HL7 Czech Imaging Report IG
0.1.0-ballot - ci-build
CZ
HL7 Czech Imaging Report IG
0.1.0-ballot - ci-build
CZ
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
| Official URL: https://hl7.cz/fhir/img/StructureDefinition/cz-diagnosticReport-obl-img | Version: 0.1.0-ballot | ||||
| Draft as of 2026-05-26 | Computable Name: CZ_DiagnosticReportObligationsImg | ||||
This profile defines obligations for a diagnostic report in FHIR for the purpose of this guide.
Usages:
You can also check for usages in the FHIR IG Statistics
Description Differentials, Snapshots, and other representations.
| Name | Flags | Card. | Type | Description & Constraints Filter:   | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
  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
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  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:anatomical-region |
0..* | CodeableConcept | The anatomical regions covered by the study this report reports on. URL: https://hl7.cz/fhir/img/StructureDefinition/cz-anatomical-region-extension Binding: ValueSet: Anatomical Region (required) | |||||||||||||||
| extension:comparison |
S | 0..* | Reference(Imaging Study (CZ) | Basic-ImagingSelection: General) | Comparison studies URL: https://hl7.cz/fhir/img/StructureDefinition/HL7IDRComparisonStudy | ||||||||||||||
| extension:patientHistory |
S | 0..* | Reference() | Patient history items selected by radiologist URL: https://hl7.cz/fhir/img/StructureDefinition/HL7IDRPatientHistory | ||||||||||||||
| extension:procedure |
S | 0..* | Reference(Procedure: Imaging Report (CZ) | AdverseEvent | Radiation Dose Observation: Imaging Report (CZ)) | Imaging procedure URL: https://hl7.cz/fhir/img/StructureDefinition/HL7IDRImagingProcedure | ||||||||||||||
| extension:finding |
S | 0..* | Reference(Observation: Imaging Order (CZ) | Key images represented as an ImagingSelection for R4 | Imaging Key Image Document Reference: Imaging Report (CZ) | DocumentReference | Media) | Key image findings URL: https://hl7.cz/fhir/img/StructureDefinition/HL7IDRFinding | ||||||||||||||
| extension:impression |
S | 0..* | Reference(Observation: Imaging Order (CZ) | Condition | Imaging Key Image Document Reference: Imaging Report (CZ) | Key images represented as an ImagingSelection for R4) | Impression URL: https://hl7.cz/fhir/img/StructureDefinition/HL7IDRImpression | ||||||||||||||
| extension:recommendation |
S | 0..* | Reference(Care plan: Imaging Report (CZ) | ServiceRequest) | Recommendations URL: https://hl7.cz/fhir/img/StructureDefinition/HL7IDRRecommendation | ||||||||||||||
| extension:communication |
S | 0..* | Reference() | Communications with other care providers URL: https://hl7.cz/fhir/img/StructureDefinition/HL7IDRCommunication | ||||||||||||||
| extension:radiationDose |
S | 0..1 | string | Extension: Radiation Dose URL: https://hl7.cz/fhir/img/StructureDefinition/RadiationDose | ||||||||||||||
| extension:informationRecipient |
0..* | Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization | CareTeam | Group) | Composition: Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient | |||||||||||||||
 extension:composition |
1..1 | (Complex) | Imaging Diagnostic Report URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition Constraints: ext-1 | |||||||||||||||
  extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||||||||
 url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition" | |||||||||||||||
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||||||
| identifier |
Σ | 1..* | Identifier | Report identifier | ||||||||||||||
 Slices for basedOn |
0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested Slice: Unordered, Open by exists:identifier | |||||||||||||||
 basedOn:order-resource |
0..* | Reference(Service Request: Imaging Report (CZ)) | What was requested | |||||||||||||||
 reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||||||||
| basedOn:order-identifier |
0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested | |||||||||||||||
| identifier |
Σ | 1..1 | CZ_AccessionNumberIdentifier | Logical reference, when literal reference is not known | ||||||||||||||
| status |
?!Σ | 1..1 | code | Status of this report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. | ||||||||||||||
| Slices for category |
Σ | 3..* | CodeableConcept | Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. | ||||||||||||||
| category:diagnostic-service |
Σ | 0..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (required) | ||||||||||||||
| category:document-category |
Σ | 1..1 | CodeableConcept | Document Category Binding: Kategorie dokumentů (required) | ||||||||||||||
 coding |
Σ | 0..* | Coding | Code defined by a terminology system Required Pattern: At least the following | ||||||||||||||
| 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: 18726-0 | |||||||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||||||
 userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||||||
| category:imaging-report |
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: 85430-7 | |||||||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||||||
| 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://hl7.eu/fhir/health-data-api/CodeSystem/eehrxf-document-priority-category-cs | |||||||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: Medical-Imaging | |||||||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||||||
| code |
Σ | 1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: Typy dokumentů obrazového komplementu (required) | ||||||||||||||
 subject |
Σ | 1..1 | Reference(Patient (CZ core) | Patient | Group | Location | Device: Performer/Observer (CZ core) | Medical Device (CZ core)) | 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.
| ||||||||||||||
| performer |
OΣ | 0..* | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam) | Responsible Diagnostic Service.
| ||||||||||||||
| result |
O | 0..* | Reference(Observation: Imaging Report (CZ)) | results
| ||||||||||||||
| Slices for imagingStudy |
0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic report Slice: Unordered, Open by exists:identifier | |||||||||||||||
| imagingStudy:study-resource |
0..* | Reference(Imaging Study (CZ)) | Reference to full details of imaging associated with the diagnostic report | |||||||||||||||
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||||||||
| imagingStudy:study-identifier |
0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic report | |||||||||||||||
| identifier |
Σ | 1..1 | CZ_StudyInstanceUidIdentifier | Logical reference, when literal reference is not known | ||||||||||||||
| media |
OΣ | 0..* | BackboneElement | Key images associated with this report
| ||||||||||||||
| 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
| ||||||||||||||
| conclusionCode |
O | 0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
| ||||||||||||||
| presentedForm |
O | 1..* | Attachment | Entire report as issued
| ||||||||||||||
| Documentation for this format | ||||||||||||||||||
| Name | Creator_L3 | Creator_L2 | Creator_L1 | Consumer_L1 | Consumer_L2 | Consumer_L3 |
|---|---|---|---|---|---|---|
| DiagnosticReport |
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| text |
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| Slices for extension |
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| Slices for basedOn |
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| Slices for category |
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| Slices for effective[x] |
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| effective[x]:effectiveDateTime |
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| performer |
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| result |
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| Slices for imagingStudy |
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| media |
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| conclusion |
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| conclusionCode |
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| presentedForm |
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| Documentation for this format | ||||||
| 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:diagnostic-service | Base | required | Diagnostic Service Section Codes | 📦4.0.1 | FHIR Std. |
| DiagnosticReport.category:document-category | Base | required | Kategorie dokumentů | 📦0.3.0 | HL7 Czech Terminology Implementation Guide vnull |
| DiagnosticReport.category:imaging-report | 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 | required | Typy dokumentů obrazového komplementu | 📦0.3.0 | HL7 Czech Terminology Implementation Guide vnull |
| DiagnosticReport.conclusionCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std. |
| 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()
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| 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()
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| dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
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| 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())
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| 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
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| Name | Creator_L3 | Creator_L2 | Creator_L1 | Consumer_L1 | Consumer_L2 | Consumer_L3 |
|---|---|---|---|---|---|---|
| DiagnosticReport |
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 text |
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| Slices for effective[x] |
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| effective[x]:effectiveDateTime |
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| performer |
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| result |
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| media |
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| conclusion |
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| conclusionCode |
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| presentedForm |
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| Documentation for this format | ||||||
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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.
