Imaging Diagnostic Report
0.0.1-current - ci-build International flag

Imaging Diagnostic Report, published by IHE Radiology Technical Committee. This guide is not an authorized publication; it is the continuous build for version 0.0.1-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IHE/RAD.IDR/ and changes regularly. See the Directory of published versions

Resource Profile: IDR Imaging DiagnosticReport

Official URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/imaging-diagnosticreport Version: 0.0.1-current
Draft as of 2025-09-14 Computable Name: ImagingDiagnosticReport

IHE Imaging Diagnostic Report (IDR) Profile of DiagnosticReport

Each instance of an imaging diagnostic report shall be encoded as a single DiagnosticReport resource.

Note: A subsequent addendum would result in an additional DiagnosticReport instance, however that workflow is not yet fully documented in this Profile.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

This structure is derived from DiagnosticReport

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... text S 0..1 Narrative Fully-rendered, human-readable report
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:comparison S 0..* Reference(IDR ImagingStudy) Relevant prior exams
URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrDiagnosticReportComparison
.... extension:conclusionCodeR S 0..* Reference(IDR Report Impression Condition | IDR Imaging Observation) Impression / Conclusion (coded)
URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrDiagnosticReportConclusionCodeReference
.... extension:recommendation S 0..* Reference(IDR Recommendation ServiceRequest) Recommendations based on findings and interpretations
URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrDiagnosticReportRecommendation
.... extension:communication S 0..* Reference(IDR Report Communication) Communication initiated during the reporting process
URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrDiagnosticReportCommunication
.... extension:patientHistory S 0..* Reference(IDR Patient History Condition | IDR Patient History Observation | IDR Patient History Procedure | IDR FamilyMemberHistory) Patient history items selected by radiologist
URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrPatientHistory
.... extension:procedure S 0..* Reference(IDR Reported Imaging Procedure) Imaging procedure
URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImagingProcedure
... Slices for basedOn S 0..* Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) What was requested
Slice: Unordered, Open by type:resolve()
.... basedOn:serviceRequest 0..* Reference(IDR Imaging ServiceRequest) The imaging order
... status 1..1 code registered | partial | preliminary | modified | final | amended | corrected | appended | cancelled | entered-in-error | unknown
Binding: IDR DiagnosticReport.status ValueSet (required)
... category S 1..* CodeableConcept Diagnostic Service
... code 1..1 CodeableConcept Name/Code for this diagnostic report
... subject S 1..1 Reference(IDR Patient) The imaged patient
... encounter 0..1 Reference(Encounter) Encounter associated with the DiagnosticReport
... issued 1..1 instant DateTime report was published.
... procedure 0..* Reference(Procedure) The procedure(s) from which the report was produced
... Slices for performer 1..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Device) Responsible Diagnostic Service
Slice: Unordered, Open by type:resolve()
.... performer:organization 1..* Reference(Organization) Responsible Diagnostic Service
... resultsInterpreter 1..* Reference(Practitioner | PractitionerRole) Primary result interpreter
... result S 0..* Reference(IDR Imaging Observation) Findings
... note 0..* Annotation See Detailed Description Comments
... study S 1..* Reference(IDR ImagingStudy) Reported Imaging Study
... media 0..* BackboneElement Auxilliary media
... composition 0..1 Reference(Composition) Additional compositions
... conclusion S 0..1 markdown Impression / Conclusion
... conclusionCode 0..* CodeableReference(Observation | Condition) supplemented by conclusionCodeR
... presentedForm C 0..* Attachment Entire report as issued
Constraints: IDRAttachmentInvariant
.... contentType S 1..1 code Mime type of the content, with charset etc.
.... size S 1..1 integer64 Number of bytes of content (if url provided)
.... hash S 1..1 base64Binary Hash of the data (sha-1, base64ed)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
DiagnosticReport.statusrequiredIDRDiagnosticReportStatusVS
https://profiles.ihe.net/RAD/IDR/ValueSet/idr-diagnostic-report-status-vs
From this IG

