Lithuanian Breast Diagnostics Implementation Guide
0.0.1 - ci-build Lithuania vėliava

Lithuanian Breast Diagnostics Implementation Guide, published by Lithuanian Medical Library. This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7LT/ig-lt-breast/ and changes regularly. See the Directory of published versions

Resursų profilis: Mammography Diagnostic Report (LT Breast)

Oficialus URL: https://hl7.lt/fhir/breast/StructureDefinition/mammography-report-lt-breast Versija: 0.0.1
Mašiniškai apdorojamas pavadinimas: MammographyReportLtBreast

A Diagnostic Report for Mammography imaging studies. Aggregates BI-RADS assessments, mammographic findings, ultrasound findings, and general breast observations.

Usages:

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

You can also check for usages in the FHIR IG Statistics

Profilio turinio formaliosios peržiūros

Profilių, skirtumų rinkinių, momentinių kopijų aprašas ir jų reprezentacijos.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport C 0..* ImagingReportLt(0.1.0-ballot) 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 Content/Rules for all slices
.... extension:artifactVersion 0..1 string Business version of the artifact
URL: http://hl7.org/fhir/StructureDefinition/artifact-version
Constraints: ext-1
... identifier SΣ 0..* Identifier Report identifier
... Slices for basedOn S 0..* Reference(ServiceRequestLt(0.3.0) | CarePlanLt(0.3.0) | ImmunizationRecommendation | MedicationRequest | NutritionOrder) What was requested
Slice: Unordered, Open by type:$this
.... basedOn:imorderaccession S 0..1 Reference(ServiceRequestLt(0.3.0)) What was requested
..... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
..... identifier ΣC 1..1 ImAccessionNumberIdentifier(0.1.0-ballot) Logical reference, when literal reference is not known
... status ?!SΣ 1..1 code Status of the Report
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... Slices for category SΣ 1..* CodeableConcept Service category
Slice: Unordered, Open by value:$this
Binding: Hl7VSDiagnosticServiceSectionId (3.0.0) (preferred)
.... category:imaging SΣ 1..1 CodeableConcept Service category
Binding: Hl7VSDiagnosticServiceSectionId (3.0.0) (preferred)

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 SΣ 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: ReportCode (1.0.0) (preferred)
.... Slices for coding Σ 2..* 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
..... coding:doc-type 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://snomed.info/sct
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 4231000179109
...... display 1..1 string Representation defined by the system
Fixed Value: Mammography report (record artifact)
...... userSelected 0..1 boolean If this coding was chosen directly by the user
... subject SΣ 1..1 Reference(PatientLt(0.3.0)) The subject of the report - usually, but not always, the patient
... encounter SΣ 0..1 Reference(EncounterLt(0.3.0)) Health care event when test ordered
... effective[x] SΣ 1..1 Clinically relevant time/time-period for report
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued SΣ 0..1 instant DateTime this version was made
... Slices for performer SΣ 1..* Reference(OrganizationLt(0.3.0) | PractitionerRoleLt(0.3.0) | PractitionerLt(0.3.0) | CareTeamLt(0.3.0)) Responsible Diagnostic Service
Slice: Unordered, Open by profile:$this
.... performer:author SΣ 1..* Reference(PractitionerRoleLt(0.3.0)) Responsible Diagnostic Service
... Slices for resultsInterpreter SΣ 0..* Reference(OrganizationLt(0.3.0) | PractitionerRoleLt(0.3.0) | PractitionerLt(0.3.0) | CareTeamLt(0.3.0)) Primary result interpreter
Slice: Unordered, Open by profile:resolve()
.... resultsInterpreter:author SΣ 0..* Reference(PractitionerRoleLt(0.3.0)) Primary result interpreter
... result SC 0..* Reference(ObservationLt(0.3.0)) Mammography results: BI-RADS, mammographic findings, ultrasound findings, breast observations
... note S 0..* Annotation Comments about the diagnostic report
... study S 0..* Reference(ImagingStudyLt(0.3.0)) Reference to full details of an analysis associated with the diagnostic report
... Slices for supportingInfo S 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(ObservationLt(0.3.0) | ProcedureLt(0.3.0) | DiagnosticReportLt(0.3.0) | Citation) Supporting information reference
.... supportingInfo:procedure S 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(ProcedureLt(0.3.0)) Supporting information reference
... composition SC 1..1 Reference(CompositionLt(0.3.0)) Imaging Diagnostic Report
... conclusion S 0..1 markdown Clinical conclusion (interpretation) of test results
... conclusionCode S 0..* CodeableConcept Codes for the clinical conclusion of test results
Binding: SNOMEDCTClinicalFindings (example): SNOMED CT Clinical Findings

