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  1. FHIR Specification Feedback
  2. FHIR-41535

Update QI-Core DiagnosticReportLab to align with US Core 6.1.0

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    • Icon: Change Request Change Request
    • Resolution: Persuasive
    • Icon: Medium Medium
    • US QI Core (FHIR)
    • 5.0.0
    • Clinical Quality Information
    • QICore DiagnosticReport Profile for Laboratory Results Reporting
    • QI-Core Profiles
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      1. Import all elements in US Core 6.1.0 DiagnosticReportProfileforLaboratoryResultsReporting
      2. REMOVE QI-Core.DiagnosticReportLab.locationPerformed and subelements – not required or MS in US Core 6.1.0 and no clear use case
      3. SlicesforCategory -change to preferred binding to DiagnosticServiceSectionCodes(example binding in US Core)
      4. Category.SlicesforCategory.Category:LaboratorySlice change to preferred binding to DiagnosticServiceSectionCodes (example binding in US Core)
      5. subject – change reference to QICorePatient
      6. REMOVE DiagnosticReportLab.encounter – not present in US Core and no clear use case
      7. effective[x] – US Core only lists effectiveDateTime (diagnostically relevant time). For QICore retain effectiveDateTime and effectivePeriod
      8. REMOVE DiagnosticReportLab.specimen – Not in US Core Key Element table – should be referenced as part of QICoreLaboratoryResult reference
      9. result – reference QICoreLaboratoryResultObservation) – note that QICore 5.0 references US Core LaboratoryResultObservation but QICore has its own profile
      10. REMOVE DiagnosticReportLab.imagingStudy – this document references lab results – also not present in US Core Key Element Table
      11. REMOVE DiagnosticReportLab.conclusion – not listed in US Core 6.1.0 and should be available in referenced QICoreLaboratoryObservation
      12. REMOVE DiagnosticReportLab.conclusionCode – not listed in US Core 6.1.0 and should be available in referenced QICoreLaboratoryObservation
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      Import all elements in US Core 6.1.0 DiagnosticReportProfileforLaboratoryResultsReporting REMOVE QI-Core.DiagnosticReportLab.locationPerformed and subelements – not required or MS in US Core 6.1.0 and no clear use case SlicesforCategory -change to preferred binding to DiagnosticServiceSectionCodes (example binding in US Core) Category .SlicesforCategory.Category:LaboratorySlice change to preferred binding to DiagnosticServiceSectionCodes (example binding in US Core) subject – change reference to QICorePatient REMOVE DiagnosticReportLab.encounter – not present in US Core and no clear use case effective [x] – US Core only lists effectiveDateTime (diagnostically relevant time). For QICore retain effectiveDateTime and effectivePeriod REMOVE DiagnosticReportLab.specimen – Not in US Core Key Element table – should be referenced as part of QICoreLaboratoryResult reference result – reference QICoreLaboratoryResultObservation) – note that QICore 5.0 references US Core LaboratoryResultObservation but QICore has its own profile REMOVE DiagnosticReportLab.imagingStudy – this document references lab results – also not present in US Core Key Element Table REMOVE DiagnosticReportLab.conclusion – not listed in US Core 6.1.0 and should be available in referenced QICoreLaboratoryObservation REMOVE DiagnosticReportLab.conclusionCode – not listed in US Core 6.1.0 and should be available in referenced QICoreLaboratoryObservation
    • Floyd Eisenberg/Michelle Curie: 24-0-0
    • Enhancement
    • Non-compatible

    Description

      1. Import all elements in US Core 6.1.0 DiagnosticReportProfileforLaboratoryResultsReporting
      2. REMOVE QI-Core.DiagnosticReportLab.locationPerformed and subelements – not required or MS in US Core 6.1.0 and no clear use case
      3. SlicesforCategory -change to preferred binding to DiagnosticServiceSectionCodes(example binding in US Core)
      4. Category.SlicesforCategory.Category:LaboratorySlice change to preferred binding to DiagnosticServiceSectionCodes (example binding in US Core)
      5. subject – change reference to QICorePatient
      6. REMOVE DiagnosticReportLab.encounter – not present in US Core and no clear use case
      7. effective[x] – US Core only lists effectiveDateTime (diagnostically relevant time). For QICore retain effectiveDateTime and effectivePeriod
      8. REMOVE DiagnosticReportLab.specimen – Not in US Core Key Element table – should be referenced as part of QICoreLaboratoryResult reference
      9. result – reference QICoreLaboratoryResultObservation) – note that QICore 5.0 references US Core LaboratoryResultObservation but QICore has its own profile
      10. REMOVE DiagnosticReportLab.imagingStudy – this document references lab results – also not present in US Core Key Element Table
      11. REMOVE DiagnosticReportLab.conclusion – not listed in US Core 6.1.0 and should be available in referenced QICoreLaboratoryObservation
      12. REMOVE DiagnosticReportLab.conclusionCode – not listed in US Core 6.1.0 and should be available in referenced QICoreLaboratoryObservation

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            jen_seeman Jennifer Seeman
            feisenberg Floyd Eisenberg
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              Created:
              Updated:
              Resolved: