FR Document Core (FHIR)
0.1.0 - ci-build

FR Document Core (FHIR), publié par Agence du Numérique en Santé (ANS) - 2-10 Rue d'Oradour-sur-Glane, 75015 Paris. Ce guide n'est pas une publication autorisée ; C'est la version en intégration continue pour la version 0.1.0 construite par le CI Build FHIR (HL7® FHIR® Standard). Cette version est basée sur le contenu actuel de https://github.com/ansforge/interop-IG-fhir-document-core/ et change régulièrement. Voir le répertoire des versions publiées

## Profil de ressource: DiagnosticReport - FR Diagnostic Report Imaging Document - Descriptions détaillées

Draft à partir de 2026-08-07

Définitions pour le fr-diagnostic-report-imaging-document profil de ressource

- Tableau des éléments clés
- Tableau différentiel (differential)
- Tableau récapitulatif (snapshot)

Des conseils sur l'interprétation du contenu de ce tableau peuvent être trouvésici

0. DiagnosticReport
Définition | The findings and interpretation of diagnostic tests performed on patients, groups of patients, devices, and locations, and/or specimens derived from these. The report includes clinical context such as requesting and provider information, and some mix of atomic results, images, textual and coded interpretations, and formatted representation of diagnostic reports.
Court | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
Commentaires | This is intended to capture a single report and is not suitable for use in displaying summary information that covers multiple reports. For example, this resource has not been designed for laboratory cumulative reporting formats nor detailed structured reports for sequencing.
Contrôle | 0..*
Est modificateur | false
Résumé | false
Noms alternatifs | Report, Test, Result, Results, Labs, Laboratory
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (`contained.contained.empty()`) dom-3: 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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`) dom-4: 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: If a resource is contained in another resource, it SHALL NOT have a security label (`contained.meta.security.empty()`) dom-6: A resource should have narrative for robust management (`text.`div`.exists()`) dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) dom-3: 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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()) dom-4: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. DiagnosticReport.implicitRules
Définition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Court | A set of rules under which this content was created
Commentaires | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Contrôle | 0..1
Type | uri
Est modificateur | true parce que This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. DiagnosticReport.extension
Définition | An Extension May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Court | ExtensionAdditional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | false
Résumé | false
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | Cet élément introduit un ensemble de slices sur `DiagnosticReport.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
6. DiagnosticReport.extension:comparaison
Nom de la slice | comparaison
Définition | Examen de comparaison radiologique
Court | Comparaisons avec des résultats antérieurs
Contrôle | 0..* Cet élément est affecté par les invariants suivants : ele-1
Type | Extension(FR Comparison Studies Extension) (Type d'extension : Reference(ImagingStudy - FR Imaging study Document))
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
8. DiagnosticReport.extension:historiqueMedical
Nom de la slice | historiqueMedical
Définition | Historique médical du patient pertinent pour l'examen d'imagerie
Court | Historique médical du patient pertinent pour l'examen d'imagerie
Contrôle | 0..* Cet élément est affecté par les invariants suivants : ele-1
Type | Extension(FR Patient History Extension) (Type d'extension : Reference(Observation - FR Observation Pregnancy Document, Observation - FR Observation Contra Indications Document, Condition - FR Condition Document, Observation, FR Device Document, MedicationAdministration - FR Medication Administration Document))
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
10. DiagnosticReport.extension:procedure
Nom de la slice | procedure
Définition | Imaging procedure used for the imaging acquisition
Court | Technique d'imagerie
Contrôle | 0..* Cet élément est affecté par les invariants suivants : ele-1
Type | Extension(FR Imaging Procedure Extension) (Type d'extension : Reference(Procedure - FR Procedure Imaging Document))
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
12. DiagnosticReport.modifierExtension
Définition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Court | Extensions that cannot be ignored
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | true parce que Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Résumé | false
Exigences | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
14. DiagnosticReport.identifier
Définition | Identifiers assigned to this report by the performer or other systems.
Court | Identifiant du compte-rendu d'imagerieBusiness identifier for report
Commentaires | Usually assigned by the Information System of the diagnostic service provider (filler id).
Note | Ceci est un identifiant métier, pas un identifiant de ressource (voir discussion)
Contrôle | 0..*
Type | Identifier
Est modificateur | false
Résumé | true
Exigences | Need to know what identifier to use when making queries about this report from the source laboratory, and for linking to the report outside FHIR context.
Noms alternatifs | ReportID, Filler ID, Placer ID
