HL7 Europe Imaging Study Report
0.1.0-ballot - ci-build
150
HL7 Europe Imaging Study Report
0.1.0-ballot - ci-build
150
HL7 Europe Imaging Study Report, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 0.1.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/oijauregui/ehdsimaging/tree/master and changes regularly. See the Directory of published versions
| Official URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/ImDiagnosticReport | Version: 0.1.0-ballot | |||
| Standards status: Draft | Maturity Level: 1 | Computable Name: ImDiagnosticReport | ||
Copyright/Legal: Used by permission of HL7 Europe, all rights reserved Creative Commons License |
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Diagnostic Report profile for Imaging Reports. This document represents the report of an imaging study. It is the anchor resource that refers to all structured data as well as the Composition resource that contains the narrative text of the report.
Usages:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  DiagnosticReport |
0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
  Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url, value:extension.value, value:value | |
   extension:artifactVersion |
0..1 | string | Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version | |
 extension:supportingInfo |
0..* | (Complex) | Additional information supporting the diagnostic report URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo | |
  Slices for extension |
2..* | Extension | Additional content defined by implementations Slice: Unordered, Closed by value:url | |
 extension:type |
1..1 | Extension | Extension | |
  extension |
0..0 | |||
| url |
1..1 | uri | "type" | |
  value[x] |
0..1 | CodeableConcept | Supporting information role code Binding: DiagnosticReport supportInfo codes (extensible) | |
 extension:reference |
1..1 | Extension | Supporting information reference | |
 url |
1..1 | uri | "reference" | |
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo" | |
| extension:supportingInfo/procedure |
0..* | (Complex) | Additional information supporting the diagnostic report URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo | |
| Slices for extension |
2..* | Extension | Additional content defined by implementations Slice: Unordered, Closed by value:url | |
| extension:type |
1..1 | Extension | Extension | |
| extension |
0..0 | |||
| url |
1..1 | uri | "type" | |
 value[x] |
0..1 | CodeableConcept | Supporting information role code Binding: hl7VS-VS-observationType (example): The code value for the role of the supporting information in the diagnostic report. Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
 coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.eu/fhir/imaging-r4/CodeSystem/codesystem-diagnostic-report-support-info | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: imaging-procedure | |
| display |
0..1 | string | Representation defined by the system | |
 userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| extension:reference |
1..1 | Extension | Extension | |
| extension |
0..0 | |||
| url |
1..1 | uri | "reference" | |
 value[x] |
0..1 | Reference(IM Imaging Procedure) | Supporting information reference | |
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo" | |
| extension:composition |
1..1 | (Complex) | Imaging Diagnostic Report URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition | |
| extension |
0..0 | |||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition" | |
| value[x] |
0..1 | Reference(Imaging Composition) | Reference to a Composition resource for the DiagnosticReport structure | |
 url |
1..1 | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition" | ||
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier |
Σ | 0..* | Identifier | Report identifier |
| Slices for basedOn |
0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested Slice: Unordered, Open by type:$this | |
| basedOn:imorderaccession |
0..1 | Reference(IM Imaging Order) | What was requested | |
| identifier |
Σ | 1..1 | ImAccessionNumberIdentifier | Logical reference, when literal reference is not known |
| status |
?!Σ | 1..1 | code | Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. |
| Slices for category |
Σ | 1..* | CodeableConcept | Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. |
| category:imaging |
Σ | 1..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 18748-4 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Diagnostic imaging study | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| coding |
Σ | 1..1 | Coding | Code defined by a terminology system |
| code |
Σ | 1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. |
 Slices for coding |
Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this |
| coding:eu-template |
Σ | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.eu/fhir/imaging-r4/CodeSystem/Hl7EuDocumentTypes | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: imaging-report-v0-0-1 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Imaging Report V0.0.1 | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| subject |
Σ | 0..1 | Reference(IM Imaging Patient) | The subject of the report - usually, but not always, the patient |
