{ "resourceType": "StructureDefinition", "id": "us-core-diagnosticreport-note", "text": { "status": "generated", "div": "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" DiagnosticReport 0..*US Core Diagnostic Report Profile for Report and Note exchange
\".\"\".\"\".\" status S1..1codeBinding: DiagnosticReportStatus (required)
\".\"\".\"\".\" category S1..*CodeableConceptBinding: US Core DiagnosticReport Category (extensible)
\".\"\".\"\".\" code S1..1CodeableConceptUS Core Report Code
Binding: US Core Diagnosticreport Report And Note Codes (extensible)
\".\"\".\"\".\" subject SΣ1..1Reference(US Core Patient Profile)The subject of the report - usually, but not always, the patient
\".\"\".\"\".\" encounter S0..1Reference(US Core Encounter Profile)
\".\"\".\"\".\" effective[x] S1..1Time of the report or note
\".\"\".\"\".\"\".\" effectiveDateTimedateTime
\".\"\".\"\".\"\".\" effectivePeriodPeriod
\".\"\".\"\".\" issued S0..1instant
\".\"\".\"\".\" performer S0..*Reference(US Core Practitioner Profile | US Core Organization Profile)
\".\"\".\"\".\" presentedForm S0..*Attachment

\"doco\" Documentation for this format
" }, "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note", "version": "3.1.0", "name": "USCoreDiagnosticReportProfileNoteExchange", "title": "US Core DiagnosticReport Profile for Report and Note exchange", "status": "active", "date": "2019-05-20T14:00:00+00:00", "publisher": "HL7 US Realm Steering Committee", "contact": [ { "telecom": [ { "system": "url", "value": "http://www.healthit.gov" } ] } ], "description": "Defines constraints and extensions on the DiagnosticReport resource for the minimal set of data to query and retrieve diagnostic reports associated with clinical notes for a patient", "jurisdiction": [ { "coding": [ { "system": "urn:iso:std:iso:3166", "code": "US", "display": "United States of America" } ] } ], "fhirVersion": "4.0.1", "mapping": [ { "identity": "workflow", "uri": "http://hl7.org/fhir/workflow", "name": "Workflow Pattern" }, { "identity": "v2", "uri": "http://hl7.org/v2", "name": "HL7 v2 Mapping" }, { "identity": "rim", "uri": "http://hl7.org/v3", "name": "RIM Mapping" }, { "identity": "w5", "uri": "http://hl7.org/fhir/fivews", "name": "FiveWs Pattern Mapping" } ], "kind": "resource", "abstract": false, "type": "DiagnosticReport", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport", "derivation": "constraint", "snapshot": {}, "differential": { "element": [ { "id": "DiagnosticReport", "path": "DiagnosticReport", "short": "US Core Diagnostic Report Profile for Report and Note exchange", "definition": "The US Core Diagnostic Report Profile for Report and Note exchange is based upon the requirements of the Argonauts to exchang imaginge reports.", "alias": [ "Imaging Report", "Radiology Report" ], "mustSupport": false, "isModifier": false }, { "id": "DiagnosticReport.status", "path": "DiagnosticReport.status", "min": 1, "max": "1", "type": [ { "code": "code" } ], "mustSupport": true, "isModifier": false, "binding": { "strength": "required", "valueSetUnknownType_StructureDefinition.differential.element[1].binding.valueSet": "http://hl7.org/fhir/ValueSet/diagnostic-report-status" } }, { "id": "DiagnosticReport.category", "path": "DiagnosticReport.category", "alias": [ "Department", "Sub-department", "service", "discipline" ], "min": 1, "type": [ { "code": "CodeableConcept" } ], "mustSupport": true, "isModifier": false, "binding": { "strength": "extensible", "valueSetUnknownType_StructureDefinition.differential.element[2].binding.valueSet": "http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-category" } }, { "id": "DiagnosticReport.code", "path": "DiagnosticReport.code", "short": "US Core Report Code", "definition": "The test, panel, report, or note that was ordered.", "comment": "UsageNote= The typical patterns for codes are: 1) a LOINC code either as a translation from a \"local\" code or as a primary code, or 2) a local code only if no suitable LOINC exists, or 3) both the local and the LOINC translation. Systems SHALL be capable of sending the local code if one exists.", "min": 1, "max": "1", "type": [ { "code": "CodeableConcept" } ], "mustSupport": true, "isModifier": false, "binding": { "strength": "extensible", "description": "LOINC codes", "valueSetUnknownType_StructureDefinition.differential.element[3].binding.valueSet": "http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-report-and-note-codes" } }, { "id": "DiagnosticReport.subject", "path": "DiagnosticReport.subject", "short": "The subject of the report - usually, but not always, the patient", "definition": "The subject of the report. Usually, but not always, this is a patient. However diagnostic services also perform analyses on specimens collected from a variety of other sources.", "requirements": "SHALL know the subject context.", "alias": [ "Patient" ], "min": 1, "max": "1", "base": { "path": "DiagnosticReport.subject", "min": 0, "max": "1" }, "type": [ { "targetProfile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient" ], "code": "Reference" } ], "mustSupport": true, "isModifier": false, "isSummary": true }, { "id": "DiagnosticReport.encounter", "path": "DiagnosticReport.encounter", "type": [ { "targetProfile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter" ], "code": "Reference" } ], "mustSupport": true, "isModifier": false }, { "id": "DiagnosticReport.effective[x]", "path": "DiagnosticReport.effective[x]", "short": "Time of the report or note", "definition": "This is the Datetime or Period when the report or note was written.", "min": 1, "max": "1", "type": [ { "code": "dateTime" }, { "code": "Period" } ], "mustSupport": true, "isModifier": false }, { "id": "DiagnosticReport.issued", "path": "DiagnosticReport.issued", "min": 0, "max": "1", "type": [ { "code": "instant" } ], "mustSupport": true, "isModifier": false }, { "id": "DiagnosticReport.performer", "path": "DiagnosticReport.performer", "min": 0, "max": "*", "type": [ { "targetProfile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization" ], "code": "Reference" } ], "mustSupport": true, "isModifier": false }, { "id": "DiagnosticReport.presentedForm", "path": "DiagnosticReport.presentedForm", "min": 0, "max": "*", "type": [ { "code": "Attachment" } ], "mustSupport": true, "isModifier": false } ] } }