# CR Diagnostic Report - HL7 FHIR Costa Rica - Reportes de Imágenes Médicas v0.0.1-draft

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **CR Diagnostic Report**

## Resource Profile: CR Diagnostic Report 

| | | |
| :--- | :--- | :--- |
| *Official URL*:https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-diagnostic-report | *Version*: | |
| * Standards status: *[Draft](http://hl7.org/fhir/R5/versions.html#std-process) | [Maturity Level](http://hl7.org/fhir/versions.html#maturity): 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:**

* Examples for this Profile: [DiagnosticReport/diagnostic-report-xray-with-dicom-example](DiagnosticReport-diagnostic-report-xray-with-dicom-example.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/hl7.fhir.cr.imaging-report|current/StructureDefinition/cr-diagnostic-report)

### Formal Views of Profile Content

 [Description of Profiles, Differentials, Snapshots and how the different presentations work](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-cr-diagnostic-report.csv), [Excel](StructureDefinition-cr-diagnostic-report.xlsx), [Schematron](StructureDefinition-cr-diagnostic-report.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "cr-diagnostic-report",
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "cgp"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 0,
    "_valueInteger" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical" : "https://hl7.or.cr/fhir/imaging-report/ImplementationGuide/hl7.fhir.cr.imaging-report"
      }]
    }
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "draft",
    "_valueCode" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical" : "https://hl7.or.cr/fhir/imaging-report/ImplementationGuide/hl7.fhir.cr.imaging-report"
      }]
    }
  }],
  "url" : "https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-diagnostic-report",
  "name" : "CRDiagnosticReport",
  "title" : "CR Diagnostic Report",
  "status" : "draft",
  "date" : "2026-04-06T21:00:24+00:00",
  "publisher" : "Iniciativa HL7 Costa Rica",
  "contact" : [{
    "name" : "Iniciativa HL7 Costa Rica",
    "telecom" : [{
      "system" : "url",
      "value" : "https://hl7.or.cr"
    },
    {
      "system" : "email",
      "value" : "info@hl7.or.cr"
    }]
  },
  {
    "name" : "Iniciativa HL7 Costa Rica",
    "telecom" : [{
      "system" : "email",
      "value" : "info@hl7.or.cr",
      "use" : "work"
    },
    {
      "system" : "url",
      "value" : "https://hl7.or.cr",
      "use" : "work"
    }]
  }],
  "description" : "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.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "CR",
      "display" : "Costa Rica"
    }]
  }],
  "copyright" : "Utilizado con permiso de HL7 International, todos los derechos reservados Licencia Creative Commons",
  "fhirVersion" : "5.0.0",
  "mapping" : [{
    "identity" : "workflow",
    "uri" : "http://hl7.org/fhir/workflow",
    "name" : "Workflow Pattern"
  },
  {
    "identity" : "w5",
    "uri" : "http://hl7.org/fhir/fivews",
    "name" : "FiveWs Pattern Mapping"
  },
  {
    "identity" : "v2",
    "uri" : "http://hl7.org/v2",
    "name" : "HL7 V2 Mapping"
  },
  {
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "DiagnosticReport",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DiagnosticReport|5.0.0",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "DiagnosticReport",
      "path" : "DiagnosticReport"
    },
    {
      "id" : "DiagnosticReport.extension",
      "path" : "DiagnosticReport.extension",
      "slicing" : {
        "discriminator" : [{
          "type" : "value",
          "path" : "url"
        }],
        "ordered" : false,
        "rules" : "open"
      }
    },
    {
      "id" : "DiagnosticReport.extension:dicomInstanceUid",
      "path" : "DiagnosticReport.extension",
      "sliceName" : "dicomInstanceUid",
      "short" : "Información de acceso a imágenes DICOM",
      "definition" : "Información DICOM para acceder a las imágenes (UIDs y URL de acceso) - aplica principalmente a estudios radiológicos",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Extension",
        "profile" : ["https://hl7.or.cr/fhir/imaging-report/StructureDefinition/dicom-instance-uid"]
      }]
    },
    {
      "id" : "DiagnosticReport.extension:impression",
      "path" : "DiagnosticReport.extension",
      "sliceName" : "impression",
