This is the set of resources that conform to both Personal Functioning and Engagement Narrative History of Status (http://hl7.org/fhir/us/pacio-pfe/StructureDefinition/pfe-narrative-history-of-status) and Personal Functioning and Engagement Narrative History of Status (http://hl7.org/fhir/us/pacio-pfe/StructureDefinition/pfe-narrative-history-of-status).
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
|---|---|---|---|---|---|---|---|---|
![]() | C | 0..* | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: us-core-10 | |||||
![]() ![]() | Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
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![]() ![]() | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
![]() ![]() | 0..* | Resource | Contained, inline Resources | |||||
![]() ![]() | 0..* | Extension | Extension | |||||
![]() ![]() | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() | Σ | 0..* | Identifier | Business identifier for report | ||||
![]() ![]() | 0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested | |||||
![]() ![]() | ?!SΣ | 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) | ||||
![]() ![]() | SΣ | 1..* | CodeableConcept | left: (USCDI) Service category; right: Service category Binding: ?? (example): Codes for diagnostic service sections. | ||||
![]() ![]() | SΣ | 1..1 | CodeableConcept | US Core Report Code Binding: ?? (extensible): LOINC codes | ||||
![]() ![]() | SΣ | 1..1 | Reference(US Core Patient Profile(6.1.0) | #sd-5-us-core-patient-us-core-patient) | left: (USCDI) The subject of the report - usually, but not always, the patient; right: The subject of the report - usually, but not always, the patient | ||||
![]() ![]() | SΣ | 0..1 | Reference(US Core Encounter Profile(6.1.0) | #sd-31-us-core-encounter-us-core-encounter) | left: (USCDI) Health care event when test ordered; right: Encounter associated with DiagnosticReport | ||||
![]() ![]() | SΣ | 1..1 | Diagnostically relevant time (typically the time of the procedure) | |||||
![]() ![]() ![]() | dateTime S | |||||||
![]() ![]() ![]() | Period | |||||||
![]() ![]() | SΣ | 0..1 | instant | left: (USCDI) DateTime this version was made; right: DateTime this version was made | ||||
![]() ![]() | SΣ | 1..* | Reference(US Core Practitioner Profile(6.1.0) | US Core PractitionerRole Profile(6.1.0) | US Core Organization Profile(6.1.0) | #sd-18-us-core-practitioner-us-core-practitioner) | 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 | 0..* | Reference(http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|9.0.0 S | http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization|9.0.0 | PractitionerRole | http://hl7.org/fhir/us/core/StructureDefinition/us-core-careteam|9.0.0) | Primary result interpreter | ||||
![]() ![]() | 0..* | Reference(Specimen) | Specimens this report is based on | |||||
![]() ![]() | S | 0..* | Reference(US Core Laboratory Result Observation Profile(6.1.0) S | US Core Observation Clinical Result Profile S | Observation) | left: (USCDI) Observations; right: Observations | ||||
![]() ![]() | 0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic report | |||||
![]() ![]() | SΣ | 0..* | BackboneElement | left: (USCDI) Key images associated with this report; right: Key images associated with this report | ||||
![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() | 0..1 | string | Comment about the image (e.g. explanation) | |||||
![]() ![]() ![]() | SΣ | 1..1 | Reference(Media) | left: (USCDI) Reference to the image source; right: Reference to the image source | ||||
![]() ![]() | 0..1 | string | Clinical conclusion (interpretation) of test results | |||||
![]() ![]() | 0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: ?? (example): Diagnosis codes provided as adjuncts to the report. | |||||
![]() ![]() | S | 1..* | Attachment | The narrative text describing the patient's history of status. | ||||
Documentation for this format | ||||||||