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US Core: Clinical test and Diagnostic Imaging Report

HL7 JANUARY 2022 BALLOT

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Annual USCDI Development Cycle: https://www.healthit.gov/sites/default/files/2021-03/Understanding_USCDI_SVAP_Public_Webinar_03.18.21.pdf

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US Core Development: https://www.hl7.org/fhir/us/core/future-of-US-core.html

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Steering Committee:

  • US Realm

Workgroup(s):

  • Cross-Group Projects
  • Others(?)

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USCDIv2: Diagnostic Imaging

https://www.healthit.gov/isa/united-states-core-data-interoperability-uscdi#uscdi-v2

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USCDIv2: Clinical Test

https://www.healthit.gov/isa/united-states-core-data-interoperability-uscdi#uscdi-v2

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Clinical Test & Diagnostic Report Proposal

US Core DiagnosticReport Profile for Report and Note exchange

  • add 2 new elements:
    1. DiagnosticReport.result for discrete results and
    2. the FHIR R5 media extension http://hl7.org/fhir/4.5/StructureDefinition/extension-DiagnosticReport.media for images
  • category = US Core DiagnosticReport Category (extensible)
  • code = from LOINC not in Lab (CLASSTYPE <> 1)

A new Observation Profile based US Core Laboratory Result Observation Profile

    • category = procedure (Clinical Test) or, imaging (Diagnostic Report)
    • code = from LOINC not in Lab (CLASSTYPE <> 1)
    • value[x] = anything

https://hackmd.io/DF6JwJ72Q7e-1Zw40L9FLA#Diagnostic-Imaging

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Comparison of Differential Tables

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Element

Difference

language

cardinality

0..1

0..1

1..1

identifier

cardinality

0..*

0..*

1..1

status

support

must be supported S

must be supported S

category

cardinality

1..1 S

1..* S

1..1

category

code system

CodeableConceptIPS

US Core DiagnosticReport Category (extensible)

code

code system

CodeableConceptIPS S

US Core Clinical Test Codes (extensible): LOINC codes S

CodeableConceptIPS

subject

reference

Patient (IPS)

Group S

US Core Patient Profile S

-

encounter

reference

-

US Core Encounter Profile S

-

effective

use

all must be supported S

DateTime must be supported S

-

issued

use

-

must be supported S

-

performer

cardinality

0..* S

0..* S

1..*

performer

reference

Practitioner (IPS) S

PractitionerRole (IPS) S

Organization (IPS) S

CareTeam S

US Core Practitioner Profile S

US Core Organization Profile S

US Core PractitionerRole Profile

US Core CareTeam Profile

Practitioner (IPS)

PractitionerRole (IPS)

Organization (IPS)

CareTeam

resultInterpreter

cardinality

0..*

0..*

1..*

specimen

cardinality

0..*

0..*

0..0

result

use

Observation Results: laboratory (IPS) S Observation Results: pathology (IPS) S Observation Results: radiology (IPS) S Observation Results (IPS) S

US Core Laboratory Result Observation Profile S

US Core Clinical Test Result Observation Profile S

US Core Imaging Result Observation Profile S

Observation Result: radiology (IPS)

imagingStudy

cardinality

0..*

0..* S

0..0

media

cardinality

0..*

0..* S > Link 1..1 S

1..*

presentedForm

use

 

S

-

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Links

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