| |||||||||||||||
| 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
| ||||||||||||||
| 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:anatomical-region |
0..* | CodeableConcept | The anatomical regions covered by the study this report reports on. URL: https://hl7.cz/fhir/img/StructureDefinition/cz-anatomical-region-extension Binding: ValueSet: Anatomical Region (required) | |||||||||||||||
| extension:comparison |
S | 0..* | Reference(Imaging Study (CZ) | Basic-ImagingSelection: General) | Comparison studies URL: https://hl7.cz/fhir/img/StructureDefinition/HL7IDRComparisonStudy | ||||||||||||||
| extension:patientHistory |
S | 0..* | Reference() | Patient history items selected by radiologist URL: https://hl7.cz/fhir/img/StructureDefinition/HL7IDRPatientHistory | ||||||||||||||
| extension:procedure |
S | 0..* | Reference(Procedure: Imaging Report (CZ) | AdverseEvent | Radiation Dose Observation: Imaging Report (CZ)) | Imaging procedure URL: https://hl7.cz/fhir/img/StructureDefinition/HL7IDRImagingProcedure | ||||||||||||||
| extension:finding |
S | 0..* | Reference(Observation: Imaging Order (CZ) | Key images represented as an ImagingSelection for R4 | Imaging Key Image Document Reference: Imaging Report (CZ) | DocumentReference | Media) | Key image findings URL: https://hl7.cz/fhir/img/StructureDefinition/HL7IDRFinding | ||||||||||||||
| extension:impression |
S | 0..* | Reference(Observation: Imaging Order (CZ) | Condition | Imaging Key Image Document Reference: Imaging Report (CZ) | Key images represented as an ImagingSelection for R4) | Impression URL: https://hl7.cz/fhir/img/StructureDefinition/HL7IDRImpression | ||||||||||||||
| extension:recommendation |
S | 0..* | Reference(Care plan: Imaging Report (CZ) | ServiceRequest) | Recommendations URL: https://hl7.cz/fhir/img/StructureDefinition/HL7IDRRecommendation | ||||||||||||||
| extension:communication |
S | 0..* | Reference() | Communications with other care providers URL: https://hl7.cz/fhir/img/StructureDefinition/HL7IDRCommunication | ||||||||||||||
| extension:radiationDose |
S | 0..1 | string | Extension: Radiation Dose URL: https://hl7.cz/fhir/img/StructureDefinition/RadiationDose | ||||||||||||||
| extension:informationRecipient |
0..* | Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization | CareTeam | Group) | Composition: Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient | |||||||||||||||
| extension:composition |
1..1 | (Complex) | Imaging Diagnostic Report URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition Constraints: ext-1 | |||||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition" | |||||||||||||||
| value[x] |
0..1 | Reference(Composition: Imaging Report (CZ)) | Reference to a Composition resource for the DiagnosticReport structure | |||||||||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||||||
| identifier |
Σ | 1..* | Identifier | Report identifier | ||||||||||||||
| Slices for basedOn |
0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested Slice: Unordered, Open by exists:identifier | |||||||||||||||
| basedOn:order-resource |
0..* | Reference(Service Request: Imaging Report (CZ)) | What was requested | |||||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||||||
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||||||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||||||||||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||||||||||||
| basedOn:order-identifier |
0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested | |||||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||||||||||||
| identifier |
Σ | 1..1 | CZ_AccessionNumberIdentifier | Logical reference, when literal reference is not known | ||||||||||||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||||||||||||
| status |
?!Σ | 1..1 | code | Status of this report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. | ||||||||||||||
| Slices for category |
Σ | 3..* | CodeableConcept | Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. | ||||||||||||||
| category:diagnostic-service |
Σ | 0..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (required) | ||||||||||||||
| category:document-category |
Σ | 1..1 | CodeableConcept | Document Category Binding: Kategorie dokumentů (required) | ||||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||||||
| coding |
Σ | 0..* | Coding | Code defined by a terminology system Required Pattern: At least the following | ||||||||||||||
| 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: 18726-0 | |||||||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||||||||||||
| category:imaging-report |
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: 85430-7 | |||||||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||||||
| 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://hl7.eu/fhir/health-data-api/CodeSystem/eehrxf-document-priority-category-cs | |||||||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: Medical-Imaging | |||||||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||||||
| code |
Σ | 1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: Typy dokumentů obrazového komplementu (required) | ||||||||||||||
| subject |
Σ | 1..1 | Reference(Patient (CZ core) | Patient | Group | Location | Device: Performer/Observer (CZ core) | Medical Device (CZ core)) | The subject of the report - usually, but not always, the patient | ||||||||||||||
| encounter |
Σ | 0..1 | Reference(Encounter (CZ base)) | 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.
