KR Core Implementation Guide
1.0.0 - CI Build
KR Core Implementation Guide
1.0.0 - CI Build
KR Core Implementation Guide - Local Development build (v1.0.0). See the Directory of published versions
| Official URL: http://www.hl7korea.or.kr/fhir/krcore/StructureDefinition/krcore-diagnosticreport-pathology-results | Version: 1.0.0 | |||
| Draft as of 2023-05-19 | Computable Name: KRCore_DiagnosticReport_PathologyResults | |||
KR Core의 병리검사 정보에 적용되는 DiagnosticReport 구조.
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 | |
  Slices for extension | 1..* | Extension | Extension Slice: 순서 없음, url 값에 대해 열려있음 | |
 krcore-testRequestDateTime | S | 1..1 | dateTime | 검사의뢰일 URL: http://www.hl7korea.or.kr/fhir/krcore/StructureDefinition/krcore-testRequestDateTime |
 status | S | 1..1 | code | 진단보고(병리검사) 상태: registered | partial | preliminary | modified | final | amended | corrected | appended | cancelled | entered-in-error | unknown Example Value (Preferred): final |
  Slices for category | 1..* | CodeableConcept | 병리검사 범주 Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (extensible): Codes for diagnostic service sections. | |
  category:Pathology | 1..1 | CodeableConcept | Service category Required Pattern: At least the following | |
   coding | 1..* | Coding | 용어 시스템에 의해 정의된 코드 고정값: (complex) | |
| system | 1..1 | uri | Identity of the terminology system 고정값: http://terminology.hl7.org/CodeSystem/v2-0074 | |
 code | 1..1 | code | Symbol in syntax defined by the system 고정값: PAT | |
| code | S | 1..1 | CodeableConcept | 병리검사명 |
 Slices for coding | 1..* | Coding | 용어 시스템에 의해 정의된 코드 Slice: Unordered, Open by value:$this | |
| coding:EDI | S | 1..* | Coding | 건강보험심사평가원 건강보험요양급여비용 코드 정보 Binding: KR Core EDI Procedure Codes (required) |
 system | S | 1..1 | uri | 건강보험심사평가원 건강보험요양급여비용 코드체계 |
 code | S | 1..1 | code | 건강보험심사평가원 건강보험요양급여비용 코드 |
 subject | S | 0..1 | Reference(KR Core Patient Profile) | 병리검사 대상 |
| issued | S | 0..1 | instant | 진단 보고 일시 |
| performer | S | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | KR Core Practitioner Profile for Medical Doctor S | KR Core PractitionerRole Profile for Medical Doctor S | KR Core Healthcare Organization Profile S) | 진단 책임자 |
| result | S | 0..* | Reference(Observation) | 병리검사 결과 |
| conclusion | 0..1 | string | 결과 판독 소견 | |
| conclusionCode | 0..* | CodeableConcept | 코드화된 결과 판독 소견 | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| DiagnosticReport.category | extensible | DiagnosticServiceSectionCodes |
| DiagnosticReport.code.coding:EDI | required | KR_Core_EDI_Procedure_Codes (a valid code from HIRA EDI Procedure) |
| 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 | |
 implicitRules | ?!Σ | 0..1 | uri | 이 콘텐츠 생성 시 따른 규칙들의 집합 |
| Slices for extension | 1..* | Extension | Extension Slice: 순서 없음, url 값에 대해 열려있음 | |
| krcore-testRequestDateTime | S | 1..1 | dateTime | 검사의뢰일 URL: http://www.hl7korea.or.kr/fhir/krcore/StructureDefinition/krcore-testRequestDateTime |
 modifierExtension | ?! | 0..* | Extension | 반드시 지원해야 하는 Extension들 |
