FHIR Extensions Pack
5.3.0-ballot-tc1 - (September 2025 Ballot) International flag

FHIR Extensions Pack, published by HL7 International / FHIR Infrastructure. This guide is not an authorized publication; it is the continuous build for version 5.3.0-ballot-tc1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-extensions/ and changes regularly. See the Directory of published versions

Extension: DiagnosticReport Interpretation Context

Official URL: http://hl7.org/fhir/StructureDefinition/diagnosticreport-interpretationContext Version: 5.3.0-ballot-tc1
Standards status: Draft Maturity Level: 0 Responsible: HL7 International / Orders and Observations Computable Name: DiagnosticReportInterpretationContext

Other preceding or concurrent information that is critical to understand the context and significance of the DiagnosticReport. Example value set will be 'diabetic', 'fasting', and 'paraplegic'.

This is an draft extension definition; the committee is seeking implementation feedback, and the definition or contents of the extension may change in future versions

Context of Use

This extension may be used on the following element(s)

Usage info

Usages:

  • This Extension is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

Changes since version 5.2.0:

  • New Content

    • Formal Views of Extension Content

    Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.

    This structure is derived from Extension

    Summary

    Simple Extension with the type CodeableReference: Other preceding or concurrent information that is critical to understand the context and significance of the DiagnosticReport. Example value set will be 'diabetic', 'fasting', and 'paraplegic'.

    Maturity: 0

    This structure is derived from Extension

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Extension 0..* Extension Contextual factors for interpreting the report
    ... extension 0..0 Extension
    ... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/diagnosticreport-interpretationContext"
    ... value[x] 0..1 CodeableReference(Resource) Relevant context information for interpreting the report

    doco Documentation for this format
    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Extension 0..* Extension Contextual factors for interpreting the report
    ... id 0..1 id Unique id for inter-element referencing
    ... extension 0..0 Extension
    Slice: Unordered, Open by value:url
    ... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/diagnosticreport-interpretationContext"

    doco Documentation for this format

    This structure is derived from Extension

    Summary

    Simple Extension with the type CodeableReference: Other preceding or concurrent information that is critical to understand the context and significance of the DiagnosticReport. Example value set will be 'diabetic', 'fasting', and 'paraplegic'.

    Maturity: 0

    Differential View

    This structure is derived from Extension

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Extension 0..* Extension Contextual factors for interpreting the report
    ... extension 0..0 Extension
    ... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/diagnosticreport-interpretationContext"
    ... value[x] 0..1 CodeableReference(Resource) Relevant context information for interpreting the report

    doco Documentation for this format

    Snapshot View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Extension 0..* Extension Contextual factors for interpreting the report
    ... id 0..1 id Unique id for inter-element referencing
    ... extension 0..0 Extension
    Slice: Unordered, Open by value:url
    ... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/diagnosticreport-interpretationContext"

    doco Documentation for this format

     

    Other representations of profile: CSV, Excel, Schematron

    Constraints

    Id Grade Path(s) Description Expression
    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()

    R4B

    The extension is unchanged in R4B

    R4

    The extension is represented a little differently in R4:

    • Replace the type CodeableReference with a set of extensions for the content of the type along with the _datatype extension
    Name Flags Card. Type Description & Constraints      Filter: Filters doco
    . . Extension 0..* Extension Contextual factors for interpreting the report
    . . . Slices for extension 0 ..* Extension Relevant context information for interpreting the report
    Slice: Unordered, Open by value:url
    . . . . extension:_datatype 1..1 (Complex) DataType name 'CodeableReference' from R5
    URL: http://hl7.org/fhir/StructureDefinition/_datatype
    . . . . . value[x] 1.. 1 string Value of extension
    Fixed Value: CodeableReference
    . . . . extension:concept 0..1 Extension Reference to a concept (by class)
    . . . . . extension 0 .. 0 Extension
    . . . . . url 1 .. 1 uri "concept"
    . . . . . value[x] 1.. 1 CodeableConcept Value of extension
    . . . . extension:reference 0..1 Extension Reference to a resource (by instance)
    . . . . . extension 0 .. 0 Extension
    . . . . . url 1 .. 1 uri "reference"
    . . . . . value[x] 1.. 1 Reference () Value of extension
    . . . url 1 .. 1 uri "http://hl7.org/fhir/StructureDefinition/diagnosticreport-interpretationContext"
    . . . value[x] 0 .. 0 Relevant context information for interpreting the report

    doco Documentation for this format

    R3

    The extension is represented a little differently in R3:

    • Replace the type CodeableReference with a set of extensions for the content of the type along with the _datatype extension
    Name Flags Card. Type Description & Constraints      Filter: Filters doco
    . . Extension 0..* Extension Contextual factors for interpreting the report
    . . . Slices for extension 0 ..* Extension Relevant context information for interpreting the report
    Slice: Unordered, Open by value:url
    . . . . extension:_datatype 1..1 (Complex) DataType name 'CodeableReference' from R5
    URL: http://hl7.org/fhir/StructureDefinition/_datatype
    . . . . . value[x] 1.. 1 string Value of extension
    Fixed Value: CodeableReference
    . . . . extension:concept 0..1 Extension Reference to a concept (by class)
    . . . . . extension 0 .. 0 Extension
    . . . . . url 1 .. 1 uri "concept"
    . . . . . value[x] 1.. 1 CodeableConcept Value of extension
    . . . . extension:reference 0..1 Extension Reference to a resource (by instance)
    . . . . . extension 0 .. 0 Extension
    . . . . . url 1 .. 1 uri "reference"
    . . . . . value[x] 1.. 1 Reference () Value of extension
    . . . url 1 .. 1 uri "http://hl7.org/fhir/StructureDefinition/diagnosticreport-interpretationContext"
    . . . value[x] 0 .. 0 Relevant context information for interpreting the report

    doco Documentation for this format

    Search Parameters for this Extension

    (none found)