Diagnostic Data Services

DDS-Report-1

The Diagnostic Report (result) resource describes the findings and interpretation of diagnostic tests performed on patients, groups of patients, devices, and locations and/or specimens derived from these. A diagnostic report is the set of information that is typically provided by a diagnostic service when investigations are complete. The information can include a mix of atomic results, text reports, images, and codes. Report conclusions can be expressed as a simple text blob, structured coded data or as an attached fully formatted report such as a PDF.

NameCard.TypeDescription & Constraints
..DiagnosticReportDiagnosticReportA Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports

...id0..1IdLogical id of this artifact

...meta0..1MetaMetadata about the resource

...implicitRules0..1UriA set of rules under which this content was created

...language0..1CodeLanguage of the resource content
Binding A human language. (http://tools.ietf.org/html/bcp47)
Binding Strength Required

...text0..1NarrativeText summary of the resource, for human interpretation

...contained0..*ResourceContained, inline Resources

...identifier0..1IdentifierId for external references to this report

....id0..1Idxml:id (or equivalent in JSON)

....use0..1Codeusual | official | temp | secondary (If known)
Binding Identifies the purpose for this identifier, if known . (http://hl7.org/fhir/ValueSet/identifier-use)
Binding Strength Required
Example Value official

....type0..1CodeableConceptDescription of identifier
Binding A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. (http://hl7.org/fhir/ValueSet/identifier-type)
Binding Strength Extensible

.....id0..1Idxml:id (or equivalent in JSON)

.....coding0..1CodingCode defined by a terminology system

......id0..1Idxml:id (or equivalent in JSON)

......system1..1UriIdentity of the terminology system
Example Value http://hl7.org/fhir/ValueSet/identifier-type

......version0..1StringVersion of the system - if relevant

......code1..1CodeSymbol in syntax defined by the system

......display1..1StringRepresentation defined by the system

......userSelected0..1BooleanIf this coding was chosen directly by the user

.....text0..1StringPlain text representation of the concept

....system1..1UriThe namespace for the identifier
Example Value http://www.sampleth.nhs.uk/pathology/report-identifier

....value1..1StringThe value that is unique
Example Value STHTPATH89000000003

....period0..1PeriodTime period when id is/was valid for use

.....id0..1Idxml:id (or equivalent in JSON)

.....start1..1DateTimeStarting time with inclusive boundary

.....end0..1DateTimeEnd time with inclusive boundary, if not ongoing

....assigner0..1Reference (CareConnect-Organization-1)Organization that issued id (may be just text)

.....id0..1Idxml:id (or equivalent in JSON)

.....reference1..1StringRelative URL reference
Example Value Organization/223f5c66-66bf-4cea-a5d7-25ab9348b448

.....display0..1StringText alternative for the resource
Example Value Sampletown Teaching Hospitals, Pathology Services

...status1..1Coderegistered | partial | final | corrected | appended | cancelled | entered-in-error
Binding The status of the diagnostic report as a whole. (http://hl7.org/fhir/ValueSet/diagnostic-report-status)
Binding Strength Required
Example Value final

...category0..1CodeableConceptService category
Binding Codes for diagnostic service sections. (http://snomed.info/sct)
Binding Strength Example

....id0..1Idxml:id (or equivalent in JSON)

....coding0..1CodingCode defined by a terminology system

.....id0..1Idxml:id (or equivalent in JSON)

.....system1..1UriIdentity of the terminology system
Example Value http://snomed.info/sct

.....version0..1StringVersion of the system - if relevant

.....code1..1CodeSymbol in syntax defined by the system
Example Value 15220000

.....display1..1StringRepresentation defined by the system
Example Value Laboratory test

.....userSelected0..1BooleanIf this coding was chosen directly by the user

....text0..1StringPlain text representation of the concept

...code1..1CodeableConceptName/Code for this diagnostic report
Binding Codes that describe Diagnostic Reports. (http://hl7.org/fhir/ValueSet/diagnostic-service-sections)
Binding Strength Preferred

....id0..1Idxml:id (or equivalent in JSON)

....coding0..1CodingCode defined by a terminology system

.....id0..1Idxml:id (or equivalent in JSON)

.....system1..1UriIdentity of the terminology system
Fixed Value http://hl7.org/fhir/ValueSet/diagnostic-service-sections

.....version0..1StringVersion of the system - if relevant

.....code1..1CodeSymbol in syntax defined by the system
Example Value MB

.....display1..1StringRepresentation defined by the system
Example Value Micorbiology

.....userSelected0..1BooleanIf this coding was chosen directly by the user

....text0..1StringPlain text representation of the concept

...subject1..1Reference (CareConnect-Patient-1 | Group | Device | Location)The subject of the report which is the patient

...effective[x]1..1DateTime | PeriodClinically Relevant time/time-period for report

