| Left: | US Core DiagnosticReport Profile for Report and Note exchange (http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note) |
| Right: | US Core DiagnosticReport Profile for Report and Note Exchange (http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note) |
| Error | StructureDefinition.version | Values for version differ: '3.1.1' vs '6.1.0-snapshot1' |
| Information | StructureDefinition.title | Values for title differ: 'US Core DiagnosticReport Profile for Report and Note exchange' vs 'US Core DiagnosticReport Profile for Report and Note Exchange' |
| Information | StructureDefinition.date | Values for date differ: '2019-05-21' vs '2022-04-20' |
| Information | StructureDefinition.publisher | Values for publisher differ: 'HL7 US Realm Steering Committee' vs 'HL7 International - Cross-Group Projects' |
| Warning | DiagnosticReport | Elements differ in short: 'US Core Diagnostic Report Profile for Report and Note exchange' vs 'A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports' |
| Warning | DiagnosticReport | Elements differ in definition: 'The US Core Diagnostic Report Profile for Report and Note exchange is based upon the requirements of the Argonauts to exchang imaginge reports.' vs '\-' |
| Warning | DiagnosticReport | Elements differ in comments: 'This is intended to capture a single report and is not suitable for use in displaying summary information that covers multiple reports. For example, this resource has not been designed for laboratory cumulative reporting formats nor detailed structured reports for sequencing.' vs '\-' |
| Warning | DiagnosticReport.status | Elements differ in short: 'registered | partial | preliminary | final +' vs '(USCDI) registered | partial | preliminary | final +' |
| Warning | DiagnosticReport.category | Elements differ in short: 'Service category' vs '(USCDI) Service category' |
| Warning | DiagnosticReport.code | Elements differ in short: 'US Core Report Code' vs '(USCDI) US Core Report Code' |
| Warning | DiagnosticReport.code | Elements differ in comments: '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.' vs '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.' |
| Warning | DiagnosticReport.subject | Elements differ in short: 'The subject of the report - usually, but not always, the patient' vs '(USCDI) The subject of the report - usually, but not always, the patient' |
| Warning | DiagnosticReport.subject | Elements differ in 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.' vs '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.' |
| Warning | DiagnosticReport.encounter | Elements differ in short: 'Health care event when test ordered' vs '(USCDI) Health care event when test ordered' |
| Warning | DiagnosticReport.effective[x] | Elements differ in short: 'Time of the report or note' vs '(USCDI) Diagnostically relevant time (typically the time of the procedure)' |
| Warning | DiagnosticReport.effective[x] | Elements differ in definition: 'This is the Datetime or Period when the report or note was written.' vs 'The time or time-period the observed values are related to. When the subject of the report is a patient, this is usually either the time of the procedure or of specimen collection(s), but very often the source of the date/time is not known, only the date/time itself.' |
| Information | DiagnosticReport.effective[x] | Element minimum cardinalities differ: '1' vs '0' |
| Warning | DiagnosticReport.issued | Elements differ in short: 'DateTime this version was made' vs '(USCDI) DateTime this version was made' |
| Warning | DiagnosticReport.performer | Elements differ in short: 'Responsible Diagnostic Service' vs '(USCDI) Responsible Diagnostic Service' |
| Warning | DiagnosticReport.result | Elements differ in short: 'Observations' vs '(USCDI) Observations' |
| Warning | DiagnosticReport.result | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Warning | DiagnosticReport.media | Elements differ in short: 'Key images associated with this report' vs '(USCDI) Key images associated with this report' |
| Warning | DiagnosticReport.media | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Warning | DiagnosticReport.media.link | Elements differ in short: 'Reference to the image source' vs '(USCDI) Reference to the image source' |
| Warning | DiagnosticReport.media.link | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Warning | DiagnosticReport.presentedForm | Elements differ in short: 'Entire report as issued' vs '(USCDI) Entire report as issued' |
| Name | Value | Comments | |
|---|---|---|---|
 abstract | false | ||
| baseDefinition | http://hl7.org/fhir/StructureDefinition/DiagnosticReport | ||
| copyright | Used by permission of HL7 International, all rights reserved Creative Commons License |
| |
| date | 2019-05-21 | 2022-04-20 |
|
| 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 | 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. |
|
| experimental | |||
| fhirVersion | 4.0.1 | ||
| jurisdiction | |||
 jurisdiction[0] | urn:iso:std:iso:3166#US | ||
| kind | resource | ||
| name | USCoreDiagnosticReportProfileNoteExchange | ||
| publisher | HL7 US Realm Steering Committee | HL7 International - Cross-Group Projects |
|
| purpose | |||
