HL7 FHIR Costa Rica - Reportes de Imágenes Médicas
0.0.1-draft - ci-build Costa Rica flag

HL7 FHIR Costa Rica - Reportes de Imágenes Médicas, published by Iniciativa HL7 Costa Rica. This guide is not an authorized publication; it is the continuous build for version 0.0.1-draft built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cr/imaging-report/ and changes regularly. See the Directory of published versions

Resource Profile: CR Diagnostic Report

Official URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-diagnostic-report Version:
Standards status: Draft Maturity Level: 0 Computable Name: CRDiagnosticReport

Copyright/Legal: Utilizado con permiso de HL7 International, todos los derechos reservados Licencia Creative Commons

Perfil unificado para reportes diagnósticos en Costa Rica: estudios de imagen (Rayos X, CT, MRI, Mamografía, Ultrasonido), laboratorio, patología, etc. Regla común: reporte final, soporte para Composition, y extensiones clínicas.

Usages:

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.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport C 0..* DiagnosticReport(5.0.0) A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
Constraints: dgr-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
.... extension:dicomInstanceUid 0..* (Complex) Información de acceso a imágenes DICOM
URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/dicom-instance-uid
Constraints: ext-1
.... extension:impression 0..* Reference(Observation | Condition) Impresión clínica del reporte
URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-hl7idr-impression
Constraints: ext-1
.... extension:recommendation 0..* Reference(CarePlan | ServiceRequest) Recomendaciones clínicas
URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-hl7idr-recommendation
Constraints: ext-1
.... extension:patientHistory 0..* Reference(Observation) Historial del paciente relevante
URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-hl7idr-patient-history
Constraints: ext-1
... identifier SΣ 1..* Identifier Business identifier for report
... basedOn S 0..* Reference(ServiceRequest) What was requested
... status ?!SΣ 1..1 code registered | partial | preliminary | modified | final | amended | corrected | appended | cancelled | entered-in-error | unknown
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
Fixed Value: final
... Slices for category Σ 1..* CodeableConcept Service category
Slice: Unordered, Open by value:coding.system
Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074
.... category:radiology Σ 1..1 CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074
... code SΣ 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-report-codes (extensible): Tipo de reporte diagnóstico (todos los tipos: imaging, lab, patología, etc.)
... subject SΣ 1..1 Reference(Patient) The subject of the report - usually, but not always, the patient
... effective[x] SΣ 1..1 Clinically relevant time/time-period for report
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued SΣ 1..1 instant DateTime this version was made
... performer SΣ 1..* Reference(Practitioner | Organization) Responsible Diagnostic Service
... resultsInterpreter Σ 0..* Reference(Practitioner) Primary result interpreter
... study 0..* Reference(ImagingStudy) Reference to full details of an analysis associated with the diagnostic report
... conclusionCode 0..* CodeableConcept Codes for the clinical conclusion of test results
Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-diagnostic-findings (required)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.status Base required Diagnostic Report Status 📍5.0.0 FHIR Std.
DiagnosticReport.category Base example Diagnostic Service Section Codes 📍5.0.0 FHIR Std.
DiagnosticReport.category:radiology Base example Diagnostic Service Section Codes 📍5.0.0 FHIR Std.
DiagnosticReport.code Base extensible https://hl7.or.cr/fhir/terminology/ValueSet/cr-report-codes Not State Unknown
DiagnosticReport.conclusionCode Base required https://hl7.or.cr/fhir/terminology/ValueSet/cr-diagnostic-findings Not State Unknown

