Source | hl7.fhir.us.core#current:US Core Implementation Guide (v4.0.1) |
resourceType | StructureDefinition |
id | us-core-diagnosticreport-note |
canonical | http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note |
version | 7.0.0-ballot |
status | active |
publisher | HL7 International - Cross-Group Projects |
name | USCoreDiagnosticReportProfileNoteExchange |
title | US Core DiagnosticReport Profile for Report and Note Exchange |
date | 2022-04-20 |
description | To promote interoperability and adoption through common implementation, this profile sets minimum expectations for searching and fetching Diagnostic Reports and Notes using the DiagnosticReport resource. It identifies which core elements, extensions, vocabularies, and value sets **SHALL** be present and constrains the way the elements are used when using the profile. It provides the floor for standards development for specific use cases. Prior to reviewing this profile, implementers are encouraged to read the Clinical Notes Guidance to understand the overlap of US Core DiagnosticReport Profile for Report and Note exchange and US Core DocumentReference Profile. |
copyright | Used by permission of HL7 International, all rights reserved Creative Commons License |
jurisdictions | us |
fhirVersion | 4.0.1 |
kind | resource |
abstract | false |
sdTtype | DiagnosticReport |
derivation | constraint |
base | http://hl7.org/fhir/StructureDefinition/DiagnosticReport |
Usages |
|
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
DiagnosticReport | C | DiagnosticReport | us-core-10: effective[x] SHALL be present if the status is 'partial', 'preliminary', 'final', 'amended', 'corrected' or 'appended' | |
status | S C |
(USCDI) registered | partial | preliminary | final + Binding: Diagnostic Report Status ( required ) |
||
Slices for category | S | 1 .. |
(USCDI) Service category
Slice: Unordered, Open by pattern:$this |
|
category:us-core | S |
(USCDI) Service category Binding: US Core Diagnostic Report Category Codes ( required ): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets |
||
code | S |
(USCDI) US Core Report Code Binding: US Core Non Laboratory Codes ( extensible ): LOINC codes |
||
subject | S | 1.. | Reference (US Core Patient Profile) | (USCDI) The subject of the report - usually, but not always, the patient |
encounter | S | Reference (US Core Encounter Profile) | (USCDI) Health care event when test ordered | |
effective[x] | S C | (USCDI) Diagnostically relevant time (typically the time of the procedure) | ||
effectiveDateTime | dateTime S | |||
effectivePeriod | Period | |||
issued | S | (USCDI) DateTime this version was made | ||
performer | S | Reference (US Core Practitioner Profile S | US Core Organization Profile S | US Core PractitionerRole Profile | US Core CareTeam Profile) | (USCDI) Responsible Diagnostic Service | |
result | S | Reference (US Core Laboratory Result Observation Profile S | US Core Observation Clinical Result Profile S | Observation ) | (USCDI) Observations | |
media | S | (USCDI) Key images associated with this report | ||
link | S | (USCDI) Reference to the image source | ||
presentedForm | S | (USCDI) Entire report as issued | ||
Documentation for this format |
Produced 08 Sep 2023