HL7 Europe IG Snapshot, published by Lithuanian Medical Library. This guide is not an authorized publication; it is the continuous build for version 0.0.2 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7LT/ig-eu-ehds/ and changes regularly. See the Directory of published versions
Resursų profilis: IM Diagnostic Report
| Oficialus URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImDiagnosticReport | Versija: 0.1.0-ballot | ||||
| Standards status: Draft Draft nuo 2025-05-14 | Brandos lygis: 1 | Mašiniškai apdorojamas pavadinimas: ImDiagnosticReport | |||
Autorių teisės/Teisinė informacija: Used by permission of HL7 Europe, all rights reserved Creative Commons License |
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Diagnostic Report profile for Imaging Reports. This document represents the report of an imaging study. It is the anchor resource that refers to all structured data as well as the Composition resource that contains the narrative text of the report.
Usages:
- Refer to this Profile: IM Document DiagnosticReport Reference
You can also check for usages in the FHIR IG Statistics
Profilio turinio formaliosios peržiūros
Profilių, skirtumų rinkinių, momentinių kopijų aprašas ir jų reprezentacijos.
- Pagrindinių elementų lentelė
- Skirtumų rinkinių lentelė
- Momentinės kopijos lentelė
- Statistika/Nuorodos
- Viskas
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  DiagnosticReport |
C | 0..* | DiagnosticReport(5.0.0) | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: dgr-1 |
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| contained |
0..* | Resource | Contained, inline Resources | |
  Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |
   extension:artifactVersion |
0..1 | string | Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version Constraints: ext-1 | |
 modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1 |
 identifier |
Σ | 0..* | Identifier | Report identifier |
 Slices for basedOn |
0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested Slice: Unordered, Open by type:$this | |
 basedOn:imorderaccession |
0..1 | Reference(IM Imaging Order(0.1.0-ballot)) | What was requested | |
  reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL |
 identifier |
ΣC | 1..1 | ImAccessionNumberIdentifier(0.1.0-ballot) | Logical reference, when literal reference is not known |
| status |
?!Σ | 1..1 | code | Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. |
| Slices for category |
Σ | 1..* | CodeableConcept | Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074 |
| category:imaging |
Σ | 1..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074 Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| text |
0..1 | string | Plain text representation of the concept | |
 coding |
Σ | 1..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 | |
| code |
Σ | 1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): LOINC Codes for Diagnostic Reports |
 Slices for coding |
Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this |
| coding:eu-template |
Σ | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.eu/fhir/imaging-r5/CodeSystem/Hl7EuDocumentTypes | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: imaging-report-v0-0-1 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Imaging Report V0.0.1 | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
 subject |
Σ | 0..1 | Reference(Patient (EU base)(0.1.0)) | The subject of the report - usually, but not always, the patient |
| Slices for performer |
Σ | 1..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service Slice: Unordered, Open by profile:$this |
| performer:author |
Σ | 1..* | Reference(PractitionerRole (EU base)(0.1.0)) | Responsible Diagnostic Service |
| Slices for resultsInterpreter |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter Slice: Unordered, Open by profile:resolve() |
| resultsInterpreter:author |
Σ | 0..* | Reference(PractitionerRole (EU base)(0.1.0)) | Primary result interpreter |
| study |
0..* | Reference(IM Imaging Study(0.1.0-ballot)) | Reference to full details of an analysis associated with the diagnostic report | |
| Slices for supportingInfo |
0..* | BackboneElement | Additional information supporting the diagnostic report Slice: Unordered, Open by value:reference | |
  supportingInfo:All Slices |
Content/Rules for all slices | |||
  modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 |
| type |
1..1 | CodeableConcept | Supporting information role code Binding: http://hl7.eu/fhir/imaging-r5/ValueSet/valueset-diagnosticreport-report-support-info (extensible) | |
| reference |
1..1 | Reference(Procedure | Observation | DiagnosticReport | Citation) | Supporting information reference | |
| supportingInfo:procedure |
0..* | BackboneElement | Additional information supporting the diagnostic report | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 |
 type |
1..1 | CodeableConcept | Supporting information role code Binding: http://hl7.eu/fhir/imaging-r5/ValueSet/valueset-diagnosticreport-report-support-info (extensible) 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/imaging-r5/CodeSystem/codesystem-diagnostic-report-support-info | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: imaging-procedure | |
| 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 | |
| reference |
1..1 | Reference(IM Imaging Procedure(0.0.2)) | Supporting information reference | |
| composition |
C | 1..1 | Reference(IM Composition(0.0.2)) | Imaging Diagnostic Report |
