Imaging Diagnostic Report
0.0.1-current - ci-build

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: Imaging Diagnostic Report

Official URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/imaging-diagnosticreport | Version: 0.0.1-current
Draft as of 2024-06-25 | Computable Name: ImagingDiagnosticReport

IHE Imaging Diagnostic Report (IDR) profile on DiagnosticReport

Usage:

- Refer to this Resource Profile: Communications for Imaging Diagnostic Reports

### Formal Views of Profile Content

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

- Differential Table
- Key Elements Table
- Snapshot Table
- Statistics/References
- All

This structure is derived from DiagnosticReport

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
DiagnosticReport |  |  | DiagnosticReport |
text | S | 1..1 | Narrative | Text summary of the resource, for human interpretation
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
comparison | S | 0..* | Reference(Comaprison studies) | IDR DiagnosticReport Comparison Study URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrComparisonStudy
patientHistory | S | 0..* | Reference(Past diagnosis of patient in Imaging Diagnostic Report | Relevant observations of patient | Past procedure performed on patient in Imaging Diagnostic Report | Family member medical history of patient in Imaging Diagnostic Report) | Patient history items selected by radiologist URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrPatientHistory
procedure | S | 0..* | Reference(Procedure and material information in Imaging Diagnostic Report) | Imaging procedure URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImagingProcedure
impression | S | 1..* | Reference(Impression as Condition | Findings or Impressions in Diagnostic Reports) | Impression URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImpression
recommendation | S | 0..* | Reference(Recommendation) | Recommendations URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrRecommendation
communication | S | 0..* | Reference(Communications for Imaging Diagnostic Reports) | Communications with other care providers URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrCommunication
approval | S | 0..* | Reference(Signature) | Attestation URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrSignature
Slices for basedOn | S | 0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested Slice: Unordered, Open by type:resolve()
basedOn:serviceRequest |  | 0..* | Reference(Imaging ServiceRequest) | The order for imaging.
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 | Service category
subject | S | 1..1 | Reference(IDR Patient) | The imaged patient
encounter |  | 0..0 |  |
issued |  | 1..1 | instant | DateTime that this diagnostic report is published.
Slices for performer |  | 1..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service Slice: Unordered, Open by type:resolve()
performer:organization |  | 1..* | Reference(Organization) | Responsible Diagnostic Service
resultsInterpreter |  | 1..* | Reference(Practitioner | PractitionerRole) | Primary intepreter of results
result | S | 0..* | Reference(Findings or Impressions in Diagnostic Reports) | Findings
note |  | 0..0 |  |
study | S | 1..* | Reference(IDR ImagingStudy) | Study subject to this report
media |  | 0..0 |  |
composition |  | 0..0 |  |
conclusion | S | 0..1 | markdown | Clinical conclusion (interpretation) of test results
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
DiagnosticReport.status | required | IDRDiagnosticReportStatusVS `https://profiles.ihe.net/RAD/IDR/ValueSet/idr-diagnostic-report-status-vs` from this IG

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
DiagnosticReport | C | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports dgr-1: 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`
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
text | S | 1..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
comparison | S | 0..* | Reference(Comaprison studies) | IDR DiagnosticReport Comparison Study URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrComparisonStudy
patientHistory | S | 0..* | Reference(Past diagnosis of patient in Imaging Diagnostic Report | Relevant observations of patient | Past procedure performed on patient in Imaging Diagnostic Report | Family member medical history of patient in Imaging Diagnostic Report) | Patient history items selected by radiologist URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrPatientHistory
procedure | S | 0..* | Reference(Procedure and material information in Imaging Diagnostic Report) | Imaging procedure URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImagingProcedure
impression | S | 1..* | Reference(Impression as Condition | Findings or Impressions in Diagnostic Reports) | Impression URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImpression
recommendation | S | 0..* | Reference(Recommendation) | Recommendations URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrRecommendation
communication | S | 0..* | Reference(Communications for Imaging Diagnostic Reports) | Communications with other care providers URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrCommunication
approval | S | 0..* | Reference(Signature) | Attestation URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrSignature
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(Imaging ServiceRequest) | The order for imaging.
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 | S Σ | 1..* | CodeableConcept | Service category 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 | S Σ | 1..1 | Reference(IDR Patient) | The imaged patient
issued | Σ | 1..1 | instant | DateTime that this diagnostic report is published.
Slices for performer | Σ | 1..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | 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 intepreter of results
result | S C | 0..* | Reference(Findings or Impressions in Diagnostic Reports) | Findings
study | S | 1..* | Reference(IDR ImagingStudy) | Study subject to this report
conclusion | S | 0..1 | markdown | Clinical conclusion (interpretation) of test results
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
DiagnosticReport.status | required | IDRDiagnosticReportStatusVS `https://profiles.ihe.net/RAD/IDR/ValueSet/idr-diagnostic-report-status-vs` from this IG
DiagnosticReport.category | example | DiagnosticServiceSectionCodes `http://hl7.org/fhir/ValueSet/diagnostic-service-sections` from the FHIR Standard
DiagnosticReport.code | preferred | LOINCDiagnosticReportCodes (a valid code from LOINC) `http://hl7.org/fhir/ValueSet/report-codes` from the FHIR Standard