| Slices for performer |
Σ | 1..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service Slice: Unordered, Open by profile:$this |
 performer:author |
Σ | 1..* | Reference(PractitionerRole (EU base)) | Responsible Diagnostic Service |
| Slices for resultsInterpreter |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter Slice: Unordered, Open by profile:resolve() |
| resultsInterpreter:author |
Σ | 0..* | Reference(PractitionerRole (EU base)) | Primary result interpreter |
| imagingStudy |
0..* | Reference(IM Imaging Study) | Reference to full details of imaging associated with the diagnostic report | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| DiagnosticReport.extension:supportingInfo.extension:type.value[x] | extensible | DiagnosticReportSupportingInfoVCodes(a valid code from Diagnostic Report Support Info Code System)http://hl7.eu/fhir/imaging-r4/ValueSet/valueset-diagnosticreport-report-support-infoFrom this IG | |
| DiagnosticReport.extension:supportingInfo/procedure.extension:type.value[x] | example | Pattern Value: imaging-procedurehttp://terminology.hl7.org/ValueSet/v2-0936 | |
| DiagnosticReport.status | required | DiagnosticReportStatushttp://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1From the FHIR Standard | |
| DiagnosticReport.category | example | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sectionsFrom the FHIR Standard | |
| DiagnosticReport.category:imaging | example | Pattern Value: LOINC Code 18748-4("Diagnostic imaging study")http://hl7.org/fhir/ValueSet/diagnostic-service-sectionsFrom the FHIR Standard | |
| DiagnosticReport.code | preferred | LOINCDiagnosticReportCodes(a valid code from LOINC)http://hl7.org/fhir/ValueSet/report-codesFrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from DiagnosticReport
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DiagnosticReport |
0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url, value:extension.value, value:value | |
| extension:artifactVersion |
0..1 | string | Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version | |
| extension:supportingInfo |
0..* | (Complex) | Additional information supporting the diagnostic report URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:type |
1..1 | Extension | Extension | |
| extension |
0..0 | |||
| value[x] |
0..1 | CodeableConcept | Supporting information role code Binding: DiagnosticReport supportInfo codes (extensible) | |
| value[x] |
0..0 | |||
| extension:supportingInfo/procedure |
0..* | R5 DiagnosticReport.supportingInfo | Additional information supporting the diagnostic report | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:type |
1..1 | Extension | Extension | |
| extension |
0..0 | |||
| value[x] |
0..1 | CodeableConcept | Supporting information role code Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.eu/fhir/imaging-r4/CodeSystem/codesystem-diagnostic-report-support-info | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: imaging-procedure | |
| extension:reference |
1..1 | Extension | Extension | |
| extension |
0..0 | |||
| value[x] |
0..1 | Reference(IM Imaging Procedure) | Supporting information reference | |
| value[x] |
0..0 | |||
| extension:composition |
1..1 | (Complex) | Imaging Diagnostic Report URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition | |
| extension |
0..0 | |||
| value[x] |
0..1 | Reference(Imaging Composition) | Reference to a Composition resource for the DiagnosticReport structure | |
| identifier |
0..* | Identifier | Report identifier | |
| Slices for basedOn |
0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested Slice: Unordered, Open by type:$this | |
| basedOn:imorderaccession |
0..1 | Reference(IM Imaging Order) | What was requested | |
| identifier |
1..1 | ImAccessionNumberIdentifier | Logical reference, when literal reference is not known | |
| status |
1..1 | code | Status of the Report | |
| Slices for category |
1..* | CodeableConcept | Service category Slice: Unordered, Open by value:$this | |
| category:imaging |
1..1 | CodeableConcept | Service category Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 18748-4 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Diagnostic imaging study | |
| coding |
1..1 | Coding | Code defined by a terminology system | |
| code |
||||
| Slices for coding |
1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this | |
| coding:eu-template |
1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.eu/fhir/imaging-r4/CodeSystem/Hl7EuDocumentTypes | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: imaging-report-v0-0-1 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Imaging Report V0.0.1 | |
| subject |
0..1 | Reference(IM Imaging Patient) | The subject of the report - usually, but not always, the patient | |
| Slices for performer |
1..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service Slice: Unordered, Open by profile:$this | |
| performer:author |
1..* | Reference(PractitionerRole (EU base)) | Responsible Diagnostic Service | |
| Slices for resultsInterpreter |
0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter Slice: Unordered, Open by profile:resolve() | |
| resultsInterpreter:author |
0..* | Reference(PractitionerRole (EU base)) | Primary result interpreter | |
