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.
package_name: hl7.fhir.us.core
derivation: constraint
name: USCoreDiagnosticReportProfileNoteExchange
type: DiagnosticReport
elements:
  category:
    short: (USCDI) Service category
    mustSupport: true
    index: 1
    slicing:
      rules: open
      discriminator:
      - {path: $this, type: pattern}
      min: 1
      slices:
        us-core:
          match: {}
          schema:
            short: (USCDI) Service category
            binding: {strength: required, valueSet: 'http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-category'}
            mustSupport: true
            index: 2
  encounter:
    type: Reference
    short: (USCDI) Health care event when test ordered
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter']
    index: 5
  effectiveDateTime: {type: dateTime, short: (USCDI) Diagnostically relevant time (typically the time of the procedure), mustSupport: true, choiceOf: effective, index: 8}
  status:
    short: (USCDI) registered | partial | preliminary | final +
    binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/diagnostic-report-status'}
    mustSupport: true
    index: 0
  result:
    type: Reference
    short: (USCDI) Observations
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/Observation', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-clinical-result', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab']
    index: 12
  effective:
    short: (USCDI) Diagnostically relevant time (typically the time of the procedure)
    mustSupport: true
    choices: [effectiveDateTime, effectivePeriod]
    index: 7
  code:
    short: (USCDI) US Core Report Code
    binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-report-and-note-codes'}
    mustSupport: true
    index: 3
  issued: {short: (USCDI) DateTime this version was made, mustSupport: true, index: 10}
  presentedForm: {short: (USCDI) Entire report as issued, mustSupport: true, index: 15}
  media:
    short: (USCDI) Key images associated with this report
    mustSupport: true
    index: 13
    elements:
      link: {short: (USCDI) Reference to the image source, mustSupport: true, index: 14}
  subject:
    type: Reference
    short: (USCDI) The subject of the report - usually, but not always, the patient
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient']
    index: 4
  performer:
    type: Reference
    short: (USCDI) Responsible Diagnostic Service
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-careteam', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole']
    index: 11
  effectivePeriod: {type: Period, short: (USCDI) Diagnostically relevant time (typically the time of the procedure), mustSupport: true, choiceOf: effective, index: 9}
package_version: 6.1.0-snapshot1
class: profile
kind: resource
url: http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note
base: http://hl7.org/fhir/StructureDefinition/DiagnosticReport
version: 6.1.0-snapshot1
required: [subject, category]