Profile Comparison between http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-diagnosticreport-lab vs http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-diagnosticreport-lab

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab	http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-diagnosticreport-lab|6.0.0	Values Differ
copyright
description	This profile contains Required and Must Support data elements for reporting diagnostic report lab information to the NHSN Acute Care Hospital (ACH) Monthly Digital Quality Measure. This profile is based on the [HL7 FHIR® US Core Diagnostic Report - Lab Profile v3.1.1](http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-diagnosticreport-lab.html).	This profile contains Required and Must Support data elements for reporting diagnostic report lab information to the NHSN Acute Care Hospital (ACH) Monthly Digital Quality Measure. This profile inherits from the QI Core 6.0.0 [DiagnosticReport Profile for Laboratory Results Reporting](https://hl7.org/fhir/us/qicore/STU6/StructureDefinition-qicore-diagnosticreport-lab.html) profile, which inherits from the US Core 6.1.0 [DiagnosticReport Profile for Laboratory Results Reporting](https://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-diagnosticreport-lab.html) profile.	Values Differ
experimental
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	urn:iso:std:iso:3166#US
kind	resource
name	AcuteCareHospitalMonthlyLabDiagnosticReport
publisher	CDC National Healthcare Safety Network (NHSN)
purpose
status	active
title	ACH Monthly Event Diagnostic Report (Lab)
type	DiagnosticReport
url	http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-diagnosticreport-lab

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	R Type	R Description & Constraints	Comments
DiagnosticReport		0..*	USCoreDiagnosticReportProfileLaboratoryReporting	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports	C	0..*	QICoreDiagnosticReportLab(6.0.0)	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
id	Σ	1..1	id	Logical id of this artifact	SΣ	1..1	id	(NHSN-MS) Logical id of this artifact	Elements differ in definition for mustSupport: 'false' vs 'true'
meta	Σ	0..1	Meta	Metadata about the resource	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System.	Σ	0..*	Coding	Security Labels applied to this resource Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: ?? (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".	Σ	0..*	Coding	Tags applied to this resource Binding: ?? (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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
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
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
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(QICore CarePlan | QICore ImmunizationRecommendation | QICore MedicationRequest | QICore NutritionOrder | QICore ServiceRequest)	What was requested
status	?!SΣ	1..1	code	registered | partial | preliminary | final + Binding: ?? (required)	?!SΣC	1..1	code	(NHSN-MS)(USCDI) registered | partial | preliminary | final + Binding: ?? (required)
Slices for category	SΣ	1..*	CodeableConcept	Service category Slice: Unordered, Open by pattern:$this Binding: ?? (example): Codes for diagnostic service sections.	SΣ	1..*	CodeableConcept	(NHSN-MS)(QI-Core)(USCDI) Service category Slice: Unordered, Open by pattern:$this Binding: ?? (preferred): Codes for diagnostic service sections.
code	SΣ	1..1	CodeableConcept	US Core Laboratory Report Order Code Binding: ?? (extensible): LOINC codes	SΣ	1..1	CodeableConcept	(NHSN-MS)(USCDI) US Core Laboratory Report Order 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(Cross-Measure Patient Profile) {b}	(NHSN-MS)(QI-Core)(USCDI) The subject of the report - usually, but not always, the patient
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL	SΣC	1..1	string	(NHSN-MS) Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource	Σ	0..1	string	Text alternative for the resource
encounter	Σ	0..1	Reference(Encounter)	Health care event when test ordered	SΣ	0..1	Reference(Encounter) {b}	(NHSN-MS) Health care event when test ordered	Elements differ in definition for mustSupport: 'false' vs 'true'
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL	SΣC	1..1	string	(NHSN-MS) Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource	Σ	0..1	string	Text alternative for the resource
effective[x]	SΣ	1..1	dateTime, Period	Specimen Collection Datetime or Period	SΣC	0..1	dateTime S, Period	(NHSN-MS)(QI-Core)(USCDI) Diagnostically relevant time (typically the time of specimen collection)	Element minimum cardinalities differ: '1' vs '0'
issued	SΣ	1..1	instant	DateTime this version was made	SΣC	0..1	instant	(NHSN-MS)(USCDI) When the report was released	Element minimum cardinalities differ: '1' vs '0'
performer	SΣ	0..*	Reference(US Core Practitioner Profile | US Core Organization Profile)	Responsible Diagnostic Service	SΣ	0..*	Reference(QICore Practitioner | QICore PractitionerRole | QICore Organization)	(QI-Core)(USCDI) Responsible Diagnostic Service
resultsInterpreter	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter
specimen	S	0..*	Reference(Specimen)	Specimens this report is based on	S	0..*	Reference(ACH Monthly Event Specimen) {b}	(NHSN-MS) Specimens this report is based on
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL	SΣC	1..1	string	(NHSN-MS) Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource	Σ	0..1	string	Text alternative for the resource
result	S	0..*	Reference(US Core Laboratory Result Observation Profile)	Observations	S	0..*	Reference(QICore Laboratory Result Observation) {b}	(NHSN-MS)(QI-Core)(USCDI) Observations
id						0..1	string	Unique id for inter-element referencing	Added this element
Slices for extension						0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url	Added this element
reference					SΣC	1..1	string	(NHSN-MS) Literal reference, Relative, internal or absolute URL	Added this element
type					Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).	Added this element
identifier					Σ	0..1	Identifier	Logical reference, when literal reference is not known	Added this element
display					Σ	0..1	string	Text alternative for the resource	Added this element
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	Σ	0..*	BackboneElement	Key images associated with this report	Σ	0..*	BackboneElement	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	Σ	1..1	Reference(Media)	Reference to the image source	Σ	1..1	Reference(Media)	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		0..*	Attachment	Entire report as issued		0..*	Attachment	Entire report as issued
Documentation for this format