| imagingStudy |
0..* | Reference(IM Imaging Study) | Reference to full details of imaging associated with the diagnostic report | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| DiagnosticReport.extension:supportingInfo.extension:type.value[x] | extensible | DiagnosticReportSupportingInfoVCodes(a valid code from Diagnostic Report Support Info Code System)http://hl7.eu/fhir/imaging-r4/ValueSet/valueset-diagnosticreport-report-support-infoFrom this IG |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| DiagnosticReport |
0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (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 | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url, value:extension.value, value:value | |||||
| extension:artifactVersion |
0..1 | string | Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version | |||||
| extension:supportingInfo |
0..* | (Complex) | Additional information supporting the diagnostic report URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| Slices for extension |
2..* | Extension | Additional content defined by implementations Slice: Unordered, Closed by value:url | |||||
| extension:type |
1..1 | Extension | Extension | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..0 | |||||||
| url |
1..1 | uri | "type" | |||||
| value[x] |
0..1 | CodeableConcept | Supporting information role code Binding: DiagnosticReport supportInfo codes (extensible) | |||||
| extension:reference |
1..1 | Extension | Supporting information reference | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| url |
1..1 | uri | "reference" | |||||
| value[x] |
0..1 | Reference(Procedure | Observation | DiagnosticReport | Citation) | Supporting information reference | |||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo" | |||||
| extension:supportingInfo/procedure |
0..* | (Complex) | Additional information supporting the diagnostic report URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| Slices for extension |
2..* | Extension | Additional content defined by implementations Slice: Unordered, Closed by value:url | |||||
| extension:type |
1..1 | Extension | Extension | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..0 | |||||||
| url |
1..1 | uri | "type" | |||||
| value[x] |
0..1 | CodeableConcept | Supporting information role code Binding: hl7VS-VS-observationType (example): The code value for the role of the supporting information in the diagnostic report. Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.eu/fhir/imaging-r4/CodeSystem/codesystem-diagnostic-report-support-info | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: imaging-procedure | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| extension:reference |
1..1 | Extension | Extension | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..0 | |||||||
| url |
1..1 | uri | "reference" | |||||
| value[x] |
0..1 | Reference(IM Imaging Procedure) | Supporting information reference | |||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo" | |||||
| extension:composition |
1..1 | (Complex) | Imaging Diagnostic Report URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..0 | |||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition" | |||||
| value[x] |
0..1 | Reference(Imaging Composition) | Reference to a Composition resource for the DiagnosticReport structure | |||||
| url |
1..1 | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition" | ||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 0..* | Identifier | Report identifier | ||||
| Slices for basedOn |
0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested Slice: Unordered, Open by type:$this | |||||
| basedOn:imorderaccession |
0..1 | Reference(IM Imaging Order) | What was requested | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
Σ | 1..1 | ImAccessionNumberIdentifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| status |
?!Σ | 1..1 | code | Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. | ||||
| Slices for category |
Σ | 1..* | CodeableConcept | Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. | ||||
| category:imaging |
Σ | 1..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 18748-4 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Diagnostic imaging study | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
Σ | 1..1 | Coding | Code defined by a terminology system | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| code |
Σ | 1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding |
Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this | ||||
| coding:eu-template |
Σ | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.eu/fhir/imaging-r4/CodeSystem/Hl7EuDocumentTypes | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: imaging-report-v0-0-1 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Imaging Report V0.0.1 | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| subject |
Σ | 0..1 | Reference(IM Imaging Patient) | The subject of the report - usually, but not always, the patient | ||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Health care event when test ordered | ||||
 effective[x] |
Σ | 0..1 | Clinically relevant time/time-period for report | |||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| issued |