      "short" : "Impresión clínica del reporte",
      "definition" : "Interpretación profesional sobre los hallazgos",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Extension",
        "profile" : ["https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-hl7idr-impression"]
      }]
    },
    {
      "id" : "DiagnosticReport.extension:recommendation",
      "path" : "DiagnosticReport.extension",
      "sliceName" : "recommendation",
      "short" : "Recomendaciones clínicas",
      "definition" : "Acciones clínicas recomendadas basadas en los hallazgos",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Extension",
        "profile" : ["https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-hl7idr-recommendation"]
      }]
    },
    {
      "id" : "DiagnosticReport.extension:patientHistory",
      "path" : "DiagnosticReport.extension",
      "sliceName" : "patientHistory",
      "short" : "Historial del paciente relevante",
      "definition" : "Información clínica previa que contextualiza el estudio",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Extension",
        "profile" : ["https://hl7.or.cr/fhir/imaging-report/StructureDefinition/cr-hl7idr-patient-history"]
      }]
    },
    {
      "id" : "DiagnosticReport.identifier",
      "path" : "DiagnosticReport.identifier",
      "min" : 1,
      "mustSupport" : true
    },
    {
      "id" : "DiagnosticReport.basedOn",
      "path" : "DiagnosticReport.basedOn",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ServiceRequest|5.0.0"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "DiagnosticReport.status",
      "path" : "DiagnosticReport.status",
      "fixedCode" : "final",
      "mustSupport" : true
    },
    {
      "id" : "DiagnosticReport.category",
      "path" : "DiagnosticReport.category",
      "slicing" : {
        "discriminator" : [{
          "type" : "value",
          "path" : "coding.system"
        }],
        "rules" : "open"
      },
      "min" : 1
    },
    {
      "id" : "DiagnosticReport.category:radiology",
      "path" : "DiagnosticReport.category",
      "sliceName" : "radiology",
      "min" : 1,
      "max" : "1"
    },
    {
      "id" : "DiagnosticReport.category:radiology.coding.system",
      "path" : "DiagnosticReport.category.coding.system",
      "min" : 1,
      "patternUri" : "https://hl7.or.cr/fhir/terminology/CodeSystem/cr-diagnostic-service-sections"
    },
    {
      "id" : "DiagnosticReport.category:radiology.coding.code",
      "path" : "DiagnosticReport.category.coding.code",
      "patternCode" : "RAD"
    },
    {
      "id" : "DiagnosticReport.code",
      "path" : "DiagnosticReport.code",
      "mustSupport" : true,
      "binding" : {
        "strength" : "extensible",
        "description" : "Tipo de reporte diagnóstico (todos los tipos: imaging, lab, patología, etc.)",
        "valueSet" : "https://hl7.or.cr/fhir/terminology/ValueSet/cr-report-codes"
      }
    },
    {
      "id" : "DiagnosticReport.subject",
      "path" : "DiagnosticReport.subject",
      "min" : 1,
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient|5.0.0"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "DiagnosticReport.effective[x]",
      "path" : "DiagnosticReport.effective[x]",
      "min" : 1,
      "mustSupport" : true
    },
    {
      "id" : "DiagnosticReport.issued",
      "path" : "DiagnosticReport.issued",
      "min" : 1,
      "mustSupport" : true
    },
    {
      "id" : "DiagnosticReport.performer",
      "path" : "DiagnosticReport.performer",
      "min" : 1,
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner|5.0.0",
        "http://hl7.org/fhir/StructureDefinition/Organization|5.0.0"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "DiagnosticReport.resultsInterpreter",
      "path" : "DiagnosticReport.resultsInterpreter",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner|5.0.0"]
      }]
    },
    {
      "id" : "DiagnosticReport.study",
      "path" : "DiagnosticReport.study",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ImagingStudy|5.0.0"]
      }]
    },
    {
      "id" : "DiagnosticReport.conclusionCode",
      "path" : "DiagnosticReport.conclusionCode",
      "binding" : {
        "strength" : "required",
        "valueSet" : "https://hl7.or.cr/fhir/terminology/ValueSet/cr-diagnostic-findings"
      }
    }]
  }
}

```