| Documentation for this format | ||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.status | Base | required | Diagnostic Report Status | 📍5.0.0 | FHIR Std. |
| DiagnosticReport.category | Base | example | Diagnostic Service Section Codes | 📍5.0.0 | FHIR Std. |
| DiagnosticReport.category:imaging | Base | example | Diagnostic Service Section Codes | 📍5.0.0 | FHIR Std. |
| DiagnosticReport.code | Base | preferred | LOINC Diagnostic Report Codes | 📍5.0.0 | FHIR Std. |
| DiagnosticReport.supportingInfo.type | Base | extensible | http://hl7.eu/fhir/imaging-r5/ValueSet/valueset-diagnosticreport-report-support-info | Not State | Unknown |
| DiagnosticReport.supportingInfo:procedure.type | Base | extensible | http://hl7.eu/fhir/imaging-r5/ValueSet/valueset-diagnosticreport-report-support-info | Not State | Unknown |
Constraints
| Id | Grade | Path(s) | Description | Expression |
| dgr-1 | error | DiagnosticReport | When a Composition is referenced in `Diagnostic.composition`, all Observation resources referenced in `Composition.entry` must also be referenced in `Diagnostic.entry` or in the references Observations in `Observation.hasMember` |
composition.exists() implies (composition.resolve().section.entry.reference.where(resolve() is Observation) in (result.reference|result.reference.resolve().hasMember.reference))
|
| 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 | DiagnosticReport.implicitRules, DiagnosticReport.extension, DiagnosticReport.extension:artifactVersion, DiagnosticReport.modifierExtension, DiagnosticReport.identifier, DiagnosticReport.basedOn, DiagnosticReport.basedOn:imorderaccession, DiagnosticReport.basedOn:imorderaccession.reference, DiagnosticReport.basedOn:imorderaccession.identifier, DiagnosticReport.status, DiagnosticReport.category, DiagnosticReport.category:imaging, DiagnosticReport.category:imaging.coding, DiagnosticReport.code, DiagnosticReport.code.coding, DiagnosticReport.code.coding:eu-template, DiagnosticReport.subject, DiagnosticReport.performer, DiagnosticReport.performer:author, DiagnosticReport.resultsInterpreter, DiagnosticReport.resultsInterpreter:author, DiagnosticReport.study, DiagnosticReport.supportingInfo, DiagnosticReport.supportingInfo.modifierExtension, DiagnosticReport.supportingInfo.type, DiagnosticReport.supportingInfo.reference, DiagnosticReport.supportingInfo:procedure, DiagnosticReport.supportingInfo:procedure.modifierExtension, DiagnosticReport.supportingInfo:procedure.type, DiagnosticReport.supportingInfo:procedure.reference, DiagnosticReport.composition | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | DiagnosticReport.extension, DiagnosticReport.extension:artifactVersion, DiagnosticReport.modifierExtension, DiagnosticReport.supportingInfo.modifierExtension, DiagnosticReport.supportingInfo:procedure.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DiagnosticReport |
0..* | DiagnosticReport(5.0.0) | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
| Slices for extension |
0..* | 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 | |
| identifier |
0..* | Identifier | Report identifier | |
| Slices for basedOn |
0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested Slice: Unordered, Open by type:$this | |
| basedOn:imorderaccession |
0..1 | Reference(IM Imaging Order(0.1.0-ballot)) | What was requested | |
| identifier |
1..1 | ImAccessionNumberIdentifier(0.1.0-ballot) | Logical reference, when literal reference is not known | |
| status |
1..1 | code | Status of the Report | |
| Slices for category |
1..* | CodeableConcept | Service category Slice: Unordered, Open by value:$this | |
| category:imaging |
1..1 | CodeableConcept | Service category Required Pattern: At least the following | |
| coding |
1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| 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 | |
| code |
||||
| Slices for coding |
1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this | |
| coding:eu-template |
1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.eu/fhir/imaging-r5/CodeSystem/Hl7EuDocumentTypes | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: imaging-report-v0-0-1 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Imaging Report V0.0.1 | |
| subject |
0..1 | Reference(Patient (EU base)(0.1.0)) | The subject of the report - usually, but not always, the patient | |
| Slices for performer |
1..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service Slice: Unordered, Open by profile:$this | |
| performer:author |
1..* | Reference(PractitionerRole (EU base)(0.1.0)) | Responsible Diagnostic Service | |
| Slices for resultsInterpreter |
0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter Slice: Unordered, Open by profile:resolve() | |
| resultsInterpreter:author |
0..* | Reference(PractitionerRole (EU base)(0.1.0)) | Primary result interpreter | |
| study |
0..* | Reference(IM Imaging Study(0.1.0-ballot)) | Reference to full details of an analysis associated with the diagnostic report | |
| Slices for supportingInfo |
0..* | BackboneElement | Additional information supporting the diagnostic report Slice: Unordered, Open by value:reference | |
| supportingInfo:All Slices |
Content/Rules for all slices | |||
| type |
1..1 | CodeableConcept | Supporting information role code Binding: http://hl7.eu/fhir/imaging-r5/ValueSet/valueset-diagnosticreport-report-support-info (extensible) | |
| supportingInfo:procedure |
0..* | BackboneElement | Additional information supporting the diagnostic report | |
| type |
1..1 | CodeableConcept | Supporting information role code Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.eu/fhir/imaging-r5/CodeSystem/codesystem-diagnostic-report-support-info | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: imaging-procedure | |