| ||||||||||||||
| 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.
| ||||||||||||||
| resultsInterpreter |
Σ | 0..* | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam) | Primary result interpreter | ||||||||||||||
| specimen |
0..* | Reference(Specimen (CZ Core)) | Specimens this report is based on. | |||||||||||||||
| result |
O | 0..* | Reference(Observation: Imaging Report (CZ)) | results
| ||||||||||||||
| Slices for imagingStudy |
0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic report Slice: Unordered, Open by exists:identifier | |||||||||||||||
| imagingStudy:study-resource |
0..* | Reference(Imaging Study (CZ)) | Reference to full details of imaging associated with the diagnostic report | |||||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||||||
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||||||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||||||||||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||||||||||||
| imagingStudy:study-identifier |
0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic report | |||||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||||||||||||
| identifier |
Σ | 1..1 | CZ_StudyInstanceUidIdentifier | Logical reference, when literal reference is not known | ||||||||||||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||||||||||||
| media |
OΣ | 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
| ||||||||||||||
| conclusionCode |
O | 0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
| ||||||||||||||
| presentedForm |
O | 1..* | Attachment | Entire report as issued
| ||||||||||||||
| Documentation for this format | ||||||||||||||||||
| Name | Creator_L3 | Creator_L2 | Creator_L1 | Consumer_L1 | Consumer_L2 | Consumer_L3 |
|---|---|---|---|---|---|---|
| DiagnosticReport |
||||||
| text |
|
|
||||
| Slices for extension |
||||||
| Slices for basedOn |
||||||
| Slices for category |
||||||
| Slices for effective[x] |
||||||
| effective[x]:effectiveDateTime |
|
|
||||
| performer |
|
|
||||
| result |
|
|
||||
| Slices for imagingStudy |
||||||
| media |
|
|
|
| ||
| conclusion |
|
|
||||
| conclusionCode |
|
|
||||
| presentedForm |
|
|
|
|
|
|
| Documentation for this format | ||||||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.basedOn:order-resource.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.basedOn:order-identifier.type | Base | extensible | ResourceType | 📍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:diagnostic-service | Base | required | Diagnostic Service Section Codes | 📦4.0.1 | FHIR Std. |
| DiagnosticReport.category:document-category | Base | required | Kategorie dokumentů | 📦0.3.0 | HL7 Czech Terminology Implementation Guide vnull |
| DiagnosticReport.category:imaging-report | 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 | required | Typy dokumentů obrazového komplementu | 📦0.3.0 | HL7 Czech Terminology Implementation Guide vnull |
| DiagnosticReport.imagingStudy:study-resource.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.imagingStudy:study-identifier.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.conclusionCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std. |
| 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
|
| Name | Creator_L3 | Creator_L2 | Creator_L1 | Consumer_L1 | Consumer_L2 | Consumer_L3 |
|---|---|---|---|---|---|---|
| DiagnosticReport |
||||||
| text |
|
|
||||
| Slices for extension |
||||||
| Slices for basedOn |
||||||
| Slices for category |
||||||
| Slices for effective[x] |
||||||
| effective[x]:effectiveDateTime |
|
|
||||
| performer |
|
|
||||
| result |
|
|
||||
| Slices for imagingStudy |
||||||
| media |
|
|
|
| ||
| conclusion |
|
|
||||
| conclusionCode |
|
|
||||
| presentedForm |
|
|
|
|
|
|
| Documentation for this format | ||||||
Summary
Slices
This structure defines the following Slices:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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
| ||||||||||||||
| 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:anatomical-region |
0..* | CodeableConcept | The anatomical regions covered by the study this report reports on. URL: https://hl7.cz/fhir/img/StructureDefinition/cz-anatomical-region-extension Binding: ValueSet: Anatomical Region (required) | |||||||||||||||
| extension:comparison |
