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Description
What happened?
Heart failure tracking panel
Sample default FHIR (R4) output that is wrong:
"fullUrl": "urn:uuid:de3b7eef-fa5c-0a97-025c-1d736ecf8e27",
"resource": {
"resourceType": "DiagnosticReport",
"id": "de3b7eef-fa5c-0a97-025c-1d736ecf8e27",
"meta": {
"profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab" ]
},
"status": "final",
"category": [ {
"coding": [ {
"system": "http://terminology.hl7.org/CodeSystem/v2-0074",
"code": "LAB",
"display": "Laboratory"
} ]
} ],
"code": {
"coding": [ {
"system": "http://loinc.org",
"code": "55405-5",
"display": "Heart failure tracking panel"
} ],
"text": "Heart failure tracking panel"
},
Looking at the FHIR R4 spec, it seems this is the correct page: https://www.hl7.org/fhir/R4/valueset-diagnostic-service-sections.html and the correct classification for this (and the associated tests, which are also incorrectly marked as "Laboratory") is CUS: Cardiac Ultrasound. This is the modality that would give you an Ejection Fraction.
New York Heart Association Functional Classification
This one is also currently classed as a lab, but it's not a procedure with a result. It's just a clinician's assessment. So it's closer to a Depression Screening than it is to a lab. Some searching on the internet suggests it may belong to this category: http://hl7.org/fhir/R4/riskassessment.html