description: The US Core DiagnosticReport Profile for Report and Note Exchange inherits from the FHIR [DiagnosticReport](https://hl7.org/fhir/R4/diagnosticreport.html) resource; refer to it for scope and usage definitions. This profile sets minimum expectations for searching and fetching Diagnostic Reports and Notes using the DiagnosticReport resource. It specifies which core elements, extensions,  vocabularies, and value sets **SHALL** be present in the resource and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption. Before reviewing this profile, implementers are encouraged to read the Clinical Notes Guidance to understand the overlap of the US Core DiagnosticReport Profile for Report and Note exchange and the US Core DocumentReference Profile.
package_name: hl7.fhir.us.core
derivation: constraint
name: USCoreDiagnosticReportProfileNoteExchange
type: DiagnosticReport
elements:
  category:
    mustSupport: true
    index: 1
    slicing:
      rules: open
      discriminator:
      - {path: $this, type: pattern}
      min: 1
      slices:
        us-core:
          match: {}
          schema:
            binding: {strength: required, valueSet: 'http://hl7.org/fhir/us/core/ValueSet/us-core-diagnosticreport-category'}
            mustSupport: true
            index: 2
  encounter:
    type: Reference
    short: Encounter associated with DiagnosticReport
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter']
    index: 5
  effectiveDateTime: {type: dateTime, short: Diagnostically relevant time (typically the time of the procedure), mustSupport: true, choiceOf: effective, index: 8}
  status:
    binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/diagnostic-report-status'}
    mustSupport: true
    index: 0
  result:
    type: Reference
    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: Diagnostically relevant time (typically the time of the procedure)
    mustSupport: true
    choices: [effectiveDateTime, effectivePeriod]
    index: 7
  code:
    short: 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: {mustSupport: true, index: 10}
  presentedForm: {mustSupport: true, index: 15}
  media:
    mustSupport: true
    index: 13
    elements:
      link: {mustSupport: true, index: 14}
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/Device', 'http://hl7.org/fhir/StructureDefinition/Group', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-location', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient']
    index: 4
  performer:
    type: Reference
    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: Diagnostically relevant time (typically the time of the procedure), mustSupport: true, choiceOf: effective, index: 9}
package_version: 7.0.0
class: profile
kind: resource
url: http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note
base: http://hl7.org/fhir/StructureDefinition/DiagnosticReport
version: 7.0.0
required: [subject, category]