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 (Imaging Report): Obligations

This profile defines obligations for an 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:display ImgReportConsumer SHALL:able-to-populate ImgReportCreator
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	O	1..1	(Complex)	Extension URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition Obligations Actor SHALL:display ImgReportConsumer SHOULD:able-to-populate ImgReportCreator
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	?!OΣ	1..1	code	Status of this report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. Obligations Actor SHALL:display ImgReportConsumer SHOULD:able-to-populate ImgReportCreator
Slices for category	OΣ	1..*	CodeableConcept	Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Obligations Actor SHALL:display ImgReportConsumer SHOULD:able-to-populate ImgReportCreator
category:imaging	Σ	1..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18748-4
display		1..1	string	Representation defined by the system Fixed Value: Diagnostic imaging study
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
coding	Σ	1..1	Coding	Code defined by a terminology system
code	OΣ	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. Obligations Actor SHALL:display ImgReportConsumer SHOULD:able-to-populate ImgReportCreator
subject	OΣ	1..1	Reference(Patient (CZ core) | Patient | Group | Location | Device: Performer/Observer (CZ) | Medical Device (CZ))	The subject of the report - usually, but not always, the patient Obligations Actor SHALL:display ImgReportConsumer SHOULD:able-to-populate ImgReportCreator
Slices for effective[x]	Σ	0..1		Clinically relevant time/time-period for report. Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	OΣ	0..1	dateTime	Clinically relevant time/time-period for report. Obligations Actor SHALL:display ImgReportConsumer SHALL:populate-if-known ImgReportCreator
performer	OΣ	0..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam)	Responsible Diagnostic Service. Obligations Actor SHALL:display ImgReportConsumer SHALL:populate-if-known ImgReportCreator
conclusion	O	0..1	string	Clinical conclusion (interpretation) of test results Obligations Actor SHALL:display ImgReportConsumer SHALL:able-to-populate ImgReportCreator
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 SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
presentedForm	O	1..*	Attachment	Entire report as issued Obligations Actor SHALL:display ImgReportConsumer SHALL:able-to-populate ImgReportCreator
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 From the FHIR Standard
DiagnosticReport.category	example	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections From the FHIR Standard
DiagnosticReport.category:imaging	example	Pattern Value: LOINC Code 18748-4("Diagnostic imaging study") http://hl7.org/fhir/ValueSet/diagnostic-service-sections From the FHIR Standard
DiagnosticReport.code	preferred	LOINCDiagnosticReportCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/report-codes From the FHIR Standard
DiagnosticReport.conclusionCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DiagnosticReport	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
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:display ImgReportConsumer SHALL:able-to-populate ImgReportCreator
Slices for extension				Content/Rules for all slices
extension:composition	O	1..1	R5 DiagnosticReport.composition	Extension Obligations Actor SHALL:display ImgReportConsumer SHOULD:able-to-populate ImgReportCreator
status	O	1..1	code	Status of this report Obligations Actor SHALL:display ImgReportConsumer SHOULD:able-to-populate ImgReportCreator
category	O	1..*	CodeableConcept	Service category Obligations Actor SHALL:display ImgReportConsumer SHOULD:able-to-populate ImgReportCreator
code	O	1..1	CodeableConcept	Name/Code for this diagnostic report Obligations Actor SHALL:display ImgReportConsumer SHOULD:able-to-populate ImgReportCreator
subject	O	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 Obligations Actor SHALL:display ImgReportConsumer SHOULD:able-to-populate ImgReportCreator
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:display ImgReportConsumer SHALL:populate-if-known ImgReportCreator
performer	O	0..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam)	Responsible Diagnostic Service. Obligations Actor SHALL:display ImgReportConsumer SHALL:populate-if-known ImgReportCreator
conclusion	O	0..1	string	Clinical conclusion (interpretation) of test results Obligations Actor SHALL:display ImgReportConsumer SHALL:able-to-populate ImgReportCreator
conclusionCode	O	0..*	CodeableConcept	Codes for the clinical conclusion of test results Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
presentedForm	O	1..*	Attachment	Entire report as issued Obligations Actor SHALL:display ImgReportConsumer SHALL:able-to-populate ImgReportCreator
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:display ImgReportConsumer SHALL:able-to-populate ImgReportCreator
