HL7 Czech Imaging Report IG, published by HL7 Czech Republic. 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/HL7-cz/img/ and changes regularly. See the Directory of published versions

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Resource Profile: Diagnostic Report: Obligations

This profile defines obligations for a diagnostic report in FHIR for the purpose of this guide.

Usages:

• 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	C	0..*	CZ_DiagnosticReport	Imaging Report DiagnosticReport Constraints: presentedform-01
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text	O	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 Obligations Actor SHALL:able-to-populate Creator-L2 SHALL:able-to-populate Creator-L3 SHALL:display Creator-L2 SHALL:display Creator-L3
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:artifactVersion		0..1	string	Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version
extension:supportingInfo		0..*	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo
extension:composition		1..1	(Complex)	Optional Extensions Element 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]		1..1	Reference(Composition: Imaging Report (CZ) | Composition)	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	Status of this report Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
Slices for category	Σ	1..*	CodeableConcept	Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
category:imaging	Σ	1..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18748-4
display		1..1	string	Representation defined by the system Fixed Value: Diagnostic imaging study
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
coding	Σ	1..1	Coding	Code defined by a terminology system
code	Σ	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
subject	Σ	1..1	Reference(Patient (CZ core) | Patient | Group | Location | Device: Performer/Observer (CZ) | Medical Device (CZ))	The subject of the report - usually, but not always, the patient
Slices for effective[x]	Σ	0..1		Clinically relevant time/time-period for report. Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	OΣ	0..1	dateTime	Clinically relevant time/time-period for report. Obligations Actor SHALL:populate-if-known Creator-L2 SHALL:populate-if-known Creator-L3 SHALL:display Creator-L2 SHALL:display Creator-L3
performer	OΣ	0..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam)	Responsible Diagnostic Service. Obligations Actor SHALL:able-to-populate Creator-L2 SHALL:able-to-populate Creator-L3 SHALL:display Creator-L2 SHALL:display Creator-L3
result	O	0..*	Reference(Observation: Imaging Report (CZ))	results Obligations Actor SHOULD:able-to-populate Creator-L2 SHALL:able-to-populate Creator-L3 SHOULD:display Creator-L2 SHALL:display Creator-L3
media	OΣ	0..*	BackboneElement	Key images associated with this report Obligations Actor SHOULD:able-to-populate Creator-L2 SHALL:able-to-populate Creator-L3 SHOULD:display Consumer-L2 SHALL:display Consumer-L3
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	1..1	Reference(Media)	Reference to the image source
conclusion	O	0..1	string	Clinical conclusion (interpretation) of test results Obligations Actor SHALL:able-to-populate Creator-L2 SHALL:able-to-populate Creator-L3 SHALL:display Creator-L2 SHALL:display Creator-L3
conclusionCode	O	0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. Obligations Actor SHOULD:able-to-populate Creator-L2 SHALL:able-to-populate Creator-L3 SHOULD:display Creator-L2 SHALL:display Creator-L3
presentedForm	O	1..*	Attachment	Entire report as issued Obligations Actor SHALL:able-to-populate Creator-L1 SHALL:able-to-populate Creator-L2 SHALL:able-to-populate Creator-L3 SHALL:display Consumer-L1 SHALL:display Consumer-L2 SHALL:display Consumer-L3
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	example	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	preferred	LOINC Diagnostic Report Codes	📍4.0.1	FHIR Std.
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()
presentedform-01	warning	DiagnosticReport	At least one of presented form has PDF format	presentedForm.where(contentType = 'application/pdf').count() > 0