| reference |
1..1 | Reference(IM Imaging Procedure(0.0.2)) | Supporting information reference | |
| composition |
1..1 | Reference(IM Composition(0.0.2)) | Imaging Diagnostic Report | |
| Documentation for this format | ||||
Terminology Bindings (Differential)
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.supportingInfo.type | Base | extensible | http://hl7.eu/fhir/imaging-r5/ValueSet/valueset-diagnosticreport-report-support-info | Not State | Unknown |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| DiagnosticReport |
C | 0..* | DiagnosticReport(5.0.0) | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: dgr-1 | ||||
| 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: AllLanguages (required): IETF language tag for a human language
| |||||
| text |
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 |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:artifactVersion |
0..1 | string | Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1 | ||||
| identifier |
Σ | 0..* | Identifier | Report identifier | ||||
| Slices for basedOn |
0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested Slice: Unordered, Open by type:$this | |||||
| basedOn:imorderaccession |
0..1 | Reference(IM Imaging Order(0.1.0-ballot)) | What was requested | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
ΣC | 1..1 | ImAccessionNumberIdentifier(0.1.0-ballot) | Logical reference, when literal reference is not known | ||||
| display |
ΣC | 0..1 | string | Text alternative for the resource | ||||
| status |
?!Σ | 1..1 | code | Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. | ||||
| Slices for category |
Σ | 1..* | CodeableConcept | Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074 | ||||
| category:imaging |
Σ | 1..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074 Required Pattern: At least the following | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| coding |
Σ | 1..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 |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| code |
Σ | 1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): LOINC Codes for Diagnostic Reports | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| Slices for coding |
Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this | ||||
| coding:eu-template |
Σ | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.eu/fhir/imaging-r5/CodeSystem/Hl7EuDocumentTypes | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: imaging-report-v0-0-1 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Imaging Report V0.0.1 | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| subject |
Σ | 0..1 | Reference(Patient (EU base)(0.1.0)) | The subject of the report - usually, but not always, the patient | ||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Health care event when test ordered | ||||
 effective[x] |
Σ | 0..1 | Clinically relevant time/time-period for report | |||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| issued |
Σ | 0..1 | instant | DateTime this version was made | ||||
| Slices for performer |
Σ | 1..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service Slice: Unordered, Open by profile:$this | ||||
| performer:author |
Σ | 1..* | Reference(PractitionerRole (EU base)(0.1.0)) | Responsible Diagnostic Service | ||||
| Slices for resultsInterpreter |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter Slice: Unordered, Open by profile:resolve() | ||||
| resultsInterpreter:author |
Σ | 0..* | Reference(PractitionerRole (EU base)(0.1.0)) | Primary result interpreter | ||||
| specimen |
0..* | Reference(Specimen) | Specimens this report is based on | |||||
| result |
C | 0..* | Reference(Observation) | Observations | ||||
| note |
0..* | Annotation | Comments about the diagnostic report | |||||
| study |
0..* | Reference(IM Imaging Study(0.1.0-ballot)) | Reference to full details of an analysis associated with the diagnostic report | |||||
| Slices for supportingInfo |
0..* | BackboneElement | Additional information supporting the diagnostic report Slice: Unordered, Open by value:reference | |||||
| supportingInfo:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
| type |
1..1 | CodeableConcept | Supporting information role code Binding: http://hl7.eu/fhir/imaging-r5/ValueSet/valueset-diagnosticreport-report-support-info (extensible) | |||||
| reference |
1..1 | Reference(Procedure | Observation | DiagnosticReport | Citation) | Supporting information reference | |||||
| supportingInfo:procedure |
0..* | BackboneElement | Additional information supporting the diagnostic report | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
| type |
1..1 | CodeableConcept | Supporting information role code Binding: http://hl7.eu/fhir/imaging-r5/ValueSet/valueset-diagnosticreport-report-support-info (extensible) 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/imaging-r5/CodeSystem/codesystem-diagnostic-report-support-info | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: imaging-procedure | |||||
| 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 | |||||
| reference |
1..1 | Reference(IM Imaging Procedure(0.0.2)) | Supporting information reference | |||||
| media |
Σ | 0..* | BackboneElement | Key images or data associated with this report | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
| comment |
0..1 | string | Comment about the image or data (e.g. explanation) | |||||
| link |
