Left: | Personal Functioning and Engagement Narrative History of Status (http://hl7.org/fhir/us/pacio-pfe/StructureDefinition/pfe-narrative-history-of-status) |
Right: | Personal Functioning and Engagement Narrative History of Status (http://hl7.org/fhir/us/pacio-pfe/StructureDefinition/pfe-narrative-history-of-status) |
Error | StructureDefinition.version | Values for version differ: '1.0.0' vs '2.0.0-ballot' |
Information | StructureDefinition.status | Values for status differ: 'draft' vs 'active' |
Information | StructureDefinition.date | Values for date differ: '2024-01-05T16:57:50+00:00' vs '2024-08-13T14:51:10+00:00' |
Information | StructureDefinition.short | Values for short differ: 'Service category' vs '(USCDI) Service category' |
Information | StructureDefinition.short | Values for short differ: 'The subject of the report - usually, but not always, the patient' vs '(USCDI) The subject of the report - usually, but not always, the patient' |
Information | StructureDefinition.short | Values for short differ: 'Health care event when test ordered' vs '(USCDI) Health care event when test ordered' |
Information | StructureDefinition.short | Values for short differ: 'DateTime this version was made' vs '(USCDI) DateTime this version was made' |
Information | StructureDefinition.short | Values for short differ: 'Observations' vs '(USCDI) Observations' |
Information | StructureDefinition.short | Values for short differ: 'Key images associated with this report' vs '(USCDI) Key images associated with this report' |
Information | StructureDefinition.short | Values for short differ: 'Reference to the image source' vs '(USCDI) Reference to the image source' |
Name | Value | Comments | |
---|---|---|---|
abstract | false | ||
baseDefinition | http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note | ||
copyright | |||
date | 2024-01-05T16:57:50+00:00 | 2024-08-13T14:51:10+00:00 |
|
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 [single observation](StructureDefinition-pfe-observation-single.html) profiles defined in this IG to capture assessment data. | ||
experimental | |||
fhirVersion | 4.0.1 | ||
jurisdiction | |||
jurisdiction[0] | urn:iso:std:iso:3166#US | ||
kind | resource | ||
name | PFENarrativeHistoryOfStatus | ||
publisher | HL7 International / Patient Care | ||
purpose | |||
status | draft | active |
|
title | Personal Functioning and Engagement Narrative History of Status | ||
type | DiagnosticReport | ||
url | http://hl7.org/fhir/us/pacio-pfe/StructureDefinition/pfe-narrative-history-of-status | ||
version | 1.0.0 | 2.0.0-ballot |
|
Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
DiagnosticReport | C | 0..* | USCoreDiagnosticReportProfileNoteExchange | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports us-core-10: effective[x] SHALL be present if the status is 'partial', 'preliminary', 'final', 'amended', 'corrected' or 'appended' | C | 0..* | USCoreDiagnosticReportProfileNoteExchange | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports us-core-10: effective[x] SHALL be present if the status is 'partial', 'preliminary', 'final', 'amended', 'corrected' or 'appended' | |||||||||
id | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact | |||||||||
meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource | |||||||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created | |||||||||
language | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| |||||||||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||||||||
contained | 0..* | Resource | Contained, inline Resources | 0..* | Resource | Contained, inline Resources | |||||||||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored | |||||||||
identifier | Σ | 0..* | Identifier | Business identifier for report | Σ | 0..* | Identifier | Business identifier for report | |||||||||
basedOn | 0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested | 0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested | |||||||||||
status | ?!SΣC | 1..1 | code | 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. Binding: ?? (required) | ?!SΣC | 1..1 | code | 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. Binding: ?? (required) | |||||||||
Slices for category | SΣ | 1..* | CodeableConcept | Service category Slice: Unordered, Open by pattern:$this Binding: ?? (example): Codes for diagnostic service sections. | SΣ | 1..* | CodeableConcept | (USCDI) Service category Slice: Unordered, Open by pattern:$this Binding: ?? (example): Codes for diagnostic service sections. | |||||||||
code | SΣ | 1..1 | CodeableConcept | US Core Report Code Binding: ?? (extensible): LOINC codes | SΣ | 1..1 | CodeableConcept | US Core Report Code Binding: ?? (extensible): LOINC codes | |||||||||
subject | SΣ | 1..1 | Reference(US Core Patient Profile) | The subject of the report - usually, but not always, the patient | SΣ | 1..1 | Reference(US Core Patient Profile) | (USCDI) The subject of the report - usually, but not always, the patient | |||||||||
encounter | SΣ | 0..1 | Reference(US Core Encounter Profile) | Health care event when test ordered | SΣ | 0..1 | Reference(US Core Encounter Profile) | (USCDI) Health care event when test ordered | |||||||||
effective[x] | SΣC | 1..1 | dateTime S, Period | Diagnostically relevant time (typically the time of the procedure) | SΣC | 1..1 | dateTime S, Period | Diagnostically relevant time (typically the time of the procedure) | |||||||||
issued | SΣ | 0..1 | instant | DateTime this version was made | SΣ | 0..1 | instant | (USCDI) DateTime this version was made | |||||||||
performer | SΣ | 1..* | Reference(US Core Practitioner Profile S | US Core PractitionerRole Profile | US Core Organization Profile S) | 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. | SΣ | 1..* | Reference(US Core Practitioner Profile S | US Core PractitionerRole Profile | US Core Organization Profile S) | 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. | |||||||||
resultsInterpreter | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter | |||||||||
specimen | 0..* | Reference(Specimen) | Specimens this report is based on | 0..* | Reference(Specimen) | Specimens this report is based on | |||||||||||
result | S | 0..* | Reference(US Core Laboratory Result Observation Profile S | US Core Observation Clinical Test Result Profile S | US Core Observation Imaging Result Profile S) | Observations | S | 0..* | Reference(US Core Laboratory Result Observation Profile S | US Core Observation Clinical Result Profile S | Observation) | (USCDI) Observations | |||||||||
imagingStudy | 0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic report | 0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic report | |||||||||||
media | SΣ | 0..* | BackboneElement | Key images associated with this report | SΣ | 0..* | BackboneElement | (USCDI) Key images associated with this report | |||||||||
id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
comment | 0..1 | string | Comment about the image (e.g. explanation) | 0..1 | string | Comment about the image (e.g. explanation) | |||||||||||
link | SΣ | 1..1 | Reference(Media) | Reference to the image source | SΣ | 1..1 | Reference(Media) | (USCDI) Reference to the image source | |||||||||
conclusion | 0..1 | string | Clinical conclusion (interpretation) of test results | 0..1 | string | Clinical conclusion (interpretation) of test results | |||||||||||
conclusionCode | 0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: ?? (example): Diagnosis codes provided as adjuncts to the report. | 0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: ?? (example): Diagnosis codes provided as adjuncts to the report. | |||||||||||
presentedForm | S | 1..* | Attachment | The narrative text describing the patient's history of status. | S | 1..* | Attachment | The narrative text describing the patient's history of status. | |||||||||
Documentation for this format |