...issued1..1InstantDateTime this version was released

...performer1..1Reference (CareConnect-Organization-1 | CareConnect-Practitioner-1)Responsible Diagnostic Service

...request0..*Reference (DiagnosticOrder | ProcedureRequest | ReferralRequest)What was requested

...specimen0..*Reference (dds-report-specimen-1)Specimens this report is based on

....id0..1Idxml:id (or equivalent in JSON)

....reference0..1StringRelative, internal or absolute URL reference

....display0..1StringText alternative for the resource

...result0..*Reference (Observation)Observations - simple, or complex nested groups

....id0..1Idxml:id (or equivalent in JSON)

....reference0..1StringRelative, internal or absolute URL reference

....display0..1StringText alternative for the resource

...imagingStudy0..*Reference (ImagingStudy | ImagingObjectSelection)Reference to full details of imaging associated with the diagnostic report

...image0..*BackboneElementKey images associated with this report

....id0..1Idxml:id (or equivalent in JSON)

....comment0..1StringComment about the image (e.g. explanation)

....link1..1Reference (Media)Reference to the image source

.....id0..1Idxml:id (or equivalent in JSON)

.....reference1..1StringRelative, internal or absolute URL reference

.....display0..1StringText alternative for the resource

...conclusion0..1StringClinical Interpretation of test results
Example Value Immune to Hepatitis B. Immunity due to vaccination.

...codedDiagnosis0..*CodeableConceptCodes for the conclusion
Binding Diagnoses codes provided as adjuncts to the report. (http://hl7.org/fhir/ValueSet/clinical-findings)
Binding Strength Example

....id0..1Idxml:id (or equivalent in JSON)

....coding0..1CodingCode defined by a terminology system

.....id0..1Idxml:id (or equivalent in JSON)

.....system1..1UriIdentity of the terminology system
Fixed Value http://hl7.org/fhir/ValueSet/clinical-findings

.....version0..1StringVersion of the system - if relevant

.....code1..1CodeSymbol in syntax defined by the system
Example Value 271511000

.....display1..1StringRepresentation defined by the system
Example Value Hepatitis B immune

.....userSelected0..1BooleanIf this coding was chosen directly by the user

....text0..1StringPlain text representation of the concept

...presentedForm0..*AttachmentEntire report as issued

....id0..1Idxml:id (or equivalent in JSON)

....contentType0..1CodeMime type of the content, with charset etc.
Binding The mime type of an attachment. Any valid mime type is allowed. (http://www.rfc-editor.org/bcp/bcp13.txt)
Binding Strength Required
Example Value text/plain; charset=UTF-8, image/png

....language0..1CodeHuman language of the content (BCP-47)
Binding A human language. (https://fhir.hl7.org.uk/ValueSet/CareConnect-HumanLanguage-1)
Binding Strength Required
Example Value English

....data0..1Base64BinaryData inline, base64ed

....url0..1UriUri where the data can be found
Example Value http://www.sampleth.nhs.uk/pathology/logo-small.png

....size0..1UnsignedIntNumber of bytes of content (if url provided)

....hash0..1Base64BinaryHash of the data (sha-1, base64ed)

....title0..1StringLabel to display in place of the data
Example Value Official Corporate Logo

....creation0..1DateTimeDate attachment was first created

Path Name Binding Strength ValueSet
.DiagnosticReport.language language Required http://tools.ietf.org/html/bcp47
.DiagnosticReport.identifier.use use Required http://hl7.org/fhir/ValueSet/identifier-use
.DiagnosticReport.identifier.type type Extensible http://hl7.org/fhir/ValueSet/identifier-type
.DiagnosticReport.status status Required http://hl7.org/fhir/ValueSet/diagnostic-report-status
.DiagnosticReport.category category Example http://snomed.info/sct
.DiagnosticReport.code code Preferred http://hl7.org/fhir/ValueSet/diagnostic-service-sections
.DiagnosticReport.codedDiagnosis codedDiagnosis Example http://hl7.org/fhir/ValueSet/clinical-findings
.DiagnosticReport.presentedForm.contentType contentType Required http://www.rfc-editor.org/bcp/bcp13.txt
.DiagnosticReport.presentedForm.language language Required https://fhir.hl7.org.uk/ValueSet/CareConnect-HumanLanguage-1

DDS-Report-1

Examples Description XML File
DDS-Report-1-Ex01 Diagnostic report example for Diagnostic Data Services
DDS-Report-1-Ex02 Diagnostic report example for Diagnostic Data Services
DDS-Report-1-FBC-Ex01 Diagnostic report FBC example for Diagnostic Data Services
DDS-Report-1-FBC-NeonatalEx01 Diagnostic report Neo Natal example for Diagnostic Data Services
DDS-Report-1-StHl06 Diagnostic report example for Diagnostic Data Services
DDS-Report-1-StHl08 Diagnostic report example for Diagnostic Data Services