Profile Comparison between http://hl7.org/fhir/us/pacio-pfe/StructureDefinition/pfe-narrative-history-of-status vs http://hl7.org/fhir/us/pacio-pfe/StructureDefinition/pfe-narrative-history-of-status

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note	http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note|9.0.0	Values Differ
copyright
date	2025-07-23T17:08:40+00:00	2026-08-04T15:02:22+00:00	Values Differ
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	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	2.0.0	3.0.0-ballot	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	R Type	R Description & Constraints	Comments
DiagnosticReport	C	0..*	USCoreDiagnosticReportProfileNoteExchange(6.1.0)	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports	C	0..*	USCoreDiagnosticReportProfileNoteExchange(9.0.0)	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
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. Additional Bindings Purpose ?? Max Binding		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding	Example/preferred bindings differ at DiagnosticReport.language using binding from PFENarrativeHistoryOfStatus
text		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..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
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	(USCDI) Service category Slice: Unordered, Open by pattern:$this Binding: ?? (example): Codes for diagnostic service sections.	SΣ	1..*	CodeableConcept	Service category Slice: Unordered, Open by value:$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(6.1.0))	(USCDI) The subject of the report - usually, but not always, the patient	SΣ	1..1	Reference(US Core Patient Profile(9.0.0) S | Group | US Core Device Profile | US Core Location Profile(9.0.0))	The subject of the report - usually, but not always, the patient
encounter	SΣ	0..1	Reference(US Core Encounter Profile(6.1.0))	(USCDI) Health care event when test ordered	SΣ	0..1	Reference(US Core Encounter Profile(9.0.0))	Encounter associated with DiagnosticReport
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	(USCDI) DateTime this version was made	SΣ	0..1	instant	DateTime this version was made
performer	SΣ	1..*	Reference(US Core Practitioner Profile(6.1.0) | US Core PractitionerRole Profile(6.1.0) | US Core Organization Profile(6.1.0))	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(9.0.0) | US Core PractitionerRole Profile(9.0.0) | US Core Organization Profile(9.0.0))	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	SΣ	0..*	Reference(US Core Practitioner Profile(9.0.0) S | US Core Organization Profile(9.0.0) | PractitionerRole | US Core CareTeam Profile(9.0.0))	Primary result interpreter	Elements differ in definition for mustSupport: 'false' vs 'true'
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(6.1.0) S | US Core Observation Clinical Result Profile S | Observation)	(USCDI) Observations	S	0..*	Reference(US Core Observation Clinical Result Profile(9.0.0) S | US Core Laboratory Result Observation Profile(9.0.0) | Observation)	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	(USCDI) Key images associated with this report	Σ	0..*	BackboneElement	Key images associated with this report	Elements differ in definition for mustSupport: 'true' vs 'false'
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)	(USCDI) Reference to the image source	Σ	1..1	Reference(Media)	Reference to the image source	Elements differ in definition for mustSupport: 'true' vs 'false'
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