Lithuanian Prostate Diagnostics Implementation Guide
0.0.1 - ci-build
Lithuanian Prostate Diagnostics Implementation Guide
0.0.1 - ci-build
Lithuanian Prostate 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-prostate/ and changes regularly. See the Directory of published versions
| Oficialus URL: https://hl7.lt/fhir/prostate/StructureDefinition/prostate-report-lt-prostate | Versija: 0.1.0 | ||||
| Mašiniškai apdorojamas pavadinimas: ProstateReportLtProstate | |||||
Anchor resource for the Lithuanian prostate cancer prevention and early diagnostic programme: links ProstateCompositionLtProstate (Base imaging composition) with Observation results (PSA, PI-RADS, sequence scores, PI-QUAL, PRECISE, Gleason/ISUP, etc.). Parent ImagingReportLt follows the national imaging-report pattern. Pathology DiagnosticReport resources from LT Lab are not listed in result (see DiagnosticReportLt); link them via encounter, bundles, or documentation.
Usages:
You can also check for usages in the FHIR IG Statistics
Profilių, skirtumų rinkinių, momentinių kopijų aprašas ir jų reprezentacijos.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  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 | |
 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:$this |
 basedOn:imorderaccession |
S | 0..1 | Reference(ServiceRequestLt(0.3.0)) | What was requested |
  reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL |
 identifier |
ΣC | 1..1 | ImAccessionNumberIdentifier(0.1.0-ballot) | Logical reference, when literal reference is not known |
| status |
?!SΣ | 1..1 | code | Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. |
| Slices for category |
SΣ | 1..* | CodeableConcept | Service category Slice: Unordered, Open by value:$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 | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this |
| coding:eu-template |
Σ | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.eu/fhir/imaging-r5/CodeSystem/Hl7EuDocumentTypes | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: imaging-report-v0-0-1 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Imaging Report V0.0.1 | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
 subject |
SΣ | 1..1 | Reference(PatientLt(0.3.0)) | The subject of the report - usually, but not always, the patient |
| encounter |
SΣ | 0..1 | Reference(EncounterLt(0.3.0)) | Health care event when test ordered |
 effective[x] |
SΣ | 1..1 | Clinically relevant time/time-period for report | |
| effectiveDateTime |
dateTime | |||
| effectivePeriod |
Period | |||
| issued |
SΣ | 0..1 | instant | DateTime this version was made |
| Slices for performer |
SΣ | 1..* | Reference(OrganizationLt(0.3.0) | PractitionerRoleLt(0.3.0) | PractitionerLt(0.3.0) | CareTeamLt(0.3.0)) | Responsible Diagnostic Service Slice: Unordered, Open by profile:$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 | 1..* | Reference(Observation: PI-RADS Assessment(0.0.1) | Observation: MRI Sequence Score(0.0.1) | Observation: I-QUAL Score(0.0.1) | Observation: PRECISE Longitudinal Assessment(0.0.1) | Observation: Gleason / ISUP Grade Group(0.0.1) | Observation: Neoplasm Invasion(0.0.1) | Observation: Pelvic Organ Changes(0.0.1) | Observation: Bladder Changes (LT Prostate)(0.0.1) | Observation: Bone Metastasis Assessment (LT Prostate)(0.0.1) | Observation: Other Prostate Conditions (LT Prostate)(0.0.1) | ObservationLt(0.3.0)) | 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(Composition: Prostate programme document (LT)(0.1.0)) | 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 |
| Documentation for this format | ||||
| 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. |
| 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.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()
|
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DiagnosticReport |
0..* | ImagingReportLt(0.1.0-ballot) | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
| result |
1..* | Reference(Observation: PI-RADS Assessment(0.0.1) | Observation: MRI Sequence Score(0.0.1) | Observation: I-QUAL Score(0.0.1) | Observation: PRECISE Longitudinal Assessment(0.0.1) | Observation: Gleason / ISUP Grade Group(0.0.1) | Observation: Neoplasm Invasion(0.0.1) | Observation: Pelvic Organ Changes(0.0.1) | Observation: Bladder Changes (LT Prostate)(0.0.1) | Observation: Bone Metastasis Assessment (LT Prostate)(0.0.1) | Observation: Other Prostate Conditions (LT Prostate)(0.0.1) | ObservationLt(0.3.0)) | Observations | |
