KR Core Implementation Guide
2.0.0 - STU 2 Korea, Republic of

KR Core Implementation Guide, published by HL7 Korea. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7korea/krcore/ and changes regularly. See the Directory of published versions

## Resource Profile: KR Core DiagnosticReport Profile for Diagnostic Imaging

Official URL: http://www.hl7korea.or.kr/fhir/krcore/StructureDefinition/krcore-diagnosticreport-diagnostic-imaging | Version: 2.0.0
Standards status: Trial-use | Computable Name: KRCore_DiagnosticReport_DiagnosticImaging

KR Core DiagnosticReport Profile for Diagnostic Imaging은 KR Core Server와 KR Core Client가 진료정보를 교류할 때 진단영상검사 중 진단보고서 관련 정보를 표현하는 데 사용되며, 이 경우 가능한 한(SHOULD) 본 Profile을 준수해야 한다. 진단영상검사 중 진단보고서 관련 정보를 표현할 때 본 Profile을 적용하지 않을 수 있는 경우는 특수한 상황에 한정된다. 이 경우 반드시 해당 진료정보교류 도메인 내에서 사전 합의가 이루어져야 한다.

KR CDI V2 진단영상검사 클래스에서 정의한 진단 관련 항목들과 주요 추가 정보를 구조화하기 위해 정의한 Profile.

Usages:

- CapabilityStatements using this Profile: KR Core Client CapabilityStatement and KR Core Server CapabilityStatement
- This Profile is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
DiagnosticReport |  | 0..* | DiagnosticReport | KR Core DiagnosticReport Profile for Diagnostic Imaging
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!S Σ | 1..1 | code | 진단영상검사 보고서 상태: registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. Example Value (Preferred): final
Slices for category | Σ | 1..* | CodeableConcept | 진단보고서 범주 Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (extensible): 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://terminology.hl7.org/CodeSystem/v2-0074
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: IMG
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
code | S Σ | 1..1 | CodeableConcept | 진단영상검사 보고서 항목 정보 Binding: KR Core Diagnostic Imaging Codes (extensible)
coding | Σ | 0..* | Coding | Code defined by a terminology system
system | S Σ | 1..1 | uri | Identity of the terminology system
code | S Σ | 1..1 | code | Symbol in syntax defined by the system
subject | S Σ | 0..1 | Reference(KR Core Patient Profile) | 진단영상검사 대상 환자
issued | Σ | 0..1 | instant | 진단영상검사 결과 보고서 발행 일시
performer | Σ | 0..* | Reference(KR Core Practitioner Profile | KR Core PractitionerRole Profile | KR Core Organization Profile | CareTeam) | 진단영상검사 결과 보고 책임자
imagingStudy |  | 0..* | Reference(KR Core ImagingStudy Profile) | 진단영상 정보 참조
conclusion | S | 0..1 | string | 진단영상검사 결과 판독 소견
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std.
DiagnosticReport.category | Base | extensible | Diagnostic Service Section Codes | 📦4.0.1 | FHIR Std.
DiagnosticReport.category:Imaging | Base | example | Diagnostic Service Section Codes | 📍4.0.1 | FHIR Std.
DiagnosticReport.code | Base | extensible | KR Core Diagnostic Imaging Codes | 📦2.0.0 | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
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: Bindings Constraints Obligations
--- | --- | --- | --- | ---
DiagnosticReport |  | 0..* | DiagnosticReport | KR Core DiagnosticReport Profile for Diagnostic Imaging
status | S | 1..1 | code | 진단영상검사 보고서 상태: registered | partial | preliminary | final + Example Value (Preferred): final
Slices for category |  | 1..* | CodeableConcept | 진단보고서 범주 Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (extensible): Codes for diagnostic service sections.
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://terminology.hl7.org/CodeSystem/v2-0074
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: IMG
code | S | 1..1 | CodeableConcept | 진단영상검사 보고서 항목 정보 Binding: KR Core Diagnostic Imaging Codes (extensible)
coding |  |  |  |
system | S | 1..1 | uri | Identity of the terminology system
code | S | 1..1 | code | Symbol in syntax defined by the system
subject | S | 0..1 | Reference(KR Core Patient Profile) | 진단영상검사 대상 환자
issued |  | 0..1 | instant | 진단영상검사 결과 보고서 발행 일시
performer |  | 0..* | Reference(KR Core Practitioner Profile | KR Core PractitionerRole Profile | KR Core Organization Profile | CareTeam) | 진단영상검사 결과 보고 책임자
imagingStudy |  | 0..* | Reference(KR Core ImagingStudy Profile) | 진단영상 정보 참조
conclusion | S | 0..1 | string | 진단영상검사 결과 판독 소견
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
DiagnosticReport.category | Base | extensible | Diagnostic Service Section Codes | 📦4.0.1 | FHIR Std.
DiagnosticReport.code | Base | extensible | KR Core Diagnostic Imaging Codes | 📦2.0.0 | This IG

