | Reference(Encounter) | Health care event when test ordered | |
![]() ![]() ![]() | 0..1 | instant | DateTime this version was made | |
![]() ![]() ![]() | 0..* | Reference(OpenMRS Observation) | Observations | |
![]() |
Path | Conformance | ValueSet |
DiagnosticReport.code.coding | required | OpenMRSOrderCodeVS (a valid code from LOINC) |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
![]() ![]() ![]() | Σ | 1..1 | id | Logical id of this artifact |
![]() ![]() ![]() | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() ![]() | ?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() ![]() | ?!Σ | 1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. |
![]() ![]() ![]() | Σ | 1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. |
![]() ![]() ![]() ![]() | Σ | 0..* | Coding | Code defined by a terminology system Binding: OpenMRS Order Code (required) |
![]() ![]() ![]() | Σ | 0..1 | Reference(Patient | Group | Device | Location) | The subject of the report - usually, but not always, the patient |
![]() ![]() ![]() | Σ | 0..1 | Reference(Encounter) | Health care event when test ordered |
![]() ![]() ![]() | Σ | 0..1 | instant | DateTime this version was made |
![]() ![]() ![]() | 0..* | Reference(OpenMRS Observation) | Observations | |
![]() |
Path | Conformance | ValueSet |
DiagnosticReport.status | required | DiagnosticReportStatus |
DiagnosticReport.code | preferred | LOINCDiagnosticReportCodes (a valid code from LOINC) |
DiagnosticReport.code.coding | required | OpenMRSOrderCodeVS (a valid code from LOINC) |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints![]() | ||||
---|---|---|---|---|---|---|---|---|
![]() ![]() | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |||||
![]() ![]() ![]() | Σ | 1..1 | id | Logical id of this artifact | ||||
![]() ![]() ![]() | Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() ![]() | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() ![]() | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() ![]() | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
![]() ![]() ![]() | 0..* | Resource | Contained, inline Resources | |||||
![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() ![]() | Σ | 0..* | Identifier | Business identifier for report | ||||
![]() ![]() ![]() | 0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested | |||||
![]() ![]() ![]() | ?!Σ | 1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. | ||||
![]() ![]() ![]() | Σ | 0..* | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. | ||||
![]() ![]() ![]() | Σ | 1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. | ||||
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() | Σ | 0..* | Coding | Code defined by a terminology system Binding: OpenMRS Order Code (required) | ||||
![]() ![]() ![]() ![]() | Σ | 0..1 | string | Plain text representation of the concept | ||||
![]() ![]() ![]() | Σ | 0..1 | Reference(Patient | Group | Device | Location) | The subject of the report - usually, but not always, the patient | ||||
![]() ![]() ![]() | Σ | 0..1 | Reference(Encounter) | Health care event when test ordered | ||||
![]() ![]() ![]() | Σ | 0..1 | Clinically relevant time/time-period for report | |||||
![]() ![]() ![]() ![]() | dateTime | |||||||
![]() ![]() ![]() ![]() | Period | |||||||
![]() ![]() ![]() | Σ | 0..1 | instant | DateTime this version was made | ||||
![]() ![]() ![]() | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service | ||||
![]() ![]() ![]() | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter | ||||
![]() ![]() ![]() | 0..* | Reference(Specimen) | Specimens this report is based on | |||||
![]() ![]() ![]() | 0..* | Reference(OpenMRS Observation) | Observations | |||||
![]() ![]() ![]() | 0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic report | |||||
![]() ![]() ![]() | Σ | 0..* | BackboneElement | Key images associated with this report | ||||
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() | 0..1 | string | Comment about the image (e.g. explanation) | |||||
![]() ![]() ![]() ![]() | Σ | 1..1 | Reference(Media) | Reference to the image source | ||||
![]() ![]() ![]() | 0..1 | string | Clinical conclusion (interpretation) of test results | |||||
![]() ![]() ![]() | 0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. | |||||
![]() ![]() ![]() | 0..* | Attachment | Entire report as issued | |||||
![]() |
Path | Conformance | ValueSet | ||||
DiagnosticReport.language | preferred | CommonLanguages
| ||||
DiagnosticReport.status | required | DiagnosticReportStatus | ||||
DiagnosticReport.category | example | DiagnosticServiceSectionCodes | ||||
DiagnosticReport.code | preferred | LOINCDiagnosticReportCodes (a valid code from LOINC) | ||||
DiagnosticReport.code.coding | required | OpenMRSOrderCodeVS (a valid code from LOINC) | ||||
DiagnosticReport.conclusionCode | example | SNOMEDCTClinicalFindings |
Id | Grade | Path(s) | Details | Requirements |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from DiagnosticReport
Other representations of profile: CSV, Excel, Schematron