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  1. FHIR Specification Feedback
  2. FHIR-43500

Clarify placement of DiagnosticReport in the Composition

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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Medium Medium
    • US Respiratory Virus Hospitalization Surveillance Network (RESP-NET) FHIR IG (FHIR)
    • 1.0.0-ballot
    • Public Health
    • RESP-NET Composition
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      DiagnosticReport Profile for Report and Note exchange is used for the Notes section.
      DiagnosticReport Profile for Laboratory Results Reporting is used for the Results section.
      Both are for the current encounter and includes narrative and discrete results.

      Update the narrative wording on the composition resource to the following:
      Results section: Lab results and associated diagnostic reports for laboratory results reporting linked to the encounter, ordered during the encounter, or results received during the encounter plus thresholds. (72 hours after the encounter close). and Status = final, preliminary

      Notes section: Clinical notes and diagnostic reports (for report and note exchange) created during the encounter.

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      DiagnosticReport Profile for Report and Note exchange is used for the Notes section. DiagnosticReport Profile for Laboratory Results Reporting is used for the Results section. Both are for the current encounter and includes narrative and discrete results. Update the narrative wording on the composition resource to the following: Results section: Lab results and associated diagnostic reports for laboratory results reporting linked to the encounter, ordered during the encounter, or results received during the encounter plus thresholds. (72 hours after the encounter close). and Status = final, preliminary Notes section: Clinical notes and diagnostic reports (for report and note exchange) created during the encounter.

    Description

      Both the sliceResultsSection and sliceNotesSection contain an entry for a DiagnosticReport. Please clarify how a given DiagnosticReport resource is assigned to one or the other (or both) section. Is it dependent on whether or not the DiagnosticReport contains narrative or only discrete results? Is it by result type (imaging versus lab)? Or something else?

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            craig.newman Craig Newman
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