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Version 1.0
The US Core DiagnosticReport Profile for Laboratory Results Reporting builds on the DiagnosticReport resource. This profile sets minimum expectations for the DiagnosticReport resource to record, search, and fetch laboratory results associated with a patient. It identifies which core elements, extensions, vocabularies, and value sets are present in the resource when using this profile.
Laboratory results are grouped and summarized using the DiagnosticReport resource, which usually references Observation resources. Each Observation resource represents an individual laboratory test and result value, component result values, or a nested panel (such as a microbial susceptibility panel) which references other observations.
Results can also be presented in report form or as free text.
The following data elements must be present, or must be supported if the data is present, in the sending system. Each DiagnosticReport must have:
And each DiagnosticReport must support:
The following search parameters and search parameter combinations should be supported.
Searching for all diagnosticreports
for a patient using the patient
search parameter:
GET [base]/DiagnosticReport?patient=[reference]
Searching using the combination of the patient and category search parameters:
GET [base]/DiagnosticReport?patient=[reference]&category=http://terminology.hl7.org/CodeSystem/v2-0074|LAB
Searching using the combination of the patient
and code
search parameters, including optional support for composite OR searches on code
(e.g., code={system|}[code],{system|}[code],...)
:
GET [base]/DiagnosticReport?patient=[reference]&code={system|}[code]{,{system|}[code],...}
searching using the combination of the patient
and category
and date
search parameters, including support for these date comparators: gt
, lt
, ge
, le
. Optionally, support for composite AND searches on date
(e.g., date=[date]&date=[date]]&...)
:
GET [base]/DiagnosticReport?patient=[reference]&category=http://terminology.hl7.org/CodeSystem/v2-0074|LAB&date={gt|lt|ge|le}[date]{&date={gt|lt|ge|le}[date]&...}
For a list of optional search parameters, see StructureDefinition-us-core-diagnosticreport-lab