Constraints

Id Grade Path(s) Description Expression
dgr-1 error DiagnosticReport When a Composition is referenced in `Diagnostic.composition`, all Observation resources referenced in `Composition.entry` must also be referenced in `Diagnostic.entry` or in the references Observations in `Observation.hasMember` composition.exists() implies (composition.resolve().section.entry.reference.where(resolve() is Observation) in (result.reference|result.reference.resolve().hasMember.reference))
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 DiagnosticReport.implicitRules, DiagnosticReport.extension, DiagnosticReport.extension:dicomInstanceUid, DiagnosticReport.extension:impression, DiagnosticReport.extension:recommendation, DiagnosticReport.extension:patientHistory, DiagnosticReport.modifierExtension, DiagnosticReport.identifier, DiagnosticReport.basedOn, DiagnosticReport.status, DiagnosticReport.category, DiagnosticReport.category:radiology, DiagnosticReport.code, DiagnosticReport.subject, DiagnosticReport.effective[x], DiagnosticReport.issued, DiagnosticReport.performer, DiagnosticReport.resultsInterpreter, DiagnosticReport.study, DiagnosticReport.conclusionCode All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error DiagnosticReport.extension, DiagnosticReport.extension:dicomInstanceUid, DiagnosticReport.extension:impression, DiagnosticReport.extension:recommendation, DiagnosticReport.extension:patientHistory, DiagnosticReport.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from DiagnosticReport

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReport(5.0.0) A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:dicomInstanceUid 0..* (Complex) Información de acceso a imágenes DICOM
URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/dicom-instance-uid
.... extension:impression 0..* Reference(Observation | Condition) Impresión clínica del reporte
URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-hl7idr-impression
.... extension:recommendation 0..* Reference(CarePlan | ServiceRequest) Recomendaciones clínicas
URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-hl7idr-recommendation
.... extension:patientHistory 0..* Reference(Observation) Historial del paciente relevante
URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-hl7idr-patient-history
... identifier S 1..* Identifier Business identifier for report
... basedOn S 0..* Reference(ServiceRequest) What was requested
... Slices for category 1..* CodeableConcept Service category
Slice: Unordered, Open by value:coding.system
.... category:radiology 1..1 CodeableConcept Service category
..... coding
...... system 1..1 uri Identity of the terminology system
Required Pattern: https://hl7.or.cr/fhir/terminology/CodeSystem/cr-diagnostic-service-sections
...... code 0..1 code Symbol in syntax defined by the system
Required Pattern: RAD
... code S 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-report-codes (extensible): Tipo de reporte diagnóstico (todos los tipos: imaging, lab, patología, etc.)
... subject S 1..1 Reference(Patient) The subject of the report - usually, but not always, the patient
... effective[x] S 1..1 dateTime, Period Clinically relevant time/time-period for report
... issued S 1..1 instant DateTime this version was made
... performer S 1..* Reference(Practitioner | Organization) Responsible Diagnostic Service
... resultsInterpreter 0..* Reference(Practitioner) Primary result interpreter
... study 0..* Reference(ImagingStudy) Reference to full details of an analysis associated with the diagnostic report
... conclusionCode 0..* CodeableConcept Codes for the clinical conclusion of test results
Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-diagnostic-findings (required)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DiagnosticReport.code Base extensible https://hl7.or.cr/fhir/terminology/ValueSet/cr-report-codes Not State Unknown
DiagnosticReport.conclusionCode Base required https://hl7.or.cr/fhir/terminology/ValueSet/cr-diagnostic-findings Not State Unknown
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport C 0..* DiagnosticReport(5.0.0) A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