Constraints

IdGradePath(s)DetailsRequirements
IDRAttachmentInvarianterrorDiagnosticReport.presentedFormEither data or url SHALL be present for any attachment (e.g. in DiagnosticReport).
: data.exists() or url.exists()
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport C 0..* DiagnosticReport 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
... text S 0..1 Narrative Fully-rendered, human-readable report
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
.... extension:comparison S 0..* Reference(IDR ImagingStudy) Relevant prior exams
URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrDiagnosticReportComparison
.... extension:conclusionCodeR S 0..* Reference(IDR Report Impression Condition | IDR Imaging Observation) Impression / Conclusion (coded)
URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrDiagnosticReportConclusionCodeReference
.... extension:recommendation S 0..* Reference(IDR Recommendation ServiceRequest) Recommendations based on findings and interpretations
URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrDiagnosticReportRecommendation
.... extension:communication S 0..* Reference(IDR Report Communication) Communication initiated during the reporting process
URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrDiagnosticReportCommunication
.... extension:patientHistory S 0..* Reference(IDR Patient History Condition | IDR Patient History Observation | IDR Patient History Procedure | IDR FamilyMemberHistory) Patient history items selected by radiologist
URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrPatientHistory
.... extension:procedure S 0..* Reference(IDR Reported Imaging Procedure) Imaging procedure
URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImagingProcedure
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... Slices for basedOn S 0..* Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) What was requested
Slice: Unordered, Open by type:resolve()
.... basedOn:serviceRequest 0..* Reference(IDR Imaging ServiceRequest) The imaging order
... status ?!Σ 1..1 code registered | partial | preliminary | modified | final | amended | corrected | appended | cancelled | entered-in-error | unknown
Binding: IDR DiagnosticReport.status ValueSet (required)
... category SΣ 1..* CodeableConcept Diagnostic Service
Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074
... code Σ 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: LOINCDiagnosticReportCodes (preferred): LOINC Codes for Diagnostic Reports
... subject SΣ 1..1 Reference(IDR Patient) The imaged patient
... encounter Σ 0..1 Reference(Encounter) Encounter associated with the DiagnosticReport
... issued Σ 1..1 instant DateTime report was published.
... procedure Σ 0..* Reference(Procedure) The procedure(s) from which the report was produced
... Slices for performer Σ 1..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Device) Responsible Diagnostic Service
Slice: Unordered, Open by type:resolve()
.... performer:organization Σ 1..* Reference(Organization) Responsible Diagnostic Service
... resultsInterpreter Σ 1..* Reference(Practitioner | PractitionerRole) Primary result interpreter
... result SC 0..* Reference(IDR Imaging Observation) Findings
... note 0..* Annotation See Detailed Description Comments
... study S 1..* Reference(IDR ImagingStudy) Reported Imaging Study
... media Σ 0..* BackboneElement Auxilliary media
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... link Σ 1..1 Reference(DocumentReference) Reference to the image or data source
... composition C 0..1 Reference(Composition) Additional compositions
... conclusion S 0..1 markdown Impression / Conclusion
... conclusionCode 0..* CodeableReference(Observation | Condition) supplemented by conclusionCodeR
Binding: SNOMEDCTClinicalFindings (example): SNOMED CT Clinical Findings
... presentedForm C 0..* Attachment Entire report as issued
Constraints: IDRAttachmentInvariant
.... contentType SΣC 1..1 code Mime type of the content, with charset etc.
Binding: MimeTypes (required): BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)
Example General: text/plain; charset=UTF-8, image/png
.... size SΣ 1..1 integer64 Number of bytes of content (if url provided)
.... hash SΣ 1..1 base64Binary Hash of the data (sha-1, base64ed)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DiagnosticReport.statusrequiredIDRDiagnosticReportStatusVS
https://profiles.ihe.net/RAD/IDR/ValueSet/idr-diagnostic-report-status-vs
From this IG
DiagnosticReport.categoryexampleDiagnosticServiceSectionCodes
http://hl7.org/fhir/ValueSet/diagnostic-service-sections|6.0.0-ballot3
From the FHIR Standard
DiagnosticReport.codepreferredLOINCDiagnosticReportCodes(a valid code from LOINC)
http://hl7.org/fhir/ValueSet/report-codes|6.0.0-ballot3
From the FHIR Standard
DiagnosticReport.conclusionCodeexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings|6.0.0-ballot3
From the FHIR Standard
DiagnosticReport.presentedForm.contentTyperequiredMimeTypes(a valid code from urn:ietf:bcp:13)
http://hl7.org/fhir/ValueSet/mimetypes|6.0.0-ballot3
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
IDRAttachmentInvarianterrorDiagnosticReport.presentedFormEither data or url SHALL be present for any attachment (e.g. in DiagnosticReport).
: data.exists() or url.exists()
dgr-1errorDiagnosticReportWhen a Composition is referenced in `DiagnosticReport.composition`, all Observation resources referenced in `Composition.entry` must also be referenced in `DiagnosticReport.result` or in the `Observation.hasMember` references.
: composition.exists() implies (composition.resolve().section.entry.reference.where(resolve() is Observation) in (result.reference|result.reference.resolve().hasMember.reference))