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
16. DiagnosticReport.basedOn
Définition | Details concerning a service requested.
Court | What was requested
Commentaires | Note: Usually there is one test request for each result, however in some circumstances multiple test requests may be represented using a single test result resource. Note that there are also cases where one request leads to multiple reports.
Contrôle | 0..*
Type | Reference(CarePlan, ImmunizationRecommendation, MedicationRequest, NutritionOrder, ServiceRequest)
Est modificateur | false
Doit être pris en charge (Must Support) | true
Types qui doivent être pris en charge (Must Support) | Aucune règle de prise en charge obligatoire concernant le choix des types/profils
Résumé | false
Exigences | This allows tracing of authorization for the report and tracking whether proposals/recommendations were acted upon.
Noms alternatifs | Request
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
Slicing | Cet élément introduit un ensemble de slices sur `DiagnosticReport.basedOn`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : pattern @ $this
18. DiagnosticReport.basedOn:serviceRequestAccessionNumber
Nom de la slice | serviceRequestAccessionNumber
Définition | Details concerning a service requested.
Court | Référence à la demande d'examen contenant l'Accession NumberWhat was requested
Commentaires | Note: Usually there is one test request for each result, however in some circumstances multiple test requests may be represented using a single test result resource. Note that there are also cases where one request leads to multiple reports.
Contrôle | 0..*
Type | Reference(ServiceRequest - FR Service Request Imaging Document, CarePlan, ImmunizationRecommendation, MedicationRequest, NutritionOrder, ServiceRequest)
Est modificateur | false
Résumé | false
Exigences | This allows tracing of authorization for the report and tracking whether proposals/recommendations were acted upon.
Noms alternatifs | Request
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. DiagnosticReport.status
Définition | The status of the diagnostic report.
Court | Statut du compte-rendu d'imagerieregistered | partial | preliminary | final +
Contrôle | 1..1
Binding | Les codes DOIVENT (SHALL) être pris de DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 (required to `http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1` ) The status of the diagnostic report.
Type | code
Est modificateur | true parce que This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Doit être pris en charge (Must Support) | true
Résumé | true
Exigences | Diagnostic services routinely issue provisional/incomplete reports, and sometimes withdraw previously released reports.
Valeur de motif | `final`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. DiagnosticReport.category
Définition | A code that classifies the clinical discipline, department or diagnostic service that created the report (e.g. cardiology, biochemistry, hematology, MRI). This is used for searching, sorting and display purposes.
Court | Type de résultatService category
Commentaires | Multiple categories are allowed using various categorization schemes. The level of granularity is defined by the category concepts in the value set. More fine-grained filtering can be performed using the metadata and/or terminology hierarchy in DiagnosticReport.code.
Contrôle | 10..*
Binding | Les codes DEVRAIENT (SHOULD) être pris de Pour des exemples de codes, voir JdvResultatTypeCisis (20260619134042)http://hl7.org/fhir/ValueSet/diagnostic-service-sections|4.0.1 (preferred to `https://smt.esante.gouv.fr/fhir/ValueSet/jdv-resultat-type-cisis|20260619134042` )
Type | CodeableConcept
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | true
Noms alternatifs | Department, Sub-department, Service, Discipline
Valeur de motif | `{ "coding" : [{ "system" : "http://loinc.org", "code" : "18748-4", "display" : "Imagerie" }] }`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. DiagnosticReport.code
Définition | A code or name that describes this diagnostic report.
Court | Type de document d'imagerieName/Code for this diagnostic report
Contrôle | 1..1
Binding | Les codes DOIVENT (SHALL) être pris de Les codes DEVRAIENT (SHOULD) être pris de JdvCodeDocumentImagerieCisis (20260619134041)http://hl7.org/fhir/ValueSet/report-codes|4.0.1 (required to `https://smt.esante.gouv.fr/fhir/ValueSet/jdv-code-document-imagerie-cisis|20260619134041` )
Type | CodeableConcept
Est modificateur | false
Résumé | true
Noms alternatifs | Type
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. DiagnosticReport.subject
Définition | The subject of the report. Usually, but not always, this is a patient. However, diagnostic services also perform analyses on specimens collected from a variety of other sources.
Court | Patient concerné par le compte-rendu d'imagerieThe subject of the report - usually, but not always, the patient
Contrôle | 0..1
Type | Reference(FR Patient INS Document, Patient, Group, Device, Location)
Est modificateur | false
Résumé | true
Exigences | SHALL know the subject context.
Noms alternatifs | Patient
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. DiagnosticReport.effective[x]
Définition | The time or time-period the observed values are related to. When the subject of the report is a patient, this is usually either the time of the procedure or of specimen collection(s), but very often the source of the date/time is not known, only the date/time itself.
Court | DateClinically relevant time/time-period for report