This structure is derived from CZ_DiagnosticReport

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	CZ_DiagnosticReport	Imaging Report DiagnosticReport
text	O	0..1	Narrative	Text summary of the resource, for human interpretation Obligations Actor SHALL:able-to-populate Creator-L2 SHALL:able-to-populate Creator-L3 SHALL:display Creator-L2 SHALL:display Creator-L3
Slices for effective[x]		0..1	dateTime, Period	Clinically relevant time/time-period for report. Slice: Unordered, Open by type:$this
effective[x]:effectiveDateTime	O	0..1	dateTime	Clinically relevant time/time-period for report. Obligations Actor SHALL:populate-if-known Creator-L2 SHALL:populate-if-known Creator-L3 SHALL:display Creator-L2 SHALL:display Creator-L3
performer	O	0..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam)	Responsible Diagnostic Service. Obligations Actor SHALL:able-to-populate Creator-L2 SHALL:able-to-populate Creator-L3 SHALL:display Creator-L2 SHALL:display Creator-L3
result	O	0..*	Reference(Observation: Imaging Report (CZ))	results Obligations Actor SHOULD:able-to-populate Creator-L2 SHALL:able-to-populate Creator-L3 SHOULD:display Creator-L2 SHALL:display Creator-L3
media	O	0..*	BackboneElement	Key images associated with this report Obligations Actor SHOULD:able-to-populate Creator-L2 SHALL:able-to-populate Creator-L3 SHOULD:display Consumer-L2 SHALL:display Consumer-L3
conclusion	O	0..1	string	Clinical conclusion (interpretation) of test results Obligations Actor SHALL:able-to-populate Creator-L2 SHALL:able-to-populate Creator-L3 SHALL:display Creator-L2 SHALL:display Creator-L3
conclusionCode	O	0..*	CodeableConcept	Codes for the clinical conclusion of test results Obligations Actor SHOULD:able-to-populate Creator-L2 SHALL:able-to-populate Creator-L3 SHOULD:display Creator-L2 SHALL:display Creator-L3
presentedForm	O	1..*	Attachment	Entire report as issued Obligations Actor SHALL:able-to-populate Creator-L1 SHALL:able-to-populate Creator-L2 SHALL:able-to-populate Creator-L3 SHALL:display Consumer-L1 SHALL:display Consumer-L2 SHALL:display Consumer-L3
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport	C	0..*	CZ_DiagnosticReport	Imaging Report DiagnosticReport Constraints: presentedform-01
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	O	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 Obligations Actor SHALL:able-to-populate Creator-L2 SHALL:able-to-populate Creator-L3 SHALL:display Creator-L2 SHALL:display Creator-L3
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:artifactVersion		0..1	string	Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version
extension:supportingInfo		0..*	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo
extension:composition		1..1	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
id		0..1	string	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]		1..1	Reference(Composition: Imaging Report (CZ) | Composition)	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business identifier for report
basedOn		0..*	Reference(Service Request: Imaging Report (CZ))	What was requested
status	?!Σ	1..1	code	Status of this report Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
Slices for category	Σ	1..*	CodeableConcept	Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
category:imaging	Σ	1..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18748-4
display		1..1	string	Representation defined by the system Fixed Value: Diagnostic imaging study
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
code	Σ	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
subject	Σ	1..1	Reference(Patient (CZ core) | Patient | Group | Location | Device: Performer/Observer (CZ) | Medical Device (CZ))	The subject of the report - usually, but not always, the patient
encounter	Σ	0..1	Reference(Encounter)	Health care event when test ordered
Slices for effective[x]	Σ	0..1		Clinically relevant time/time-period for report. Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	OΣ	0..1	dateTime	Clinically relevant time/time-period for report. Obligations Actor SHALL:populate-if-known Creator-L2 SHALL:populate-if-known Creator-L3 SHALL:display Creator-L2 SHALL:display Creator-L3
issued	Σ	0..1	instant	DateTime this version was made
performer	OΣ	0..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam)	Responsible Diagnostic Service. Obligations Actor SHALL:able-to-populate Creator-L2 SHALL:able-to-populate Creator-L3 SHALL:display Creator-L2 SHALL:display Creator-L3
resultsInterpreter	Σ	0..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam)	Primary result interpreter
specimen		0..*	Reference(Specimen (CZ))	Specimens this report is based on.
result	O	0..*	Reference(Observation: Imaging Report (CZ))	results Obligations Actor SHOULD:able-to-populate Creator-L2 SHALL:able-to-populate Creator-L3 SHOULD:display Creator-L2 SHALL:display Creator-L3
media	OΣ	0..*	BackboneElement	Key images associated with this report Obligations Actor SHOULD:able-to-populate Creator-L2 SHALL:able-to-populate Creator-L3 SHOULD:display Consumer-L2 SHALL:display Consumer-L3
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	O	0..1	string	Clinical conclusion (interpretation) of test results Obligations Actor SHALL:able-to-populate Creator-L2 SHALL:able-to-populate Creator-L3 SHALL:display Creator-L2 SHALL:display Creator-L3
conclusionCode	O	0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. Obligations Actor SHOULD:able-to-populate Creator-L2 SHALL:able-to-populate Creator-L3 SHOULD:display Creator-L2 SHALL:display Creator-L3
presentedForm	O	1..*	Attachment	Entire report as issued Obligations Actor SHALL:able-to-populate Creator-L1 SHALL:able-to-populate Creator-L2 SHALL:able-to-populate Creator-L3 SHALL:display Consumer-L1 SHALL:display Consumer-L2 SHALL:display Consumer-L3
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	example	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	preferred	LOINC Diagnostic Report Codes	📍4.0.1	FHIR Std.
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()
presentedform-01	warning	DiagnosticReport	At least one of presented form has PDF format	presentedForm.where(contentType = 'application/pdf').count() > 0