Constraints: dgr-1
... 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: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
... 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 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
.... extension:dicomInstanceUid 0..* (Complex) Información de acceso a imágenes DICOM
URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/dicom-instance-uid
Constraints: ext-1
.... extension:impression 0..* Reference(Observation | Condition) Impresión clínica del reporte
URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-hl7idr-impression
Constraints: ext-1
.... extension:recommendation 0..* Reference(CarePlan | ServiceRequest) Recomendaciones clínicas
URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-hl7idr-recommendation
Constraints: ext-1
.... extension:patientHistory 0..* Reference(Observation) Historial del paciente relevante
URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-hl7idr-patient-history
Constraints: ext-1
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier SΣ 1..* Identifier Business identifier for report
... basedOn S 0..* Reference(ServiceRequest) What was requested
... status ?!SΣ 1..1 code registered | partial | preliminary | modified | final | amended | corrected | appended | cancelled | entered-in-error | unknown
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
Fixed Value: final
... Slices for category Σ 1..* CodeableConcept Service category
Slice: Unordered, Open by value:coding.system
Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074
.... category:radiology Σ 1..1 CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
..... coding Σ 0..* Coding Code defined by a terminology system
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: https://hl7.or.cr/fhir/terminology/CodeSystem/cr-diagnostic-service-sections
...... version Σ 0..1 string Version of the system - if relevant
...... code ΣC 0..1 code Symbol in syntax defined by the system
Required Pattern: RAD
...... display ΣC 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
... code SΣ 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-report-codes (extensible): Tipo de reporte diagnóstico (todos los tipos: imaging, lab, patología, etc.)
... subject SΣ 1..1 Reference(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] SΣ 1..1 Clinically relevant time/time-period for report
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued SΣ 1..1 instant DateTime this version was made
... performer SΣ 1..* Reference(Practitioner | Organization) Responsible Diagnostic Service
... resultsInterpreter Σ 0..* Reference(Practitioner) Primary result interpreter
... specimen 0..* Reference(Specimen) Specimens this report is based on
... result C 0..* Reference(Observation) Observations
... note 0..* Annotation Comments about the diagnostic report
... study 0..* Reference(ImagingStudy) Reference to full details of an analysis associated with the diagnostic report
... supportingInfo 0..* BackboneElement Additional information supporting the diagnostic report
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... type 1..1 CodeableConcept Supporting information role code
Binding: Hl7VSVSObservationType (2.0.0) (example): The code value for the role of the supporting information in the diagnostic report.
.... reference 1..1 Reference(Procedure | Observation | DiagnosticReport | Citation) Supporting information reference
... media Σ 0..* BackboneElement Key images or data associated with this report
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... comment 0..1 string Comment about the image or data (e.g. explanation)
.... link Σ 1..1 Reference(DocumentReference) Reference to the image or data source
... composition C 0..1 Reference(Composition) Reference to a Composition resource for the DiagnosticReport structure
... conclusion 0..1 markdown Clinical conclusion (interpretation) of test results
... conclusionCode 0..* CodeableConcept Codes for the clinical conclusion of test results
Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-diagnostic-findings (required)
... presentedForm 0..* Attachment Entire report as issued