Σ | 1..1 | Reference(DocumentReference) | Reference to the image or data source | ||||
| composition |
C | 1..1 | Reference(IM Composition(0.0.2)) | Imaging Diagnostic Report | ||||
| conclusion |
0..1 | markdown | Clinical conclusion (interpretation) of test results | |||||
| conclusionCode |
0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): SNOMED CT Clinical Findings | |||||
| presentedForm |
0..* | Attachment | Entire report as issued | |||||
| Documentation for this format | ||||||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.language | Base | required | All Languages | 📍5.0.0 | FHIR Std. |
| DiagnosticReport.basedOn:imorderaccession.type | Base | extensible | Resource Types | 📍5.0.0 | FHIR Std. |
| DiagnosticReport.status | Base | required | Diagnostic Report Status | 📍5.0.0 | FHIR Std. |
| DiagnosticReport.category | Base | example | Diagnostic Service Section Codes | 📍5.0.0 | FHIR Std. |
| DiagnosticReport.category:imaging | Base | example | Diagnostic Service Section Codes | 📍5.0.0 | FHIR Std. |
| DiagnosticReport.code | Base | preferred | LOINC Diagnostic Report Codes | 📍5.0.0 | FHIR Std. |
| DiagnosticReport.supportingInfo.type | Base | extensible | http://hl7.eu/fhir/imaging-r5/ValueSet/valueset-diagnosticreport-report-support-info | Not State | Unknown |
| DiagnosticReport.supportingInfo:procedure.type | Base | extensible | http://hl7.eu/fhir/imaging-r5/ValueSet/valueset-diagnosticreport-report-support-info | Not State | Unknown |
| DiagnosticReport.conclusionCode | Base | example | SNOMED CT Clinical Findings | 📍5.0.0 | FHIR Std. |
Constraints
| Id | Grade | Path(s) | Description | Expression |
| dgr-1 | error | DiagnosticReport | When a Composition is referenced in `Diagnostic.composition`, all Observation resources referenced in `Composition.entry` must also be referenced in `Diagnostic.entry` or in the references Observations in `Observation.hasMember` |
composition.exists() implies (composition.resolve().section.entry.reference.where(resolve() is Observation) in (result.reference|result.reference.resolve().hasMember.reference))
|
| 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 | DiagnosticReport.meta, DiagnosticReport.implicitRules, DiagnosticReport.language, DiagnosticReport.text, DiagnosticReport.extension, DiagnosticReport.extension:artifactVersion, DiagnosticReport.modifierExtension, DiagnosticReport.identifier, DiagnosticReport.basedOn, DiagnosticReport.basedOn:imorderaccession, DiagnosticReport.basedOn:imorderaccession.extension, DiagnosticReport.basedOn:imorderaccession.reference, DiagnosticReport.basedOn:imorderaccession.type, DiagnosticReport.basedOn:imorderaccession.identifier, DiagnosticReport.basedOn:imorderaccession.display, DiagnosticReport.status, DiagnosticReport.category, DiagnosticReport.category:imaging, DiagnosticReport.category:imaging.extension, DiagnosticReport.category:imaging.coding, DiagnosticReport.category:imaging.text, DiagnosticReport.code, DiagnosticReport.code.extension, DiagnosticReport.code.coding, DiagnosticReport.code.coding:eu-template, DiagnosticReport.code.text, DiagnosticReport.subject, DiagnosticReport.encounter, DiagnosticReport.effective[x], DiagnosticReport.issued, DiagnosticReport.performer, DiagnosticReport.performer:author, DiagnosticReport.resultsInterpreter, DiagnosticReport.resultsInterpreter:author, DiagnosticReport.specimen, DiagnosticReport.result, DiagnosticReport.note, DiagnosticReport.study, DiagnosticReport.supportingInfo, DiagnosticReport.supportingInfo.extension, DiagnosticReport.supportingInfo.modifierExtension, DiagnosticReport.supportingInfo.type, DiagnosticReport.supportingInfo.reference, DiagnosticReport.supportingInfo:procedure, DiagnosticReport.supportingInfo:procedure.extension, DiagnosticReport.supportingInfo:procedure.modifierExtension, DiagnosticReport.supportingInfo:procedure.type, DiagnosticReport.supportingInfo:procedure.reference, DiagnosticReport.media, DiagnosticReport.media.extension, DiagnosticReport.media.modifierExtension, DiagnosticReport.media.comment, DiagnosticReport.media.link, DiagnosticReport.composition, DiagnosticReport.conclusion, DiagnosticReport.conclusionCode, DiagnosticReport.presentedForm | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | DiagnosticReport.extension, DiagnosticReport.extension:artifactVersion, DiagnosticReport.modifierExtension, DiagnosticReport.basedOn:imorderaccession.extension, DiagnosticReport.category:imaging.extension, DiagnosticReport.code.extension, DiagnosticReport.supportingInfo.extension, DiagnosticReport.supportingInfo.modifierExtension, DiagnosticReport.supportingInfo:procedure.extension, DiagnosticReport.supportingInfo:procedure.modifierExtension, DiagnosticReport.media.extension, DiagnosticReport.media.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Summary
Mandatory: 8 elements(1 nested mandatory element)
Structures
This structure refers to these other structures:
- IM Imaging Order (http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImOrder|0.1.0-ballot)
- IM Imaging Accession Number Identifier (http://hl7.eu/fhir/imaging-r5/StructureDefinition/im-accession-number-identifier|0.1.0-ballot)
- Patient (EU base) (http://hl7.eu/fhir/base-r5/StructureDefinition/patient-eu|0.1.0)
- PractitionerRole (EU base) (http://hl7.eu/fhir/base-r5/StructureDefinition/practitionerRole-eu|0.1.0)
- IM Imaging Study (http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImImagingStudy|0.1.0-ballot)
- IM Imaging Procedure (http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImProcedure|0.0.2)
- IM Composition (http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImComposition|0.0.2)