dom-2errorDiagnosticReportIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDiagnosticReportIf 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.trace('id') in %resource.descendants().select(reference | as(uri))) or descendants().where(reference='#' | as(uri)='#').exists()).not()).trace('unmatched', id).empty()
dom-4errorDiagnosticReportIf 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-5errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDiagnosticReportA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport C 0..* DiagnosticReport 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 S 0..1 Narrative Fully-rendered, human-readable report
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
.... extension:comparison S 0..* Reference(IDR ImagingStudy) Relevant prior exams
URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrDiagnosticReportComparison
.... extension:conclusionCodeR S 0..* Reference(IDR Report Impression Condition | IDR Imaging Observation) Impression / Conclusion (coded)
URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrDiagnosticReportConclusionCodeReference
.... extension:recommendation S 0..* Reference(IDR Recommendation ServiceRequest) Recommendations based on findings and interpretations
URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrDiagnosticReportRecommendation
.... extension:communication S 0..* Reference(IDR Report Communication) Communication initiated during the reporting process
URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrDiagnosticReportCommunication
.... extension:patientHistory S 0..* Reference(IDR Patient History Condition | IDR Patient History Observation | IDR Patient History Procedure | IDR FamilyMemberHistory) Patient history items selected by radiologist
URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrPatientHistory
.... extension:procedure S 0..* Reference(IDR Reported Imaging Procedure) Imaging procedure
URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImagingProcedure
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business identifier for report
... Slices for basedOn S 0..* Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) What was requested
Slice: Unordered, Open by type:resolve()
.... basedOn:serviceRequest 0..* Reference(IDR Imaging ServiceRequest) The imaging order
... status ?!Σ 1..1 code registered | partial | preliminary | modified | final | amended | corrected | appended | cancelled | entered-in-error | unknown
Binding: IDR DiagnosticReport.status ValueSet (required)
... category SΣ 1..* CodeableConcept Diagnostic Service
Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074
... code Σ 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: LOINCDiagnosticReportCodes (preferred): LOINC Codes for Diagnostic Reports
... subject SΣ 1..1 Reference(IDR Patient) The imaged patient
... relatesTo 0..* RelatedArtifact Related DiagnosticReports
... encounter Σ 0..1 Reference(Encounter) Encounter associated with the DiagnosticReport
... effective[x] Σ 0..1 Clinically relevant time/time-period for the results that are included in the report
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued Σ 1..1 instant DateTime report was published.
... procedure Σ 0..* Reference(Procedure) The procedure(s) from which the report was produced
... Slices for performer Σ 1..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Device) Responsible Diagnostic Service
Slice: Unordered, Open by type:resolve()
.... performer:organization Σ 1..* Reference(Organization) Responsible Diagnostic Service
... resultsInterpreter Σ 1..* Reference(Practitioner | PractitionerRole) Primary result interpreter
... specimen 0..* Reference(Specimen) Specimens this report is based on
... result SC 0..* Reference(IDR Imaging Observation) Findings
... note 0..* Annotation See Detailed Description Comments
... study S 1..* Reference(IDR ImagingStudy) Reported Imaging Study
... supportingInfo 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
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type 1..1 CodeableConcept Supporting information role code
Binding: hl7VS-VS-observationType (example): The code value for the role of the supporting information in the diagnostic report.
.... reference 1..1 Reference(ImagingStudy | Procedure | Observation | DiagnosticReport | Citation | FamilyMemberHistory | AllergyIntolerance | DeviceUsage | Condition | GenomicStudy) Supporting information reference
... media Σ 0..* BackboneElement Auxilliary media
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... comment 0..1 string Comment about the image or data (e.g. explanation)
.... link Σ 1..1 Reference(DocumentReference) Reference to the image or data source
... composition C 0..1 Reference(Composition) Additional compositions
... conclusion S 0..1 markdown Impression / Conclusion
... conclusionCode 0..* CodeableReference(Observation | Condition) supplemented by conclusionCodeR
Binding: SNOMEDCTClinicalFindings (example): SNOMED CT Clinical Findings
... recomendation Σ 0..* CodeableReference(Resource) Recommendations based on findings and interpretations
... presentedForm C 0..* Attachment Entire report as issued
Constraints: IDRAttachmentInvariant
.... id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... contentType SΣC 1..1 code Mime type of the content, with charset etc.
Binding: MimeTypes (required): BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)
Example General: text/plain; charset=UTF-8, image/png
.... language Σ 0..1 code Human language of the content (BCP-47)
Binding: AllLanguages (required): IETF language tag for a human language.
Additional BindingsPurpose
CommonLanguages Starter