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	O	1..1	(Complex)	Extension URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition Obligations Actor SHALL:display ImgReportConsumer SHOULD:able-to-populate ImgReportCreator
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	?!OΣ	1..1	code	Status of this report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. Obligations Actor SHALL:display ImgReportConsumer SHOULD:able-to-populate ImgReportCreator
Slices for category	OΣ	1..*	CodeableConcept	Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Obligations Actor SHALL:display ImgReportConsumer SHOULD:able-to-populate ImgReportCreator
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	OΣ	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. Obligations Actor SHALL:display ImgReportConsumer SHOULD:able-to-populate ImgReportCreator
subject	OΣ	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 Obligations Actor SHALL:display ImgReportConsumer SHOULD:able-to-populate ImgReportCreator
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:display ImgReportConsumer SHALL:populate-if-known ImgReportCreator
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:display ImgReportConsumer SHALL:populate-if-known ImgReportCreator
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		0..*	Reference(Observation: Imaging Report (CZ))	results
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	O	0..1	string	Clinical conclusion (interpretation) of test results Obligations Actor SHALL:display ImgReportConsumer SHALL:able-to-populate ImgReportCreator
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 SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
presentedForm	O	1..*	Attachment	Entire report as issued Obligations Actor SHALL:display ImgReportConsumer SHALL:able-to-populate ImgReportCreator
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 From the FHIR Standard
DiagnosticReport.category	example	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections From the FHIR Standard
DiagnosticReport.category:imaging	example	Pattern Value: LOINC Code 18748-4("Diagnostic imaging study") http://hl7.org/fhir/ValueSet/diagnostic-service-sections From the FHIR Standard
DiagnosticReport.code	preferred	LOINCDiagnosticReportCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/report-codes From the FHIR Standard
DiagnosticReport.conclusionCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DiagnosticReport	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
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:display ImgReportConsumer SHALL:able-to-populate ImgReportCreator
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	O	1..1	(Complex)	Extension URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition Obligations Actor SHALL:display ImgReportConsumer SHOULD:able-to-populate ImgReportCreator
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	?!OΣ	1..1	code	Status of this report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. Obligations Actor SHALL:display ImgReportConsumer SHOULD:able-to-populate ImgReportCreator
Slices for category	OΣ	1..*	CodeableConcept	Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Obligations Actor SHALL:display ImgReportConsumer SHOULD:able-to-populate ImgReportCreator
category:imaging	Σ	1..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18748-4
display		1..1	string	Representation defined by the system Fixed Value: Diagnostic imaging study
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
coding	Σ	1..1	Coding	Code defined by a terminology system
code	OΣ	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. Obligations Actor SHALL:display ImgReportConsumer SHOULD:able-to-populate ImgReportCreator
subject	OΣ	1..1	Reference(Patient (CZ core) | Patient | Group | Location | Device: Performer/Observer (CZ) | Medical Device (CZ))	The subject of the report - usually, but not always, the patient Obligations Actor SHALL:display ImgReportConsumer SHOULD:able-to-populate ImgReportCreator
Slices for effective[x]	Σ	0..1		Clinically relevant time/time-period for report. Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	OΣ	0..1	dateTime	Clinically relevant time/time-period for report. Obligations Actor SHALL:display ImgReportConsumer SHALL:populate-if-known ImgReportCreator
performer	OΣ	0..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam)	Responsible Diagnostic Service. Obligations Actor SHALL:display ImgReportConsumer SHALL:populate-if-known ImgReportCreator
conclusion	O	0..1	string	Clinical conclusion (interpretation) of test results Obligations Actor SHALL:display ImgReportConsumer SHALL:able-to-populate ImgReportCreator
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 SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
presentedForm	O	1..*	Attachment	Entire report as issued Obligations Actor SHALL:display ImgReportConsumer SHALL:able-to-populate ImgReportCreator
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 From the FHIR Standard
