Guías de Implementación FHIR | Ministerio de Salud de Costa Rica
0.2.0 - ci-build
Guías de Implementación FHIR | Ministerio de Salud de Costa Rica
0.2.0 - ci-build
Guías de Implementación FHIR | Ministerio de Salud de Costa Rica - Local Development build (v0.2.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: https://www.ministeriodesalud.go.cr/fhir/StructureDefinition/DiagnosticReportCR | Version: 0.2.0 | |||
| Draft a partir de 2023-11-30 | Computable Name: DiagnosticReportCR | |||
Recurso para el intercambio de resultados de laboratorio
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from DiagnosticReport
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  DiagnosticReport | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
  meta | 1..1 | Meta | Se establece con la fecha y hora de la última actualización del recurso. | |
| identifier | 0..1 | Identifier | Se utiliza para identificar el recurso en el sistema de información de origen. | |
| status | 1..1 | code | Se establece en final. | |
| category | 1..1 | CodeableConcept | Se establece en laboratory. | |
| code | 1..1 | CodeableConcept | Se establece en el código de la prueba de laboratorio. | |
 subject | 1..1 | Reference(Patient) | Se establece en el paciente. | |
| effective[x] | 1..1 | dateTime, Period | Se establece en la fecha y hora de la toma de la muestra. | |
| issued | 1..1 | instant | Se establece en la fecha y hora de la emisión del resultado. | |
| performer | S | 0..* | Reference(Practitioner) | Se establece en el laboratorio que realizó el análisis. |
| resultsInterpreter | S | 0..* | Reference(Practitioner) | Se establece en el profesional de la salud que interpreta el resultado. |
| result | S | 0..* | Reference(Observation) | Se establece el resultado. |
 conclusion | 1..1 | string | Se establece en la conclusión del resultado. | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| DiagnosticReport | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
 meta | Σ | 1..1 | Meta | Se establece con la fecha y hora de la última actualización del recurso. |
 implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier | Σ | 0..1 | Identifier | Se utiliza para identificar el recurso en el sistema de información de origen. |
| status | ?!Σ | 1..1 | code | Se establece en final. Binding: DiagnosticReportStatus (required): The status of the diagnostic report. |
| category | Σ | 1..1 | CodeableConcept | Se establece en laboratory. Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. |
| code | Σ | 1..1 | CodeableConcept | Se establece en el código de la prueba de laboratorio. Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. |
| subject | Σ | 1..1 | Reference(Patient) | Se establece en el paciente. |
  effective[x] | Σ | 1..1 | Se establece en la fecha y hora de la toma de la muestra. | |
 effectiveDateTime | dateTime | |||
| effectivePeriod | Period | |||
| issued | Σ | 1..1 | instant | Se establece en la fecha y hora de la emisión del resultado. |
| performer | SΣ | 0..* | Reference(Practitioner) | Se establece en el laboratorio que realizó el análisis. |
| resultsInterpreter | SΣ | 0..* | Reference(Practitioner) | Se establece en el profesional de la salud que interpreta el resultado. |
| result | S | 0..* | Reference(Observation) | Se establece el resultado. |
| conclusion | 1..1 | string | Se establece en la conclusión del resultado. | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| DiagnosticReport.status | required | DiagnosticReportStatushttp://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1from the FHIR Standard | |
| DiagnosticReport.category | example | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sectionsfrom the FHIR Standard | |
| DiagnosticReport.code | preferred | LOINCDiagnosticReportCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/report-codesfrom the FHIR Standard |
| 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 | ||||
|---|---|---|---|---|---|---|---|---|
| DiagnosticReport | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| meta | Σ | 1..1 | Meta | Se establece con la fecha y hora de la última actualización del recurso. | ||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
 extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | Σ | 0..1 | Identifier | Se utiliza para identificar el recurso en el sistema de información de origen. | ||||
| basedOn | 0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested | |||||
| status | ?!Σ | 1..1 | code | Se establece en final. Binding: DiagnosticReportStatus (required): The status of the diagnostic report. | ||||