Example General: en-AU
.... data C 0..1 base64Binary Data inline, base64ed
.... url Σ 0..1 url Uri where the data can be found
Example General: http://www.acme.com/logo-small.png
.... size SΣ 1..1 integer64 Number of bytes of content (if url provided)
.... hash SΣ 1..1 base64Binary Hash of the data (sha-1, base64ed)
.... title Σ 0..1 string Label to display in place of the data
Example General: Official Corporate Logo
.... creation Σ 0..1 dateTime Date attachment was first created
.... height 0..1 positiveInt Height of the image in pixels (photo/video)
.... width 0..1 positiveInt Width of the image in pixels (photo/video)
.... frames 0..1 positiveInt Number of frames if > 1 (photo)
.... duration 0..1 decimal Length in seconds (audio / video)
.... pages 0..1 positiveInt Number of printed pages
... communication 0..* Reference(Communication) Communication initiated during the reporting process

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DiagnosticReport.languagerequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot3
From the FHIR Standard
DiagnosticReport.statusrequiredIDRDiagnosticReportStatusVS
https://profiles.ihe.net/RAD/IDR/ValueSet/idr-diagnostic-report-status-vs
From this IG
DiagnosticReport.categoryexampleDiagnosticServiceSectionCodes
http://hl7.org/fhir/ValueSet/diagnostic-service-sections|6.0.0-ballot3
From the FHIR Standard
DiagnosticReport.codepreferredLOINCDiagnosticReportCodes(a valid code from LOINC)
http://hl7.org/fhir/ValueSet/report-codes|6.0.0-ballot3
From the FHIR Standard
DiagnosticReport.supportingInfo.typeexampleHl7VSVSObservationType
http://terminology.hl7.org/ValueSet/v2-0936
DiagnosticReport.conclusionCodeexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings|6.0.0-ballot3
From the FHIR Standard
DiagnosticReport.presentedForm.contentTyperequiredMimeTypes(a valid code from urn:ietf:bcp:13)
http://hl7.org/fhir/ValueSet/mimetypes|6.0.0-ballot3
From the FHIR Standard
DiagnosticReport.presentedForm.languagerequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot3
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
IDRAttachmentInvarianterrorDiagnosticReport.presentedFormEither data or url SHALL be present for any attachment (e.g. in DiagnosticReport).
: data.exists() or url.exists()
dgr-1errorDiagnosticReportWhen a Composition is referenced in `DiagnosticReport.composition`, all Observation resources referenced in `Composition.entry` must also be referenced in `DiagnosticReport.result` or in the `Observation.hasMember` references.
: composition.exists() implies (composition.resolve().section.entry.reference.where(resolve() is Observation) in (result.reference|result.reference.resolve().hasMember.reference))
dom-2errorDiagnosticReportIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDiagnosticReportIf 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.trace('id') in %resource.descendants().select(reference | as(uri))) or descendants().where(reference='#' | as(uri)='#').exists()).not()).trace('unmatched', id).empty()
dom-4errorDiagnosticReportIf 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-5errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDiagnosticReportA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Differential View