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
- The element 1 is sliced based on the value of DiagnosticReport.basedOn
- The element 1 is sliced based on the value of DiagnosticReport.category
- The element 1 is sliced based on the value of DiagnosticReport.code.coding
- The element 1 is sliced based on the value of DiagnosticReport.performer
- The element 1 is sliced based on the value of DiagnosticReport.resultsInterpreter
- The element 1 is sliced based on the value of DiagnosticReport.supportingInfo
Maturity: 1
Pagrindinių elementų peržiūra
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DiagnosticReport |
C | 0..* | DiagnosticReport(5.0.0) | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: dgr-1 |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| contained |
0..* | Resource | Contained, inline Resources | |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |
| extension:artifactVersion |
0..1 | string | Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version Constraints: ext-1 | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1 |
| identifier |
Σ | 0..* | Identifier | Report identifier |
| Slices for basedOn |
0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested Slice: Unordered, Open by type:$this | |
| basedOn:imorderaccession |
0..1 | Reference(IM Imaging Order(0.1.0-ballot)) | What was requested | |
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL |
| identifier |
ΣC | 1..1 | ImAccessionNumberIdentifier(0.1.0-ballot) | Logical reference, when literal reference is not known |
| status |
?!Σ | 1..1 | code | Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. |
| Slices for category |
Σ | 1..* | CodeableConcept | Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074 |
| category:imaging |
Σ | 1..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074 Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| text |
0..1 | string | Plain text representation of the concept | |
| coding |
Σ | 1..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 | |
| code |
Σ | 1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): LOINC Codes for Diagnostic Reports |
| Slices for coding |
Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this |
| coding:eu-template |
Σ | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.eu/fhir/imaging-r5/CodeSystem/Hl7EuDocumentTypes | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: imaging-report-v0-0-1 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Imaging Report V0.0.1 | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| subject |
Σ | 0..1 | Reference(Patient (EU base)(0.1.0)) | The subject of the report - usually, but not always, the patient |
| Slices for performer |
Σ | 1..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service Slice: Unordered, Open by profile:$this |
| performer:author |
Σ | 1..* | Reference(PractitionerRole (EU base)(0.1.0)) | Responsible Diagnostic Service |
| Slices for resultsInterpreter |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter Slice: Unordered, Open by profile:resolve() |
| resultsInterpreter:author |
Σ | 0..* | Reference(PractitionerRole (EU base)(0.1.0)) | Primary result interpreter |
| study |
0..* | Reference(IM Imaging Study(0.1.0-ballot)) | Reference to full details of an analysis associated with the diagnostic report | |
| Slices for supportingInfo |
0..* | BackboneElement | Additional information supporting the diagnostic report Slice: Unordered, Open by value:reference | |
| supportingInfo:All Slices |
Content/Rules for all slices | |||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 |
| type |
1..1 | CodeableConcept | Supporting information role code Binding: http://hl7.eu/fhir/imaging-r5/ValueSet/valueset-diagnosticreport-report-support-info (extensible) | |
| reference |
1..1 | Reference(Procedure | Observation | DiagnosticReport | Citation) | Supporting information reference | |
| supportingInfo:procedure |
0..* | BackboneElement | Additional information supporting the diagnostic report | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 |
| type |
1..1 | CodeableConcept | Supporting information role code Binding: http://hl7.eu/fhir/imaging-r5/ValueSet/valueset-diagnosticreport-report-support-info (extensible) 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/imaging-r5/CodeSystem/codesystem-diagnostic-report-support-info | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: imaging-procedure | |
| 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 | |
| reference |
1..1 | Reference(IM Imaging Procedure(0.0.2)) | Supporting information reference | |
| composition |
C | 1..1 | Reference(IM Composition(0.0.2)) | Imaging Diagnostic Report |
| Documentation for this format | ||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.status | Base | required | Diagnostic Report Status | 📍5.0.0 | FHIR Std. |
| DiagnosticReport.category | Base | example | Diagnostic Service Section Codes | 📍5.0.0 | FHIR Std. |
| DiagnosticReport.category:imaging | Base | example | Diagnostic Service Section Codes | 📍5.0.0 | FHIR Std. |
| DiagnosticReport.code | Base | preferred | LOINC Diagnostic Report Codes | 📍5.0.0 | FHIR Std. |
| DiagnosticReport.supportingInfo.type | Base | extensible | http://hl7.eu/fhir/imaging-r5/ValueSet/valueset-diagnosticreport-report-support-info | Not State | Unknown |
| DiagnosticReport.supportingInfo:procedure.type | Base | extensible | http://hl7.eu/fhir/imaging-r5/ValueSet/valueset-diagnosticreport-report-support-info | Not State | Unknown |
Constraints