S | 0..* | Reference(Imaging Study (CZ) | Basic-ImagingSelection: General) | Comparison studies URL: https://hl7.cz/fhir/img/StructureDefinition/HL7IDRComparisonStudy | ||||||||||||||
| extension:patientHistory |
S | 0..* | Reference() | Patient history items selected by radiologist URL: https://hl7.cz/fhir/img/StructureDefinition/HL7IDRPatientHistory | ||||||||||||||
| extension:procedure |
S | 0..* | Reference(Procedure: Imaging Report (CZ) | AdverseEvent | Radiation Dose Observation: Imaging Report (CZ)) | Imaging procedure URL: https://hl7.cz/fhir/img/StructureDefinition/HL7IDRImagingProcedure | ||||||||||||||
| extension:finding |
S | 0..* | Reference(Observation: Imaging Order (CZ) | Key images represented as an ImagingSelection for R4 | Imaging Key Image Document Reference: Imaging Report (CZ) | DocumentReference | Media) | Key image findings URL: https://hl7.cz/fhir/img/StructureDefinition/HL7IDRFinding | ||||||||||||||
| extension:impression |
S | 0..* | Reference(Observation: Imaging Order (CZ) | Condition | Imaging Key Image Document Reference: Imaging Report (CZ) | Key images represented as an ImagingSelection for R4) | Impression URL: https://hl7.cz/fhir/img/StructureDefinition/HL7IDRImpression | ||||||||||||||
| extension:recommendation |
S | 0..* | Reference(Care plan: Imaging Report (CZ) | ServiceRequest) | Recommendations URL: https://hl7.cz/fhir/img/StructureDefinition/HL7IDRRecommendation | ||||||||||||||
| extension:communication |
S | 0..* | Reference() | Communications with other care providers URL: https://hl7.cz/fhir/img/StructureDefinition/HL7IDRCommunication | ||||||||||||||
| extension:radiationDose |
S | 0..1 | string | Extension: Radiation Dose URL: https://hl7.cz/fhir/img/StructureDefinition/RadiationDose | ||||||||||||||
| extension:informationRecipient |
0..* | Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization | CareTeam | Group) | Composition: Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient | |||||||||||||||
| extension:composition |
1..1 | (Complex) | Imaging Diagnostic Report URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition Constraints: ext-1 | |||||||||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition" | |||||||||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||||||
| identifier |
Σ | 1..* | Identifier | Report identifier | ||||||||||||||
| Slices for basedOn |
0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested Slice: Unordered, Open by exists:identifier | |||||||||||||||
| basedOn:order-resource |
0..* | Reference(Service Request: Imaging Report (CZ)) | What was requested | |||||||||||||||
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||||||||
| basedOn:order-identifier |
0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested | |||||||||||||||
| identifier |
Σ | 1..1 | CZ_AccessionNumberIdentifier | Logical reference, when literal reference is not known | ||||||||||||||
| status |
?!Σ | 1..1 | code | Status of this report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. | ||||||||||||||
| Slices for category |
Σ | 3..* | CodeableConcept | Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. | ||||||||||||||
| category:diagnostic-service |
Σ | 0..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (required) | ||||||||||||||
| category:document-category |
Σ | 1..1 | CodeableConcept | Document Category Binding: Kategorie dokumentů (required) | ||||||||||||||
| coding |
Σ | 0..* | Coding | Code defined by a terminology system Required Pattern: At least the following | ||||||||||||||
| 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: 18726-0 | |||||||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||||||
| category:imaging-report |
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: 85430-7 | |||||||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||||||
| 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://hl7.eu/fhir/health-data-api/CodeSystem/eehrxf-document-priority-category-cs | |||||||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: Medical-Imaging | |||||||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||||||
| code |
Σ | 1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: Typy dokumentů obrazového komplementu (required) | ||||||||||||||
| subject |
Σ | 1..1 | Reference(Patient (CZ core) | Patient | Group | Location | Device: Performer/Observer (CZ core) | Medical Device (CZ core)) | 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.