This structure is derived from DiagnosticReport

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... text S 0..1 Narrative Fully-rendered, human-readable report
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:comparison S 0..* Reference(IDR ImagingStudy) Relevant prior exams
URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrDiagnosticReportComparison
.... extension:conclusionCodeR S 0..* Reference(IDR Report Impression Condition | IDR Imaging Observation) Impression / Conclusion (coded)
URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrDiagnosticReportConclusionCodeReference
.... extension:recommendation S 0..* Reference(IDR Recommendation ServiceRequest) Recommendations based on findings and interpretations
URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrDiagnosticReportRecommendation
.... extension:communication S 0..* Reference(IDR Report Communication) Communication initiated during the reporting process
URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrDiagnosticReportCommunication
.... extension:patientHistory S 0..* Reference(IDR Patient History Condition | IDR Patient History Observation | IDR Patient History Procedure | IDR FamilyMemberHistory) Patient history items selected by radiologist
URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrPatientHistory
.... extension:procedure S 0..* Reference(IDR Reported Imaging Procedure) Imaging procedure
URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImagingProcedure
... Slices for basedOn S 0..* Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) What was requested
Slice: Unordered, Open by type:resolve()
.... basedOn:serviceRequest 0..* Reference(IDR Imaging ServiceRequest) The imaging order
... status 1..1 code registered | partial | preliminary | modified | final | amended | corrected | appended | cancelled | entered-in-error | unknown
Binding: IDR DiagnosticReport.status ValueSet (required)
... category S 1..* CodeableConcept Diagnostic Service
... code 1..1 CodeableConcept Name/Code for this diagnostic report
... subject S 1..1 Reference(IDR Patient) The imaged patient
... encounter 0..1 Reference(Encounter) Encounter associated with the DiagnosticReport
... issued 1..1 instant DateTime report was published.
... procedure 0..* Reference(Procedure) The procedure(s) from which the report was produced
... Slices for performer 1..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Device) Responsible Diagnostic Service
Slice: Unordered, Open by type:resolve()
.... performer:organization 1..* Reference(Organization) Responsible Diagnostic Service
... resultsInterpreter 1..* Reference(Practitioner | PractitionerRole) Primary result interpreter
... result S 0..* Reference(IDR Imaging Observation) Findings
... note 0..* Annotation See Detailed Description Comments
... study S 1..* Reference(IDR ImagingStudy) Reported Imaging Study
... media 0..* BackboneElement Auxilliary media
... composition 0..1 Reference(Composition) Additional compositions
... conclusion S 0..1 markdown Impression / Conclusion
... conclusionCode 0..* CodeableReference(Observation | Condition) supplemented by conclusionCodeR
... presentedForm C 0..* Attachment Entire report as issued
Constraints: IDRAttachmentInvariant
.... contentType S 1..1 code Mime type of the content, with charset etc.
.... size S 1..1 integer64 Number of bytes of content (if url provided)
.... hash S 1..1 base64Binary Hash of the data (sha-1, base64ed)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
DiagnosticReport.statusrequiredIDRDiagnosticReportStatusVS
https://profiles.ihe.net/RAD/IDR/ValueSet/idr-diagnostic-report-status-vs
From this IG