doco 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 preferred hl7VS-diagnosticServiceSectionId 📍3.0.0 THO v7.1
DiagnosticReport.category:imaging Base preferred hl7VS-diagnosticServiceSectionId 📍3.0.0 THO v7.1
DiagnosticReport.code Base preferred Report Code 📍1.0.0 HL7 Europe IG Snapshot v0.0
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.implicitRules, 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.code.coding:doc-type, DiagnosticReport.subject, DiagnosticReport.encounter, DiagnosticReport.effective[x], DiagnosticReport.issued, DiagnosticReport.performer, DiagnosticReport.performer:author, DiagnosticReport.resultsInterpreter, DiagnosticReport.resultsInterpreter:author, DiagnosticReport.result, DiagnosticReport.note, 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, DiagnosticReport.conclusion, DiagnosticReport.conclusionCode All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error 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()

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* ImagingReportLt(0.1.0-ballot) A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... code
.... coding 2..* Coding Code defined by a terminology system
.... Slices for coding Content/Rules for all slices
..... coding:doc-type 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://snomed.info/sct
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 4231000179109
...... display 1..1 string Representation defined by the system
Fixed Value: Mammography report (record artifact)
... encounter 0..1 Reference(EncounterLt(0.3.0)) Health care event when test ordered
... result 0..* Reference(ObservationLt(0.3.0)) Mammography results: BI-RADS, mammographic findings, ultrasound findings, breast observations

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport C 0..* ImagingReportLt(0.1.0-ballot) 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
Additional BindingsPurpose
CommonLanguages Starter
... 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 SΣ 0..* Identifier Report identifier
... Slices for basedOn S 0..* Reference(ServiceRequestLt(0.3.0) | CarePlanLt(0.3.0) | ImmunizationRecommendation | MedicationRequest | NutritionOrder) What was requested
Slice: Unordered, Open by type:$this
.... basedOn:imorderaccession S 0..1 Reference(ServiceRequestLt(0.3.0)) What was requested
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
..... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient") - must be a resource in resources
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
..... identifier ΣC 1..1 ImAccessionNumberIdentifier(0.1.0-ballot) Logical reference, when literal reference is not known
..... display ΣC 0..1 string Text alternative for the resource
... status ?!SΣ 1..1 code Status of the Report
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... Slices for category SΣ 1..* CodeableConcept Service category
Slice: Unordered, Open by value:$this
Binding: Hl7VSDiagnosticServiceSectionId (3.0.0) (preferred)
.... category:imaging SΣ 1..1 CodeableConcept Service category
Binding: Hl7VSDiagnosticServiceSectionId (3.0.0) (preferred)

