Union 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 either of the profiles 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). E.g. what you have to deal with if you get resources conforming to one of them

Structure

NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport C0..*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 Σ0..1MetaMetadata about the resource
ele-1: All FHIR elements must have a @value or children
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... language 0..1codeLanguage of the resource content
Binding: ?? (preferred): A human language.


ele-1: All FHIR elements must have a @value or children
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionExtension
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... modifierExtension ?!0..*ExtensionExtensions 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 Σ0..*IdentifierBusiness identifier for report
ele-1: All FHIR elements must have a @value or children
... basedOn S0..*Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)What was requested
ele-1: All FHIR elements must have a @value or children
... status ?!SΣ1..1code(USCDI) registered | partial | preliminary | final +
Binding: ?? (required)
ele-1: All FHIR elements must have a @value or children
... category SΣ1..*CodeableConcept(USCDI) Service category
Binding: ?? (example): Codes for diagnostic service sections.


ele-1: All FHIR elements must have a @value or children
... code SΣ1..1CodeableConceptleft: 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 SΣ1..1Reference(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 SΣ0..1Reference(US Core Encounter Profile)(USCDI) Health care event when test ordered
ele-1: All FHIR elements must have a @value or children
... effective[x] SΣ0..1(USCDI) Diagnostically relevant time (typically the time of the procedure)
ele-1: All FHIR elements must have a @value or children
.... effectiveDateTimedateTime S
.... effectivePeriodPeriod
... issued SΣ0..1instant(USCDI) DateTime this version was made
ele-1: All FHIR elements must have a @value or children
... performer SΣ0..*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 Σ0..*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 S0..*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 SΣ0..*BackboneElement(USCDI) Key images associated with this report
ele-1: All FHIR elements must have a @value or children
.... extension 0..*ExtensionAdditional 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 ?!Σ0..*ExtensionExtensions 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..1stringComment about the image (e.g. explanation)
ele-1: All FHIR elements must have a @value or children
.... link SΣ1..1Reference(Media)(USCDI) Reference to the image source
ele-1: All FHIR elements must have a @value or children
... conclusion 0..1stringClinical conclusion (interpretation) of test results
ele-1: All FHIR elements must have a @value or children
... conclusionCode 0..*CodeableConceptCodes 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 S0..*Attachment(USCDI) Entire report as issued
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format