Constraints

IdGradePath(s)DetailsRequirements
IDRAttachmentInvarianterrorDiagnosticReport.presentedFormEither data or url SHALL be present for any attachment (e.g. in DiagnosticReport).
: data.exists() or url.exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport C 0..* DiagnosticReport 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
... text S 0..1 Narrative Fully-rendered, human-readable report
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
.... extension:comparison S 0..* Reference(IDR ImagingStudy) Relevant prior exams
URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrDiagnosticReportComparison
.... extension:conclusionCodeR S 0..* Reference(IDR Report Impression Condition | IDR Imaging Observation) Impression / Conclusion (coded)
URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrDiagnosticReportConclusionCodeReference
.... extension:recommendation S 0..* Reference(IDR Recommendation ServiceRequest) Recommendations based on findings and interpretations
URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrDiagnosticReportRecommendation
.... extension:communication S 0..* Reference(IDR Report Communication) Communication initiated during the reporting process
URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrDiagnosticReportCommunication
.... extension:patientHistory S 0..* Reference(IDR Patient History Condition | IDR Patient History Observation | IDR Patient History Procedure | IDR FamilyMemberHistory) Patient history items selected by radiologist
URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrPatientHistory
.... extension:procedure S 0..* Reference(IDR Reported Imaging Procedure) Imaging procedure
URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImagingProcedure
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... Slices for basedOn S 0..* Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) What was requested
Slice: Unordered, Open by type:resolve()
.... basedOn:serviceRequest 0..* Reference(IDR Imaging ServiceRequest) The imaging order
... status ?!Σ 1..1 code registered | partial | preliminary | modified | final | amended | corrected | appended | cancelled | entered-in-error | unknown
Binding: IDR DiagnosticReport.status ValueSet (required)
... category SΣ 1..* CodeableConcept Diagnostic Service
Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074
... code Σ 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: LOINCDiagnosticReportCodes (preferred): LOINC Codes for Diagnostic Reports
... subject SΣ 1..1 Reference(IDR Patient) The imaged patient
... encounter Σ 0..1 Reference(Encounter) Encounter associated with the DiagnosticReport
... issued Σ 1..1 instant DateTime report was published.
... procedure Σ 0..* Reference(Procedure) The procedure(s) from which the report was produced
... Slices for performer Σ 1..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Device) Responsible Diagnostic Service
Slice: Unordered, Open by type:resolve()
.... performer:organization Σ 1..* Reference(Organization) Responsible Diagnostic Service
... resultsInterpreter Σ 1..* Reference(Practitioner | PractitionerRole) Primary result interpreter
... result SC 0..* Reference(IDR Imaging Observation) Findings
... note 0..* Annotation See Detailed Description Comments
... study S 1..* Reference(IDR ImagingStudy) Reported Imaging Study
... media Σ 0..* BackboneElement Auxilliary media
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... link Σ 1..1 Reference(DocumentReference) Reference to the image or data source
... composition C 0..1 Reference(Composition) Additional compositions
... conclusion S 0..1 markdown Impression / Conclusion
... conclusionCode 0..* CodeableReference(Observation | Condition) supplemented by conclusionCodeR
Binding: SNOMEDCTClinicalFindings (example): SNOMED CT Clinical Findings
... presentedForm C 0..* Attachment Entire report as issued
Constraints: IDRAttachmentInvariant
.... contentType SΣC 1..1 code Mime type of the content, with charset etc.
Binding: MimeTypes (required): BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)
Example General: text/plain; charset=UTF-8, image/png
.... size SΣ 1..1 integer64 Number of bytes of content (if url provided)
.... hash SΣ 1..1 base64Binary Hash of the data (sha-1, base64ed)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DiagnosticReport.statusrequiredIDRDiagnosticReportStatusVS
https://profiles.ihe.net/RAD/IDR/ValueSet/idr-diagnostic-report-status-vs
From this IG
DiagnosticReport.categoryexampleDiagnosticServiceSectionCodes
http://hl7.org/fhir/ValueSet/diagnostic-service-sections|6.0.0-ballot3
From the FHIR Standard
DiagnosticReport.codepreferredLOINCDiagnosticReportCodes(a valid code from LOINC)
http://hl7.org/fhir/ValueSet/report-codes|6.0.0-ballot3
From the FHIR Standard
DiagnosticReport.conclusionCodeexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings|6.0.0-ballot3
From the FHIR Standard
DiagnosticReport.presentedForm.contentTyperequiredMimeTypes(a valid code from urn:ietf:bcp:13)
http://hl7.org/fhir/ValueSet/mimetypes|6.0.0-ballot3
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
IDRAttachmentInvarianterrorDiagnosticReport.presentedFormEither data or url SHALL be present for any attachment (e.g. in DiagnosticReport).
: data.exists() or url.exists()
dgr-1errorDiagnosticReportWhen a Composition is referenced in `DiagnosticReport.composition`, all Observation resources referenced in `Composition.entry` must also be referenced in `DiagnosticReport.result` or in the `Observation.hasMember` references.
: composition.exists() implies (composition.resolve().section.entry.reference.where(resolve() is Observation) in (result.reference|result.reference.resolve().hasMember.reference))