| composition |
1..1 | Reference(Composition: Prostate programme document (LT)(0.1.0)) | Imaging Diagnostic Report | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| 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
| |||||
| 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 | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this | ||||
| coding:eu-template |
Σ | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.eu/fhir/imaging-r5/CodeSystem/Hl7EuDocumentTypes | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: imaging-report-v0-0-1 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Imaging Report V0.0.1 | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| subject |
SΣ | 1..1 | Reference(PatientLt(0.3.0)) | The subject of the report - usually, but not always, the patient | ||||
| encounter |
SΣ | 0..1 | Reference(EncounterLt(0.3.0)) | Health care event when test ordered | ||||
| effective[x] |
SΣ | 1..1 | Clinically relevant time/time-period for report | |||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| issued |
SΣ | 0..1 | instant | DateTime this version was made | ||||
| Slices for performer |
SΣ | 1..* | Reference(OrganizationLt(0.3.0) | PractitionerRoleLt(0.3.0) | PractitionerLt(0.3.0) | CareTeamLt(0.3.0)) | Responsible Diagnostic Service Slice: Unordered, Open by profile:$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 | 1..* | Reference(Observation: PI-RADS Assessment(0.0.1) | Observation: MRI Sequence Score(0.0.1) | Observation: I-QUAL Score(0.0.1) | Observation: PRECISE Longitudinal Assessment(0.0.1) | Observation: Gleason / ISUP Grade Group(0.0.1) | Observation: Neoplasm Invasion(0.0.1) | Observation: Pelvic Organ Changes(0.0.1) | Observation: Bladder Changes (LT Prostate)(0.0.1) | Observation: Bone Metastasis Assessment (LT Prostate)(0.0.1) | Observation: Other Prostate Conditions (LT Prostate)(0.0.1) | ObservationLt(0.3.0)) | 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(Composition: Prostate programme document (LT)(0.1.0)) | 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 | |||||
| Documentation for this format | ||||||||
| 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. |
| 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: 1 element
Structures
This structure refers to these other structures:
Pagrindinių elementų peržiūra
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| 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 | |
| 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:$this |
| basedOn:imorderaccession |
S | 0..1 | Reference(ServiceRequestLt(0.3.0)) | What was requested |
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL |
| identifier |
ΣC | 1..1 | ImAccessionNumberIdentifier(0.1.0-ballot) | Logical reference, when literal reference is not known |
| status |
?!SΣ | 1..1 | code | Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. |
| Slices for category |
SΣ | 1..* | CodeableConcept | Service category Slice: Unordered, Open by value:$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 | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this |
| coding:eu-template |
Σ | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.eu/fhir/imaging-r5/CodeSystem/Hl7EuDocumentTypes | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: imaging-report-v0-0-1 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Imaging Report V0.0.1 | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| subject |
SΣ | 1..1 | Reference(PatientLt(0.3.0)) | The subject of the report - usually, but not always, the patient |
| encounter |
SΣ | 0..1 | Reference(EncounterLt(0.3.0)) | Health care event when test ordered |
| effective[x] |
SΣ | 1..1 | Clinically relevant time/time-period for report | |
| effectiveDateTime |
dateTime | |||
| effectivePeriod |
Period | |||
| issued |
SΣ | 0..1 | instant | DateTime this version was made |
| Slices for performer |
