description: Profile of DiagnosticReport for Note exchange for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.
package_name: hl7.fhir.us.qicore
derivation: constraint
name: QICoreDiagnosticReportNote
type: DiagnosticReport
elements:
  category: {mustSupport: true, index: 5}
  conclusionCode:
    binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/ValueSet/clinical-findings'}
    mustSupport: true
    index: 20
  conclusion: {mustSupport: true, index: 19}
  encounter:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter']
    index: 8
  specimen:
    type: Reference
    mustSupport: false
    refers: ['http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-specimen']
    index: 15
  extension:
    short: Location Performed
    type: Extension
    mustSupport: false
    url: http://hl7.org/fhir/StructureDefinition/diagnosticReport-locationPerformed
    index: 0
    slicing:
      slices:
        locationPerformed:
          match: {}
          schema:
            short: Location Performed
            type: Extension
            mustSupport: false
            url: http://hl7.org/fhir/StructureDefinition/diagnosticReport-locationPerformed
            index: 0
            elements:
              value:
                mustSupport: true
                choices: [valueReference]
                index: 2
                slicing:
                  slices:
                    valueReference:
                      match: {}
                      schema:
                        mustSupport: true
                        choices: [valueReference]
                        _required: true
                        index: 2
                      min: 1
                      max: 1
              valueReference:
                refers: ['http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location']
                type: Reference
                mustSupport: true
                choiceOf: value
                index: 3
                slicing:
                  slices:
                    valueReference:
                      match: {}
                      schema:
                        refers: ['http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location']
                        type: Reference
                        mustSupport: true
                        _required: true
                        choiceOf: value
                        index: 3
                      min: 1
                      max: 1
            required: [valueReference, value]
  effectiveDateTime:
    constraint:
      ele-1: {human: All FHIR elements must have a @value or children, source: 'http://hl7.org/fhir/StructureDefinition/Element', severity: error, expression: hasValue() or (children().count() > id.count())}
    isModifier: false
    type: dateTime
    mustSupport: true
    base: {max: '1', min: 0, path: 'DiagnosticReport.effective[x]'}
    choiceOf: effective
    isSummary: true
    index: 11
  result:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-clinical-test', 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-imaging', 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-lab']
    index: 16
  effective:
    constraint:
      ele-1: {human: All FHIR elements must have a @value or children, source: 'http://hl7.org/fhir/StructureDefinition/Element', severity: error, expression: hasValue() or (children().count() > id.count())}
    isModifier: false
    mustSupport: true
    choices: [effectiveDateTime, effectivePeriod]
    base: {max: '1', min: 0, path: 'DiagnosticReport.effective[x]'}
    isSummary: true
    index: 10
  code:
    constraint:
      ele-1: {human: All FHIR elements must have a @value or children, source: 'http://hl7.org/fhir/StructureDefinition/Element', severity: error, expression: hasValue() or (children().count() > id.count())}
    isModifier: false
    short: QI Core Report Code
    index: 6
    type: CodeableConcept
    mustSupport: true
    binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-report-and-note-codes'}
    base: {max: '1', min: 1, path: DiagnosticReport.code}
    isSummary: true
  issued: {mustSupport: true, index: 13}
  basedOn:
    type: Reference
    mustSupport: false
    refers: ['http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-careplan', 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-immunizationrec', 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest', 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-nutritionorder', 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequest']
    index: 4
  imagingStudy:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-imagingstudy']
    index: 17
  media: {mustSupport: true, index: 18}
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient']
    index: 7
  performer:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization', 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner']
    index: 14
  effectivePeriod:
    constraint:
      ele-1: {human: All FHIR elements must have a @value or children, source: 'http://hl7.org/fhir/StructureDefinition/Element', severity: error, expression: hasValue() or (children().count() > id.count())}
    isModifier: false
    type: Period
    mustSupport: true
    base: {max: '1', min: 0, path: 'DiagnosticReport.effective[x]'}
    choiceOf: effective
    isSummary: true
    index: 12
package_version: 5.0.0-ballot
extensions:
  locationPerformed:
    url: http://hl7.org/fhir/StructureDefinition/diagnosticReport-locationPerformed
    short: Location Performed
    type: Extension
    mustSupport: false
    index: 0
    elements:
      value:
        mustSupport: true
        choices: [valueReference]
        index: 2
        slicing:
          slices:
            valueReference:
              match: {}
              schema:
                mustSupport: true
                choices: [valueReference]
                _required: true
                index: 2
              min: 1
              max: 1
      valueReference:
        refers: ['http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location']
        type: Reference
        mustSupport: true
        choiceOf: value
        index: 3
        slicing:
          slices:
            valueReference:
              match: {}
              schema:
                refers: ['http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-location']
                type: Reference
                mustSupport: true
                _required: true
                choiceOf: value
                index: 3
              min: 1
              max: 1
    required: [valueReference, value]
class: profile
kind: resource
url: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-diagnosticreport-note
base: http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note
version: 5.0.0-ballot
required: [category, code]