| status | ?!SΣ | 1..1 | code | 진단보고(병리검사) 상태: registered | partial | preliminary | modified | final | amended | corrected | appended | cancelled | entered-in-error | unknown Binding: DiagnosticReportStatus (required): The status of the diagnostic report. Example Value (Preferred): final |
| Slices for category | Σ | 1..* | CodeableConcept | 병리검사 범주 Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (extensible): Codes for diagnostic service sections. |
| category:Pathology | Σ | 1..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following |
| coding | 1..* | Coding | 용어 시스템에 의해 정의된 코드 고정값: (complex) | |
| system | 1..1 | uri | Identity of the terminology system 고정값: http://terminology.hl7.org/CodeSystem/v2-0074 | |
| code | 1..1 | code | Symbol in syntax defined by the system 고정값: PAT | |
 code | SΣ | 1..1 | CodeableConcept | 병리검사명 Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. |
| Slices for coding | Σ | 1..* | Coding | 용어 시스템에 의해 정의된 코드 Slice: Unordered, Open by value:$this |
| coding:EDI | SΣ | 1..* | Coding | 건강보험심사평가원 건강보험요양급여비용 코드 정보 Binding: KR Core EDI Procedure Codes (required) |
| system | SΣ | 1..1 | uri | 건강보험심사평가원 건강보험요양급여비용 코드체계 |
| code | SΣ | 1..1 | code | 건강보험심사평가원 건강보험요양급여비용 코드 |
| subject | SΣ | 0..1 | Reference(KR Core Patient Profile) | 병리검사 대상 |
| issued | SΣ | 0..1 | instant | 진단 보고 일시 |
| performer | SΣ | 0..* | Reference(KR Core Practitioner Profile for Medical Doctor | KR Core PractitionerRole Profile for Medical Doctor | KR Core Healthcare Organization Profile) | 진단 책임자 |
| result | S | 0..* | Reference(Observation) | 병리검사 결과 |
| conclusion | 0..1 | string | 결과 판독 소견 | |
| conclusionCode | 0..* | CodeableConcept | 코드화된 결과 판독 소견 Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| DiagnosticReport.status | required | DiagnosticReportStatus |
| DiagnosticReport.category | extensible | DiagnosticServiceSectionCodes |
| DiagnosticReport.category:Pathology | example | Pattern: PAT |
| DiagnosticReport.code | preferred | LOINCDiagnosticReportCodes (a valid code from LOINC) |
| DiagnosticReport.code.coding:EDI | required | KR_Core_EDI_Procedure_Codes (a valid code from HIRA EDI Procedure) |
| DiagnosticReport.conclusionCode | example | SNOMEDCTClinicalFindings |
| 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 | 본 리소스 인스턴스의 논리적 ID | ||||
| meta | Σ | 0..1 | Meta | 리소스에 대한 메타데이터 | ||||
| implicitRules | ?!Σ | 0..1 | uri | 이 콘텐츠 생성 시 따른 규칙들의 집합 | ||||
| language | 0..1 | code | 리소스 콘텐츠의 언어 Binding: CommonLanguages (preferred): 국가별 언어.
| |||||
| text | 0..1 | Narrative | 사람의 해석을 위한, 리소스의 텍스트 요약 | |||||
| contained | 0..* | Resource | 포함된 리소스 | |||||
| Slices for extension | 1..* | Extension | Extension Slice: 순서 없음, url 값에 대해 열려있음 | |||||
| krcore-testRequestDateTime | S | 1..1 | dateTime | 검사의뢰일 URL: http://www.hl7korea.or.kr/fhir/krcore/StructureDefinition/krcore-testRequestDateTime | ||||
| modifierExtension | ?! | 0..* | Extension | 반드시 지원해야 하는 Extension들 | ||||
| identifier | Σ | 0..* | Identifier | 비즈니스 식별자 for report | ||||
| basedOn | 0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested | |||||