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 SΣ 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: ReportCode (1.0.0) (preferred)
.... 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 2..* 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
..... coding:doc-type 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://snomed.info/sct
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 4231000179109
...... display 1..1 string Representation defined by the system
Fixed Value: Mammography report (record artifact)
...... 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 SΣ 1..1 Reference(PatientLt(0.3.0)) The subject of the report - usually, but not always, the patient
... encounter SΣ 0..1 Reference(EncounterLt(0.3.0)) Health care event when test ordered
... effective[x] SΣ 1..1 Clinically relevant time/time-period for report
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued SΣ 0..1 instant DateTime this version was made
... Slices for performer SΣ 1..* Reference(OrganizationLt(0.3.0) | PractitionerRoleLt(0.3.0) | PractitionerLt(0.3.0) | CareTeamLt(0.3.0)) Responsible Diagnostic Service
Slice: Unordered, Open by profile:$this
.... performer:author SΣ 1..* Reference(PractitionerRoleLt(0.3.0)) Responsible Diagnostic Service
... Slices for resultsInterpreter SΣ 0..* Reference(OrganizationLt(0.3.0) | PractitionerRoleLt(0.3.0) | PractitionerLt(0.3.0) | CareTeamLt(0.3.0)) Primary result interpreter
Slice: Unordered, Open by profile:resolve()
.... resultsInterpreter:author SΣ 0..* Reference(PractitionerRoleLt(0.3.0)) Primary result interpreter
... specimen 0..* Reference(Specimen) Specimens this report is based on
... result SC 0..* Reference(ObservationLt(0.3.0)) Mammography results: BI-RADS, mammographic findings, ultrasound findings, breast observations
... note S 0..* Annotation Comments about the diagnostic report
... study S 0..* Reference(ImagingStudyLt(0.3.0)) Reference to full details of an analysis associated with the diagnostic report
... Slices for supportingInfo S 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(ObservationLt(0.3.0) | ProcedureLt(0.3.0) | DiagnosticReportLt(0.3.0) | Citation) Supporting information reference
.... supportingInfo:procedure S 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(ProcedureLt(0.3.0)) 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 SC 1..1 Reference(CompositionLt(0.3.0)) Imaging Diagnostic Report
... conclusion S 0..1 markdown Clinical conclusion (interpretation) of test results
... conclusionCode S 0..* CodeableConcept Codes for the clinical conclusion of test results
Binding: SNOMEDCTClinicalFindings (example): SNOMED CT Clinical Findings
... presentedForm 0..* Attachment Entire report as issued

doco 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 preferred hl7VS-diagnosticServiceSectionId 📍3.0.0 THO v7.1
DiagnosticReport.category:imaging Base preferred hl7VS-diagnosticServiceSectionId 📍3.0.0 THO v7.1
DiagnosticReport.code Base preferred Report Code 📍1.0.0 HL7 Europe IG Snapshot v0.0
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.coding:doc-type, 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: 1 element

Structures

This structure refers to these other structures:

Pagrindinių elementų peržiūra

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport C 0..* ImagingReportLt(0.1.0-ballot) 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 Content/Rules for all slices
.... extension:artifactVersion 0..1 string Business version of the artifact
URL: http://hl7.org/fhir/StructureDefinition/artifact-version
Constraints: ext-1
... identifier SΣ 0..* Identifier Report identifier
... Slices for basedOn S 0..* Reference(ServiceRequestLt(0.3.0) | CarePlanLt(0.3.0) | ImmunizationRecommendation | MedicationRequest | NutritionOrder) What was requested
Slice: Unordered, Open by type:$this
.... basedOn:imorderaccession S 0..1 Reference(ServiceRequestLt(0.3.0)) What was requested
..... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
..... identifier ΣC 1..1 ImAccessionNumberIdentifier(0.1.0-ballot) Logical reference, when literal reference is not known
... status ?!SΣ 1..1 code Status of the Report
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... Slices for category SΣ 1..* CodeableConcept Service category
Slice: Unordered, Open by value:$this
Binding: Hl7VSDiagnosticServiceSectionId (3.0.0) (preferred)
.... category:imaging SΣ 1..1 CodeableConcept Service category
Binding: Hl7VSDiagnosticServiceSectionId (3.0.0) (preferred)