| Id | Grade | Path(s) | Description | Expression |
| dgr-1 | error | DiagnosticReport | When a Composition is referenced in `Diagnostic.composition`, all Observation resources referenced in `Composition.entry` must also be referenced in `Diagnostic.entry` or in the references Observations in `Observation.hasMember` |
composition.exists() implies (composition.resolve().section.entry.reference.where(resolve() is Observation) in (result.reference|result.reference.resolve().hasMember.reference))
|
| 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 | DiagnosticReport.implicitRules, DiagnosticReport.extension, DiagnosticReport.extension:artifactVersion, DiagnosticReport.modifierExtension, DiagnosticReport.identifier, DiagnosticReport.basedOn, DiagnosticReport.basedOn:imorderaccession, DiagnosticReport.basedOn:imorderaccession.reference, DiagnosticReport.basedOn:imorderaccession.identifier, DiagnosticReport.status, DiagnosticReport.category, DiagnosticReport.category:imaging, DiagnosticReport.category:imaging.coding, DiagnosticReport.code, DiagnosticReport.code.coding, DiagnosticReport.code.coding:eu-template, DiagnosticReport.subject, DiagnosticReport.performer, DiagnosticReport.performer:author, DiagnosticReport.resultsInterpreter, DiagnosticReport.resultsInterpreter:author, DiagnosticReport.study, DiagnosticReport.supportingInfo, DiagnosticReport.supportingInfo.modifierExtension, DiagnosticReport.supportingInfo.type, DiagnosticReport.supportingInfo.reference, DiagnosticReport.supportingInfo:procedure, DiagnosticReport.supportingInfo:procedure.modifierExtension, DiagnosticReport.supportingInfo:procedure.type, DiagnosticReport.supportingInfo:procedure.reference, DiagnosticReport.composition | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | DiagnosticReport.extension, DiagnosticReport.extension:artifactVersion, DiagnosticReport.modifierExtension, DiagnosticReport.supportingInfo.modifierExtension, DiagnosticReport.supportingInfo:procedure.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Skirtumų rinkinių peržiūra
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DiagnosticReport |
0..* | DiagnosticReport(5.0.0) | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
| Slices for extension |
0..* | 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 | |
| identifier |
0..* | Identifier | Report identifier | |
| Slices for basedOn |
0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested Slice: Unordered, Open by type:$this | |
| basedOn:imorderaccession |
0..1 | Reference(IM Imaging Order(0.1.0-ballot)) | What was requested | |
| identifier |
1..1 | ImAccessionNumberIdentifier(0.1.0-ballot) | Logical reference, when literal reference is not known | |
| status |
1..1 | code | Status of the Report | |
| Slices for category |
1..* | CodeableConcept | Service category Slice: Unordered, Open by value:$this | |
| category:imaging |
1..1 | CodeableConcept | Service category Required Pattern: At least the following | |
| coding |
1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| 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 | |
| code |
||||
| Slices for coding |
1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this | |
| coding:eu-template |
1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.eu/fhir/imaging-r5/CodeSystem/Hl7EuDocumentTypes | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: imaging-report-v0-0-1 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Imaging Report V0.0.1 | |
| subject |
0..1 | Reference(Patient (EU base)(0.1.0)) | The subject of the report - usually, but not always, the patient | |
| Slices for performer |
1..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service Slice: Unordered, Open by profile:$this | |
| performer:author |
1..* | Reference(PractitionerRole (EU base)(0.1.0)) | Responsible Diagnostic Service | |
| Slices for resultsInterpreter |
0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter Slice: Unordered, Open by profile:resolve() | |
| resultsInterpreter:author |
0..* | Reference(PractitionerRole (EU base)(0.1.0)) | Primary result interpreter | |
| study |
0..* | Reference(IM Imaging Study(0.1.0-ballot)) | Reference to full details of an analysis associated with the diagnostic report | |
| Slices for supportingInfo |
0..* | BackboneElement | Additional information supporting the diagnostic report Slice: Unordered, Open by value:reference | |
| supportingInfo:All Slices |
Content/Rules for all slices | |||
| type |
1..1 | CodeableConcept | Supporting information role code Binding: http://hl7.eu/fhir/imaging-r5/ValueSet/valueset-diagnosticreport-report-support-info (extensible) | |
| supportingInfo:procedure |
0..* | BackboneElement | Additional information supporting the diagnostic report | |
| type |
1..1 | CodeableConcept | Supporting information role code Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.eu/fhir/imaging-r5/CodeSystem/codesystem-diagnostic-report-support-info | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: imaging-procedure | |
| reference |
1..1 | Reference(IM Imaging Procedure(0.0.2)) | Supporting information reference | |
| composition |
1..1 | Reference(IM Composition(0.0.2)) | Imaging Diagnostic Report | |
| Documentation for this format | ||||
Terminology Bindings (Differential)
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.supportingInfo.type | Base | extensible | http://hl7.eu/fhir/imaging-r5/ValueSet/valueset-diagnosticreport-report-support-info | Not State | Unknown |
Momentinės kopijos peržiūraView
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| DiagnosticReport |