| ||||||||||||||
| performer |
OΣ | 0..* | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam) | Responsible Diagnostic Service.
| ||||||||||||||
| result |
O | 0..* | Reference(Observation: Imaging Report (CZ)) | results
| ||||||||||||||
| Slices for imagingStudy |
0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic report Slice: Unordered, Open by exists:identifier | |||||||||||||||
| imagingStudy:study-resource |
0..* | Reference(Imaging Study (CZ)) | Reference to full details of imaging associated with the diagnostic report | |||||||||||||||
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||||||||
| imagingStudy:study-identifier |
0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic report | |||||||||||||||
| identifier |
Σ | 1..1 | CZ_StudyInstanceUidIdentifier | Logical reference, when literal reference is not known | ||||||||||||||
| media |
OΣ | 0..* | BackboneElement | Key images associated with this report
| ||||||||||||||
| 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
| ||||||||||||||
| conclusionCode |
O | 0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
| ||||||||||||||
| presentedForm |
O | 1..* | Attachment | Entire report as issued
| ||||||||||||||
| Documentation for this format | ||||||||||||||||||
| Name | Creator_L3 | Creator_L2 | Creator_L1 | Consumer_L1 | Consumer_L2 | Consumer_L3 |
|---|---|---|---|---|---|---|
| DiagnosticReport |
||||||
| text |
|
|
||||
| Slices for extension |
||||||
| Slices for basedOn |
||||||
| Slices for category |
||||||
| Slices for effective[x] |
||||||
| effective[x]:effectiveDateTime |
|
|
||||
| performer |
|
|
||||
| result |
|
|
||||
| Slices for imagingStudy |
||||||
| media |
|
|
|
| ||
| conclusion |
|
|
||||
| conclusionCode |
|
|
||||
| presentedForm |
|
|
|
|
|
|
| Documentation for this format | ||||||
| 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:diagnostic-service | Base | required | Diagnostic Service Section Codes | 📦4.0.1 | FHIR Std. |
| DiagnosticReport.category:document-category | Base | required | Kategorie dokumentů | 📦0.3.0 | HL7 Czech Terminology Implementation Guide vnull |
| DiagnosticReport.category:imaging-report | 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 | required | Typy dokumentů obrazového komplementu | 📦0.3.0 | HL7 Czech Terminology Implementation Guide vnull |
| DiagnosticReport.conclusionCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std. |
| 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
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DiagnosticReport |
0..* | CZ_DiagnosticReport | Imaging Report DiagnosticReport | |||||||||||||||
| text |
O | 0..1 | Narrative | Text summary of the resource, for human interpretation
| ||||||||||||||
| 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.
| ||||||||||||||
| performer |
O | 0..* | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam) | Responsible Diagnostic Service.
| ||||||||||||||
| result |
O | 0..* | Reference(Observation: Imaging Report (CZ)) | results
| ||||||||||||||
| media |
O | 0..* | BackboneElement | Key images associated with this report
| ||||||||||||||
| conclusion |
O | 0..1 | string | Clinical conclusion (interpretation) of test results
| ||||||||||||||
| conclusionCode |
O | 0..* | CodeableConcept | Codes for the clinical conclusion of test results
| ||||||||||||||
| presentedForm |
O | 1..* | Attachment | Entire report as issued
| ||||||||||||||
| Documentation for this format | ||||||||||||||||||
| Name | Creator_L3 | Creator_L2 | Creator_L1 | Consumer_L1 | Consumer_L2 | Consumer_L3 |
|---|---|---|---|---|---|---|
| DiagnosticReport |
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| text |
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| effective[x]:effectiveDateTime |
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| performer |
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| result |
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| media |
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| conclusion |
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| conclusionCode |
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| presentedForm |
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Snapshot ViewView
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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.
