Madeira Pilot Implementation Guide - Local Development build (v0.1.0). See the Directory of published versions
Resource Profile: Lumbar Force Test Diagnostic Report
| Official URL: https://fhir.digit-madeira.pt/StructureDefinition/LumbarForceTestDiagnosticReport | Version: 0.1.0 | |||
| Active as of 2023-04-27 | Computable Name: LumbarForceTestDiagnosticReport | |||
The profile defines how to represent the data for a force test realized by a patient. It will include the data obtained from the force test and the evaluation of the recommended weight for further training.
Usage:
- This Resource Profile is not used by any profiles in this Implementation Guide
Formal Views of Profile Content
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 | |
  code | ||||
  text | 0..1 | string | Plain text representation of the concept Required Pattern: Force Test | |
  subject | 1..1 | Reference(Patient) | The subject of the report - usually, but not always, the patient | |
 effective[x] | 1..1 | dateTime | Clinically relevant time/time-period for report Slice: Unordered, Open by type:$this | |
 effectiveDateTime | 1..1 | dateTime | Clinically relevant time/time-period for report | |
 Slices for result | 2..* | Reference(Observation) | Observations Slice: Unordered, Open by value:resolve().code | |
   result:AngleForce | 1..* | Reference(Angle Force Observation) | Observations | |
 result:RecommendedWeight | 1..1 | Reference(Recommended Weight Observation) | Observations | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| DiagnosticReport | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| status | ?!Σ | 1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. |
 code | Σ | 1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): LOINC Codes for Diagnostic Reports |
| text | Σ | 0..1 | string | Plain text representation of the concept Required Pattern: Force Test |
| subject | Σ | 1..1 | Reference(Patient) | The subject of the report - usually, but not always, the patient |
| Slices for effective[x] | Σ | 1..1 | dateTime | Clinically relevant time/time-period for report Slice: Unordered, Closed by type:$this |
| effective[x]:effectiveDateTime | Σ | 1..1 | dateTime | Clinically relevant time/time-period for report |
| Slices for result | 2..* | Reference(Observation) | Observations Slice: Unordered, Open by value:resolve().code | |
| result:AngleForce | 1..* | Reference(Angle Force Observation) | Observations | |
| result:RecommendedWeight | 1..1 | Reference(Recommended Weight Observation) | Observations | |
| Documentation for this format | ||||
Terminology Bindings
| Path | Conformance | ValueSet |
| DiagnosticReport.status | required | DiagnosticReportStatus |
| DiagnosticReport.code | preferred | LOINCDiagnosticReportCodes (a valid code from LOINC) |
Constraints
| 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.exists() and ('#'+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(uri) = '#').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 | 0..1 | Meta | Metadata about the resource | ||||
| 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): IETF language tag
| |||||
| 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..* | Identifier | Business identifier for report | ||||
| basedOn | 0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested | |||||
| status | ?!Σ | 1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. | ||||
| category | Σ | 0..* | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074 | ||||
| code | Σ | 1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): LOINC Codes for Diagnostic Reports | ||||
| id | 0..1 | id | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding | Σ | 0..* | Coding | Code defined by a terminology system | ||||
| text | Σ | 0..1 | string | Plain text representation of the concept Required Pattern: Force Test | ||||
| subject | Σ | 1..1 | Reference(Patient) | The subject of the report - usually, but not always, the patient | ||||
| encounter | Σ | 0..1 | Reference(Encounter) | Health care event when test ordered | ||||
| Slices for effective[x] | Σ | 1..1 | dateTime | Clinically relevant time/time-period for report Slice: Unordered, Closed by type:$this | ||||
| effective[x]:effectiveDateTime | Σ | 1..1 | dateTime | Clinically relevant time/time-period for report | ||||
| issued | Σ | 0..1 | instant | DateTime this version was made | ||||
| performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service | ||||
| resultsInterpreter | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter | ||||
| specimen | 0..* | Reference(Specimen) | Specimens this report is based on | |||||
| Slices for result | 2..* | Reference(Observation) | Observations Slice: Unordered, Open by value:resolve().code | |||||
| result:AngleForce | 1..* | Reference(Angle Force Observation) | Observations | |||||
| result:RecommendedWeight | 1..1 | Reference(Recommended Weight Observation) | Observations | |||||
| 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 | 0..1 | string | Clinical conclusion (interpretation) of test results | |||||
| conclusionCode | 0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): SNOMED CT Clinical Findings | |||||
| presentedForm | 0..* | Attachment | Entire report as issued | |||||
| Documentation for this format | ||||||||
Terminology Bindings
| Path | Conformance | ValueSet | ||||
| DiagnosticReport.language | preferred | CommonLanguages
| ||||
| DiagnosticReport.status | required | DiagnosticReportStatus | ||||
| DiagnosticReport.category | example | DiagnosticServiceSectionCodes | ||||
| DiagnosticReport.code | preferred | LOINCDiagnosticReportCodes (a valid code from LOINC) | ||||
| DiagnosticReport.conclusionCode | example | SNOMEDCTClinicalFindings |
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| dom-r4b | warning | DiagnosticReport.contained | Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems : ($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic) | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from DiagnosticReport
Summary
Mandatory: 5 elements
Structures
This structure refers to these other structures:
- Angle Force Observation (https://fhir.digit-madeira.pt/StructureDefinition/AngleForceObservation)