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.language Base required All Languages 📍5.0.0 FHIR Std.
DiagnosticReport.status Base required Diagnostic Report Status 📍5.0.0 FHIR Std.
DiagnosticReport.category Base example Diagnostic Service Section Codes 📍5.0.0 FHIR Std.
DiagnosticReport.category:radiology Base example Diagnostic Service Section Codes 📍5.0.0 FHIR Std.
DiagnosticReport.code Base extensible https://hl7.or.cr/fhir/terminology/ValueSet/cr-report-codes Not State Unknown
DiagnosticReport.supportingInfo.​type Base example hl7VS-VS-observationType 📍2.0.0 THO v7.0
DiagnosticReport.conclusionCode Base required https://hl7.or.cr/fhir/terminology/ValueSet/cr-diagnostic-findings Not State Unknown

Constraints

Id Grade Path(s) Description Expression
dgr-1 error DiagnosticReport When a Composition is referenced in `Diagnostic.composition`, all Observation resources referenced in `Composition.entry` must also be referenced in `Diagnostic.entry` or in the references Observations in `Observation.hasMember` composition.exists() implies (composition.resolve().section.entry.reference.where(resolve() is Observation) in (result.reference|result.reference.resolve().hasMember.reference))
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 DiagnosticReport.meta, DiagnosticReport.implicitRules, DiagnosticReport.language, DiagnosticReport.text, DiagnosticReport.extension, DiagnosticReport.extension:dicomInstanceUid, DiagnosticReport.extension:impression, DiagnosticReport.extension:recommendation, DiagnosticReport.extension:patientHistory, DiagnosticReport.modifierExtension, DiagnosticReport.identifier, DiagnosticReport.basedOn, DiagnosticReport.status, DiagnosticReport.category, DiagnosticReport.category:radiology, DiagnosticReport.category:radiology.extension, DiagnosticReport.category:radiology.coding, DiagnosticReport.category:radiology.coding.extension, DiagnosticReport.category:radiology.coding.system, DiagnosticReport.category:radiology.coding.version, DiagnosticReport.category:radiology.coding.code, DiagnosticReport.category:radiology.coding.display, DiagnosticReport.category:radiology.coding.userSelected, DiagnosticReport.category:radiology.text, DiagnosticReport.code, DiagnosticReport.subject, DiagnosticReport.encounter, DiagnosticReport.effective[x], DiagnosticReport.issued, DiagnosticReport.performer, DiagnosticReport.resultsInterpreter, DiagnosticReport.specimen, DiagnosticReport.result, DiagnosticReport.note, DiagnosticReport.study, DiagnosticReport.supportingInfo, DiagnosticReport.supportingInfo.extension, DiagnosticReport.supportingInfo.modifierExtension, DiagnosticReport.supportingInfo.type, DiagnosticReport.supportingInfo.reference, DiagnosticReport.media, DiagnosticReport.media.extension, DiagnosticReport.media.modifierExtension, DiagnosticReport.media.comment, DiagnosticReport.media.link, DiagnosticReport.composition, DiagnosticReport.conclusion, DiagnosticReport.conclusionCode, DiagnosticReport.presentedForm All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error DiagnosticReport.extension, DiagnosticReport.extension:dicomInstanceUid, DiagnosticReport.extension:impression, DiagnosticReport.extension:recommendation, DiagnosticReport.extension:patientHistory, DiagnosticReport.modifierExtension, DiagnosticReport.category:radiology.extension, DiagnosticReport.category:radiology.coding.extension, DiagnosticReport.supportingInfo.extension, DiagnosticReport.supportingInfo.modifierExtension, DiagnosticReport.media.extension, DiagnosticReport.media.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport C 0..* DiagnosticReport(5.0.0) A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
Constraints: dgr-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
.... extension:dicomInstanceUid 0..* (Complex) Información de acceso a imágenes DICOM
URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/dicom-instance-uid
Constraints: ext-1
.... extension:impression 0..* Reference(Observation | Condition) Impresión clínica del reporte
URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-hl7idr-impression
Constraints: ext-1
.... extension:recommendation 0..* Reference(CarePlan | ServiceRequest) Recomendaciones clínicas
URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-hl7idr-recommendation
Constraints: ext-1
.... extension:patientHistory 0..* Reference(Observation) Historial del paciente relevante
URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-hl7idr-patient-history
Constraints: ext-1
... identifier SΣ 1..* Identifier Business identifier for report
... basedOn S 0..* Reference(ServiceRequest) What was requested
... status ?!SΣ 1..1 code registered | partial | preliminary | modified | final | amended | corrected | appended | cancelled | entered-in-error | unknown
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
Fixed Value: final
... Slices for category Σ 1..* CodeableConcept Service category
Slice: Unordered, Open by value:coding.system
Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074
.... category:radiology Σ 1..1 CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074
... code SΣ 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-report-codes (extensible): Tipo de reporte diagnóstico (todos los tipos: imaging, lab, patología, etc.)
... subject SΣ 1..1 Reference(Patient) The subject of the report - usually, but not always, the patient
... effective[x] SΣ 1..1 Clinically relevant time/time-period for report
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued SΣ 1..1 instant DateTime this version was made
... performer SΣ 1..* Reference(Practitioner | Organization) Responsible Diagnostic Service
... resultsInterpreter Σ 0..* Reference(Practitioner) Primary result interpreter
... study 0..* Reference(ImagingStudy) Reference to full details of an analysis associated with the diagnostic report
... conclusionCode 0..* CodeableConcept Codes for the clinical conclusion of test results
Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-diagnostic-findings (required)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.status Base required Diagnostic Report Status 📍5.0.0 FHIR Std.
DiagnosticReport.category Base example Diagnostic Service Section Codes 📍5.0.0 FHIR Std.
DiagnosticReport.category:radiology Base example Diagnostic Service Section Codes 📍5.0.0 FHIR Std.
DiagnosticReport.code Base extensible https://hl7.or.cr/fhir/terminology/ValueSet/cr-report-codes Not State Unknown
DiagnosticReport.conclusionCode Base required https://hl7.or.cr/fhir/terminology/ValueSet/cr-diagnostic-findings Not State Unknown