| status | ?!SΣ | 1..1 | code | 진단보고(병리검사) 상태: registered | partial | preliminary | modified | final | amended | corrected | appended | cancelled | entered-in-error | unknown Binding: DiagnosticReportStatus (required): The status of the diagnostic report. Example Value (Preferred): final | ||||
| Slices for category | Σ | 1..* | CodeableConcept | 병리검사 범주 Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (extensible): Codes for diagnostic service sections. | ||||
| category:Pathology | Σ | 1..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following | ||||
| id | 0..1 | string | 요소 간 참조를 위한 고유 ID | |||||
| extension | 0..* | Extension | 구현에 의해 정의된 추가 콘텐츠 | |||||
 coding | 1..* | Coding | 용어 시스템에 의해 정의된 코드 고정값: (complex) | |||||
 id | 0..1 | string | 요소 간 참조를 위한 고유 ID | |||||
| extension | 0..* | Extension | 구현에 의해 정의된 추가 콘텐츠 | |||||
| system | 1..1 | uri | Identity of the terminology system 고정값: http://terminology.hl7.org/CodeSystem/v2-0074 | |||||
| version | 0..1 | string | 시스템의 버전 - 필요한 경우에 제공 | |||||
| code | 1..1 | code | Symbol in syntax defined by the system 고정값: PAT | |||||
| display | 0..1 | string | 시스템에서 정의한 표현 | |||||
| userSelected | 0..1 | boolean | 이 coding을 사용자가 직접 선택한 경우 | |||||
| text | 0..1 | string | 개념의 일반 텍스트 표현 | |||||
| code | SΣ | 1..1 | CodeableConcept | 병리검사명 Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. | ||||
| id | 0..1 | string | 요소 간 참조를 위한 고유 ID | |||||
| extension | 0..* | Extension | 구현에 의해 정의된 추가 콘텐츠 Slice: 순서 없음, url 값에 대해 열려있음 | |||||
| Slices for coding | Σ | 1..* | Coding | 용어 시스템에 의해 정의된 코드 Slice: Unordered, Open by value:$this | ||||
| coding:EDI | SΣ | 1..* | Coding | 건강보험심사평가원 건강보험요양급여비용 코드 정보 Binding: KR Core EDI Procedure Codes (required) | ||||
| id | 0..1 | string | 요소 간 참조를 위한 고유 ID | |||||
| extension | 0..* | Extension | 구현에 의해 정의된 추가 콘텐츠 Slice: 순서 없음, url 값에 대해 열려있음 | |||||
| system | SΣ | 1..1 | uri | 건강보험심사평가원 건강보험요양급여비용 코드체계 | ||||
| version | Σ | 0..1 | string | 시스템의 버전 - 필요한 경우에 제공 | ||||
| code | SΣ | 1..1 | code | 건강보험심사평가원 건강보험요양급여비용 코드 | ||||
| display | Σ | 0..1 | string | 시스템에서 정의한 표현 | ||||
| userSelected | Σ | 0..1 | boolean | 이 coding을 사용자가 직접 선택한 경우 | ||||
| text | Σ | 0..1 | string | 개념의 일반 텍스트 표현 | ||||
| subject | SΣ | 0..1 | Reference(KR Core Patient Profile) | 병리검사 대상 | ||||
| encounter | Σ | 0..1 | Reference(Encounter) | Health care event when test ordered | ||||
 effective[x] | Σ | 0..1 | Clinically relevant time/time-period for report | |||||
| effectiveDateTime | dateTime | |||||||
| effectivePeriod | Period | |||||||
| issued | SΣ | 0..1 | instant | 진단 보고 일시 | ||||
| performer | SΣ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | KR Core Practitioner Profile for Medical Doctor S | KR Core PractitionerRole Profile for Medical Doctor S | KR Core Healthcare Organization Profile S) | 진단 책임자 | ||||
| resultsInterpreter | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter | ||||
| specimen | 0..* | Reference(Specimen) | Specimens this report is based on | |||||
| result | S | 0..* | Reference(Observation) | 병리검사 결과 | ||||
| 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 | 요소 간 참조를 위한 고유 ID | |||||
| extension | 0..* | Extension | 구현에 의해 정의된 추가 콘텐츠 | |||||
