description: The QI Core Observation Clinical Result Profile is based upon the US Core Observation Clinical Result Profile. Clinical results includes non-imaging and non-laboratory tests performed on a patient that results in structured or unstructured (narrative) findings specific to the patient, such as electrocardiogram (ECG), visual acuity exam, macular exam, or graded exercise testing (GXT), to facilitate the diagnosis and management of conditions. The QI Core Observation Clinical Result Profile profile defines the core set of elements and extensions for quality rule and measure authors.
package_name: hl7.fhir.us.qicore
derivation: constraint
name: QICoreObservationClinicalResult
type: Observation
elements:
  category:
    min: 1
    isModifier: false
    short: (USCDI) Classification of  type of observation
    index: 1
    slicing:
      rules: open
      discriminator:
      - {path: $this, type: pattern}
      min: 1
      slices:
        us-core:
          match: {}
          schema:
            isModifier: false
            short: (USCDI) Classification of type of observation
            index: 2
            type: CodeableConcept
            mustSupport: true
            array: true
            binding: {strength: required, valueSet: 'http://hl7.org/fhir/us/core/ValueSet/us-core-clinical-result-observation-category'}
            base: {max: '*', min: 0, path: Observation.category}
            isSummary: false
          min: 0
    mustSupport: true
    array: true
    binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/ValueSet/observation-category'}
    base: {max: '*', min: 0, path: Observation.category}
    isSummary: false
  valueTime: {type: time, short: Result Value, mustSupport: true, choiceOf: value, index: 20}
  valueQuantity: {type: Quantity, short: Result Value, mustSupport: true, choiceOf: value, index: 13}
  value:
    short: Result Value
    mustSupport: true
    choices: [valueQuantity, valueCodeableConcept, valueString, valueBoolean, valueInteger, valueRange, valueRatio, valueTime, valueDateTime, valuePeriod]
    index: 12
  valueString: {type: string, short: Result Value, mustSupport: true, choiceOf: value, index: 15}
  valueRatio: {type: Ratio, short: Result Value, mustSupport: true, choiceOf: value, index: 19}
  valueBoolean: {type: boolean, short: Result Value, mustSupport: true, choiceOf: value, index: 16}
  valueDateTime: {type: dateTime, short: Result Value, mustSupport: true, choiceOf: value, index: 21}
  effectiveDateTime: {type: dateTime, short: (USCDI) Clinically relevant time/time-period for observation, isModifier: false, mustSupport: true, choiceOf: effective, index: 7}
  status:
    short: registered | prliminary | final | amended | corrected | entered-in-error | unknown
    binding: {strength: required, valueSet: 'http://hl7.org/fhir/us/qicore/ValueSet/qicore-non-negative-observation-status'}
    mustSupport: true
    index: 0
  effective:
    short: (USCDI) Clinically relevant time/time-period for observation
    isModifier: false
    mustSupport: true
    choices: [effectiveDateTime, effectivePeriod, effectiveTiming, effectiveInstant]
    index: 6
  code:
    binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/ValueSet/observation-codes'}
    isSummary: true
    isModifier: false
    mustSupport: true
    index: 3
  effectiveTiming: {type: Timing, short: (USCDI) Clinically relevant time/time-period for observation, isModifier: false, mustSupport: true, choiceOf: effective, index: 9}
  valueCodeableConcept: {type: CodeableConcept, short: Result Value, mustSupport: true, choiceOf: value, index: 14}
  valuePeriod: {type: Period, short: Result Value, mustSupport: true, choiceOf: value, index: 22}
  effectiveInstant: {type: instant, short: (USCDI) Clinically relevant time/time-period for observation, isModifier: false, mustSupport: true, choiceOf: effective, index: 10}
  valueRange: {type: Range, short: Result Value, mustSupport: true, choiceOf: value, index: 18}
  valueInteger: {type: integer, short: Result Value, mustSupport: true, choiceOf: value, index: 17}
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient']
    index: 4
  dataAbsentReason:
    short: (USCDI) Why the result is missing
    binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/ValueSet/data-absent-reason'}
    isSummary: false
    isModifier: false
    mustSupport: true
    index: 23
  effectivePeriod: {type: Period, short: (USCDI) Clinically relevant time/time-period for observation, isModifier: false, mustSupport: true, choiceOf: effective, index: 8}
package_version: 6.0.0-ballot
class: profile
kind: resource
url: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-clinical-result
base: http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-clinical-result
version: 6.0.0-ballot
required: [subject, category]