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Import all elements in US Core 6.1.0 DiagnosticProfileforReportandNoteExchang3
REMOVE QI-Core.DiagnosticReportandNoteExchange.locationPerformed and subelements – not required or MS in US Core 6.1.0 and no clear use case
REMOVE QI-Core.DiagnosticReportandNoteExchange.basedOn – this element comes from QDM and has no clear use case for the document report
QI-Core.DiagnosticReportandNoteExchange.subject – change reference to QICorePatient
QI-Core.DiagnosticReportandNoteExchange.encounter – not in US Core and no clear use case
QI-Core.DiagnosticReportandNoteExchange.effective [x] – US Core only lists effectiveDateTime; retain QI-Core effectiveDateTime and effectivePeriod
QI-Core.DiagnosticReportandNoteExchange.performer – change reference to QICorePractitioner and QICoreOrganization
REMOVE QI-Core.DiagnosticReportandNoteExchange.specimen – seems related to laboratory studies and this profile is not about laboratory studies
QI-Core.DiagnosticReportandNoteExchange.result – change references to QICoreLaboratoryResultObservation, QICoreObservationClinicalResult – REMOVE reference to QICoreObservationImagingResult since that item is now part of ObservationClinicalResult
REMOVE QI-Core.DiagnosticReportandNoteExchange.conclusion – should be present in referenced results
REMOVE QI-Core.DiagnosticReportandNoteExchange.conclusionCode – should be present in referenced results