| modifierExtension | ?!Σ | 0..* | Extension | 인식할 수 없는 상황에서도 반드시 지원해야 하는 Extension들 | ||||
| comment | 0..1 | string | Comment about the image (e.g. explanation) | |||||
| link | Σ | 1..1 | Reference(Media) | Reference to the image source | ||||
| conclusion | 0..1 | string | 결과 판독 소견 | |||||
| conclusionCode | 0..* | CodeableConcept | 코드화된 결과 판독 소견 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 / Code | ||||
| DiagnosticReport.language | preferred | CommonLanguages
| ||||
| DiagnosticReport.status | required | DiagnosticReportStatus | ||||
| DiagnosticReport.category | extensible | DiagnosticServiceSectionCodes | ||||
| DiagnosticReport.category:Pathology | example | Pattern: PAT | ||||
| DiagnosticReport.code | preferred | LOINCDiagnosticReportCodes (a valid code from LOINC) | ||||
| DiagnosticReport.code.coding:EDI | required | KR_Core_EDI_Procedure_Codes (a valid code from HIRA EDI Procedure) | ||||
| DiagnosticReport.conclusionCode | example | SNOMEDCTClinicalFindings |
This structure is derived from DiagnosticReport
Summary
Mandatory: 8 elements
Must-Support: 10 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
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 | |
| Slices for extension | 1..* | Extension | Extension Slice: 순서 없음, url 값에 대해 열려있음 | |
| krcore-testRequestDateTime | S | 1..1 | dateTime | 검사의뢰일 URL: http://www.hl7korea.or.kr/fhir/krcore/StructureDefinition/krcore-testRequestDateTime |
| status | S | 1..1 | code | 진단보고(병리검사) 상태: registered | partial | preliminary | modified | final | amended | corrected | appended | cancelled | entered-in-error | unknown Example Value (Preferred): final |
| Slices for category | 1..* | CodeableConcept | 병리검사 범주 Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (extensible): Codes for diagnostic service sections. | |
| category:Pathology | 1..1 | CodeableConcept | Service category Required Pattern: At least the following | |
| coding | 1..* | Coding | 용어 시스템에 의해 정의된 코드 고정값: (complex) | |
| system | 1..1 | uri | Identity of the terminology system 고정값: http://terminology.hl7.org/CodeSystem/v2-0074 | |
| code | 1..1 | code | Symbol in syntax defined by the system 고정값: PAT | |
| code | S | 1..1 | CodeableConcept | 병리검사명 |
| Slices for coding | 1..* | Coding | 용어 시스템에 의해 정의된 코드 Slice: Unordered, Open by value:$this | |
| coding:EDI | S | 1..* | Coding | 건강보험심사평가원 건강보험요양급여비용 코드 정보 Binding: KR Core EDI Procedure Codes (required) |
| system | S | 1..1 | uri | 건강보험심사평가원 건강보험요양급여비용 코드체계 |
| code | S | 1..1 | code | 건강보험심사평가원 건강보험요양급여비용 코드 |
| subject | S | 0..1 | Reference(KR Core Patient Profile) | 병리검사 대상 |
| issued | S | 0..1 | instant | 진단 보고 일시 |
| performer | S | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | KR Core Practitioner Profile for Medical Doctor S | KR Core PractitionerRole Profile for Medical Doctor S | KR Core Healthcare Organization Profile S) | 진단 책임자 |
| result | S | 0..* | Reference(Observation) | 병리검사 결과 |
| conclusion | 0..1 | string | 결과 판독 소견 | |
| conclusionCode | 0..* | CodeableConcept | 코드화된 결과 판독 소견 | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| DiagnosticReport.category | extensible | DiagnosticServiceSectionCodes |