C | 0..* | DiagnosticReport(5.0.0) | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: dgr-1 | ||||
| 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: AllLanguages (required): IETF language tag for a human language
| |||||
| text |
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 |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:artifactVersion |
0..1 | string | Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1 | ||||
| identifier |
Σ | 0..* | Identifier | Report identifier | ||||
| Slices for basedOn |
0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested Slice: Unordered, Open by type:$this | |||||
| basedOn:imorderaccession |
0..1 | Reference(IM Imaging Order(0.1.0-ballot)) | What was requested | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
ΣC | 1..1 | ImAccessionNumberIdentifier(0.1.0-ballot) | Logical reference, when literal reference is not known | ||||
| display |
ΣC | 0..1 | string | Text alternative for the resource | ||||
| status |
?!Σ | 1..1 | code | Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. | ||||
| Slices for category |
Σ | 1..* | CodeableConcept | Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074 | ||||
| category:imaging |
Σ | 1..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074 Required Pattern: At least the following | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| coding |
Σ | 1..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 |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| code |
Σ | 1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): LOINC Codes for Diagnostic Reports | ||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| Slices for coding |
Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this | ||||
| coding:eu-template |
Σ | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.eu/fhir/imaging-r5/CodeSystem/Hl7EuDocumentTypes | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: imaging-report-v0-0-1 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Imaging Report V0.0.1 | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| subject |
Σ | 0..1 | Reference(Patient (EU base)(0.1.0)) | The subject of the report - usually, but not always, the patient | ||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Health care event when test ordered | ||||
| effective[x] |
Σ | 0..1 | Clinically relevant time/time-period for report | |||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| issued |
Σ | 0..1 | instant | DateTime this version was made | ||||
| Slices for performer |
Σ | 1..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service Slice: Unordered, Open by profile:$this | ||||
| performer:author |
Σ | 1..* | Reference(PractitionerRole (EU base)(0.1.0)) | Responsible Diagnostic Service | ||||
| Slices for resultsInterpreter |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter Slice: Unordered, Open by profile:resolve() | ||||
| resultsInterpreter:author |
Σ | 0..* | Reference(PractitionerRole (EU base)(0.1.0)) | Primary result interpreter | ||||
| specimen |
0..* | Reference(Specimen) | Specimens this report is based on | |||||
| result |
C | 0..* | Reference(Observation) | Observations | ||||
| note |
0..* | Annotation | Comments about the diagnostic report | |||||
| study |
0..* | Reference(IM Imaging Study(0.1.0-ballot)) | Reference to full details of an analysis associated with the diagnostic report | |||||
| Slices for supportingInfo |
0..* | BackboneElement | Additional information supporting the diagnostic report Slice: Unordered, Open by value:reference | |||||
| supportingInfo:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
| type |
1..1 | CodeableConcept | Supporting information role code Binding: http://hl7.eu/fhir/imaging-r5/ValueSet/valueset-diagnosticreport-report-support-info (extensible) | |||||
| reference |
1..1 | Reference(Procedure | Observation | DiagnosticReport | Citation) | Supporting information reference | |||||
| supportingInfo:procedure |
0..* | BackboneElement | Additional information supporting the diagnostic report | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
| type |
1..1 | CodeableConcept | Supporting information role code Binding: http://hl7.eu/fhir/imaging-r5/ValueSet/valueset-diagnosticreport-report-support-info (extensible) 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/imaging-r5/CodeSystem/codesystem-diagnostic-report-support-info | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: imaging-procedure | |||||
| 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 | |||||
| reference |
1..1 | Reference(IM Imaging Procedure(0.0.2)) | Supporting information reference | |||||
| media |
Σ | 0..* | BackboneElement | Key images or data associated with this report | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
| comment |
0..1 | string | Comment about the image or data (e.g. explanation) | |||||
| link |
Σ | 1..1 | Reference(DocumentReference) | Reference to the image or data source | ||||
| composition |
C | 1..1 | Reference(IM Composition(0.0.2)) | Imaging Diagnostic Report | ||||
| conclusion |
0..1 | markdown | Clinical conclusion (interpretation) of test results | |||||
| conclusionCode |
0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): SNOMED CT Clinical Findings | |||||
| presentedForm |
0..* | Attachment | Entire report as issued | |||||
| Documentation for this format | ||||||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.language | Base | required | All Languages | 📍5.0.0 | FHIR Std. |
| DiagnosticReport.basedOn:imorderaccession.type | Base | extensible | Resource Types | 📍5.0.0 | FHIR Std. |