Σ | 0..1 | instant | DateTime this version was made | ||||
| Slices for performer |
Σ | 1..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service Slice: Unordered, Open by profile:$this | ||||
| performer:author |
Σ | 1..* | Reference(PractitionerRole (EU base)) | Responsible Diagnostic Service | ||||
| Slices for resultsInterpreter |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter Slice: Unordered, Open by profile:resolve() | ||||
| resultsInterpreter:author |
Σ | 0..* | Reference(PractitionerRole (EU base)) | Primary result interpreter | ||||
| specimen |
0..* | Reference(Specimen) | Specimens this report is based on | |||||
| result |
0..* | Reference(Observation) | Observations | |||||
| imagingStudy |
0..* | Reference(IM Imaging Study) | Reference to full details of imaging associated with the diagnostic report | |||||
| media |
Σ | 0..* | BackboneElement | Key images associated with this report | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| comment |
0..1 | string | Comment about the image (e.g. explanation) | |||||
| link |
Σ | 1..1 | Reference(Media) | Reference to the image source | ||||
| conclusion |
0..1 | string | Clinical conclusion (interpretation) of test results | |||||
| conclusionCode |
0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. | |||||
| presentedForm |
0..* | Attachment | Entire report as issued | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| DiagnosticReport.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesFrom the FHIR Standard
| ||||
| DiagnosticReport.extension:supportingInfo.extension:type.value[x] | extensible | DiagnosticReportSupportingInfoVCodes(a valid code from Diagnostic Report Support Info Code System)http://hl7.eu/fhir/imaging-r4/ValueSet/valueset-diagnosticreport-report-support-infoFrom this IG | ||||
| DiagnosticReport.extension:supportingInfo/procedure.extension:type.value[x] | example | Pattern Value: imaging-procedurehttp://terminology.hl7.org/ValueSet/v2-0936 | ||||
| DiagnosticReport.basedOn:imorderaccession.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesFrom the FHIR Standard | ||||
| DiagnosticReport.status | required | DiagnosticReportStatushttp://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1From the FHIR Standard | ||||
| DiagnosticReport.category | example | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sectionsFrom the FHIR Standard | ||||
| DiagnosticReport.category:imaging | example | Pattern Value: LOINC Code 18748-4("Diagnostic imaging study")http://hl7.org/fhir/ValueSet/diagnostic-service-sectionsFrom the FHIR Standard | ||||
| DiagnosticReport.code | preferred | LOINCDiagnosticReportCodes(a valid code from LOINC)http://hl7.org/fhir/ValueSet/report-codesFrom the FHIR Standard | ||||
| DiagnosticReport.conclusionCode | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findingsFrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from DiagnosticReport
Summary
Mandatory: 9 elements(1 nested mandatory element)
Prohibited: 6 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Maturity: 1
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DiagnosticReport |
0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url, value:extension.value, value:value | |
| extension:artifactVersion |
0..1 | string | Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version | |
| extension:supportingInfo |
0..* | (Complex) | Additional information supporting the diagnostic report URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo | |
| Slices for extension |
2..* | Extension | Additional content defined by implementations Slice: Unordered, Closed by value:url | |
| extension:type |
1..1 | Extension | Extension | |
| extension |
0..0 | |||
| url |
1..1 | uri | "type" | |
| value[x] |
0..1 | CodeableConcept | Supporting information role code Binding: DiagnosticReport supportInfo codes (extensible) | |
| extension:reference |
1..1 | Extension | Supporting information reference | |
| url |
1..1 | uri | "reference" | |
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo" | |
| extension:supportingInfo/procedure |
0..* | (Complex) | Additional information supporting the diagnostic report URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo | |
| Slices for extension |
2..* | Extension | Additional content defined by implementations Slice: Unordered, Closed by value:url | |
| extension:type |
1..1 | Extension | Extension | |
| extension |
0..0 | |||
| url |
1..1 | uri | "type" | |
| value[x] |
0..1 | CodeableConcept | Supporting information role code Binding: hl7VS-VS-observationType (example): The code value for the role of the supporting information in the diagnostic report. Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.eu/fhir/imaging-r4/CodeSystem/codesystem-diagnostic-report-support-info | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: imaging-procedure | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| extension:reference |
1..1 | Extension | Extension | |
| extension |
0..0 | |||
| url |
1..1 | uri | "reference" | |
| value[x] |
0..1 | Reference(IM Imaging Procedure) | Supporting information reference | |
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo" | |
| extension:composition |