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
DiagnosticReport |  | 0..* | DiagnosticReport | KR Core DiagnosticReport Profile for Diagnostic Imaging
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.
Additional Bindings | Purpose
AllLanguages | Max Binding
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
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Business identifier for report
basedOn |  | 0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested
status | ?!S Σ | 1..1 | code | 진단영상검사 보고서 상태: registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. Example Value (Preferred): final
Slices for category | Σ | 1..* | CodeableConcept | 진단보고서 범주 Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (extensible): 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://terminology.hl7.org/CodeSystem/v2-0074
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: IMG
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
code | S Σ | 1..1 | CodeableConcept | 진단영상검사 보고서 항목 정보 Binding: KR Core Diagnostic Imaging Codes (extensible)
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 | 0..* | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | S Σ | 1..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | S Σ | 1..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
subject | S Σ | 0..1 | Reference(KR Core Patient Profile) | 진단영상검사 대상 환자
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 | 진단영상검사 결과 보고서 발행 일시
performer | Σ | 0..* | Reference(KR Core Practitioner Profile | KR Core PractitionerRole Profile | KR Core Organization Profile | CareTeam) | 진단영상검사 결과 보고 책임자
resultsInterpreter | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter
specimen |  | 0..* | Reference(Specimen) | Specimens this report is based on
result |  | 0..* | Reference(Observation) | Observations
imagingStudy |  | 0..* | Reference(KR Core ImagingStudy Profile) | 진단영상 정보 참조
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 | S | 0..1 | string | 진단영상검사 결과 판독 소견
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

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
DiagnosticReport.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std.
DiagnosticReport.category | Base | extensible | Diagnostic Service Section Codes | 📦4.0.1 | FHIR Std.
DiagnosticReport.category:Imaging | Base | example | Diagnostic Service Section Codes | 📍4.0.1 | FHIR Std.
DiagnosticReport.code | Base | extensible | KR Core Diagnostic Imaging Codes | 📦2.0.0 | This IG
DiagnosticReport.conclusionCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
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: 2 elements(2 nested mandatory elements)
Must-Support: 6 elements

Structures

This structure refers to these other structures:

- KR Core Patient Profile (http://www.hl7korea.or.kr/fhir/krcore/StructureDefinition/krcore-patient)
- KR Core Practitioner Profile (http://www.hl7korea.or.kr/fhir/krcore/StructureDefinition/krcore-practitioner)
- KR Core PractitionerRole Profile (http://www.hl7korea.or.kr/fhir/krcore/StructureDefinition/krcore-practitioner-role)
- KR Core Organization Profile (http://www.hl7korea.or.kr/fhir/krcore/StructureDefinition/krcore-organization)
- KR Core ImagingStudy Profile (http://www.hl7korea.or.kr/fhir/krcore/StructureDefinition/krcore-imagingstudy)

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of DiagnosticReport.category