Constraints

Id Grade Path(s) Description Expression
dgr-1 error DiagnosticReport When a Composition is referenced in `Diagnostic.composition`, all Observation resources referenced in `Composition.entry` must also be referenced in `Diagnostic.entry` or in the references Observations in `Observation.hasMember` composition.exists() implies (composition.resolve().section.entry.reference.where(resolve() is Observation) in (result.reference|result.reference.resolve().hasMember.reference))
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 DiagnosticReport.implicitRules, DiagnosticReport.extension, DiagnosticReport.extension:dicomInstanceUid, DiagnosticReport.extension:impression, DiagnosticReport.extension:recommendation, DiagnosticReport.extension:patientHistory, DiagnosticReport.modifierExtension, DiagnosticReport.identifier, DiagnosticReport.basedOn, DiagnosticReport.status, DiagnosticReport.category, DiagnosticReport.category:radiology, DiagnosticReport.code, DiagnosticReport.subject, DiagnosticReport.effective[x], DiagnosticReport.issued, DiagnosticReport.performer, DiagnosticReport.resultsInterpreter, DiagnosticReport.study, DiagnosticReport.conclusionCode All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error DiagnosticReport.extension, DiagnosticReport.extension:dicomInstanceUid, DiagnosticReport.extension:impression, DiagnosticReport.extension:recommendation, DiagnosticReport.extension:patientHistory, DiagnosticReport.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

This structure is derived from DiagnosticReport

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReport(5.0.0) A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:dicomInstanceUid 0..* (Complex) Información de acceso a imágenes DICOM
URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/dicom-instance-uid
.... extension:impression 0..* Reference(Observation | Condition) Impresión clínica del reporte
URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-hl7idr-impression
.... extension:recommendation 0..* Reference(CarePlan | ServiceRequest) Recomendaciones clínicas
URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-hl7idr-recommendation
.... extension:patientHistory 0..* Reference(Observation) Historial del paciente relevante
URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-hl7idr-patient-history
... identifier S 1..* Identifier Business identifier for report
... basedOn S 0..* Reference(ServiceRequest) What was requested
... Slices for category 1..* CodeableConcept Service category
Slice: Unordered, Open by value:coding.system
.... category:radiology 1..1 CodeableConcept Service category
..... coding
...... system 1..1 uri Identity of the terminology system
Required Pattern: https://hl7.or.cr/fhir/terminology/CodeSystem/cr-diagnostic-service-sections
...... code 0..1 code Symbol in syntax defined by the system
Required Pattern: RAD
... code S 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-report-codes (extensible): Tipo de reporte diagnóstico (todos los tipos: imaging, lab, patología, etc.)
... subject S 1..1 Reference(Patient) The subject of the report - usually, but not always, the patient
... effective[x] S 1..1 dateTime, Period Clinically relevant time/time-period for report
... issued S 1..1 instant DateTime this version was made
... performer S 1..* Reference(Practitioner | Organization) Responsible Diagnostic Service
... resultsInterpreter 0..* Reference(Practitioner) Primary result interpreter
... study 0..* Reference(ImagingStudy) Reference to full details of an analysis associated with the diagnostic report
... conclusionCode 0..* CodeableConcept Codes for the clinical conclusion of test results
Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-diagnostic-findings (required)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DiagnosticReport.code Base extensible https://hl7.or.cr/fhir/terminology/ValueSet/cr-report-codes Not State Unknown
DiagnosticReport.conclusionCode Base required https://hl7.or.cr/fhir/terminology/ValueSet/cr-diagnostic-findings Not State Unknown