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
DiagnosticReport | C | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports dgr-1: 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`
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 Bindings | Purpose
CommonLanguages | Starter Set
text | S | 1..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
comparison | S | 0..* | Reference(Comaprison studies) | IDR DiagnosticReport Comparison Study URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrComparisonStudy
patientHistory | S | 0..* | Reference(Past diagnosis of patient in Imaging Diagnostic Report | Relevant observations of patient | Past procedure performed on patient in Imaging Diagnostic Report | Family member medical history of patient in Imaging Diagnostic Report) | Patient history items selected by radiologist URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrPatientHistory
procedure | S | 0..* | Reference(Procedure and material information in Imaging Diagnostic Report) | Imaging procedure URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImagingProcedure
impression | S | 1..* | Reference(Impression as Condition | Findings or Impressions in Diagnostic Reports) | Impression URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImpression
recommendation | S | 0..* | Reference(Recommendation) | Recommendations URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrRecommendation
communication | S | 0..* | Reference(Communications for Imaging Diagnostic Reports) | Communications with other care providers URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrCommunication
approval | S | 0..* | Reference(Signature) | Attestation URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrSignature
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(Imaging ServiceRequest) | The order for imaging.
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 | S Σ | 1..* | CodeableConcept | Service category 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 | S Σ | 1..1 | Reference(IDR Patient) | The imaged patient
effective[x] | Σ | 0..1 |  | Clinically relevant time/time-period for report
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
issued | Σ | 1..1 | instant | DateTime that this diagnostic report is published.
Slices for performer | Σ | 1..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | 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 intepreter of results
specimen |  | 0..* | Reference(Specimen) | Specimens this report is based on
result | S C | 0..* | Reference(Findings or Impressions in Diagnostic Reports) | Findings
study | S | 1..* | Reference(IDR ImagingStudy) | Study subject to this report
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(Procedure | Observation | DiagnosticReport | Citation) | Supporting information reference
conclusion | S | 0..1 | markdown | Clinical conclusion (interpretation) of test results
conclusionCode |  | 0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): SNOMED CT Clinical Findings
presentedForm |  | 0..* | Attachment | Entire report as issued
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
DiagnosticReport.language | required | AllLanguages `http://hl7.org/fhir/ValueSet/all-languages|5.0.0` from the FHIR Standard
DiagnosticReport.status | required | IDRDiagnosticReportStatusVS `https://profiles.ihe.net/RAD/IDR/ValueSet/idr-diagnostic-report-status-vs` from this IG
DiagnosticReport.category | example | DiagnosticServiceSectionCodes `http://hl7.org/fhir/ValueSet/diagnostic-service-sections` from the FHIR Standard
DiagnosticReport.code | preferred | LOINCDiagnosticReportCodes (a valid code from LOINC) `http://hl7.org/fhir/ValueSet/report-codes` from the FHIR Standard
DiagnosticReport.supportingInfo.type | example | Hl7VSVSObservationType `http://terminology.hl7.org/ValueSet/v2-0936`
DiagnosticReport.conclusionCode | example | SNOMEDCTClinicalFindings `http://hl7.org/fhir/ValueSet/clinical-findings` from the FHIR Standard

This structure is derived from DiagnosticReport

Summary

Mandatory: 10 elements
Must-Support: 14 elements
Prohibited: 4 elements

Structures

This structure refers to these other structures:

- Imaging ServiceRequest (https://profiles.ihe.net/RAD/IDR/StructureDefinition/imaging-service-request)
- IDR Patient (https://profiles.ihe.net/RAD/IDR/StructureDefinition/idr-patient)
- Findings or Impressions in Diagnostic Reports (https://profiles.ihe.net/RAD/IDR/StructureDefinition/idr-observation)
- IDR ImagingStudy (https://profiles.ihe.net/RAD/IDR/StructureDefinition/idr-imaging-study-in-imaging-report)

Extensions

This structure refers to these extensions:

