abstractbaseDefinition- Values Differ
copyrightdescription- Values Differ
experimentalfhirVersionjurisdiction
jurisdiction[0]kindnamepublisherpurposestatustitletypeurl| Left: | ACH Monthly Event Diagnostic Report - Report and Note (http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-diagnosticreport-note) |
| Right: | ACH Monthly Event Diagnostic Report - Report and Note (http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-diagnosticreport-note) |
| Error | StructureDefinition.baseDefinition | Values for baseDefinition differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note' vs 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-diagnosticreport-note|6.0.0' |
| Information | StructureDefinition.short | Values for short differ: 'US Core Diagnostic Report Profile for Report and Note exchange' vs 'A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports' |
| Information | StructureDefinition.definition | Values for definition differ: 'The US Core Diagnostic Report Profile for Report and Note exchange is based upon the requirements of the Argonauts to exchang imaginge reports.' vs '\-' |
| Information | StructureDefinition.comment | Values for comment differ: 'This is intended to capture a single report and is not suitable for use in displaying summary information that covers multiple reports. For example, this resource has not been designed for laboratory cumulative reporting formats nor detailed structured reports for sequencing.' vs '\-' |
| Information | StructureDefinition.short | Values for short differ: 'Logical id of this artifact' vs '(NHSN-MS) Logical id of this artifact' |
| Warning | DiagnosticReport.id | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Information | StructureDefinition.short | Values for short differ: 'What was requested' vs '(NHSN-MS) What was requested' |
| Information | StructureDefinition.short | Values for short differ: 'Literal reference, Relative, internal or absolute URL' vs '(NHSN-MS) Literal reference, Relative, internal or absolute URL' |
| Information | StructureDefinition.short | Values for short differ: 'registered | partial | preliminary | final +' vs '(NHSN-MS)(USCDI) registered | partial | preliminary | final +' |
| Information | StructureDefinition.short | Values for short differ: 'Service category' vs '(NHSN-MS)(QI-Core)(USCDI) Service Category' |
| Information | StructureDefinition.short | Values for short differ: 'US Core Report Code' vs '(NHSN-MS)(QI-Core)(USCDI) QI-Core Report Code' |
| Information | StructureDefinition.comment | Values for comment differ: 'UsageNote= The typical patterns for codes are: 1) a LOINC code either as a translation from a 'local' code or as a primary code, or 2) a local code only if no suitable LOINC exists, or 3) both the local and the LOINC translation. Systems SHALL be capable of sending the local code if one exists.' vs 'The typical patterns for codes are: 1) a LOINC code either as a translation from a 'local' code or as a primary code, or 2) a local code only if no suitable LOINC exists, or 3) both the local and the LOINC translation. Systems SHALL be capable of sending the local code if one exists.' |
| Information | StructureDefinition.short | Values for short differ: 'The subject of the report - usually, but not always, the patient' vs '(NHSN-MS)(QI-Core)(USCDI) The subject of the report - usually, but not always, the patient' |
| Information | StructureDefinition.definition | Values for definition differ: 'The subject of the report. Usually, but not always, this is a patient. However diagnostic services also perform analyses on specimens collected from a variety of other sources.' vs 'The subject of the report. Usually, but not always, this is a patient. However, diagnostic services also perform analyses on specimens collected from a variety of other sources.' |
| Information | StructureDefinition.short | Values for short differ: 'Literal reference, Relative, internal or absolute URL' vs '(NHSN-MS) Literal reference, Relative, internal or absolute URL' |
| Information | StructureDefinition.short | Values for short differ: 'Health care event when test ordered' vs '(NHSN-MS)(QI-Core)(USCDI) Health care event when test ordered' |
| Information | StructureDefinition.short | Values for short differ: 'Literal reference, Relative, internal or absolute URL' vs '(NHSN-MS) Literal reference, Relative, internal or absolute URL' |
| Information | StructureDefinition.short | Values for short differ: 'Time of the report or note' vs '(NHSN-MS)(QI-Core)(USCDI) Diagnostically relevant time (typically the time of the procedure)' |
| Information | StructureDefinition.definition | Values for definition differ: 'This is the Datetime or Period when the report or note was written.' vs 'The time or time-period the observed values are related to. When the subject of the report is a patient, this is usually either the time of the procedure or of specimen collection(s), but very often the source of the date/time is not known, only the date/time itself.' |
| Information | StructureDefinition.short | Values for short differ: 'DateTime this version was made' vs '(NHSN-MS)(QI-Core)(USCDI) DateTime this version was made' |
| Information | StructureDefinition.short | Values for short differ: 'Responsible Diagnostic Service' vs '(QI-Core)(USCDI) Responsible Diagnostic Service' |
| Information | StructureDefinition.short | Values for short differ: 'Observations' vs '(QI-Core)(USCDI) Observations' |
| Warning | DiagnosticReport.result | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Information | StructureDefinition.short | Values for short differ: 'Reference to full details of imaging associated with the diagnostic report' vs '(QI-Core) Reference to full details of imaging associated with the diagnostic report' |