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport C 0..* DiagnosticReport(5.0.0) A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
Constraints: dgr-1
... 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: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
... 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 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
.... extension:dicomInstanceUid 0..* (Complex) Información de acceso a imágenes DICOM
URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/dicom-instance-uid
Constraints: ext-1
.... extension:impression 0..* Reference(Observation | Condition) Impresión clínica del reporte
URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-hl7idr-impression
Constraints: ext-1
.... extension:recommendation 0..* Reference(CarePlan | ServiceRequest) Recomendaciones clínicas
URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-hl7idr-recommendation
Constraints: ext-1
.... extension:patientHistory 0..* Reference(Observation) Historial del paciente relevante
URL: https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-hl7idr-patient-history
Constraints: ext-1
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
Constraints: ext-1
... identifier SΣ 1..* Identifier Business identifier for report
... basedOn S 0..* Reference(ServiceRequest) What was requested
... status ?!SΣ 1..1 code registered | partial | preliminary | modified | final | amended | corrected | appended | cancelled | entered-in-error | unknown
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
Fixed Value: final
... Slices for category Σ 1..* CodeableConcept Service category
Slice: Unordered, Open by value:coding.system
Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074
.... category:radiology Σ 1..1 CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
..... coding Σ 0..* Coding Code defined by a terminology system
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
...... system Σ 1..1 uri Identity of the terminology system
Required Pattern: https://hl7.or.cr/fhir/terminology/CodeSystem/cr-diagnostic-service-sections
...... version Σ 0..1 string Version of the system - if relevant
...... code ΣC 0..1 code Symbol in syntax defined by the system
Required Pattern: RAD
...... display ΣC 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
... code SΣ 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-report-codes (extensible): Tipo de reporte diagnóstico (todos los tipos: imaging, lab, patología, etc.)
... subject SΣ 1..1 Reference(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] SΣ 1..1 Clinically relevant time/time-period for report
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued SΣ 1..1 instant DateTime this version was made
... performer SΣ 1..* Reference(Practitioner | Organization) Responsible Diagnostic Service
... resultsInterpreter Σ 0..* Reference(Practitioner) Primary result interpreter
... specimen 0..* Reference(Specimen) Specimens this report is based on
... result C 0..* Reference(Observation) Observations
... note 0..* Annotation Comments about the diagnostic report
... study 0..* Reference(ImagingStudy) Reference to full details of an analysis associated with the diagnostic report
... supportingInfo 0..* BackboneElement Additional information supporting the diagnostic report
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... type 1..1 CodeableConcept Supporting information role code
Binding: Hl7VSVSObservationType (2.0.0) (example): The code value for the role of the supporting information in the diagnostic report.
.... reference 1..1 Reference(Procedure | Observation | DiagnosticReport | Citation) Supporting information reference
... media Σ 0..* BackboneElement Key images or data associated with this report
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Constraints: ext-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... comment 0..1 string Comment about the image or data (e.g. explanation)
.... link Σ 1..1 Reference(DocumentReference) Reference to the image or data source
... composition C 0..1 Reference(Composition) Reference to a Composition resource for the DiagnosticReport structure
... conclusion 0..1 markdown Clinical conclusion (interpretation) of test results
... conclusionCode 0..* CodeableConcept Codes for the clinical conclusion of test results
Binding: https://hl7.or.cr/fhir/terminology/ValueSet/cr-diagnostic-findings (required)
... presentedForm 0..* Attachment Entire report as issued