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
DiagnosticReport |  | 0..* | DiagnosticReport | KR Core DiagnosticReport Profile for Diagnostic Imaging
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!S Σ | 1..1 | code | 진단영상검사 보고서 상태: registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. Example Value (Preferred): final
Slices for category | Σ | 1..* | CodeableConcept | 진단보고서 범주 Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (extensible): 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://terminology.hl7.org/CodeSystem/v2-0074
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: IMG
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
code | S Σ | 1..1 | CodeableConcept | 진단영상검사 보고서 항목 정보 Binding: KR Core Diagnostic Imaging Codes (extensible)
coding | Σ | 0..* | Coding | Code defined by a terminology system
system | S Σ | 1..1 | uri | Identity of the terminology system
code | S Σ | 1..1 | code | Symbol in syntax defined by the system
subject | S Σ | 0..1 | Reference(KR Core Patient Profile) | 진단영상검사 대상 환자
issued | Σ | 0..1 | instant | 진단영상검사 결과 보고서 발행 일시
performer | Σ | 0..* | Reference(KR Core Practitioner Profile | KR Core PractitionerRole Profile | KR Core Organization Profile | CareTeam) | 진단영상검사 결과 보고 책임자
imagingStudy |  | 0..* | Reference(KR Core ImagingStudy Profile) | 진단영상 정보 참조
conclusion | S | 0..1 | string | 진단영상검사 결과 판독 소견
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std.
DiagnosticReport.category | Base | extensible | Diagnostic Service Section Codes | 📦4.0.1 | FHIR Std.
DiagnosticReport.category:Imaging | Base | example | Diagnostic Service Section Codes | 📍4.0.1 | FHIR Std.
DiagnosticReport.code | Base | extensible | KR Core Diagnostic Imaging Codes | 📦2.0.0 | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
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: Bindings Constraints Obligations
--- | --- | --- | --- | ---
DiagnosticReport |  | 0..* | DiagnosticReport | KR Core DiagnosticReport Profile for Diagnostic Imaging
status | S | 1..1 | code | 진단영상검사 보고서 상태: registered | partial | preliminary | final + Example Value (Preferred): final
Slices for category |  | 1..* | CodeableConcept | 진단보고서 범주 Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (extensible): Codes for diagnostic service sections.
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://terminology.hl7.org/CodeSystem/v2-0074
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: IMG
code | S | 1..1 | CodeableConcept | 진단영상검사 보고서 항목 정보 Binding: KR Core Diagnostic Imaging Codes (extensible)
coding |  |  |  |
system | S | 1..1 | uri | Identity of the terminology system
code | S | 1..1 | code | Symbol in syntax defined by the system
subject | S | 0..1 | Reference(KR Core Patient Profile) | 진단영상검사 대상 환자
issued |  | 0..1 | instant | 진단영상검사 결과 보고서 발행 일시
performer |  | 0..* | Reference(KR Core Practitioner Profile | KR Core PractitionerRole Profile | KR Core Organization Profile | CareTeam) | 진단영상검사 결과 보고 책임자
imagingStudy |  | 0..* | Reference(KR Core ImagingStudy Profile) | 진단영상 정보 참조
conclusion | S | 0..1 | string | 진단영상검사 결과 판독 소견
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
DiagnosticReport.category | Base | extensible | Diagnostic Service Section Codes | 📦4.0.1 | FHIR Std.
DiagnosticReport.code | Base | extensible | KR Core Diagnostic Imaging Codes | 📦2.0.0 | This IG

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
DiagnosticReport |  | 0..* | DiagnosticReport | KR Core DiagnosticReport Profile for Diagnostic Imaging
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.
Additional Bindings | Purpose
AllLanguages | Max Binding
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
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Business identifier for report
basedOn |  | 0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested
status | ?!S Σ | 1..1 | code | 진단영상검사 보고서 상태: registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. Example Value (Preferred): final
Slices for category | Σ | 1..* | CodeableConcept | 진단보고서 범주 Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (extensible): 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://terminology.hl7.org/CodeSystem/v2-0074
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: IMG
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
code | S Σ | 1..1 | CodeableConcept | 진단영상검사 보고서 항목 정보 Binding: KR Core Diagnostic Imaging Codes (extensible)
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 | 0..* | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | S Σ | 1..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | S Σ | 1..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
subject | S Σ | 0..1 | Reference(KR Core Patient Profile) | 진단영상검사 대상 환자
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 | 진단영상검사 결과 보고서 발행 일시
performer | Σ | 0..* | Reference(KR Core Practitioner Profile | KR Core PractitionerRole Profile | KR Core Organization Profile | CareTeam) | 진단영상검사 결과 보고 책임자
resultsInterpreter | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter
specimen |  | 0..* | Reference(Specimen) | Specimens this report is based on
result |  | 0..* | Reference(Observation) | Observations
imagingStudy |  | 0..* | Reference(KR Core ImagingStudy Profile) | 진단영상 정보 참조
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 | S | 0..1 | string | 진단영상검사 결과 판독 소견
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

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
DiagnosticReport.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std.
DiagnosticReport.category | Base | extensible | Diagnostic Service Section Codes | 📦4.0.1 | FHIR Std.
DiagnosticReport.category:Imaging | Base | example | Diagnostic Service Section Codes | 📍4.0.1 | FHIR Std.
DiagnosticReport.code | Base | extensible | KR Core Diagnostic Imaging Codes | 📦2.0.0 | This IG
DiagnosticReport.conclusionCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
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: 2 elements(2 nested mandatory elements)
Must-Support: 6 elements

Structures

This structure refers to these other structures:

- KR Core Patient Profile (http://www.hl7korea.or.kr/fhir/krcore/StructureDefinition/krcore-patient)
- KR Core Practitioner Profile (http://www.hl7korea.or.kr/fhir/krcore/StructureDefinition/krcore-practitioner)
- KR Core PractitionerRole Profile (http://www.hl7korea.or.kr/fhir/krcore/StructureDefinition/krcore-practitioner-role)
- KR Core Organization Profile (http://www.hl7korea.or.kr/fhir/krcore/StructureDefinition/krcore-organization)
- KR Core ImagingStudy Profile (http://www.hl7korea.or.kr/fhir/krcore/StructureDefinition/krcore-imagingstudy)

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of DiagnosticReport.category

Other representations of profile: CSV, Excel, Schematron