| Information | StructureDefinition.short | Values for short differ: 'Key images associated with this report' vs '(QI-Core)(USCDI) Key images associated with this report' |
| Warning | DiagnosticReport.media | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Information | StructureDefinition.short | Values for short differ: 'Reference to the image source' vs '(USCDI) Reference to the image source' |
| Warning | DiagnosticReport.media.link | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Information | StructureDefinition.short | Values for short differ: 'Codes for the clinical conclusion of test results' vs '(NHSN-MS) Codes for the clinical conclusion of test results' |
| Information | StructureDefinition.short | Values for short differ: 'Entire report as issued' vs '(USCDI) Entire report as issued' |
| Name | Value | Comments | |
|---|---|---|---|
| abstract | false | ||
| baseDefinition | http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-diagnosticreport-note|6.0.0 |
|
| copyright | |||
| description | This profile contains Required and Must Support data elements for reporting diagnostic report- report and note information to the NHSN Acute Care Hospital (ACH) Monthly Digital Quality Measure. This profile is based on the [HL7 FHIR® US Core Diagnostic Report - Report and Note Exchange](https://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-diagnosticreport-note.html). | This profile contains Required and Must Support data elements for reporting diagnostic report- report and note 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 Report and Note Exchange](https://hl7.org/fhir/us/qicore/STU6/StructureDefinition-qicore-diagnosticreport-note.html) profile, which inherits from the US Core 6.1.0 [DiagnosticReport Profile for Report and Note Exchange](https://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-diagnosticreport-note.html) profile. |
|
| experimental | |||
| fhirVersion | 4.0.1 | ||
| jurisdiction | |||
| jurisdiction[0] | urn:iso:std:iso:3166#US | ||
| kind | resource | ||
| name | AcuteCareHospitalMonthlyNoteDiagnosticReport | ||
| publisher | CDC National Healthcare Safety Network (NHSN) | ||
| purpose | |||
| status | active | ||
| title | ACH Monthly Event Diagnostic Report - Report and Note | ||
| type | DiagnosticReport | ||
| url | http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-diagnosticreport-note | ||
| Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
 DiagnosticReport | 0..* | USCoreDiagnosticReportProfileNoteExchange | US Core Diagnostic Report Profile for Report and Note exchange | C | 0..* | QICoreDiagnosticReportNote(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 |
| ||||||||
 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.
| 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| |||||||||||
| 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 | S | 0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested | S | 0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) {b} | (NHSN-MS) What was requested | |||||||||
| 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 | |||||||||
| status | ?!SΣ | 1..1 | code | registered | partial | preliminary | final + Binding: ?? (required) | ?!SΣC | 1..1 | code | (NHSN-MS)(USCDI) registered | partial | preliminary | final + Binding: ?? (required) | |||||||||
| category | SΣ | 1..* | CodeableConcept | Service category Binding: ?? (required) | SΣ | 1..* | CodeableConcept | (NHSN-MS)(QI-Core)(USCDI) Service Category Slice: Unordered, Open by pattern:$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 | (NHSN-MS)(QI-Core)(USCDI) QI-Core Report 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 | SΣ | 0..1 | Reference(US Core Encounter Profile) | Health care event when test ordered | SΣ | 0..1 | Reference(QICore Encounter) {b} | (NHSN-MS)(QI-Core)(USCDI) Health care event when test ordered | |||||||||
| 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 | Time of the report or note | SΣC | 1..1 | dateTime S, Period | (NHSN-MS)(QI-Core)(USCDI) Diagnostically relevant time (typically the time of the procedure) | |||||||||
| issued | SΣ | 0..1 | instant | DateTime this version was made | SΣ | 0..1 | instant | (NHSN-MS)(QI-Core)(USCDI) DateTime this version was made | |||||||||
| performer | SΣ | 0..* | Reference(US Core Practitioner Profile | US Core Organization Profile) | Responsible Diagnostic Service | SΣ | 0..* | Reference(QICore Practitioner | 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 | 0..* | Reference(Specimen) | Specimens this report is based on | 0..* | Reference(Specimen) | Specimens this report is based on | |||||||||||
| result | 0..* | Reference(Observation) | Observations | S | 0..* | Reference(QICore Laboratory Result Observation | QICore Observation Clinical Result) | (QI-Core)(USCDI) Observations |
| |||||||||
| imagingStudy | 0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic report | 0..* | Reference(QICore ImagingStudy) | (QI-Core) Reference to full details of imaging associated with the diagnostic report | |||||||||||
| media | Σ | 0..* | BackboneElement | Key images associated with this report | SΣ | 0..* | BackboneElement | (QI-Core)(USCDI) 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 | SΣ | 1..1 | Reference(Media) | (USCDI) 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 | S | 0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: ?? (example): Diagnosis codes provided as adjuncts to the report. | S | 0..* | CodeableConcept | (NHSN-MS) Codes for the clinical conclusion of test results Binding: ?? (example): Diagnosis codes provided as adjuncts to the report. | |||||||||
| presentedForm | S | 0..* | Attachment | Entire report as issued | S | 0..* | Attachment | (USCDI) Entire report as issued | |||||||||
| Documentation for this format | |||||||||||||||||