Diagnostic Data Services

DDS-Request-1

The Diagnostic Request resource describes the request for diagnostic tests performed on patients, groups of patients, devices, and locations, and/or specimens derived from these.

NameCard.TypeDescription & Constraints
..DiagnosticOrderDiagnosticOrderA Diagnostic Data Services Request.

...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

...subject (Patient)1..1Reference (CareConnect-Patient-1 | Group | Location | Device)The Patient who is the subject of the Diagnostic Data Services Request.

...orderer (Practitioner)1..1Reference (CareConnect-Practitioner-1)The Practitioner responsible for ordering the Diagnostic Data Services Request.

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

....reference1..1StringRelative URL reference.
Example Value urn:uuid:4BFCA0EF-85D0-4C5E-B662-D4910BB83D82

....display0..1StringText alternative for the resource.
Example Value Dr. Jones

...identifierIdentifiers assigned to this order
Slice: Ordering: Ordered, Discriminator: system, Rules: Closed

...identifier (Requestor ID)1..1IdentifierIdentifiers assigned to this order instance by the orderer, for example a GP.

....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

....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

......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://fhir.nhs.uk/request-identifier

....value1..1StringThe value that is unique
Example Value D4910BB83D82

....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/78D64BB3-B5B2-450B-AEB7-D9035EBC711D

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

...identifier (Reporter ID)0..1IdentifierIdentifiers assigned to this order instance by the order fulfiller, for example a laboratory

....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

....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

......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/request-identifier

....value1..1StringThe value that is unique
Example Value STHTPATH8667800054

....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

...encounter (Encounter)0..1Reference (Encounter)The Encounter associated with this Diagnostic Data Services Request.

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

....reference1..1StringRelative URL reference.

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

...reason (Reason)0..*CodeableConceptReason for Diagnostic Data Services Request.
Binding Diagnosis or problem codes justifying the reason for requesting the Diagnostic Data Services Request. (http://hl7.org/fhir/ValueSet/condition-code)
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 171123001

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

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

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

...supportingInformation (Clinical Information)0..*Reference (Observation | Condition | DocumentReference)Additional clinical information about the Diagnostic Data Services Request.

...specimen (Specimen)0..*Reference (Specimen)The Diagnostic Data Services Request specimen(s).

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

....reference1..1StringRelative URL reference.
Example Value Specimen/B603CEDE-8C3F-4909-9CB1-D47C0FDE9F8A

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

...status1..1Codeproposed | draft | planned | requested | received | accepted | in-progress | review | completed | cancelled | suspended | rejected | failed
Binding The status of a Diagnostic Data Services Request. (http://hl7.org/fhir/ValueSet/diagnostic-order-status)
Binding Strength Required
Example Value requested

...priority0..1Coderoutine | urgent | stat | asap
Binding The clinical priority of a Diagnostic Data Services Request. (http://hl7.org/fhir/ValueSet/diagnostic-order-priority)
Binding Strength Required
Example Value routine

...event (Event)0..*BackboneElementA list of events of interest in the lifecycle.

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

....status1..1Codeproposed | draft | planned | requested | received | accepted | in-progress | review | completed | cancelled | suspended | rejected | failed
Binding The status of a Diagnostic Data Services Request. (http://hl7.org/fhir/ValueSet/diagnostic-order-status)
Binding Strength Required
Example Value requested

....description0..1CodeableConceptMore information about the event and its context
Binding Additional information about an event that occurred to a Diagnostic Data Services Request - e.g. if the status remained unchanged. (http://hl7.org/fhir/ValueSet/diagnostic-order-event)
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/diagnostic-order-event

......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.

....dateTime1..1DateTimeThe date at which the event happened.

....actor0..1Reference (CareConnect-Practitioner-1)Who recorded or did this.

...item (Requested Item)0..*BackboneElementItems requested for the Diagnostic Data Services Request.

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

....code1..1CodeableConceptCode to indicate the item (test or panel) being ordered
Binding Codes for tests/services that can be performed by Diagnostic Data Services. (http://snomed.info/sct)
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://snomed.info/sct

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

......code1..1CodeSymbol in syntax defined by the system
Example Value 1028341000000105

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

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

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

....specimen0..*Reference (Specimen)Specimen related to the item.

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

.....reference1..1StringRelative URL reference to the Specimen.

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

....bodySite0..1CodeableConceptLocation of requested test (if applicable)
Binding Codes describing anatomical locations. May include laterality. (http://hl7.org/fhir/ValueSet/body-site)
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/body-site

......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.

....status0..1Codeproposed | draft | planned | requested | received | accepted | in-progress | review | completed | cancelled | suspended | rejected | failed
Binding The status of an item. (http://hl7.org/fhir/ValueSet/diagnostic-order-status)
Binding Strength Required

....event0..*see eventEvents specific to this item.

...note (Note)0..1AnnotationAdditional notes added to the Diagnostic Data Services Request.

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

....author[x]0..1CareConnect-Practitioner-1 | RelatedPerson | StringIndividual responsible for the annotation.

....time0..1DateTimeWhen the annotation was made.

....text (Free text)1..1StringThe annotation - text content.

Path Name Binding Strength ValueSet
.DiagnosticOrder.language language Required http://tools.ietf.org/html/bcp47
.DiagnosticOrder.identifier.use use Required http://hl7.org/fhir/ValueSet/identifier-use
.DiagnosticOrder.identifier.type type Extensible http://hl7.org/fhir/ValueSet/identifier-type
.DiagnosticOrder.reason Reason Example http://hl7.org/fhir/ValueSet/condition-code
.DiagnosticOrder.status status Required http://hl7.org/fhir/ValueSet/diagnostic-order-status
.DiagnosticOrder.priority priority Required http://hl7.org/fhir/ValueSet/diagnostic-order-priority
.DiagnosticOrder.event.description description Example http://hl7.org/fhir/ValueSet/diagnostic-order-event
.DiagnosticOrder.item.code code Preferred http://snomed.info/sct
.DiagnosticOrder.item.bodySite bodySite Example http://hl7.org/fhir/ValueSet/body-site

DDS-Request-1

Examples Description XML File
DDS-Request-1-Ex01 Request example for Diagnostic Data Services