Commentaires | If the diagnostic procedure was performed on the patient, this is the time it was performed. If there are specimens, the diagnostically relevant time can be derived from the specimen collection times, but the specimen information is not always available, and the exact relationship between the specimens and the diagnostically relevant time is not always automatic.
Contrôle | 10..1
Type | dateTime, Period
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Doit être pris en charge (Must Support) | true
Résumé | true
Exigences | Need to know where in the patient history to file/present this report.
Noms alternatifs | Observation time, Effective Time, Occurrence
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. DiagnosticReport.performer
Définition | The diagnostic service that is responsible for issuing the report.
Court | ExécutantResponsible Diagnostic Service
Commentaires | This is not necessarily the source of the atomic data items or the entity that interpreted the results. It is the entity that takes responsibility for the clinical report.
Contrôle | 0..*
Type | Reference(FR Practitioner Document, FR PractitionerRole Document, FR Organization Document, Practitioner, PractitionerRole, Organization, CareTeam)
Est modificateur | false
Doit être pris en charge (Must Support) | true
Types qui doivent être pris en charge (Must Support) | Aucune règle de prise en charge obligatoire concernant le choix des types/profils
Résumé | true
Exigences | Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis.
Noms alternatifs | Laboratory, Service, Practitioner, Department, Company, Authorized by, Director
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
Slicing | Cet élément introduit un ensemble de slices sur `DiagnosticReport.performer`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : pattern @ $this
32. DiagnosticReport.performer:organization
Nom de la slice | organization
Définition | The diagnostic service that is responsible for issuing the report.
Court | Organization productrice du CR d'imagerieResponsible Diagnostic Service
Commentaires | This is not necessarily the source of the atomic data items or the entity that interpreted the results. It is the entity that takes responsibility for the clinical report.
Contrôle | 0..*
Type | Reference(FR Organization Document, Practitioner, PractitionerRole, Organization, CareTeam)
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | true
Exigences | Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis.
Noms alternatifs | Laboratory, Service, Practitioner, Department, Company, Authorized by, Director
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
34. DiagnosticReport.resultsInterpreter
Définition | The practitioner or organization that is responsible for the report's conclusions and interpretations.
Court | AuteurPrimary result interpreter
Commentaires | Might not be the same entity that takes responsibility for the clinical report.
Contrôle | 0..*
Type | Reference(FR Practitioner Document, FR PractitionerRole Document, FR Organization Document, Practitioner, PractitionerRole, Organization, CareTeam)
Est modificateur | false
Doit être pris en charge (Must Support) | true
Types qui doivent être pris en charge (Must Support) | Aucune règle de prise en charge obligatoire concernant le choix des types/profils
Résumé | true
Exigences | Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis.
Noms alternatifs | Analyzed by, Reported by
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
36. DiagnosticReport.resultsInterpreter.extension
Définition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Court | ExtensionAdditional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 10..*
Type | Extension
Est modificateur | false
Résumé | false
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | Cet élément introduit un ensemble de slices sur `DiagnosticReport.resultsInterpreter.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
38. DiagnosticReport.resultsInterpreter.extension:author
Nom de la slice | author
Définition | Extension permettant de représenter un acteur impliqué dans le document avec son type et sa référence.
Court | Auteur du compte-rendu d'imagerie (Médecin - Radiologue)
Contrôle | 1..*
Type | Extension(FR Actor Extension) (Extension complexe)
Est modificateur | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
40. DiagnosticReport.resultsInterpreter.extension:author.extension
Définition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Court | ExtensionAdditional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 20..*
Type | Extension
Est modificateur | false
Résumé | false
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | Cet élément introduit un ensemble de slices sur `DiagnosticReport.resultsInterpreter.extension.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
42. DiagnosticReport.resultsInterpreter.extension:author.extension:type
Nom de la slice | type
Définition | An Extension
Court | ExtensionAdditional content defined by implementations
Contrôle | 10..1*
Type | Extension
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
44. DiagnosticReport.resultsInterpreter.extension:author.extension:type.extension
Définition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Court | ExtensionAdditional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..0*
Type | Extension
Est modificateur | false
Résumé | false
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | Cet élément introduit un ensemble de slices sur `DiagnosticReport.resultsInterpreter.extension.extension.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
46. DiagnosticReport.resultsInterpreter.extension:author.extension:type.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Court | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Contrôle | 1..1
Type | uri
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
Valeur fixe | `type`