This structure is derived from CZ_DiagnosticReport

Summary

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of DiagnosticReport.effective[x]

Maturity: 0

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport	C	0..*	CZ_DiagnosticReport	Imaging Report DiagnosticReport Constraints: presentedform-01
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text	O	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 Obligations Actor SHALL:able-to-populate Creator-L2 SHALL:able-to-populate Creator-L3 SHALL:display Creator-L2 SHALL:display Creator-L3
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:artifactVersion		0..1	string	Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version
extension:supportingInfo		0..*	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo
extension:composition		1..1	(Complex)	Optional Extensions Element 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]		1..1	Reference(Composition: Imaging Report (CZ) | Composition)	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	Status of this report Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
Slices for category	Σ	1..*	CodeableConcept	Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
category:imaging	Σ	1..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18748-4
display		1..1	string	Representation defined by the system Fixed Value: Diagnostic imaging study
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
coding	Σ	1..1	Coding	Code defined by a terminology system
code	Σ	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
subject	Σ	1..1	Reference(Patient (CZ core) | Patient | Group | Location | Device: Performer/Observer (CZ) | Medical Device (CZ))	The subject of the report - usually, but not always, the patient
Slices for effective[x]	Σ	0..1		Clinically relevant time/time-period for report. Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	OΣ	0..1	dateTime	Clinically relevant time/time-period for report. Obligations Actor SHALL:populate-if-known Creator-L2 SHALL:populate-if-known Creator-L3 SHALL:display Creator-L2 SHALL:display Creator-L3
performer	OΣ	0..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam)	Responsible Diagnostic Service. Obligations Actor SHALL:able-to-populate Creator-L2 SHALL:able-to-populate Creator-L3 SHALL:display Creator-L2 SHALL:display Creator-L3
result	O	0..*	Reference(Observation: Imaging Report (CZ))	results Obligations Actor SHOULD:able-to-populate Creator-L2 SHALL:able-to-populate Creator-L3 SHOULD:display Creator-L2 SHALL:display Creator-L3
media	OΣ	0..*	BackboneElement	Key images associated with this report Obligations Actor SHOULD:able-to-populate Creator-L2 SHALL:able-to-populate Creator-L3 SHOULD:display Consumer-L2 SHALL:display Consumer-L3
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	1..1	Reference(Media)	Reference to the image source
conclusion	O	0..1	string	Clinical conclusion (interpretation) of test results Obligations Actor SHALL:able-to-populate Creator-L2 SHALL:able-to-populate Creator-L3 SHALL:display Creator-L2 SHALL:display Creator-L3
conclusionCode	O	0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. Obligations Actor SHOULD:able-to-populate Creator-L2 SHALL:able-to-populate Creator-L3 SHOULD:display Creator-L2 SHALL:display Creator-L3
presentedForm	O	1..*	Attachment	Entire report as issued Obligations Actor SHALL:able-to-populate Creator-L1 SHALL:able-to-populate Creator-L2 SHALL:able-to-populate Creator-L3 SHALL:display Consumer-L1 SHALL:display Consumer-L2 SHALL:display Consumer-L3
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	example	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	preferred	LOINC Diagnostic Report Codes	📍4.0.1	FHIR Std.
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()
presentedform-01	warning	DiagnosticReport	At least one of presented form has PDF format	presentedForm.where(contentType = 'application/pdf').count() > 0