| DiagnosticReport.code.coding:EDI | required | KR_Core_EDI_Procedure_Codes (a valid code from HIRA EDI Procedure) |
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 | |
| implicitRules | ?!Σ | 0..1 | uri | 이 콘텐츠 생성 시 따른 규칙들의 집합 |
| Slices for extension | 1..* | Extension | Extension Slice: 순서 없음, url 값에 대해 열려있음 | |
| krcore-testRequestDateTime | S | 1..1 | dateTime | 검사의뢰일 URL: http://www.hl7korea.or.kr/fhir/krcore/StructureDefinition/krcore-testRequestDateTime |
| modifierExtension | ?! | 0..* | Extension | 반드시 지원해야 하는 Extension들 |
| status | ?!SΣ | 1..1 | code | 진단보고(병리검사) 상태: registered | partial | preliminary | modified | final | amended | corrected | appended | cancelled | entered-in-error | unknown Binding: DiagnosticReportStatus (required): The status of the diagnostic report. Example Value (Preferred): final |
| Slices for category | Σ | 1..* | CodeableConcept | 병리검사 범주 Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (extensible): Codes for diagnostic service sections. |
| category:Pathology | Σ | 1..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following |
| coding | 1..* | Coding | 용어 시스템에 의해 정의된 코드 고정값: (complex) | |
| system | 1..1 | uri | Identity of the terminology system 고정값: http://terminology.hl7.org/CodeSystem/v2-0074 | |
| code | 1..1 | code | Symbol in syntax defined by the system 고정값: PAT | |
| code | SΣ | 1..1 | CodeableConcept | 병리검사명 Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. |
| Slices for coding | Σ | 1..* | Coding | 용어 시스템에 의해 정의된 코드 Slice: Unordered, Open by value:$this |
| coding:EDI | SΣ | 1..* | Coding | 건강보험심사평가원 건강보험요양급여비용 코드 정보 Binding: KR Core EDI Procedure Codes (required) |
| system | SΣ | 1..1 | uri | 건강보험심사평가원 건강보험요양급여비용 코드체계 |
| code | SΣ | 1..1 | code | 건강보험심사평가원 건강보험요양급여비용 코드 |
| subject | SΣ | 0..1 | Reference(KR Core Patient Profile) | 병리검사 대상 |
| issued | SΣ | 0..1 | instant | 진단 보고 일시 |
| performer | SΣ | 0..* | Reference(KR Core Practitioner Profile for Medical Doctor | KR Core PractitionerRole Profile for Medical Doctor | KR Core Healthcare Organization Profile) | 진단 책임자 |
| result | S | 0..* | Reference(Observation) | 병리검사 결과 |
| conclusion | 0..1 | string | 결과 판독 소견 | |
| conclusionCode | 0..* | CodeableConcept | 코드화된 결과 판독 소견 Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| DiagnosticReport.status | required | DiagnosticReportStatus |
| DiagnosticReport.category | extensible | DiagnosticServiceSectionCodes |
| DiagnosticReport.category:Pathology | example | Pattern: PAT |
| DiagnosticReport.code | preferred | LOINCDiagnosticReportCodes (a valid code from LOINC) |
| DiagnosticReport.code.coding:EDI | required | KR_Core_EDI_Procedure_Codes (a valid code from HIRA EDI Procedure) |
| DiagnosticReport.conclusionCode | example | SNOMEDCTClinicalFindings |
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 | 본 리소스 인스턴스의 논리적 ID | ||||
| meta | Σ | 0..1 | Meta | 리소스에 대한 메타데이터 | ||||
| implicitRules | ?!Σ | 0..1 | uri | 이 콘텐츠 생성 시 따른 규칙들의 집합 | ||||
| language | 0..1 | code | 리소스 콘텐츠의 언어 Binding: CommonLanguages (preferred): 국가별 언어.