dom-2errorDiagnosticReportIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDiagnosticReportIf 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.trace('id') in %resource.descendants().select(reference | as(uri))) or descendants().where(reference='#' | as(uri)='#').exists()).not()).trace('unmatched', id).empty()
dom-4errorDiagnosticReportIf 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-5errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDiagnosticReportA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport C 0..* DiagnosticReport 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 S 0..1 Narrative Fully-rendered, human-readable report
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
.... extension:comparison S 0..* Reference(IDR ImagingStudy) Relevant prior exams
URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrDiagnosticReportComparison
.... extension:conclusionCodeR S 0..* Reference(IDR Report Impression Condition | IDR Imaging Observation) Impression / Conclusion (coded)
URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrDiagnosticReportConclusionCodeReference
.... extension:recommendation S 0..* Reference(IDR Recommendation ServiceRequest) Recommendations based on findings and interpretations
URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrDiagnosticReportRecommendation
.... extension:communication S 0..* Reference(IDR Report Communication) Communication initiated during the reporting process
URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrDiagnosticReportCommunication
.... extension:patientHistory S 0..* Reference(IDR Patient History Condition | IDR Patient History Observation | IDR Patient History Procedure | IDR FamilyMemberHistory) Patient history items selected by radiologist
URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrPatientHistory
.... extension:procedure S 0..* Reference(IDR Reported Imaging Procedure) Imaging procedure
URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImagingProcedure
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business identifier for report
... Slices for basedOn S 0..* Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) What was requested
Slice: Unordered, Open by type:resolve()
.... basedOn:serviceRequest 0..* Reference(IDR Imaging ServiceRequest) The imaging order
... status ?!Σ 1..1 code registered | partial | preliminary | modified | final | amended | corrected | appended | cancelled | entered-in-error | unknown
Binding: IDR DiagnosticReport.status ValueSet (required)
... category SΣ 1..* CodeableConcept Diagnostic Service
Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074
... code Σ 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: LOINCDiagnosticReportCodes (preferred): LOINC Codes for Diagnostic Reports
... subject SΣ 1..1 Reference(IDR Patient) The imaged patient
... relatesTo 0..* RelatedArtifact Related DiagnosticReports
... encounter Σ 0..1 Reference(Encounter) Encounter associated with the DiagnosticReport
... effective[x] Σ 0..1 Clinically relevant time/time-period for the results that are included in the report
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued Σ 1..1 instant DateTime report was published.
... procedure Σ 0..* Reference(Procedure) The procedure(s) from which the report was produced
... Slices for performer Σ 1..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Device) Responsible Diagnostic Service
Slice: Unordered, Open by type:resolve()
.... performer:organization Σ 1..* Reference(Organization) Responsible Diagnostic Service
... resultsInterpreter Σ 1..* Reference(Practitioner | PractitionerRole) Primary result interpreter
... specimen 0..* Reference(Specimen) Specimens this report is based on
... result SC 0..* Reference(IDR Imaging Observation) Findings
... note 0..* Annotation See Detailed Description Comments
... study S 1..* Reference(IDR ImagingStudy) Reported Imaging Study
... supportingInfo 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
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type 1..1 CodeableConcept Supporting information role code
Binding: hl7VS-VS-observationType (example): The code value for the role of the supporting information in the diagnostic report.
.... reference 1..1 Reference(ImagingStudy | Procedure | Observation | DiagnosticReport | Citation | FamilyMemberHistory | AllergyIntolerance | DeviceUsage | Condition | GenomicStudy) Supporting information reference
... media Σ 0..* BackboneElement Auxilliary media
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... comment 0..1 string Comment about the image or data (e.g. explanation)
.... link Σ 1..1 Reference(DocumentReference) Reference to the image or data source
... composition C 0..1 Reference(Composition) Additional compositions
... conclusion S 0..1 markdown Impression / Conclusion
... conclusionCode 0..* CodeableReference(Observation | Condition) supplemented by conclusionCodeR
Binding: SNOMEDCTClinicalFindings (example): SNOMED CT Clinical Findings
... recomendation Σ 0..* CodeableReference(Resource) Recommendations based on findings and interpretations
... presentedForm C 0..* Attachment Entire report as issued
Constraints: IDRAttachmentInvariant
.... id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... contentType SΣC 1..1 code Mime type of the content, with charset etc.
Binding: MimeTypes (required): BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)
Example General: text/plain; charset=UTF-8, image/png
.... language Σ 0..1 code Human language of the content (BCP-47)
Binding: AllLanguages (required): IETF language tag for a human language.
Additional BindingsPurpose
CommonLanguages Starter

