description: An exchange of a narrative summary regarding the most recent prior status immediately preceding the current admission, illness, or exacerbation for a patient. The use of this profile is encouraged in the absence of formal prior level assessments. For formal assessments conducted with for example, an assessment instrument, use the [collection](StructureDefinition-pfe-collection.html) and [observatiuon](StructureDefinition-pfe-observation.html) profiles defined in this IG to capture assessment data.
package_name: hl7.fhir.us.pacio-pfe
derivation: constraint
name: PFENarrativeHistoryOfStatus
type: DiagnosticReport
elements:
  extension:
    index: 0
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: url, type: value}
      min: null
      slices:
        event-location:
          match: {url: null}
          schema: {short: An extension to indicate where the documented information was collected., type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/pacio-pfe/StructureDefinition/event-location', index: 1}
          min: 0
          max: 1
        assistance-required:
          match: {url: null}
          schema: {type: Extension, short: An extension to indicate the level of assistance required for a patient during an assessment., mustSupport: true, url: 'http://hl7.org/fhir/us/pacio-pfe/StructureDefinition/assistance-required', index: 2}
          min: 0
          max: 1
  status: {short: 'Should have the value ''final'' when the observation is complete and there are no further actions needed. Otherwise, another value from the value set may appropriately be used.', index: 3}
  category:
    index: 4
    slicing:
      slices:
        functioning:
          match: {}
          schema:
            mustSupport: true
            pattern:
              type: CodeableConcept
              value:
                coding:
                - {code: functioning, system: 'http://hl7.org/fhir/us/pacio-pfe/CodeSystem/pfe-functioning-cs', display: Functioning}
            _required: true
            index: 5
          min: 1
          max: 1
        PFEDomain:
          match: {}
          schema:
            binding: {strength: required, valueSet: 'http://hl7.org/fhir/us/pacio-pfe/ValueSet/pfe-category-vs'}
            mustSupport: true
            array: true
            index: 6
          min: 0
  effective:
    choices: []
    index: 8
  performer:
    type: Reference
    short: The person who performed the assessment. The preferred way to specify the performer is to use the PractitionerRole resource to provide both the practitioner and organization.
    refers: ['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: 9
  presentedForm: {short: The narrative text describing the patient's history of status., index: 10}
package_version: 1.0.0-ballot
extensions:
  event-location: {url: 'http://hl7.org/fhir/us/pacio-pfe/StructureDefinition/event-location', min: 0, max: 1, short: An extension to indicate where the documented information was collected., type: Extension, mustSupport: true, index: 1}
  assistance-required: {url: 'http://hl7.org/fhir/us/pacio-pfe/StructureDefinition/assistance-required', min: 0, max: 1, type: Extension, short: An extension to indicate the level of assistance required for a patient during an assessment., mustSupport: true, index: 2}
class: profile
kind: resource
url: http://hl7.org/fhir/us/pacio-pfe/StructureDefinition/pfe-narrative-history-of-status
base: http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note
version: 1.0.0-ballot
required: [presentedForm, effective, performer]