Differential View

This structure is derived from CZ_DiagnosticReport

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	CZ_DiagnosticReport	Imaging Report DiagnosticReport
text	O	0..1	Narrative	Text summary of the resource, for human interpretation Obligations Actor SHALL:able-to-populate Creator-L2 SHALL:able-to-populate Creator-L3 SHALL:display Creator-L2 SHALL:display Creator-L3
Slices for effective[x]		0..1	dateTime, Period	Clinically relevant time/time-period for report. Slice: Unordered, Open by type:$this
effective[x]:effectiveDateTime	O	0..1	dateTime	Clinically relevant time/time-period for report. Obligations Actor SHALL:populate-if-known Creator-L2 SHALL:populate-if-known Creator-L3 SHALL:display Creator-L2 SHALL:display Creator-L3
performer	O	0..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam)	Responsible Diagnostic Service. Obligations Actor SHALL:able-to-populate Creator-L2 SHALL:able-to-populate Creator-L3 SHALL:display Creator-L2 SHALL:display Creator-L3
result	O	0..*	Reference(Observation: Imaging Report (CZ))	results Obligations Actor SHOULD:able-to-populate Creator-L2 SHALL:able-to-populate Creator-L3 SHOULD:display Creator-L2 SHALL:display Creator-L3
media	O	0..*	BackboneElement	Key images associated with this report Obligations Actor SHOULD:able-to-populate Creator-L2 SHALL:able-to-populate Creator-L3 SHOULD:display Consumer-L2 SHALL:display Consumer-L3
conclusion	O	0..1	string	Clinical conclusion (interpretation) of test results Obligations Actor SHALL:able-to-populate Creator-L2 SHALL:able-to-populate Creator-L3 SHALL:display Creator-L2 SHALL:display Creator-L3
conclusionCode	O	0..*	CodeableConcept	Codes for the clinical conclusion of test results Obligations Actor SHOULD:able-to-populate Creator-L2 SHALL:able-to-populate Creator-L3 SHOULD:display Creator-L2 SHALL:display Creator-L3
presentedForm	O	1..*	Attachment	Entire report as issued Obligations Actor SHALL:able-to-populate Creator-L1 SHALL:able-to-populate Creator-L2 SHALL:able-to-populate Creator-L3 SHALL:display Consumer-L1 SHALL:display Consumer-L2 SHALL:display Consumer-L3
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport	C	0..*	CZ_DiagnosticReport	Imaging Report DiagnosticReport Constraints: presentedform-01
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	O	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 Obligations Actor SHALL:able-to-populate Creator-L2 SHALL:able-to-populate Creator-L3 SHALL:display Creator-L2 SHALL:display Creator-L3
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:artifactVersion		0..1	string	Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version
extension:supportingInfo		0..*	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo
extension:composition		1..1	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
id		0..1	string	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]		1..1	Reference(Composition: Imaging Report (CZ) | Composition)	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business identifier for report
basedOn		0..*	Reference(Service Request: Imaging Report (CZ))	What was requested
status	?!Σ	1..1	code	Status of this report Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
Slices for category	Σ	1..*	CodeableConcept	Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
category:imaging	Σ	1..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18748-4
display		1..1	string	Representation defined by the system Fixed Value: Diagnostic imaging study
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
code	Σ	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
subject	Σ	1..1	Reference(Patient (CZ core) | Patient | Group | Location | Device: Performer/Observer (CZ) | Medical Device (CZ))	The subject of the report - usually, but not always, the patient
encounter	Σ	0..1	Reference(Encounter)	Health care event when test ordered
Slices for effective[x]	Σ	0..1		Clinically relevant time/time-period for report. Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	OΣ	0..1	dateTime	Clinically relevant time/time-period for report. Obligations Actor SHALL:populate-if-known Creator-L2 SHALL:populate-if-known Creator-L3 SHALL:display Creator-L2 SHALL:display Creator-L3
issued	Σ	0..1	instant	DateTime this version was made
performer	OΣ	0..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam)	Responsible Diagnostic Service. Obligations Actor SHALL:able-to-populate Creator-L2 SHALL:able-to-populate Creator-L3 SHALL:display Creator-L2 SHALL:display Creator-L3
resultsInterpreter	Σ	0..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam)	Primary result interpreter
specimen		0..*	Reference(Specimen (CZ))	Specimens this report is based on.
result	O	0..*	Reference(Observation: Imaging Report (CZ))	results Obligations Actor SHOULD:able-to-populate Creator-L2 SHALL:able-to-populate Creator-L3 SHOULD:display Creator-L2 SHALL:display Creator-L3
media	OΣ	0..*	BackboneElement	Key images associated with this report Obligations Actor SHOULD:able-to-populate Creator-L2 SHALL:able-to-populate Creator-L3 SHOULD:display Consumer-L2 SHALL:display Consumer-L3
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	O	0..1	string	Clinical conclusion (interpretation) of test results Obligations Actor SHALL:able-to-populate Creator-L2 SHALL:able-to-populate Creator-L3 SHALL:display Creator-L2 SHALL:display Creator-L3
conclusionCode	O	0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. Obligations Actor SHOULD:able-to-populate Creator-L2 SHALL:able-to-populate Creator-L3 SHOULD:display Creator-L2 SHALL:display Creator-L3
presentedForm	O	1..*	Attachment	Entire report as issued Obligations Actor SHALL:able-to-populate Creator-L1 SHALL:able-to-populate Creator-L2 SHALL:able-to-populate Creator-L3 SHALL:display Consumer-L1 SHALL:display Consumer-L2 SHALL:display Consumer-L3
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	example	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	preferred	LOINC Diagnostic Report Codes	📍4.0.1	FHIR Std.
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()
presentedform-01	warning	DiagnosticReport	At least one of presented form has PDF format	presentedForm.where(contentType = 'application/pdf').count() > 0

This structure is derived from CZ_DiagnosticReport

Summary

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of DiagnosticReport.effective[x]

Maturity: 0

Other representations of profile: CSV, Excel, Schematron