| |||||
| text | 0..1 | Narrative | 사람의 해석을 위한, 리소스의 텍스트 요약 | |||||
| contained | 0..* | Resource | 포함된 리소스 | |||||
| Slices for extension | 1..* | Extension | Extension Slice: 순서 없음, url 값에 대해 열려있음 | |||||
| krcore-testRequestDateTime | S | 1..1 | dateTime | 검사의뢰일 URL: http://www.hl7korea.or.kr/fhir/krcore/StructureDefinition/krcore-testRequestDateTime | ||||
| modifierExtension | ?! | 0..* | Extension | 반드시 지원해야 하는 Extension들 | ||||
| identifier | Σ | 0..* | Identifier | 비즈니스 식별자 for report | ||||
| basedOn | 0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested | |||||
| status | ?!SΣ | 1..1 | code | 진단보고(병리검사) 상태: registered | partial | preliminary | modified | final | amended | corrected | appended | cancelled | entered-in-error | unknown Binding: DiagnosticReportStatus (required): The status of the diagnostic report. Example Value (Preferred): final | ||||
| Slices for category | Σ | 1..* | CodeableConcept | 병리검사 범주 Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (extensible): Codes for diagnostic service sections. | ||||
| category:Pathology | Σ | 1..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following | ||||
| id | 0..1 | string | 요소 간 참조를 위한 고유 ID | |||||
| extension | 0..* | Extension | 구현에 의해 정의된 추가 콘텐츠 | |||||
| coding | 1..* | Coding | 용어 시스템에 의해 정의된 코드 고정값: (complex) | |||||
| id | 0..1 | string | 요소 간 참조를 위한 고유 ID | |||||
| extension | 0..* | Extension | 구현에 의해 정의된 추가 콘텐츠 | |||||
| system | 1..1 | uri | Identity of the terminology system 고정값: http://terminology.hl7.org/CodeSystem/v2-0074 | |||||
| version | 0..1 | string | 시스템의 버전 - 필요한 경우에 제공 | |||||
| code | 1..1 | code | Symbol in syntax defined by the system 고정값: PAT | |||||
| display | 0..1 | string | 시스템에서 정의한 표현 | |||||
| userSelected | 0..1 | boolean | 이 coding을 사용자가 직접 선택한 경우 | |||||
| text | 0..1 | string | 개념의 일반 텍스트 표현 | |||||
| code | SΣ | 1..1 | CodeableConcept | 병리검사명 Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. | ||||
| id | 0..1 | string | 요소 간 참조를 위한 고유 ID | |||||
| extension | 0..* | Extension | 구현에 의해 정의된 추가 콘텐츠 Slice: 순서 없음, url 값에 대해 열려있음 | |||||
| Slices for coding | Σ | 1..* | Coding | 용어 시스템에 의해 정의된 코드 Slice: Unordered, Open by value:$this | ||||
| coding:EDI | SΣ | 1..* | Coding | 건강보험심사평가원 건강보험요양급여비용 코드 정보 Binding: KR Core EDI Procedure Codes (required) | ||||
| id | 0..1 | string | 요소 간 참조를 위한 고유 ID | |||||
| extension | 0..* | Extension | 구현에 의해 정의된 추가 콘텐츠 Slice: 순서 없음, url 값에 대해 열려있음 | |||||
| system | SΣ | 1..1 | uri | 건강보험심사평가원 건강보험요양급여비용 코드체계 | ||||
| version | Σ | 0..1 | string | 시스템의 버전 - 필요한 경우에 제공 | ||||
| code | SΣ | 1..1 | code | 건강보험심사평가원 건강보험요양급여비용 코드 | ||||
| display | Σ | 0..1 | string | 시스템에서 정의한 표현 | ||||
| userSelected | Σ | 0..1 | boolean | 이 coding을 사용자가 직접 선택한 경우 | ||||
| text | Σ | 0..1 | string | 개념의 일반 텍스트 표현 | ||||
| subject | SΣ | 0..1 | Reference(KR Core Patient Profile) | 병리검사 대상 | ||||
| encounter | Σ | 0..1 | Reference(Encounter) | Health care event when test ordered | ||||
| effective[x] | Σ | 0..1 | Clinically relevant time/time-period for report | |||||
| effectiveDateTime | dateTime | |||||||
| effectivePeriod | Period | |||||||
| issued | SΣ | 0..1 | instant | 진단 보고 일시 | ||||
| performer | SΣ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | KR Core Practitioner Profile for Medical Doctor S | KR Core PractitionerRole Profile for Medical Doctor S | KR Core Healthcare Organization Profile S) | 진단 책임자 | ||||