SΣ | 1..* | Reference(OrganizationLt(0.3.0) | PractitionerRoleLt(0.3.0) | PractitionerLt(0.3.0) | CareTeamLt(0.3.0)) | Responsible Diagnostic Service Slice: Unordered, Open by profile:$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 | 1..* | Reference(Observation: PI-RADS Assessment(0.0.1) | Observation: MRI Sequence Score(0.0.1) | Observation: I-QUAL Score(0.0.1) | Observation: PRECISE Longitudinal Assessment(0.0.1) | Observation: Gleason / ISUP Grade Group(0.0.1) | Observation: Neoplasm Invasion(0.0.1) | Observation: Pelvic Organ Changes(0.0.1) | Observation: Bladder Changes (LT Prostate)(0.0.1) | Observation: Bone Metastasis Assessment (LT Prostate)(0.0.1) | Observation: Other Prostate Conditions (LT Prostate)(0.0.1) | ObservationLt(0.3.0)) | 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(Composition: Prostate programme document (LT)(0.1.0)) | 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 |
| Documentation for this format | ||||
| 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. |
| 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.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
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DiagnosticReport |
0..* | ImagingReportLt(0.1.0-ballot) | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
| result |
1..* | Reference(Observation: PI-RADS Assessment(0.0.1) | Observation: MRI Sequence Score(0.0.1) | Observation: I-QUAL Score(0.0.1) | Observation: PRECISE Longitudinal Assessment(0.0.1) | Observation: Gleason / ISUP Grade Group(0.0.1) | Observation: Neoplasm Invasion(0.0.1) | Observation: Pelvic Organ Changes(0.0.1) | Observation: Bladder Changes (LT Prostate)(0.0.1) | Observation: Bone Metastasis Assessment (LT Prostate)(0.0.1) | Observation: Other Prostate Conditions (LT Prostate)(0.0.1) | ObservationLt(0.3.0)) | Observations | |
| composition |
1..1 | Reference(Composition: Prostate programme document (LT)(0.1.0)) | Imaging Diagnostic Report | |
| Documentation for this format | ||||
Momentinės kopijos peržiūraView
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| 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
| |||||
| 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 | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this | ||||
| coding:eu-template |
Σ | 1..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.eu/fhir/imaging-r5/CodeSystem/Hl7EuDocumentTypes | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: imaging-report-v0-0-1 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Imaging Report V0.0.1 | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
Σ | 0..1 | string | Plain text representation of the concept | ||||
| subject |
SΣ | 1..1 | Reference(PatientLt(0.3.0)) | The subject of the report - usually, but not always, the patient | ||||
| encounter |
SΣ | 0..1 | Reference(EncounterLt(0.3.0)) | Health care event when test ordered | ||||
| effective[x] |
SΣ | 1..1 | Clinically relevant time/time-period for report | |||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| issued |
SΣ | 0..1 | instant | DateTime this version was made | ||||
| Slices for performer |
SΣ | 1..* | Reference(OrganizationLt(0.3.0) | PractitionerRoleLt(0.3.0) | PractitionerLt(0.3.0) | CareTeamLt(0.3.0)) | Responsible Diagnostic Service Slice: Unordered, Open by profile:$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 | 1..* | Reference(Observation: PI-RADS Assessment(0.0.1) | Observation: MRI Sequence Score(0.0.1) | Observation: I-QUAL Score(0.0.1) | Observation: PRECISE Longitudinal Assessment(0.0.1) | Observation: Gleason / ISUP Grade Group(0.0.1) | Observation: Neoplasm Invasion(0.0.1) | Observation: Pelvic Organ Changes(0.0.1) | Observation: Bladder Changes (LT Prostate)(0.0.1) | Observation: Bone Metastasis Assessment (LT Prostate)(0.0.1) | Observation: Other Prostate Conditions (LT Prostate)(0.0.1) | ObservationLt(0.3.0)) | 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(Composition: Prostate programme document (LT)(0.1.0)) | 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 | |||||
| Documentation for this format | ||||||||
| 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. |
| 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: 1 element
Structures
This structure refers to these other structures:
Kitos profilio reprezentacijos: CSV, Excel, Schematron