| |||||||||||||||
| 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
| ||||||||||||||
| 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:anatomical-region |
0..* | CodeableConcept | The anatomical regions covered by the study this report reports on. URL: https://hl7.cz/fhir/img/StructureDefinition/cz-anatomical-region-extension Binding: ValueSet: Anatomical Region (required) | |||||||||||||||
| extension:comparison |
S | 0..* | Reference(Imaging Study (CZ) | Basic-ImagingSelection: General) | Comparison studies URL: https://hl7.cz/fhir/img/StructureDefinition/HL7IDRComparisonStudy | ||||||||||||||
| extension:patientHistory |
S | 0..* | Reference() | Patient history items selected by radiologist URL: https://hl7.cz/fhir/img/StructureDefinition/HL7IDRPatientHistory | ||||||||||||||
| extension:procedure |
S | 0..* | Reference(Procedure: Imaging Report (CZ) | AdverseEvent | Radiation Dose Observation: Imaging Report (CZ)) | Imaging procedure URL: https://hl7.cz/fhir/img/StructureDefinition/HL7IDRImagingProcedure | ||||||||||||||
| extension:finding |
S | 0..* | Reference(Observation: Imaging Order (CZ) | Key images represented as an ImagingSelection for R4 | Imaging Key Image Document Reference: Imaging Report (CZ) | DocumentReference | Media) | Key image findings URL: https://hl7.cz/fhir/img/StructureDefinition/HL7IDRFinding | ||||||||||||||
| extension:impression |
S | 0..* | Reference(Observation: Imaging Order (CZ) | Condition | Imaging Key Image Document Reference: Imaging Report (CZ) | Key images represented as an ImagingSelection for R4) | Impression URL: https://hl7.cz/fhir/img/StructureDefinition/HL7IDRImpression | ||||||||||||||
| extension:recommendation |
S | 0..* | Reference(Care plan: Imaging Report (CZ) | ServiceRequest) | Recommendations URL: https://hl7.cz/fhir/img/StructureDefinition/HL7IDRRecommendation | ||||||||||||||
| extension:communication |
S | 0..* | Reference() | Communications with other care providers URL: https://hl7.cz/fhir/img/StructureDefinition/HL7IDRCommunication | ||||||||||||||
| extension:radiationDose |
S | 0..1 | string | Extension: Radiation Dose URL: https://hl7.cz/fhir/img/StructureDefinition/RadiationDose | ||||||||||||||
| extension:informationRecipient |
0..* | Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization | CareTeam | Group) | Composition: Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient | |||||||||||||||
| extension:composition |
1..1 | (Complex) | Imaging Diagnostic Report URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition Constraints: ext-1 | |||||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition" | |||||||||||||||
| value[x] |
0..1 | Reference(Composition: Imaging Report (CZ)) | Reference to a Composition resource for the DiagnosticReport structure | |||||||||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||||||
| identifier |
Σ | 1..* | Identifier | Report identifier | ||||||||||||||
| Slices for basedOn |
0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested Slice: Unordered, Open by exists:identifier | |||||||||||||||
| basedOn:order-resource |
0..* | Reference(Service Request: Imaging Report (CZ)) | What was requested | |||||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||||||
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||||||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||||||||||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||||||||||||
| basedOn:order-identifier |
0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested | |||||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||||||||||||
| identifier |
Σ | 1..1 | CZ_AccessionNumberIdentifier | Logical reference, when literal reference is not known | ||||||||||||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||||||||||||
| status |
?!Σ | 1..1 | code | Status of this report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. | ||||||||||||||
| Slices for category |
Σ | 3..* | CodeableConcept | Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. | ||||||||||||||
| category:diagnostic-service |
Σ | 0..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (required) | ||||||||||||||
| category:document-category |
Σ | 1..1 | CodeableConcept | Document Category Binding: Kategorie dokumentů (required) | ||||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||||||
| coding |
Σ | 0..* | Coding | Code defined by a terminology system Required Pattern: At least the following | ||||||||||||||
| 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: 18726-0 | |||||||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||||||||||||
| category:imaging-report |
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: 85430-7 | |||||||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||||||
| 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://hl7.eu/fhir/health-data-api/CodeSystem/eehrxf-document-priority-category-cs | |||||||||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: Medical-Imaging | |||||||||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||||||||
| code |
Σ | 1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: Typy dokumentů obrazového komplementu (required) | ||||||||||||||
| subject |
Σ | 1..1 | Reference(Patient (CZ core) | Patient | Group | Location | Device: Performer/Observer (CZ core) | Medical Device (CZ core)) | The subject of the report - usually, but not always, the patient | ||||||||||||||
| encounter |
Σ | 0..1 | Reference(Encounter (CZ base)) | 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.
