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  1. FHIR Specification Feedback
  2. FHIR-34557

Update definition of diagnosticreport.effective[x]

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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Medium Medium
    • US QI Core (FHIR)
    • 4.1.0 [deprecated]
    • Clinical Quality Information
    • QICore DiagnosticReport Profile for Report and Note Exchange
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      To align with US Core 5.0.0:

      1. US Core name for this profile is now US Core Diagnostic Report Profile for Report and Note Exchange - QI-Core should follow with the name as changed.
      2. US Core 5.0.0 defines DiagnosticReport-Note.effectiveTime (dateTime) as "Diagnostically relevant time (typically the time of the procedure)" And DiagnosticReport-Note.issued (instant) as "DateTime this version was made"
        1. QI-Core should update the definition for effectiveTime to "Diagnostically relevant time (typically the time of the procedure" and RETAIN both dateTime and Period even though US Core only includes MS for dateTime.
      3. QI-Core should change the QI-Core Diagnostic Report Profile for Report and Note Exchange .category element to align with US Core 5.0.0 which a Slice for category with Example binding to DiagnosticServiceSectionCodes and a Slice for category_uscore with REQUIRED binding to US Core Diagnostic Report Category Codes
      4. QI-Core should change the binding of QI-Core Diagnostic Report Profile for Report and Note Exchange .code to align with US Core with an Extensible binding to US Core Non Laboratory Codes.
      5. QI-Core should change the MS references of QI-Core Diagnostic Report Profile for Report and Note Exchange .performer to align with US Core MS references: QI-Core Practitioner, QI-Core Organization - no change
      6. QI-Core should change the MS references of QI-Core Diagnostic Report Profile for Report and Note Exchange .result to align with US Core MS references: QI-Core Laboratory Result Observation, US Core Observation Clinical Test Result Profile, US Core Observation Imaging Result Profile - Note these last 2 profile are new and will be requested in separate trackers to build off of US Core 5.0.0 new Observation Clinical Test Result and Observation Imaging Result Profiles.
      7. QI-Core should add MS element in QI-Core Diagnostic Report Profile for Report and Note Exchange to add the new MS element in US Core, .media.link with Reference Media.
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      To align with US Core 5.0.0: US Core name for this profile is now US Core Diagnostic Report Profile for Report and Note Exchange - QI-Core should follow with the name as changed. US Core 5.0.0 defines DiagnosticReport-Note.effectiveTime (dateTime) as "Diagnostically relevant time (typically the time of the procedure)" And DiagnosticReport-Note.issued (instant) as "DateTime this version was made" QI-Core should update the definition for effectiveTime to "Diagnostically relevant time (typically the time of the procedure" and RETAIN both dateTime and Period even though US Core only includes MS for dateTime. QI-Core should change the QI-Core Diagnostic Report Profile for Report and Note Exchange .category element to align with US Core 5.0.0 which a Slice for category with Example binding to DiagnosticServiceSectionCodes and a Slice for category_uscore with REQUIRED binding to US Core Diagnostic Report Category Codes QI-Core should change the binding of QI-Core Diagnostic Report Profile for Report and Note Exchange .code to align with US Core with an Extensible binding to US Core Non Laboratory Codes . QI-Core should change the MS references of QI-Core Diagnostic Report Profile for Report and Note Exchange .performer to align with US Core MS references: QI-Core Practitioner, QI-Core Organization - no change QI-Core should change the MS references of QI-Core Diagnostic Report Profile for Report and Note Exchange .result to align with US Core MS references: QI-Core Laboratory Result Observation, US Core Observation Clinical Test Result Profile, US Core Observation Imaging Result Profile - Note these last 2 profile are new and will be requested in separate trackers to build off of US Core 5.0.0 new Observation Clinical Test Result and Observation Imaging Result Profiles. QI-Core should add MS element in QI-Core Diagnostic Report Profile for Report and Note Exchange to add the new MS element in US Core, .media.link with Reference Media .
    • Juliet Rubini/Bryn Rhodes: 24-0-0
    • Enhancement
    • Compatible, substantive

    Description

      Consider updating definition to match base and US Core v4.0 to 'Clinically relevant time/time-period for report'
      Current definition is "Time of the report or note"

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            feisenberg Floyd Eisenberg
            jrubini Juliet K. Rubini
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            Dates

              Created:
              Updated:
              Resolved: