123 lines
7.7 KiB
GLSL
123 lines
7.7 KiB
GLSL
Profile: BDLabReportProfile
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Id: bd-lab-report
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Parent: DiagnosticReport
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Title: "Bangladesh Laboratory Report"
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Description: """
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Profile for laboratory DiagnosticReport in Bangladesh, aligned with IPS
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(International Patient Summary) DiagnosticReport pattern.
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Usage:
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- Represents a complete laboratory report for a patient encounter
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- DiagnosticReport.result references panel-level Observations
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(bd-lab-panel-observation) or standalone result Observations
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(bd-lab-result-observation) where no panel grouping exists
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- DiagnosticReport.code is fixed to LOINC 11502-2 (Laboratory report)
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- specimen is SHOULD (MS, 0..*)
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Report structure:
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bd-lab-report (DiagnosticReport)
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├── result --> bd-lab-panel-observation
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│ └── hasMember --> bd-lab-result-observation (x N)
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└── result --> bd-lab-result-observation (standalone, no panel)
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"""
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* ^url = "https://fhir.dghs.gov.bd/core/StructureDefinition/bd-lab-report"
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* ^version = "0.1.0"
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* ^status = #draft
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// ── Identifier ────────────────────────────────────────────────────────────
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// Lab reports must carry an accession number or report ID.
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* identifier 1..* MS
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* identifier.value 1..1
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// ── Status ────────────────────────────────────────────────────────────────
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* status 1..1
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* status from http://hl7.org/fhir/ValueSet/diagnostic-report-status (required)
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* status ^definition = "Status of the laboratory report"
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* status ^comment = "E.g. registered, partial, preliminary, final, amended, corrected"
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// ── Category ──────────────────────────────────────────────────────────────
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// Fixed to LAB (laboratory) category.
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* category 1..* MS
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* category = http://terminology.hl7.org/CodeSystem/v2-0074#LAB "Laboratory"
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* category ^definition = "Fixed to 'LAB' for laboratory diagnostic reports"
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// ── Code ──────────────────────────────────────────────────────────────────
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// Fixed to LOINC 11502-2 (Laboratory report) — IPS-aligned.
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* code 1..1 MS
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* code = http://loinc.org#11502-2 "Laboratory report"
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* code ^definition = "Fixed to LOINC 11502-2 — Laboratory report"
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// ── Subject ───────────────────────────────────────────────────────────────
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* subject 1..1 MS
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* subject only Reference(Patient)
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* subject.reference 1..1 MS
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* subject.display 1..1 MS
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* subject ^definition = "Reference to the Patient this report is about"
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// ── Encounter ─────────────────────────────────────────────────────────────
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* encounter 1..1 MS
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* encounter.reference 1..1 MS
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* encounter ^definition = "Reference to the Encounter during which this report was ordered"
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// ── Effective ─────────────────────────────────────────────────────────────
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// When the report was clinically relevant — required for lab context.
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* effective[x] 1..1 MS
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* effective[x] only dateTime or Period
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* effectiveDateTime ^definition = "Date/time the specimen was collected or the report period"
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// ── Issued ────────────────────────────────────────────────────────────────
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// Date/time the report was released — required for lab reports.
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* issued 1..1 MS
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* issued ^definition = "Date/time the report was issued by the laboratory"
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// ── Performer ─────────────────────────────────────────────────────────────
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// Who performed the laboratory test (laboratory organization or practitioner).
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// Kept flexible — may be Organization, Practitioner, or PractitionerRole.
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* performer 1..* MS
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* performer ^definition = "Laboratory or practitioner who performed the test"
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* performer ^comment = "Typically the laboratory Organization. May also include the responsible Practitioner."
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// ── Results Interpreter ───────────────────────────────────────────────────
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// Who interpreted the results (clinician, pathologist).
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// Optional but MustSupport — include when a formal interpretation was made.
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* resultsInterpreter 0..* MS
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* resultsInterpreter ^definition = "Clinician or pathologist who interpreted the laboratory results"
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* resultsInterpreter ^comment = "Include when a formal interpretation or authorisation was made by a named clinician."
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// ── Specimen ──────────────────────────────────────────────────────────────
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// SHOULD be present per IPS alignment — MustSupport, optional cardinality.
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* specimen 0..* MS
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* specimen ^definition = "Specimen(s) used for this laboratory report"
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* specimen ^comment = "Should be present when specimen information is available. IPS alignment: SHOULD."
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// ── Result ────────────────────────────────────────────────────────────────
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// References panel-level Observations or standalone result Observations.
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// At least one result is required for a meaningful report.
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* result 1..* MS
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* result only Reference(BDLabPanelObservationProfile or BDLabResultObservationProfile)
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* result ^definition = "References to Observation resources that are part of this report"
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* result ^comment = """
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Use BDLabPanelObservationProfile for ordered panels (CBC, LFT, RFT, etc.)
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where individual results are grouped under a panel using hasMember.
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Use BDLabResultObservationProfile directly for standalone results
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that are not part of a named panel.
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"""
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// ── Conclusion ────────────────────────────────────────────────────────────
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// Free-text clinical interpretation of the overall report.
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* conclusion 0..1 MS
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* conclusion ^definition = "Clinical interpretation or summary of the laboratory report"
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// ── Conclusion Code ───────────────────────────────────────────────────────
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// Coded clinical finding — may reference ICD-11 diagnosis codes.
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* conclusionCode 0..* MS
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* conclusionCode ^definition = "Coded representation of the clinical conclusion"
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* conclusionCode ^comment = "May use ICD-11 MMS codes consistent with bd-condition-icd11-diagnosis-valueset"
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// ── Presented Form ────────────────────────────────────────────────────────
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// Attach the original PDF or HL7 CDA report if available.
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* presentedForm 0..* MS
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* presentedForm ^definition = "Entire report as issued — e.g. PDF attachment"
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* presentedForm ^comment = "Include the original report document when available"
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