| category | Σ | 1..1 | CodeableConcept | Se establece en laboratory. Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. | ||||
| code | Σ | 1..1 | CodeableConcept | Se establece en el código de la prueba de laboratorio. Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. | ||||
| subject | Σ | 1..1 | Reference(Patient) | Se establece en el paciente. | ||||
| encounter | Σ | 0..1 | Reference(Encounter) | Health care event when test ordered | ||||
| effective[x] | Σ | 1..1 | Se establece en la fecha y hora de la toma de la muestra. | |||||
| effectiveDateTime | dateTime | |||||||
| effectivePeriod | Period | |||||||
| issued | Σ | 1..1 | instant | Se establece en la fecha y hora de la emisión del resultado. | ||||
| performer | SΣ | 0..* | Reference(Practitioner) | Se establece en el laboratorio que realizó el análisis. | ||||
| resultsInterpreter | SΣ | 0..* | Reference(Practitioner) | Se establece en el profesional de la salud que interpreta el resultado. | ||||
| specimen | 0..* | Reference(Specimen) | Specimens this report is based on | |||||
| result | S | 0..* | Reference(Observation) | Se establece el resultado. | ||||
| imagingStudy | 0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic report | |||||
| media | Σ | 0..* | BackboneElement | Key images associated with this report | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| comment | 0..1 | string | Comment about the image (e.g. explanation) | |||||
| link | Σ | 1..1 | Reference(Media) | Reference to the image source | ||||
| conclusion | 1..1 | string | Se establece en la conclusión del resultado. | |||||
| conclusionCode | 0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. | |||||
| presentedForm | 0..* | Attachment | Entire report as issued | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| DiagnosticReport.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| DiagnosticReport.status | required | DiagnosticReportStatushttp://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1from the FHIR Standard | ||||
| DiagnosticReport.category | example | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sectionsfrom the FHIR Standard | ||||
| DiagnosticReport.code | preferred | LOINCDiagnosticReportCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/report-codesfrom the FHIR Standard | ||||
| DiagnosticReport.conclusionCode | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findingsfrom the FHIR Standard |
| 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() |
This structure is derived from DiagnosticReport
Differential View
This structure is derived from DiagnosticReport
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| DiagnosticReport | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
| meta | 1..1 | Meta | Se establece con la fecha y hora de la última actualización del recurso. | |
| identifier | 0..1 | Identifier | Se utiliza para identificar el recurso en el sistema de información de origen. | |
| status | 1..1 | code | Se establece en final. | |
| category | 1..1 | CodeableConcept | Se establece en laboratory. | |
| code | 1..1 | CodeableConcept | Se establece en el código de la prueba de laboratorio. | |
| subject | 1..1 | Reference(Patient) | Se establece en el paciente. | |
| effective[x] | 1..1 | dateTime, Period | Se establece en la fecha y hora de la toma de la muestra. | |
| issued | 1..1 | instant | Se establece en la fecha y hora de la emisión del resultado. | |
| performer | S | 0..* | Reference(Practitioner) | Se establece en el laboratorio que realizó el análisis. |
| resultsInterpreter | S | 0..* | Reference(Practitioner) | Se establece en el profesional de la salud que interpreta el resultado. |
| result | S | 0..* | Reference(Observation) | Se establece el resultado. |
| conclusion | 1..1 | string | Se establece en la conclusión del resultado. | |
| Documentation for this format | ||||
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| DiagnosticReport | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
| meta | Σ | 1..1 | Meta | Se establece con la fecha y hora de la última actualización del recurso. |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier | Σ | 0..1 | Identifier | Se utiliza para identificar el recurso en el sistema de información de origen. |
| status | ?!Σ | 1..1 | code | Se establece en final. Binding: DiagnosticReportStatus (required): The status of the diagnostic report. |
| category | Σ | 1..1 | CodeableConcept | Se establece en laboratory. Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. |