| status | active | ||
| title | US Core DiagnosticReport Profile for Report and Note exchange | US Core DiagnosticReport Profile for Report and Note Exchange |
|
| type | DiagnosticReport | ||
| url | http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note | ||
| version | 3.1.1 | 6.1.0-snapshot1 |
|
| Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | L Type | L Description & Constraints | Comments | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
 DiagnosticReport | 0..* | DiagnosticReport | US Core Diagnostic Report Profile for Report and Note exchange | C | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports us-core-10: effective[x] SHALL be present if the status is 'partial', 'preliminary', 'final', 'amended', 'corrected' or 'appended' |
| |||||||||
 id | Σ | 0..1 | string | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact | |||||||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource | |||||||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created | |||||||||
| language | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| |||||||||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||||||||
| contained | 0..* | Resource | Contained, inline Resources | 0..* | Resource | Contained, inline Resources | |||||||||||
 extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored | |||||||||
| identifier | Σ | 0..* | Identifier | Business identifier for report | Σ | 0..* | Identifier | Business identifier for report | |||||||||
| basedOn | 0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested | 0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested | |||||||||||
| status | ?!SΣ | 1..1 | code | registered | partial | preliminary | final + Binding: ?? (required) | ?!SΣC | 1..1 | code | (USCDI) registered | partial | preliminary | final + Binding: ?? (required) |
| ||||||||
| category | SΣ | 1..* | CodeableConcept | Service category Binding: ?? (extensible) | SΣ | 1..* | CodeableConcept | (USCDI) Service category Slice: Unordered, Open by pattern:$this Binding: ?? (example): Codes for diagnostic service sections. |
| ||||||||
| code | SΣ | 1..1 | CodeableConcept | US Core Report Code Binding: ?? (extensible): LOINC codes | SΣ | 1..1 | CodeableConcept | (USCDI) US Core Report Code Binding: ?? (extensible): LOINC codes |
| ||||||||
| subject | SΣ | 1..1 | Reference(US Core Patient Profile) | The subject of the report - usually, but not always, the patient | SΣ | 1..1 | Reference(US Core Patient Profile) | (USCDI) The subject of the report - usually, but not always, the patient |
| ||||||||
| encounter | SΣ | 0..1 | Reference(US Core Encounter Profile) | Health care event when test ordered | SΣ | 0..1 | Reference(US Core Encounter Profile) | (USCDI) Health care event when test ordered |
| ||||||||
| effective[x] | SΣ | 1..1 | dateTime, Period | Time of the report or note | SΣC | 0..1 | dateTime S, Period | (USCDI) Diagnostically relevant time (typically the time of the procedure) |
| ||||||||
| issued | SΣ | 0..1 | instant | DateTime this version was made | SΣ | 0..1 | instant | (USCDI) DateTime this version was made |
| ||||||||
| performer | SΣ | 0..* | Reference(US Core Practitioner Profile | US Core Organization Profile) | Responsible Diagnostic Service | SΣ | 0..* | Reference(US Core Practitioner Profile S | US Core Organization Profile S | US Core PractitionerRole Profile | US Core CareTeam Profile) | (USCDI) Responsible Diagnostic Service |
| ||||||||
| resultsInterpreter | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter | |||||||||
| specimen | 0..* | Reference(Specimen) | Specimens this report is based on | 0..* | Reference(Specimen) | Specimens this report is based on | |||||||||||
| result | 0..* | Reference(Observation) | Observations | S | 0..* | Reference(US Core Laboratory Result Observation Profile S | US Core Observation Clinical Result Profile S | Observation) | (USCDI) Observations |
| |||||||||
| imagingStudy | 0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic report | 0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic report | |||||||||||
| media | Σ | 0..* | BackboneElement | Key images associated with this report | SΣ | 0..* | BackboneElement | (USCDI) Key images associated with this report |
| ||||||||
 id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| comment | 0..1 | string | Comment about the image (e.g. explanation) | 0..1 | string | Comment about the image (e.g. explanation) | |||||||||||
| link | Σ | 1..1 | Reference(Media) | Reference to the image source | SΣ | 1..1 | Reference(Media) | (USCDI) Reference to the image source |
| ||||||||
| conclusion | 0..1 | string | Clinical conclusion (interpretation) of test results | 0..1 | string | Clinical conclusion (interpretation) of test results | |||||||||||
| conclusionCode | 0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: ?? (example): Diagnosis codes provided as adjuncts to the report. | 0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: ?? (example): Diagnosis codes provided as adjuncts to the report. | |||||||||||
| presentedForm | S | 0..* | Attachment | Entire report as issued | S | 0..* | Attachment | (USCDI) Entire report as issued |
| ||||||||
| Documentation for this format | |||||||||||||||||