| resultsInterpreter | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter | ||||
| specimen | 0..* | Reference(Specimen) | Specimens this report is based on | |||||
| result | S | 0..* | Reference(Observation) | 병리검사 결과 | ||||
| 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 | 요소 간 참조를 위한 고유 ID | |||||
| extension | 0..* | Extension | 구현에 의해 정의된 추가 콘텐츠 | |||||
| modifierExtension | ?!Σ | 0..* | Extension | 인식할 수 없는 상황에서도 반드시 지원해야 하는 Extension들 | ||||
| comment | 0..1 | string | Comment about the image (e.g. explanation) | |||||
| link | Σ | 1..1 | Reference(Media) | Reference to the image source | ||||
| conclusion | 0..1 | string | 결과 판독 소견 | |||||
| conclusionCode | 0..* | CodeableConcept | 코드화된 결과 판독 소견 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 / Code | ||||
| DiagnosticReport.language | preferred | CommonLanguages
| ||||
| DiagnosticReport.status | required | DiagnosticReportStatus | ||||
| DiagnosticReport.category | extensible | DiagnosticServiceSectionCodes | ||||
| DiagnosticReport.category:Pathology | example | Pattern: PAT | ||||
| DiagnosticReport.code | preferred | LOINCDiagnosticReportCodes (a valid code from LOINC) | ||||
| DiagnosticReport.code.coding:EDI | required | KR_Core_EDI_Procedure_Codes (a valid code from HIRA EDI Procedure) | ||||
| DiagnosticReport.conclusionCode | example | SNOMEDCTClinicalFindings |
This structure is derived from DiagnosticReport
Summary
Mandatory: 8 elements
Must-Support: 10 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron
KR Core IG를 따르는 Server는 반드시(SHALL) DiagnosticReport Resource를 지원하고, KR Core DiagnosticReport Profile for Pathology Results을 반드시(SHALL) 지원해야 한다.
KR Core IG를 따르는 Client는 가능한 한(SHOULD) DiagnosticReport Resource를 지원하고, DiagnosticReport Resource를 지원하는 경우, KR Core DiagnosticReport Profile for Laboratory Results을 반드시(SHALL) 지원해야 한다.
KR Core DiagnosticReport Profile for Pathology Results은 KR CDI의 병리검사 클래스 중 일부에 대응됨.
| KR CDI 진단검사 클래스 항목 | KR Core DiagnosticReport Profile for Pathology Results 관련 항목 |
|---|---|
| 병리검사명 | DiagnosticReport.code |
| 병리검사의뢰일 | DiagnosticReport.extension.where(url = ‘http://www.hl7korea.or.kr/fhir/krcore/StructureDefinition/krcore-testRequestDateTime’) |
| 병리검사 결과 | DiagnosticReport.result |
| 병리검사 상태 | DiagnosticReport.status |
DiagnosticReport Resource를 검색하기 위해 Kr Core에서 추가로 정의한 검색 파라미터.
| Name | Type | Description | Expression | Expectations |
|---|---|---|---|---|
| request-date | date | 진단을 위한 검사 의뢰일 | DiagnosticReport.extension(‘http://www.hl7korea.or.kr/fhir/krcore/StructureDefinition/krcore-testRequestDateTime’).value.ofType(dateTime) | MAY |
| study | reference | 진단보고를 위한 진단영상 | DiagnosticReport.imagingStudy | MAY |
DiagnosticReport Resource를 검색하기 위해 기본 FHIR 사양을 기반으로 정의한 검색 파라미터.
| Name | Type | Description | Expression | Expectations |
|---|---|---|---|---|
| category | token | 진단보고서 범주 | DiagnosticReport.category | SHOULD |
| code | token | 진단보고서 항목을 식별하는 코드 | DiagnosticReport.code | SHALL |
| issued | date | 진단 보고 일시 | DiagnosticReport.issued | MAY |
| patient | reference | 진단보고서 대상 환자 | DiagnosticReport.subject.where(resolve() is Patient) | SHALL |
| performer | reference | 진단 책임자 | DiagnosticReport.performer | MAY |
| result | reference | 진단보고를 위한 검사 결과 | DiagnosticReport.result | SHOULD |
| status | token | 진단보고서 상태 | DiagnosticReport.status | MAY |
NOTE: 위 Search Parameter 목록은 아래 요소에 대한 구현 기대치를 정의함:
NOTE: 이 외 기본 FHIR 사양에서 정의하고 있는 Search Parameter들은 KR Core IG를 구현한 서버의 선택 사항에 따라 추가로 제공 가능.