| ||||||||||||||
| 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.
| ||||||||||||||
| resultsInterpreter |
Σ | 0..* | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Organization (CZ core) | CareTeam) | Primary result interpreter | ||||||||||||||
| specimen |
0..* | Reference(Specimen (CZ Core)) | Specimens this report is based on. | |||||||||||||||
| result |
O | 0..* | Reference(Observation: Imaging Report (CZ)) | results
| ||||||||||||||
| Slices for imagingStudy |
0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic report Slice: Unordered, Open by exists:identifier | |||||||||||||||
| imagingStudy:study-resource |
0..* | Reference(Imaging Study (CZ)) | Reference to full details of imaging associated with the diagnostic report | |||||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||||||
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||||||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||||||||||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||||||||||||
| imagingStudy:study-identifier |
0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic report | |||||||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||||||||||||
| identifier |
Σ | 1..1 | CZ_StudyInstanceUidIdentifier | Logical reference, when literal reference is not known | ||||||||||||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||||||||||||
| media |
OΣ | 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
| ||||||||||||||
| conclusionCode |
O | 0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
| ||||||||||||||
| presentedForm |
O | 1..* | Attachment | Entire report as issued
| ||||||||||||||
| Documentation for this format | ||||||||||||||||||
| Name | Creator_L3 | Creator_L2 | Creator_L1 | Consumer_L1 | Consumer_L2 | Consumer_L3 |
|---|---|---|---|---|---|---|
| DiagnosticReport |
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| text |
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| Slices for extension |
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| Slices for basedOn |
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| Slices for category |
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| Slices for effective[x] |
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| effective[x]:effectiveDateTime |
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| performer |
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| result |
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| Slices for imagingStudy |
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| media |
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| conclusion |
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| conclusionCode |
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| presentedForm |
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| Documentation for this format | ||||||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.basedOn:order-resource.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.basedOn:order-identifier.type | Base | extensible | ResourceType | 📍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:diagnostic-service | Base | required | Diagnostic Service Section Codes | 📦4.0.1 | FHIR Std. |
| DiagnosticReport.category:document-category | Base | required | Kategorie dokumentů | 📦0.3.0 | HL7 Czech Terminology Implementation Guide vnull |
| DiagnosticReport.category:imaging-report | 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 | required | Typy dokumentů obrazového komplementu | 📦0.3.0 | HL7 Czech Terminology Implementation Guide vnull |
| DiagnosticReport.imagingStudy:study-resource.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.imagingStudy:study-identifier.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.conclusionCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std. |
| 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
|
| Name | Creator_L3 | Creator_L2 | Creator_L1 | Consumer_L1 | Consumer_L2 | Consumer_L3 |
|---|---|---|---|---|---|---|
| DiagnosticReport |
||||||
| text |
|
|
||||
| Slices for extension |
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| Slices for basedOn |
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| Slices for category |
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| Slices for effective[x] |
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| effective[x]:effectiveDateTime |
|
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| performer |
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| result |
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| Slices for imagingStudy |
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| media |
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| ||
| conclusion |
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| conclusionCode |
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| presentedForm |
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| Documentation for this format | ||||||
Summary
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron