Intersection of http://hl7.org/fhir/us/mcc/StructureDefinition/MCCDiagnosticReportAndNote and http://hl7.org/fhir/us/mcc/StructureDefinition/MCCDiagnosticReportAndNote

This is the set of resources that conform to both Multiple Chronic Condition Care Plan Diagnostic Report and Note (http://hl7.org/fhir/us/mcc/StructureDefinition/MCCDiagnosticReportAndNote) and Multiple Chronic Condition Care Plan Diagnostic Report and Note (http://hl7.org/fhir/us/mcc/StructureDefinition/MCCDiagnosticReportAndNote).

Structure

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport	C	0..*		A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management us-core-10: effective[x] SHALL be present if the status is 'partial', 'preliminary', 'final', 'amended', 'corrected' or 'appended'
meta	Σ	0..1	Meta	Metadata about the resource ele-1: All FHIR elements must have a @value or children
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
language		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding ele-1: All FHIR elements must have a @value or children
text		0..1	Narrative	Text summary of the resource, for human interpretation ele-1: All FHIR elements must have a @value or children
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	Σ	0..*	Identifier	Business identifier for report ele-1: All FHIR elements must have a @value or children
basedOn	S	0..*	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested ele-1: All FHIR elements must have a @value or children
status	?!SΣ	1..1	code	(USCDI) registered | partial | preliminary | final + Binding: ?? (required) ele-1: All FHIR elements must have a @value or children
category	SΣ	1..*	CodeableConcept	(USCDI) Service category Binding: ?? (example): Codes for diagnostic service sections. ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	CodeableConcept	left: Please see the Diagnostic Report and Note Value Set Library for value sets that are derived from LOINC that can be used at DiagnosticReport.code element; right: Please see the Diagnostic Report and Note Imaging Value Set Library for Imaging realted value sets that are derived from LOINC that can be used at DiagnosticReport.code element. Other use cases beyond Imaging have yet to have value sets assigned, and are not precluded. Binding: ?? (extensible): LOINC codes ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(US Core Patient Profile)	(USCDI) The subject of the report - usually, but not always, the patient ele-1: All FHIR elements must have a @value or children
encounter	SΣ	0..1	Reference(US Core Encounter Profile)	(USCDI) Health care event when test ordered ele-1: All FHIR elements must have a @value or children
effective[x]	SΣ	0..1		(USCDI) Diagnostically relevant time (typically the time of the procedure) ele-1: All FHIR elements must have a @value or children
effectiveDateTime			dateTime S
effectivePeriod			Period
issued	SΣ	0..1	instant	(USCDI) DateTime this version was made ele-1: All FHIR elements must have a @value or children
performer	SΣ	0..*	Reference(US Core Practitioner Profile S | US Core Organization Profile S | US Core PractitionerRole Profile | US Core CareTeam Profile)	(USCDI) Responsible Diagnostic Service ele-1: All FHIR elements must have a @value or children
resultsInterpreter	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter ele-1: All FHIR elements must have a @value or children
specimen		0..*	Reference(Specimen)	Specimens this report is based on ele-1: All FHIR elements must have a @value or children
result	S	0..*	Reference(US Core Laboratory Result Observation Profile S | US Core Observation Clinical Result Profile S | Observation)	(USCDI) Observations ele-1: All FHIR elements must have a @value or children
imagingStudy		0..*	Reference(ImagingStudy)	Reference to full details of imaging associated with the diagnostic report ele-1: All FHIR elements must have a @value or children
media	SΣ	0..*	BackboneElement	(USCDI) Key images associated with this report ele-1: All FHIR elements must have a @value or children
extension		0..*	Extension	Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
comment		0..1	string	Comment about the image (e.g. explanation) ele-1: All FHIR elements must have a @value or children
link	SΣ	1..1	Reference(Media)	(USCDI) Reference to the image source ele-1: All FHIR elements must have a @value or children
conclusion		0..1	string	Clinical conclusion (interpretation) of test results ele-1: All FHIR elements must have a @value or children
conclusionCode		0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: ?? (example): Diagnosis codes provided as adjuncts to the report. ele-1: All FHIR elements must have a @value or children
presentedForm	S	0..*	Attachment	(USCDI) Entire report as issued ele-1: All FHIR elements must have a @value or children
Documentation for this format