1..1 | (Complex) | Imaging Diagnostic Report URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition | |
| extension |
0..0 | |||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition" | |
| value[x] |
0..1 | Reference(Imaging Composition) | Reference to a Composition resource for the DiagnosticReport structure | |
| url |
1..1 | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition" | ||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier |
Σ | 0..* | Identifier | Report identifier |
| Slices for basedOn |
0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested Slice: Unordered, Open by type:$this | |
| basedOn:imorderaccession |
0..1 | Reference(IM Imaging Order) | What was requested | |
| identifier |
Σ | 1..1 | ImAccessionNumberIdentifier | Logical reference, when literal reference is not known |
| status |
?!Σ | 1..1 | code | Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. |
| Slices for category |
Σ | 1..* | CodeableConcept | Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. |
| category:imaging |
Σ | 1..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 18748-4 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Diagnostic imaging study | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| coding |
Σ | 1..1 | Coding | Code defined by a terminology system |
| code |
Σ | 1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. |
| Slices for coding |
Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this |
| coding:eu-template |
Σ | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.eu/fhir/imaging-r4/CodeSystem/Hl7EuDocumentTypes | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: imaging-report-v0-0-1 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Imaging Report V0.0.1 | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| subject |
Σ | 0..1 | Reference(IM Imaging Patient) | The subject of the report - usually, but not always, the patient |
| Slices for performer |
Σ | 1..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service Slice: Unordered, Open by profile:$this |
| performer:author |
Σ | 1..* | Reference(PractitionerRole (EU base)) | Responsible Diagnostic Service |
| Slices for resultsInterpreter |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter Slice: Unordered, Open by profile:resolve() |
| resultsInterpreter:author |
Σ | 0..* | Reference(PractitionerRole (EU base)) | Primary result interpreter |
| imagingStudy |
0..* | Reference(IM Imaging Study) | Reference to full details of imaging associated with the diagnostic report | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| DiagnosticReport.extension:supportingInfo.extension:type.value[x] | extensible | DiagnosticReportSupportingInfoVCodes(a valid code from Diagnostic Report Support Info Code System)http://hl7.eu/fhir/imaging-r4/ValueSet/valueset-diagnosticreport-report-support-infoFrom this IG | |
| DiagnosticReport.extension:supportingInfo/procedure.extension:type.value[x] | example | Pattern Value: imaging-procedurehttp://terminology.hl7.org/ValueSet/v2-0936 | |
| DiagnosticReport.status | required | DiagnosticReportStatushttp://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1From the FHIR Standard | |
| DiagnosticReport.category | example | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sectionsFrom the FHIR Standard | |
| DiagnosticReport.category:imaging | example | Pattern Value: LOINC Code 18748-4("Diagnostic imaging study")http://hl7.org/fhir/ValueSet/diagnostic-service-sectionsFrom the FHIR Standard | |
| DiagnosticReport.code | preferred | LOINCDiagnosticReportCodes(a valid code from LOINC)http://hl7.org/fhir/ValueSet/report-codesFrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Differential View
This structure is derived from DiagnosticReport
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DiagnosticReport |
0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url, value:extension.value, value:value | |
| extension:artifactVersion |
0..1 | string | Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version | |
| extension:supportingInfo |
0..* | (Complex) | Additional information supporting the diagnostic report URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:type |
1..1 | Extension | Extension | |
| extension |
0..0 | |||
| value[x] |
0..1 | CodeableConcept | Supporting information role code Binding: DiagnosticReport supportInfo codes (extensible) | |
| value[x] |
0..0 | |||
| extension:supportingInfo/procedure |
0..* | R5 DiagnosticReport.supportingInfo | Additional information supporting the diagnostic report | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:type |
1..1 | Extension | Extension | |
| extension |
0..0 | |||
| value[x] |
0..1 | CodeableConcept | Supporting information role code Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.eu/fhir/imaging-r4/CodeSystem/codesystem-diagnostic-report-support-info | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: imaging-procedure | |
| extension:reference |
1..1 | Extension | Extension | |
| extension |
0..0 | |||
| value[x] |
0..1 | Reference(IM Imaging Procedure) | Supporting information reference | |
| value[x] |
0..0 | |||
| extension:composition |
1..1 | (Complex) | Imaging Diagnostic Report URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition | |
| extension |
0..0 | |||
| value[x] |
0..1 | Reference(Imaging Composition) | Reference to a Composition resource for the DiagnosticReport structure | |
| identifier |
0..* | Identifier | Report identifier | |
| Slices for basedOn |
0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested Slice: Unordered, Open by type:$this | |
| basedOn:imorderaccession |
0..1 | Reference(IM Imaging Order) | What was requested | |
| identifier |
1..1 | ImAccessionNumberIdentifier | Logical reference, when literal reference is not known | |
| status |
1..1 | code | Status of the Report | |
| Slices for category |
1..* | CodeableConcept | Service category Slice: Unordered, Open by value:$this | |
| category:imaging |
1..1 | CodeableConcept | Service category Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 18748-4 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Diagnostic imaging study | |
| coding |
1..1 | Coding | Code defined by a terminology system | |
| code |
||||
| Slices for coding |
1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this | |
| coding:eu-template |
1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.eu/fhir/imaging-r4/CodeSystem/Hl7EuDocumentTypes | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: imaging-report-v0-0-1 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Imaging Report V0.0.1 | |
| subject |
0..1 | Reference(IM Imaging Patient) | The subject of the report - usually, but not always, the patient | |
| Slices for performer |
1..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service Slice: Unordered, Open by profile:$this | |
| performer:author |
1..* | Reference(PractitionerRole (EU base)) | Responsible Diagnostic Service | |
| Slices for resultsInterpreter |
0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter Slice: Unordered, Open by profile:resolve() | |
| resultsInterpreter:author |
0..* | Reference(PractitionerRole (EU base)) | Primary result interpreter | |
| imagingStudy |
0..* | Reference(IM Imaging Study) | Reference to full details of imaging associated with the diagnostic report | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| DiagnosticReport.extension:supportingInfo.extension:type.value[x] | extensible | DiagnosticReportSupportingInfoVCodes(a valid code from Diagnostic Report Support Info Code System)http://hl7.eu/fhir/imaging-r4/ValueSet/valueset-diagnosticreport-report-support-infoFrom this IG |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| DiagnosticReport |
0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (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 | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url, value:extension.value, value:value | |||||
| extension:artifactVersion |
0..1 | string | Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version | |||||
| extension:supportingInfo |
0..* | (Complex) | Additional information supporting the diagnostic report URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| Slices for extension |
2..* | Extension | Additional content defined by implementations Slice: Unordered, Closed by value:url | |||||
| extension:type |
1..1 | Extension | Extension | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..0 | |||||||
| url |
1..1 | uri | "type" | |||||
| value[x] |
0..1 | CodeableConcept | Supporting information role code Binding: DiagnosticReport supportInfo codes (extensible) | |||||
| extension:reference |
1..1 | Extension | Supporting information reference | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| url |
1..1 | uri | "reference" | |||||
| value[x] |
0..1 | Reference(Procedure | Observation | DiagnosticReport | Citation) | Supporting information reference | |||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo" | |||||
| extension:supportingInfo/procedure |
0..* | (Complex) | Additional information supporting the diagnostic report URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| Slices for extension |
2..* | Extension | Additional content defined by implementations Slice: Unordered, Closed by value:url | |||||
| extension:type |
1..1 | Extension | Extension | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..0 | |||||||
| url |
1..1 | uri | "type" | |||||
| value[x] |
0..1 | CodeableConcept | Supporting information role code Binding: hl7VS-VS-observationType (example): The code value for the role of the supporting information in the diagnostic report. Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.eu/fhir/imaging-r4/CodeSystem/codesystem-diagnostic-report-support-info | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: imaging-procedure | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| extension:reference |
1..1 | Extension | Extension | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..0 | |||||||
| url |
1..1 | uri | "reference" | |||||
| value[x] |
0..1 | Reference(IM Imaging Procedure) | Supporting information reference | |||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo" | |||||
| extension:composition |
1..1 | (Complex) | Imaging Diagnostic Report URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..0 | |||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition" | |||||
| value[x] |