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.language Base required All Languages 📍5.0.0 FHIR Std.
DiagnosticReport.status Base required Diagnostic Report Status 📍5.0.0 FHIR Std.
DiagnosticReport.category Base example Diagnostic Service Section Codes 📍5.0.0 FHIR Std.
DiagnosticReport.category:radiology Base example Diagnostic Service Section Codes 📍5.0.0 FHIR Std.
DiagnosticReport.code Base extensible https://hl7.or.cr/fhir/terminology/ValueSet/cr-report-codes Not State Unknown
DiagnosticReport.supportingInfo.​type Base example hl7VS-VS-observationType 📍2.0.0 THO v7.0
DiagnosticReport.conclusionCode Base required https://hl7.or.cr/fhir/terminology/ValueSet/cr-diagnostic-findings Not State Unknown

Constraints

Id Grade Path(s) Description Expression
dgr-1 error DiagnosticReport When a Composition is referenced in `Diagnostic.composition`, all Observation resources referenced in `Composition.entry` must also be referenced in `Diagnostic.entry` or in the references Observations in `Observation.hasMember` composition.exists() implies (composition.resolve().section.entry.reference.where(resolve() is Observation) in (result.reference|result.reference.resolve().hasMember.reference))
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 DiagnosticReport.meta, DiagnosticReport.implicitRules, DiagnosticReport.language, DiagnosticReport.text, DiagnosticReport.extension, DiagnosticReport.extension:dicomInstanceUid, DiagnosticReport.extension:impression, DiagnosticReport.extension:recommendation, DiagnosticReport.extension:patientHistory, DiagnosticReport.modifierExtension, DiagnosticReport.identifier, DiagnosticReport.basedOn, DiagnosticReport.status, DiagnosticReport.category, DiagnosticReport.category:radiology, DiagnosticReport.category:radiology.extension, DiagnosticReport.category:radiology.coding, DiagnosticReport.category:radiology.coding.extension, DiagnosticReport.category:radiology.coding.system, DiagnosticReport.category:radiology.coding.version, DiagnosticReport.category:radiology.coding.code, DiagnosticReport.category:radiology.coding.display, DiagnosticReport.category:radiology.coding.userSelected, DiagnosticReport.category:radiology.text, DiagnosticReport.code, DiagnosticReport.subject, DiagnosticReport.encounter, DiagnosticReport.effective[x], DiagnosticReport.issued, DiagnosticReport.performer, DiagnosticReport.resultsInterpreter, DiagnosticReport.specimen, DiagnosticReport.result, DiagnosticReport.note, DiagnosticReport.study, DiagnosticReport.supportingInfo, DiagnosticReport.supportingInfo.extension, DiagnosticReport.supportingInfo.modifierExtension, DiagnosticReport.supportingInfo.type, DiagnosticReport.supportingInfo.reference, DiagnosticReport.media, DiagnosticReport.media.extension, DiagnosticReport.media.modifierExtension, DiagnosticReport.media.comment, DiagnosticReport.media.link, DiagnosticReport.composition, DiagnosticReport.conclusion, DiagnosticReport.conclusionCode, DiagnosticReport.presentedForm All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error DiagnosticReport.extension, DiagnosticReport.extension:dicomInstanceUid, DiagnosticReport.extension:impression, DiagnosticReport.extension:recommendation, DiagnosticReport.extension:patientHistory, DiagnosticReport.modifierExtension, DiagnosticReport.category:radiology.extension, DiagnosticReport.category:radiology.coding.extension, DiagnosticReport.supportingInfo.extension, DiagnosticReport.supportingInfo.modifierExtension, DiagnosticReport.media.extension, DiagnosticReport.media.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

 

Other representations of profile: CSV, Excel, Schematron