DiagnosticReport.category	example	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections From the FHIR Standard
DiagnosticReport.category:imaging	example	Pattern Value: LOINC Code 18748-4("Diagnostic imaging study") http://hl7.org/fhir/ValueSet/diagnostic-service-sections From the FHIR Standard
DiagnosticReport.code	preferred	LOINCDiagnosticReportCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/report-codes From the FHIR Standard
DiagnosticReport.conclusionCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DiagnosticReport	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
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:display ImgReportConsumer SHALL:able-to-populate ImgReportCreator
Slices for extension				Content/Rules for all slices
extension:composition	O	1..1	R5 DiagnosticReport.composition	Extension Obligations Actor SHALL:display ImgReportConsumer SHOULD:able-to-populate ImgReportCreator
status	O	1..1	code	Status of this report Obligations Actor SHALL:display ImgReportConsumer SHOULD:able-to-populate ImgReportCreator
category	O	1..*	CodeableConcept	Service category Obligations Actor SHALL:display ImgReportConsumer SHOULD:able-to-populate ImgReportCreator
code	O	1..1	CodeableConcept	Name/Code for this diagnostic report Obligations Actor SHALL:display ImgReportConsumer SHOULD:able-to-populate ImgReportCreator
subject	O	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 Obligations Actor SHALL:display ImgReportConsumer SHOULD:able-to-populate ImgReportCreator
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:display ImgReportConsumer SHALL:populate-if-known ImgReportCreator
performer	O	0..*	Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam)	Responsible Diagnostic Service. Obligations Actor SHALL:display ImgReportConsumer SHALL:populate-if-known ImgReportCreator
conclusion	O	0..1	string	Clinical conclusion (interpretation) of test results Obligations Actor SHALL:display ImgReportConsumer SHALL:able-to-populate ImgReportCreator
conclusionCode	O	0..*	CodeableConcept	Codes for the clinical conclusion of test results Obligations Actor SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
presentedForm	O	1..*	Attachment	Entire report as issued Obligations Actor SHALL:display ImgReportConsumer SHALL:able-to-populate ImgReportCreator
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:display ImgReportConsumer SHALL:able-to-populate ImgReportCreator
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	O	1..1	(Complex)	Extension URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition Obligations Actor SHALL:display ImgReportConsumer SHOULD:able-to-populate ImgReportCreator
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	?!OΣ	1..1	code	Status of this report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. Obligations Actor SHALL:display ImgReportConsumer SHOULD:able-to-populate ImgReportCreator
Slices for category	OΣ	1..*	CodeableConcept	Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Obligations Actor SHALL:display ImgReportConsumer SHOULD:able-to-populate ImgReportCreator
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	OΣ	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. Obligations Actor SHALL:display ImgReportConsumer SHOULD:able-to-populate ImgReportCreator
subject	OΣ	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 Obligations Actor SHALL:display ImgReportConsumer SHOULD:able-to-populate ImgReportCreator
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:display ImgReportConsumer SHALL:populate-if-known ImgReportCreator
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:display ImgReportConsumer SHALL:populate-if-known ImgReportCreator
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		0..*	Reference(Observation: Imaging Report (CZ))	results
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	O	0..1	string	Clinical conclusion (interpretation) of test results Obligations Actor SHALL:display ImgReportConsumer SHALL:able-to-populate ImgReportCreator
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 SHALL:display ImgReportConsumer SHOULD:populate-if-known ImgReportCreator
presentedForm	O	1..*	Attachment	Entire report as issued Obligations Actor SHALL:display ImgReportConsumer SHALL:able-to-populate ImgReportCreator
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 From the FHIR Standard
DiagnosticReport.category	example	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections From the FHIR Standard
DiagnosticReport.category:imaging	example	Pattern Value: LOINC Code 18748-4("Diagnostic imaging study") http://hl7.org/fhir/ValueSet/diagnostic-service-sections From the FHIR Standard
DiagnosticReport.code	preferred	LOINCDiagnosticReportCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/report-codes From the FHIR Standard
DiagnosticReport.conclusionCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DiagnosticReport	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
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