0..1 | Reference(Imaging Composition) | Reference to a Composition resource for the DiagnosticReport structure | |||||
| url |
1..1 | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition" | ||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 0..* | Identifier | Report identifier | ||||
| Slices for basedOn |
0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested Slice: Unordered, Open by type:$this | |||||
| basedOn:imorderaccession |
0..1 | Reference(IM Imaging Order) | What was requested | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
Σ | 1..1 | ImAccessionNumberIdentifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| status |
?!Σ | 1..1 | code | Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. | ||||
| Slices for category |
Σ | 1..* | CodeableConcept | Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. | ||||
| category:imaging |
Σ | 1..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 18748-4 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Diagnostic imaging study | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| coding |
Σ | 1..1 | Coding | Code defined by a terminology system | ||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| code |
Σ | 1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding |
Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this | ||||
| coding:eu-template |
Σ | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.eu/fhir/imaging-r4/CodeSystem/Hl7EuDocumentTypes | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: imaging-report-v0-0-1 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Imaging Report V0.0.1 | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| subject |
Σ | 0..1 | Reference(IM Imaging Patient) | The subject of the report - usually, but not always, the patient | ||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Health care event when test ordered | ||||
| effective[x] |
Σ | 0..1 | Clinically relevant time/time-period for report | |||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| issued |
Σ | 0..1 | instant | DateTime this version was made | ||||
| Slices for performer |
Σ | 1..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service Slice: Unordered, Open by profile:$this | ||||
| performer:author |
Σ | 1..* | Reference(PractitionerRole (EU base)) | Responsible Diagnostic Service | ||||
| Slices for resultsInterpreter |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter Slice: Unordered, Open by profile:resolve() | ||||
| resultsInterpreter:author |
Σ | 0..* | Reference(PractitionerRole (EU base)) | Primary result interpreter | ||||
| specimen |
0..* | Reference(Specimen) | Specimens this report is based on | |||||
| result |
0..* | Reference(Observation) | Observations | |||||
| imagingStudy |
0..* | Reference(IM Imaging Study) | Reference to full details of imaging associated with the diagnostic report | |||||
| media |
Σ | 0..* | BackboneElement | Key images associated with this report | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| comment |
0..1 | string | Comment about the image (e.g. explanation) | |||||
| link |
Σ | 1..1 | Reference(Media) | Reference to the image source | ||||
| conclusion |
0..1 | string | Clinical conclusion (interpretation) of test results | |||||
| conclusionCode |
0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. | |||||
| presentedForm |
0..* | Attachment | Entire report as issued | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| DiagnosticReport.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesFrom the FHIR Standard
| ||||
| DiagnosticReport.extension:supportingInfo.extension:type.value[x] | extensible | DiagnosticReportSupportingInfoVCodes(a valid code from Diagnostic Report Support Info Code System)http://hl7.eu/fhir/imaging-r4/ValueSet/valueset-diagnosticreport-report-support-infoFrom this IG | ||||
| DiagnosticReport.extension:supportingInfo/procedure.extension:type.value[x] | example | Pattern Value: imaging-procedurehttp://terminology.hl7.org/ValueSet/v2-0936 | ||||
| DiagnosticReport.basedOn:imorderaccession.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesFrom the FHIR Standard | ||||
| DiagnosticReport.status | required | DiagnosticReportStatushttp://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1From the FHIR Standard | ||||
| DiagnosticReport.category | example | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sectionsFrom the FHIR Standard | ||||
| DiagnosticReport.category:imaging | example | Pattern Value: LOINC Code 18748-4("Diagnostic imaging study")http://hl7.org/fhir/ValueSet/diagnostic-service-sectionsFrom the FHIR Standard | ||||
| DiagnosticReport.code | preferred | LOINCDiagnosticReportCodes(a valid code from LOINC)http://hl7.org/fhir/ValueSet/report-codesFrom the FHIR Standard | ||||
| DiagnosticReport.conclusionCode | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findingsFrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from DiagnosticReport
Summary
Mandatory: 9 elements(1 nested mandatory element)
Prohibited: 6 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Maturity: 1
Other representations of profile: CSV, Excel, Schematron
IG © 2025+ HL7 Europe. Package hl7.fhir.eu.imaging-r4#0.1.0-ballot based on FHIR 4.0.1. Generated 2025-07-02