- Recommended Weight Observation (https://fhir.digit-madeira.pt/StructureDefinition/RecommendedWeightObservation)
Slices
This structure defines the following Slices:
- The element DiagnosticReport.effective[x] is sliced based on the value of type:$this
- The element DiagnosticReport.result is sliced based on the value of value:resolve().code
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 | |
| code | ||||
| text | 0..1 | string | Plain text representation of the concept Required Pattern: Force Test | |
| subject | 1..1 | Reference(Patient) | The subject of the report - usually, but not always, the patient | |
| effective[x] | 1..1 | dateTime | Clinically relevant time/time-period for report Slice: Unordered, Open by type:$this | |
| effectiveDateTime | 1..1 | dateTime | Clinically relevant time/time-period for report | |
| Slices for result | 2..* | Reference(Observation) | Observations Slice: Unordered, Open by value:resolve().code | |
| result:AngleForce | 1..* | Reference(Angle Force Observation) | Observations | |
| result:RecommendedWeight | 1..1 | Reference(Recommended Weight Observation) | Observations | |
| Documentation for this format | ||||
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| DiagnosticReport | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| status | ?!Σ | 1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. |
| code | Σ | 1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): LOINC Codes for Diagnostic Reports |
| text | Σ | 0..1 | string | Plain text representation of the concept Required Pattern: Force Test |
| subject | Σ | 1..1 | Reference(Patient) | The subject of the report - usually, but not always, the patient |
| Slices for effective[x] | Σ | 1..1 | dateTime | Clinically relevant time/time-period for report Slice: Unordered, Closed by type:$this |
| effective[x]:effectiveDateTime | Σ | 1..1 | dateTime | Clinically relevant time/time-period for report |
| Slices for result | 2..* | Reference(Observation) | Observations Slice: Unordered, Open by value:resolve().code | |
| result:AngleForce | 1..* | Reference(Angle Force Observation) | Observations | |
| result:RecommendedWeight | 1..1 | Reference(Recommended Weight Observation) | Observations | |
| Documentation for this format | ||||
Terminology Bindings
| Path | Conformance | ValueSet |
| DiagnosticReport.status | required | DiagnosticReportStatus |
| DiagnosticReport.code | preferred | LOINCDiagnosticReportCodes (a valid code from LOINC) |
Constraints
| 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.exists() and ('#'+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(uri) = '#').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 | 0..1 | Meta | Metadata about the resource | ||||
| 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): IETF language tag
| |||||
| 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..* | Identifier | Business identifier for report | ||||
| basedOn | 0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested | |||||
| status | ?!Σ | 1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. | ||||
| category | Σ | 0..* | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074 | ||||
| code | Σ | 1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): LOINC Codes for Diagnostic Reports | ||||
| id | 0..1 | id | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding | Σ | 0..* | Coding | Code defined by a terminology system | ||||
| text | Σ | 0..1 | string | Plain text representation of the concept Required Pattern: Force Test | ||||
| subject | Σ | 1..1 | Reference(Patient) | The subject of the report - usually, but not always, the patient | ||||
| encounter | Σ | 0..1 | Reference(Encounter) | Health care event when test ordered | ||||
| Slices for effective[x] | Σ | 1..1 | dateTime | Clinically relevant time/time-period for report Slice: Unordered, Closed by type:$this | ||||
| effective[x]:effectiveDateTime | Σ | 1..1 | dateTime | Clinically relevant time/time-period for report | ||||
| issued | Σ | 0..1 | instant | DateTime this version was made | ||||
| performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service | ||||
| resultsInterpreter | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter | ||||
| specimen | 0..* | Reference(Specimen) | Specimens this report is based on | |||||
| Slices for result | 2..* | Reference(Observation) | Observations Slice: Unordered, Open by value:resolve().code | |||||
| result:AngleForce | 1..* | Reference(Angle Force Observation) | Observations | |||||
| result:RecommendedWeight | 1..1 | Reference(Recommended Weight Observation) | Observations | |||||
| 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 | 0..1 | string | Clinical conclusion (interpretation) of test results | |||||
| conclusionCode | 0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): SNOMED CT Clinical Findings | |||||
| presentedForm | 0..* | Attachment | Entire report as issued | |||||
| Documentation for this format | ||||||||
Terminology Bindings
| Path | Conformance | ValueSet | ||||
| DiagnosticReport.language | preferred | CommonLanguages
| ||||
| DiagnosticReport.status | required | DiagnosticReportStatus | ||||
| DiagnosticReport.category | example | DiagnosticServiceSectionCodes | ||||
| DiagnosticReport.code | preferred | LOINCDiagnosticReportCodes (a valid code from LOINC) | ||||
| DiagnosticReport.conclusionCode | example | SNOMEDCTClinicalFindings |
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| dom-r4b | warning | DiagnosticReport.contained | Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems : ($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic) | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from DiagnosticReport
Summary
Mandatory: 5 elements
Structures
This structure refers to these other structures:
- Angle Force Observation (https://fhir.digit-madeira.pt/StructureDefinition/AngleForceObservation)
- Recommended Weight Observation (https://fhir.digit-madeira.pt/StructureDefinition/RecommendedWeightObservation)
Slices
This structure defines the following Slices:
- The element DiagnosticReport.effective[x] is sliced based on the value of type:$this
- The element DiagnosticReport.result is sliced based on the value of value:resolve().code
Other representations of profile: CSV, Excel, Schematron