Example General: en-AU
.... data C 0..1 base64Binary Data inline, base64ed
.... url Σ 0..1 url Uri where the data can be found
Example General: http://www.acme.com/logo-small.png
.... size SΣ 1..1 integer64 Number of bytes of content (if url provided)
.... hash SΣ 1..1 base64Binary Hash of the data (sha-1, base64ed)
.... title Σ 0..1 string Label to display in place of the data
Example General: Official Corporate Logo
.... creation Σ 0..1 dateTime Date attachment was first created
.... height 0..1 positiveInt Height of the image in pixels (photo/video)
.... width 0..1 positiveInt Width of the image in pixels (photo/video)
.... frames 0..1 positiveInt Number of frames if > 1 (photo)
.... duration 0..1 decimal Length in seconds (audio / video)
.... pages 0..1 positiveInt Number of printed pages
... communication 0..* Reference(Communication) Communication initiated during the reporting process

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DiagnosticReport.languagerequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot3
From the FHIR Standard
DiagnosticReport.statusrequiredIDRDiagnosticReportStatusVS
https://profiles.ihe.net/RAD/IDR/ValueSet/idr-diagnostic-report-status-vs
From this IG
DiagnosticReport.categoryexampleDiagnosticServiceSectionCodes
http://hl7.org/fhir/ValueSet/diagnostic-service-sections|6.0.0-ballot3
From the FHIR Standard
DiagnosticReport.codepreferredLOINCDiagnosticReportCodes(a valid code from LOINC)
http://hl7.org/fhir/ValueSet/report-codes|6.0.0-ballot3
From the FHIR Standard
DiagnosticReport.supportingInfo.typeexampleHl7VSVSObservationType
http://terminology.hl7.org/ValueSet/v2-0936
DiagnosticReport.conclusionCodeexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings|6.0.0-ballot3
From the FHIR Standard
DiagnosticReport.presentedForm.contentTyperequiredMimeTypes(a valid code from urn:ietf:bcp:13)
http://hl7.org/fhir/ValueSet/mimetypes|6.0.0-ballot3
From the FHIR Standard
DiagnosticReport.presentedForm.languagerequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot3
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
IDRAttachmentInvarianterrorDiagnosticReport.presentedFormEither data or url SHALL be present for any attachment (e.g. in DiagnosticReport).
: data.exists() or url.exists()
dgr-1errorDiagnosticReportWhen a Composition is referenced in `DiagnosticReport.composition`, all Observation resources referenced in `Composition.entry` must also be referenced in `DiagnosticReport.result` or in the `Observation.hasMember` references.
: composition.exists() implies (composition.resolve().section.entry.reference.where(resolve() is Observation) in (result.reference|result.reference.resolve().hasMember.reference))
dom-2errorDiagnosticReportIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDiagnosticReportIf 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.trace('id') in %resource.descendants().select(reference | as(uri))) or descendants().where(reference='#' | as(uri)='#').exists()).not()).trace('unmatched', id).empty()
dom-4errorDiagnosticReportIf 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-5errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDiagnosticReportA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

 

Other representations of profile: CSV, Excel, Schematron