QICoreDiagnosticReportNote

The US Core Diagnostic Report Profile for Report and Note exchange is based upon the requirements of the Argonauts to exchang imaginge reports.

= Must Support, = Is Modifier, = QiCore defined extension

FieldCard.TypeDescription
locationPerformed0..1ExtensionFacility location where this report was prepared.
valueReference1..1QICoreLocationValue of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/extensibility.html) for a list).
identifier0..*List<Identifier>Identifiers assigned to this report by the performer or other systems.
basedOn0..*List<QICoreCarePlan | QICoreImmunizationRecommendation | QICoreMedicationRequest | QICoreNutritionOrder | QICoreServiceRequest>Details concerning a service requested.
status1..1StringThe status of the diagnostic report.
Binding: http://hl7.org/fhir/ValueSet/diagnostic-report-status (required)
category1..*List<Concept>A code that classifies the clinical discipline, department or diagnostic service that created the report (e.g. cardiology, biochemistry, hematology, MRI). This is used for searching, sorting and display purposes.
Binding: http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-category (extensible)
code1..1ConceptThe test, panel, report, or note that was ordered.
Binding: LOINC codes (extensible)
subject1..1QICorePatientThe 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.
encounter0..1QICoreEncounterThe healthcare event (e.g. a patient and healthcare provider interaction) which this DiagnosticReport is about.
effective[x]1..1DateTime | Interval<DateTime>This is the Datetime or Period when the report or note was written.
issued0..1DateTimeThe date and time that this version of the report was made available to providers, typically after the report was reviewed and verified.
performer0..*List<QICorePractitioner | QICoreOrganization>The diagnostic service that is responsible for issuing the report.
resultsInterpreter0..*List<QICorePractitioner | QICorePractitionerRole | QICoreOrganization | QICoreCareTeam>The practitioner or organization that is responsible for the report's conclusions and interpretations.
specimen0..*List<QICoreSpecimen>Details about the specimens on which this diagnostic report is based.
result0..*List<QICoreObservation>[Observations](http://hl7.org/fhir/R4/observation.html) that are part of this diagnostic report.
imagingStudy0..*List<QICoreImagingStudy>One or more links to full details of any imaging performed during the diagnostic investigation. Typically, this is imaging performed by DICOM enabled modalities, but this is not required. A fully enabled PACS viewer can use this information to provide views of the source images.
media0..*List<media>A list of key images associated with this report. The images are generally created during the diagnostic process, and may be directly of the patient, or of treated specimens (i.e. slides of interest).
conclusion0..1StringConcise and clinically contextualized summary conclusion (interpretation/impression) of the diagnostic report.
conclusionCode0..*List<Concept>One or more codes that represent the summary conclusion (interpretation/impression) of the diagnostic report.
Binding: This value set includes all the "Clinical finding" SNOMED CT codes - concepts where concept is-a 404684003 (Clinical finding (finding)). (preferred)
presentedForm0..*List<Attachment>Rich text representation of the entire result as issued by the diagnostic service. Multiple formats are allowed but they SHALL be semantically equivalent.