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 SΣ 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: ReportCode (1.0.0) (preferred)
.... Slices for coding Σ 2..* 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
..... coding:doc-type 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://snomed.info/sct
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 4231000179109
...... display 1..1 string Representation defined by the system
Fixed Value: Mammography report (record artifact)
...... userSelected 0..1 boolean If this coding was chosen directly by the user
... subject SΣ 1..1 Reference(PatientLt(0.3.0)) The subject of the report - usually, but not always, the patient
... encounter SΣ 0..1 Reference(EncounterLt(0.3.0)) Health care event when test ordered
... effective[x] SΣ 1..1 Clinically relevant time/time-period for report
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued SΣ 0..1 instant DateTime this version was made
... Slices for performer SΣ 1..* Reference(OrganizationLt(0.3.0) | PractitionerRoleLt(0.3.0) | PractitionerLt(0.3.0) | CareTeamLt(0.3.0)) Responsible Diagnostic Service
Slice: Unordered, Open by profile:$this
.... performer:author SΣ 1..* Reference(PractitionerRoleLt(0.3.0)) Responsible Diagnostic Service
... Slices for resultsInterpreter SΣ 0..* Reference(OrganizationLt(0.3.0) | PractitionerRoleLt(0.3.0) | PractitionerLt(0.3.0) | CareTeamLt(0.3.0)) Primary result interpreter
Slice: Unordered, Open by profile:resolve()
.... resultsInterpreter:author SΣ 0..* Reference(PractitionerRoleLt(0.3.0)) Primary result interpreter
... result SC 0..* Reference(ObservationLt(0.3.0)) Mammography results: BI-RADS, mammographic findings, ultrasound findings, breast observations
... note S 0..* Annotation Comments about the diagnostic report
... study S 0..* Reference(ImagingStudyLt(0.3.0)) Reference to full details of an analysis associated with the diagnostic report
... Slices for supportingInfo S 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(ObservationLt(0.3.0) | ProcedureLt(0.3.0) | DiagnosticReportLt(0.3.0) | Citation) Supporting information reference
.... supportingInfo:procedure S 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(ProcedureLt(0.3.0)) Supporting information reference
... composition SC 1..1 Reference(CompositionLt(0.3.0)) Imaging Diagnostic Report
... conclusion S 0..1 markdown Clinical conclusion (interpretation) of test results
... conclusionCode S 0..* CodeableConcept Codes for the clinical conclusion of test results
Binding: SNOMEDCTClinicalFindings (example): SNOMED CT Clinical Findings

doco 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 preferred hl7VS-diagnosticServiceSectionId 📍3.0.0 THO v7.1
DiagnosticReport.category:imaging Base preferred hl7VS-diagnosticServiceSectionId 📍3.0.0 THO v7.1
DiagnosticReport.code Base preferred Report Code 📍1.0.0 HL7 Europe IG Snapshot v0.0
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.implicitRules, 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.code.coding:doc-type, DiagnosticReport.subject, DiagnosticReport.encounter, DiagnosticReport.effective[x], DiagnosticReport.issued, DiagnosticReport.performer, DiagnosticReport.performer:author, DiagnosticReport.resultsInterpreter, DiagnosticReport.resultsInterpreter:author, DiagnosticReport.result, DiagnosticReport.note, 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, DiagnosticReport.conclusion, DiagnosticReport.conclusionCode All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error 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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* ImagingReportLt(0.1.0-ballot) A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... code
.... coding 2..* Coding Code defined by a terminology system
.... Slices for coding Content/Rules for all slices
..... coding:doc-type 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://snomed.info/sct
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 4231000179109
...... display 1..1 string Representation defined by the system
Fixed Value: Mammography report (record artifact)
... encounter 0..1 Reference(EncounterLt(0.3.0)) Health care event when test ordered
... result 0..* Reference(ObservationLt(0.3.0)) Mammography results: BI-RADS, mammographic findings, ultrasound findings, breast observations