- https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrComparisonStudy
- https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrPatientHistory
- https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImagingProcedure
- https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImpression
- https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrRecommendation
- https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrCommunication
- https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrSignature

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of DiagnosticReport.basedOn
- The element 1 is sliced based on the value of DiagnosticReport.performer

Differential View

This structure is derived from DiagnosticReport

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
DiagnosticReport |  |  | DiagnosticReport |
text | S | 1..1 | Narrative | Text summary of the resource, for human interpretation
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
comparison | S | 0..* | Reference(Comaprison studies) | IDR DiagnosticReport Comparison Study URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrComparisonStudy
patientHistory | S | 0..* | Reference(Past diagnosis of patient in Imaging Diagnostic Report | Relevant observations of patient | Past procedure performed on patient in Imaging Diagnostic Report | Family member medical history of patient in Imaging Diagnostic Report) | Patient history items selected by radiologist URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrPatientHistory
procedure | S | 0..* | Reference(Procedure and material information in Imaging Diagnostic Report) | Imaging procedure URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImagingProcedure
impression | S | 1..* | Reference(Impression as Condition | Findings or Impressions in Diagnostic Reports) | Impression URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImpression
recommendation | S | 0..* | Reference(Recommendation) | Recommendations URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrRecommendation
communication | S | 0..* | Reference(Communications for Imaging Diagnostic Reports) | Communications with other care providers URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrCommunication
approval | S | 0..* | Reference(Signature) | Attestation URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrSignature
Slices for basedOn | S | 0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested Slice: Unordered, Open by type:resolve()
basedOn:serviceRequest |  | 0..* | Reference(Imaging ServiceRequest) | The order for imaging.
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 | Service category
subject | S | 1..1 | Reference(IDR Patient) | The imaged patient
encounter |  | 0..0 |  |
issued |  | 1..1 | instant | DateTime that this diagnostic report is published.
Slices for performer |  | 1..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service Slice: Unordered, Open by type:resolve()
performer:organization |  | 1..* | Reference(Organization) | Responsible Diagnostic Service
resultsInterpreter |  | 1..* | Reference(Practitioner | PractitionerRole) | Primary intepreter of results
result | S | 0..* | Reference(Findings or Impressions in Diagnostic Reports) | Findings
note |  | 0..0 |  |
study | S | 1..* | Reference(IDR ImagingStudy) | Study subject to this report
media |  | 0..0 |  |
composition |  | 0..0 |  |
conclusion | S | 0..1 | markdown | Clinical conclusion (interpretation) of test results
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
DiagnosticReport.status | required | IDRDiagnosticReportStatusVS `https://profiles.ihe.net/RAD/IDR/ValueSet/idr-diagnostic-report-status-vs` from this IG

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
DiagnosticReport | C | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports dgr-1: 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`
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
text | S | 1..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
comparison | S | 0..* | Reference(Comaprison studies) | IDR DiagnosticReport Comparison Study URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrComparisonStudy
patientHistory | S | 0..* | Reference(Past diagnosis of patient in Imaging Diagnostic Report | Relevant observations of patient | Past procedure performed on patient in Imaging Diagnostic Report | Family member medical history of patient in Imaging Diagnostic Report) | Patient history items selected by radiologist URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrPatientHistory
procedure | S | 0..* | Reference(Procedure and material information in Imaging Diagnostic Report) | Imaging procedure URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImagingProcedure
impression | S | 1..* | Reference(Impression as Condition | Findings or Impressions in Diagnostic Reports) | Impression URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImpression
recommendation | S | 0..* | Reference(Recommendation) | Recommendations URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrRecommendation
communication | S | 0..* | Reference(Communications for Imaging Diagnostic Reports) | Communications with other care providers URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrCommunication
approval | S | 0..* | Reference(Signature) | Attestation URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrSignature
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(Imaging ServiceRequest) | The order for imaging.
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 | S Σ | 1..* | CodeableConcept | Service category 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 | S Σ | 1..1 | Reference(IDR Patient) | The imaged patient
issued | Σ | 1..1 | instant | DateTime that this diagnostic report is published.
Slices for performer | Σ | 1..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | 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 intepreter of results
result | S C | 0..* | Reference(Findings or Impressions in Diagnostic Reports) | Findings
study | S | 1..* | Reference(IDR ImagingStudy) | Study subject to this report
conclusion | S | 0..1 | markdown | Clinical conclusion (interpretation) of test results
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
DiagnosticReport.status | required | IDRDiagnosticReportStatusVS `https://profiles.ihe.net/RAD/IDR/ValueSet/idr-diagnostic-report-status-vs` from this IG
DiagnosticReport.category | example | DiagnosticServiceSectionCodes `http://hl7.org/fhir/ValueSet/diagnostic-service-sections` from the FHIR Standard
DiagnosticReport.code | preferred | LOINCDiagnosticReportCodes (a valid code from LOINC) `http://hl7.org/fhir/ValueSet/report-codes` from the FHIR Standard

