Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note vs http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomics-report

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/DiagnosticReport	http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/genomics-report	Values Differ
copyright	Used by permission of HL7 International, all rights reserved Creative Commons License		Removed the item 'Used by permission of HL7 International, all rights reserved Creative Commons License'
date	2022-04-20	2023-03-28T19:28:28+00:00	Values Differ
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. This profile identifies the mandatory core elements, extensions, vocabularies and value sets which **SHALL** be present in the DiagnosticReport when using this 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.	Genomic analysis summary report. The report may include one or more tests, with two distinct test types. The first type is a targeted mutation test, where a specific mutation on a specific gene is tested for. The result is either positive or negative for that mutation. The second type is a more general test for variants. This type of test returns the identity of variants found in a certain region of the genome.	Values Differ
experimental
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	urn:iso:std:iso:3166#US
kind	resource
name	USCoreDiagnosticReportProfileNoteExchange	GenomicsReport	Values Differ
publisher	HL7 International - Cross-Group Projects	HL7 International Clinical Interoperability Council	Values Differ
purpose
status	active
title	US Core DiagnosticReport Profile for Report and Note Exchange	Genomics Report Profile	Values Differ
type	DiagnosticReport
url	http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note	http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-genomics-report	Values Differ
version	6.0.0-ballot	3.0.0-ballot	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	L Type	L Description & Constraints	Comments
DiagnosticReport	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'		0..*	GenomicsReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports	Elements differ in definition: '\-' vs 'The findings and interpretation of diagnostic tests performed on patients, groups of patients, devices, and locations, and/or specimens derived from these. The report includes clinical context such as requesting and provider information, and some mix of atomic results, images, textual and coded interpretations, and formatted representation of diagnostic reports.' Elements differ in comments: '\-' vs '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.'
id	Σ	0..1	id	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. Additional Bindings Purpose ?? Max Binding		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding
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	Extension Slice: Unordered, Open by value:url	Elements differ in short: 'Additional content defined by implementations' vs 'Extension' Elements differ in definition: 'May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'An Extension'
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	?!SΣC	1..1	code	registered | partial | preliminary | final + Binding: ?? (required)	?!SΣ	1..1	code	registered | partial | preliminary | final + Binding: ?? (required): The status of the diagnostic report.
Slices for category	SΣ	1..*	CodeableConcept	Service category Slice: Unordered, Open by pattern:$this Binding: ?? (example): Codes for diagnostic service sections.	SΣ	1..*	CodeableConcept	Service category Slice: Unordered, Open by pattern:coding Binding: ?? (example): Codes for diagnostic service sections.
code	SΣ	1..1	CodeableConcept	US Core Report Code Binding: ?? (extensible): LOINC codes	SΣ	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: ?? (preferred): Codes that describe Diagnostic Reports.	Elements differ in short: 'US Core Report Code' vs 'Name/Code for this diagnostic report' Elements differ in definition: 'The test, panel, report, or note that was ordered.' vs 'A code or name that describes this diagnostic report.' Elements differ in binding.description: 'LOINC codes' vs 'Codes that describe Diagnostic Reports.'
subject	SΣ	1..1	Reference(US Core Patient Profile)	The subject of the report - usually, but not always, the patient	SΣ	0..1	Reference(Cancer Patient Profile)	The subject of the report - usually, but not always, the patient	Element minimum cardinalities differ: '1' vs '0'
encounter	SΣ	0..1	Reference(US Core Encounter Profile)	Health care event when test ordered	Σ	0..1	Reference(Encounter)	Health care event when test ordered	Elements differ in definition for mustSupport: 'true' vs 'false'
effective[x]	SΣC	0..1	dateTime S, Period	Diagnostically relevant time (typically the time of the procedure)	SΣ	0..1	dateTime	Clinically relevant time/time-period for report Slice: Unordered, Closed by type:$this	Elements differ in short: 'Diagnostically relevant time (typically the time of the procedure)' vs 'Clinically relevant time/time-period for report'
issued	SΣ	0..1	instant	DateTime this version was made	SΣ	0..1	instant	DateTime this version was made
performer	SΣ	0..*	Reference(US Core Practitioner Profile S | US Core Organization Profile S | US Core PractitionerRole Profile | US Core CareTeam Profile)	Responsible Diagnostic Service	SΣ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	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	S	0..*	Reference(Human Specimen Profile)	Specimens this report is based on	Elements differ in definition for mustSupport: 'false' vs 'true'
result	S	0..*	Reference(US Core Laboratory Result Observation Profile S | US Core Observation Clinical Result Profile S | US Core Observation Clinical Result Profile S)	Observations	S	0..*	Reference(Observation)	Observations Slice: Unordered, Open by profile:resolve()
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	SΣ	0..*	BackboneElement	Key images associated with this report	Σ	0..*	BackboneElement	Key images associated with this report	Elements differ in definition for mustSupport: 'true' vs 'false'
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	SΣ	1..1	Reference(Media)	Reference to the image source	Σ	1..1	Reference(Media)	Reference to the image source	Elements differ in definition for mustSupport: 'true' vs 'false'
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		0..*	Attachment	Entire report as issued	Elements differ in definition for mustSupport: 'true' vs 'false'
Documentation for this format