doco Documentation for this format

Momentinės kopijos peržiūraView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport C 0..* ImagingReportLt(0.1.0-ballot) 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
Additional BindingsPurpose
CommonLanguages Starter
... 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 SΣ 0..* Identifier Report identifier
... Slices for basedOn S 0..* Reference(ServiceRequestLt(0.3.0) | CarePlanLt(0.3.0) | ImmunizationRecommendation | MedicationRequest | NutritionOrder) What was requested
Slice: Unordered, Open by type:$this
.... basedOn:imorderaccession S 0..1 Reference(ServiceRequestLt(0.3.0)) What was requested
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
..... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient") - must be a resource in resources
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
..... identifier ΣC 1..1 ImAccessionNumberIdentifier(0.1.0-ballot) Logical reference, when literal reference is not known
..... display ΣC 0..1 string Text alternative for the resource
... status ?!SΣ 1..1 code Status of the Report
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... Slices for category SΣ 1..* CodeableConcept Service category
Slice: Unordered, Open by value:$this
Binding: Hl7VSDiagnosticServiceSectionId (3.0.0) (preferred)
.... category:imaging SΣ 1..1 CodeableConcept Service category
Binding: Hl7VSDiagnosticServiceSectionId (3.0.0) (preferred)

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 SΣ 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: ReportCode (1.0.0) (preferred)
.... 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 2..* 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
..... coding:doc-type 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://snomed.info/sct
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 4231000179109
...... display 1..1 string Representation defined by the system
Fixed Value: Mammography report (record artifact)
...... 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 SΣ 1..1 Reference(PatientLt(0.3.0)) The subject of the report - usually, but not always, the patient
... encounter SΣ 0..1 Reference(EncounterLt(0.3.0)) Health care event when test ordered
... effective[x] SΣ 1..1 Clinically relevant time/time-period for report
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued SΣ 0..1 instant DateTime this version was made
... Slices for performer SΣ 1..* Reference(OrganizationLt(0.3.0) | PractitionerRoleLt(0.3.0) | PractitionerLt(0.3.0) | CareTeamLt(0.3.0)) Responsible Diagnostic Service
Slice: Unordered, Open by profile:$this
.... performer:author SΣ 1..* Reference(PractitionerRoleLt(0.3.0)) Responsible Diagnostic Service
... Slices for resultsInterpreter SΣ 0..* Reference(OrganizationLt(0.3.0) | PractitionerRoleLt(0.3.0) | PractitionerLt(0.3.0) | CareTeamLt(0.3.0)) Primary result interpreter
Slice: Unordered, Open by profile:resolve()
.... resultsInterpreter:author SΣ 0..* Reference(PractitionerRoleLt(0.3.0)) Primary result interpreter
... specimen 0..* Reference(Specimen) Specimens this report is based on
... result SC 0..* Reference(ObservationLt(0.3.0)) Mammography results: BI-RADS, mammographic findings, ultrasound findings, breast observations
... note S 0..* Annotation Comments about the diagnostic report
... study S 0..* Reference(ImagingStudyLt(0.3.0)) Reference to full details of an analysis associated with the diagnostic report
... Slices for supportingInfo S 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(ObservationLt(0.3.0) | ProcedureLt(0.3.0) | DiagnosticReportLt(0.3.0) | Citation) Supporting information reference
.... supportingInfo:procedure S 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(ProcedureLt(0.3.0)) 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 SC 1..1 Reference(CompositionLt(0.3.0)) Imaging Diagnostic Report
... conclusion S 0..1 markdown Clinical conclusion (interpretation) of test results
... conclusionCode S 0..* CodeableConcept Codes for the clinical conclusion of test results
Binding: SNOMEDCTClinicalFindings (example): SNOMED CT Clinical Findings
... presentedForm 0..* Attachment Entire report as issued

doco 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 preferred hl7VS-diagnosticServiceSectionId 📍3.0.0 THO v7.1
DiagnosticReport.category:imaging Base preferred hl7VS-diagnosticServiceSectionId 📍3.0.0 THO v7.1
DiagnosticReport.code Base preferred Report Code 📍1.0.0 HL7 Europe IG Snapshot v0.0
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.coding:doc-type, 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: 1 element

Structures

This structure refers to these other structures:

 

Kitos profilio reprezentacijos: CSV, Excel, Schematron