| code | Σ | 1..1 | CodeableConcept | Se establece en el código de la prueba de laboratorio. Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. |
| subject | Σ | 1..1 | Reference(Patient) | Se establece en el paciente. |
| effective[x] | Σ | 1..1 | Se establece en la fecha y hora de la toma de la muestra. | |
| effectiveDateTime | dateTime | |||
| effectivePeriod | Period | |||
| issued | Σ | 1..1 | instant | Se establece en la fecha y hora de la emisión del resultado. |
| performer | SΣ | 0..* | Reference(Practitioner) | Se establece en el laboratorio que realizó el análisis. |
| resultsInterpreter | SΣ | 0..* | Reference(Practitioner) | Se establece en el profesional de la salud que interpreta el resultado. |
| result | S | 0..* | Reference(Observation) | Se establece el resultado. |
| conclusion | 1..1 | string | Se establece en la conclusión del resultado. | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| DiagnosticReport.status | required | DiagnosticReportStatushttp://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1from the FHIR Standard | |
| DiagnosticReport.category | example | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sectionsfrom the FHIR Standard | |
| DiagnosticReport.code | preferred | LOINCDiagnosticReportCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/report-codesfrom the FHIR Standard |
| 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 | ||||
|---|---|---|---|---|---|---|---|---|
| DiagnosticReport | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| meta | Σ | 1..1 | Meta | Se establece con la fecha y hora de la última actualización del recurso. | ||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | Σ | 0..1 | Identifier | Se utiliza para identificar el recurso en el sistema de información de origen. | ||||
| basedOn | 0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested | |||||
| status | ?!Σ | 1..1 | code | Se establece en final. Binding: DiagnosticReportStatus (required): The status of the diagnostic report. | ||||
| category | Σ | 1..1 | CodeableConcept | Se establece en laboratory. Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. | ||||
| code | Σ | 1..1 | CodeableConcept | Se establece en el código de la prueba de laboratorio. Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. | ||||
| subject | Σ | 1..1 | Reference(Patient) | Se establece en el paciente. | ||||
| encounter | Σ | 0..1 | Reference(Encounter) | Health care event when test ordered | ||||
| effective[x] | Σ | 1..1 | Se establece en la fecha y hora de la toma de la muestra. | |||||
| effectiveDateTime | dateTime | |||||||
| effectivePeriod | Period | |||||||
| issued | Σ | 1..1 | instant | Se establece en la fecha y hora de la emisión del resultado. | ||||
| performer | SΣ | 0..* | Reference(Practitioner) | Se establece en el laboratorio que realizó el análisis. | ||||
| resultsInterpreter | SΣ | 0..* | Reference(Practitioner) | Se establece en el profesional de la salud que interpreta el resultado. | ||||
| specimen | 0..* | Reference(Specimen) | Specimens this report is based on | |||||
| result | S | 0..* | Reference(Observation) | Se establece el resultado. | ||||
| imagingStudy | 0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic report | |||||
| media | Σ | 0..* | BackboneElement | Key images associated with this report | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| comment | 0..1 | string | Comment about the image (e.g. explanation) | |||||
| link | Σ | 1..1 | Reference(Media) | Reference to the image source | ||||
| conclusion | 1..1 | string | Se establece en la conclusión del resultado. | |||||
| conclusionCode | 0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. | |||||
| presentedForm | 0..* | Attachment | Entire report as issued | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| DiagnosticReport.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| DiagnosticReport.status | required | DiagnosticReportStatushttp://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1from the FHIR Standard | ||||
| DiagnosticReport.category | example | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sectionsfrom the FHIR Standard | ||||
| DiagnosticReport.code | preferred | LOINCDiagnosticReportCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/report-codesfrom the FHIR Standard | ||||
| DiagnosticReport.conclusionCode | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findingsfrom the FHIR Standard |
| 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() |
This structure is derived from DiagnosticReport
Other representations of profile: CSV, Excel, Schematron