| DiagnosticReport.status | Base | required | Diagnostic Report Status | 📍5.0.0 | FHIR Std. |
| DiagnosticReport.category | Base | example | Diagnostic Service Section Codes | 📍5.0.0 | FHIR Std. |
| DiagnosticReport.category:imaging | Base | example | Diagnostic Service Section Codes | 📍5.0.0 | FHIR Std. |
| DiagnosticReport.code | Base | preferred | LOINC Diagnostic Report Codes | 📍5.0.0 | FHIR Std. |
| DiagnosticReport.supportingInfo.type | Base | extensible | http://hl7.eu/fhir/imaging-r5/ValueSet/valueset-diagnosticreport-report-support-info | Not State | Unknown |
| DiagnosticReport.supportingInfo:procedure.type | Base | extensible | http://hl7.eu/fhir/imaging-r5/ValueSet/valueset-diagnosticreport-report-support-info | Not State | Unknown |
| DiagnosticReport.conclusionCode | Base | example | SNOMED CT Clinical Findings | 📍5.0.0 | FHIR Std. |
Constraints
| Id | Grade | Path(s) | Description | Expression |
| dgr-1 | error | DiagnosticReport | When a Composition is referenced in `Diagnostic.composition`, all Observation resources referenced in `Composition.entry` must also be referenced in `Diagnostic.entry` or in the references Observations in `Observation.hasMember` |
composition.exists() implies (composition.resolve().section.entry.reference.where(resolve() is Observation) in (result.reference|result.reference.resolve().hasMember.reference))
|
| 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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 | DiagnosticReport.meta, DiagnosticReport.implicitRules, DiagnosticReport.language, DiagnosticReport.text, DiagnosticReport.extension, DiagnosticReport.extension:artifactVersion, DiagnosticReport.modifierExtension, DiagnosticReport.identifier, DiagnosticReport.basedOn, DiagnosticReport.basedOn:imorderaccession, DiagnosticReport.basedOn:imorderaccession.extension, DiagnosticReport.basedOn:imorderaccession.reference, DiagnosticReport.basedOn:imorderaccession.type, DiagnosticReport.basedOn:imorderaccession.identifier, DiagnosticReport.basedOn:imorderaccession.display, DiagnosticReport.status, DiagnosticReport.category, DiagnosticReport.category:imaging, DiagnosticReport.category:imaging.extension, DiagnosticReport.category:imaging.coding, DiagnosticReport.category:imaging.text, DiagnosticReport.code, DiagnosticReport.code.extension, DiagnosticReport.code.coding, DiagnosticReport.code.coding:eu-template, DiagnosticReport.code.text, DiagnosticReport.subject, DiagnosticReport.encounter, DiagnosticReport.effective[x], DiagnosticReport.issued, DiagnosticReport.performer, DiagnosticReport.performer:author, DiagnosticReport.resultsInterpreter, DiagnosticReport.resultsInterpreter:author, DiagnosticReport.specimen, DiagnosticReport.result, DiagnosticReport.note, DiagnosticReport.study, DiagnosticReport.supportingInfo, DiagnosticReport.supportingInfo.extension, DiagnosticReport.supportingInfo.modifierExtension, DiagnosticReport.supportingInfo.type, DiagnosticReport.supportingInfo.reference, DiagnosticReport.supportingInfo:procedure, DiagnosticReport.supportingInfo:procedure.extension, DiagnosticReport.supportingInfo:procedure.modifierExtension, DiagnosticReport.supportingInfo:procedure.type, DiagnosticReport.supportingInfo:procedure.reference, DiagnosticReport.media, DiagnosticReport.media.extension, DiagnosticReport.media.modifierExtension, DiagnosticReport.media.comment, DiagnosticReport.media.link, DiagnosticReport.composition, DiagnosticReport.conclusion, DiagnosticReport.conclusionCode, DiagnosticReport.presentedForm | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | DiagnosticReport.extension, DiagnosticReport.extension:artifactVersion, DiagnosticReport.modifierExtension, DiagnosticReport.basedOn:imorderaccession.extension, DiagnosticReport.category:imaging.extension, DiagnosticReport.code.extension, DiagnosticReport.supportingInfo.extension, DiagnosticReport.supportingInfo.modifierExtension, DiagnosticReport.supportingInfo:procedure.extension, DiagnosticReport.supportingInfo:procedure.modifierExtension, DiagnosticReport.media.extension, DiagnosticReport.media.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Summary
Mandatory: 8 elements(1 nested mandatory element)
Structures
This structure refers to these other structures:
- IM Imaging Order (http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImOrder|0.1.0-ballot)
- IM Imaging Accession Number Identifier (http://hl7.eu/fhir/imaging-r5/StructureDefinition/im-accession-number-identifier|0.1.0-ballot)
- Patient (EU base) (http://hl7.eu/fhir/base-r5/StructureDefinition/patient-eu|0.1.0)
- PractitionerRole (EU base) (http://hl7.eu/fhir/base-r5/StructureDefinition/practitionerRole-eu|0.1.0)
- IM Imaging Study (http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImImagingStudy|0.1.0-ballot)
- IM Imaging Procedure (http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImProcedure|0.0.2)
- IM Composition (http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImComposition|0.0.2)
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
- The element 1 is sliced based on the value of DiagnosticReport.basedOn
- The element 1 is sliced based on the value of DiagnosticReport.category
- The element 1 is sliced based on the value of DiagnosticReport.code.coding
- The element 1 is sliced based on the value of DiagnosticReport.performer
- The element 1 is sliced based on the value of DiagnosticReport.resultsInterpreter
- The element 1 is sliced based on the value of DiagnosticReport.supportingInfo
Maturity: 1
Kitos profilio reprezentacijos: CSV, Excel, Schematron