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
DiagnosticReport | C | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports dgr-1: 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`
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 Bindings | Purpose
CommonLanguages | Starter Set
text | S | 1..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
comparison | S | 0..* | Reference(Comaprison studies) | IDR DiagnosticReport Comparison Study URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrComparisonStudy
patientHistory | S | 0..* | Reference(Past diagnosis of patient in Imaging Diagnostic Report | Relevant observations of patient | Past procedure performed on patient in Imaging Diagnostic Report | Family member medical history of patient in Imaging Diagnostic Report) | Patient history items selected by radiologist URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrPatientHistory
procedure | S | 0..* | Reference(Procedure and material information in Imaging Diagnostic Report) | Imaging procedure URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImagingProcedure
impression | S | 1..* | Reference(Impression as Condition | Findings or Impressions in Diagnostic Reports) | Impression URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImpression
recommendation | S | 0..* | Reference(Recommendation) | Recommendations URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrRecommendation
communication | S | 0..* | Reference(Communications for Imaging Diagnostic Reports) | Communications with other care providers URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrCommunication
approval | S | 0..* | Reference(Signature) | Attestation URL: https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrSignature
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(Imaging ServiceRequest) | The order for imaging.
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 | S Σ | 1..* | CodeableConcept | Service category 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 | S Σ | 1..1 | Reference(IDR Patient) | The imaged patient
effective[x] | Σ | 0..1 |  | Clinically relevant time/time-period for report
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
issued | Σ | 1..1 | instant | DateTime that this diagnostic report is published.
Slices for performer | Σ | 1..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | 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 intepreter of results
specimen |  | 0..* | Reference(Specimen) | Specimens this report is based on
result | S C | 0..* | Reference(Findings or Impressions in Diagnostic Reports) | Findings
study | S | 1..* | Reference(IDR ImagingStudy) | Study subject to this report
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(Procedure | Observation | DiagnosticReport | Citation) | Supporting information reference
conclusion | S | 0..1 | markdown | Clinical conclusion (interpretation) of test results
conclusionCode |  | 0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): SNOMED CT Clinical Findings
presentedForm |  | 0..* | Attachment | Entire report as issued
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
DiagnosticReport.language | required | AllLanguages `http://hl7.org/fhir/ValueSet/all-languages|5.0.0` from the FHIR Standard
DiagnosticReport.status | required | IDRDiagnosticReportStatusVS `https://profiles.ihe.net/RAD/IDR/ValueSet/idr-diagnostic-report-status-vs` from this IG
DiagnosticReport.category | example | DiagnosticServiceSectionCodes `http://hl7.org/fhir/ValueSet/diagnostic-service-sections` from the FHIR Standard
DiagnosticReport.code | preferred | LOINCDiagnosticReportCodes (a valid code from LOINC) `http://hl7.org/fhir/ValueSet/report-codes` from the FHIR Standard
DiagnosticReport.supportingInfo.type | example | Hl7VSVSObservationType `http://terminology.hl7.org/ValueSet/v2-0936`
DiagnosticReport.conclusionCode | example | SNOMEDCTClinicalFindings `http://hl7.org/fhir/ValueSet/clinical-findings` from the FHIR Standard

This structure is derived from DiagnosticReport

Summary

Mandatory: 10 elements
Must-Support: 14 elements
Prohibited: 4 elements

Structures

This structure refers to these other structures:

- Imaging ServiceRequest (https://profiles.ihe.net/RAD/IDR/StructureDefinition/imaging-service-request)
- IDR Patient (https://profiles.ihe.net/RAD/IDR/StructureDefinition/idr-patient)
- Findings or Impressions in Diagnostic Reports (https://profiles.ihe.net/RAD/IDR/StructureDefinition/idr-observation)
- IDR ImagingStudy (https://profiles.ihe.net/RAD/IDR/StructureDefinition/idr-imaging-study-in-imaging-report)

Extensions

This structure refers to these extensions:

- https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrComparisonStudy
- https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrPatientHistory
- https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImagingProcedure
- https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrImpression
- https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrRecommendation
- https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrCommunication
- https://profiles.ihe.net/RAD/IDR/StructureDefinition/idrSignature

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of DiagnosticReport.basedOn
- The element 1 is sliced based on the value of DiagnosticReport.performer

Other representations of profile: CSV, Excel, Schematron