48. DiagnosticReport.resultsInterpreter.extension:author.extension:type.value[x]
Définition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Court | Value of extension
Contrôle | 0..1
Binding | Les codes DOIVENT (SHALL) être pris de Pour les codes, voir FRValueSetActorTypeDocument (0.1.0) (required to `https://interop.esante.gouv.fr/ig/fhir/document-core/ValueSet/fr-vs-actor-type-document|0.1.0` )
Type | code, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, Coding, SampledData, id, positiveInt, Distance, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, CodeableConcept, ParameterDefinition, dateTime, string, Contributor, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, Signature, unsignedInt, time
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | false
Valeur de motif | `AUT`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
50. DiagnosticReport.resultsInterpreter.extension:author.extension:typeCode
Nom de la slice | typeCode
Définition | An Extension
Court | Type de participationAdditional content defined by implementations
Contrôle | 0..1*
Type | Extension
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
52. DiagnosticReport.resultsInterpreter.extension:author.extension:typeCode.extension
Définition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Court | ExtensionAdditional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..0*
Type | Extension
Est modificateur | false
Résumé | false
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | Cet élément introduit un ensemble de slices sur `DiagnosticReport.resultsInterpreter.extension.extension.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
54. DiagnosticReport.resultsInterpreter.extension:author.extension:typeCode.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Court | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Contrôle | 1..1
Type | uri
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
Valeur fixe | `typeCode`
56. DiagnosticReport.resultsInterpreter.extension:author.extension:actor
Nom de la slice | actor
Définition | An Extension
Court | ExtensionAdditional content defined by implementations
Contrôle | 10..1*
Type | Extension
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
58. DiagnosticReport.resultsInterpreter.extension:author.extension:actor.extension
Définition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Court | ExtensionAdditional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..0*
Type | Extension
Est modificateur | false
Résumé | false
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | Cet élément introduit un ensemble de slices sur `DiagnosticReport.resultsInterpreter.extension.extension.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
60. DiagnosticReport.resultsInterpreter.extension:author.extension:actor.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Court | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Contrôle | 1..1
Type | uri
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
Valeur fixe | `actor`
62. DiagnosticReport.resultsInterpreter.extension:author.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Court | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Contrôle | 1..1
Type | uri
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
Valeur fixe | `https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension`
64. DiagnosticReport.resultsInterpreter.extension:author.value[x]
Définition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Court | Value of extension
Contrôle | 0..01
Type | Choix de : base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
66. DiagnosticReport.result
Définition | Observations that are part of this diagnostic report.
Court | Résultats d'examen (actuels ou antérieurs)Observations
Commentaires | Les résultats sont exprimés sous forme non codée dans notre cas d’usage. Le contenu narratif du résultat est porté dans une note Observations can contain observations.
Contrôle | 10..*
Type | Reference(Observation - FR Observation Result Document, Observation - FR Observation Laboratory Report Results Document, Observation)
Est modificateur | false
Doit être pris en charge (Must Support) | true
Types qui doivent être pris en charge (Must Support) | Aucune règle de prise en charge obligatoire concernant le choix des types/profils
Résumé | false
Exigences | Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.
Noms alternatifs | Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
Slicing | Cet élément introduit un ensemble de slices sur `DiagnosticReport.result`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : pattern @ reference
68. DiagnosticReport.result:resultatActuel
Nom de la slice | resultatActuel
Définition | Observations that are part of this diagnostic report.
Court | Résultats actuels de l'examen d'imagerieObservations
Commentaires | Si les résultats d'examen sont codés, ils sont référencés dans FRObservationResultDocument. Si les résultats d'examen sont exprimés sous forme non codée, ils sont portés dans une note de FRObservationResultDocument. Observations can contain observations.
Contrôle | 0..1*
Type | Reference(Observation - FR Observation Result Document, Observation)
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Exigences | Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.
Noms alternatifs | Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
70. DiagnosticReport.result:resultatAnterieur
Nom de la slice | resultatAnterieur
Définition | Observations that are part of this diagnostic report.
Court | Résultats antérieursObservations
Commentaires | Si les résultats d'examen sont codés, ils sont référencés dans FRObservationResultDocument. Si les résultats d'examen sont exprimés sous forme non codée, ils sont portés dans une note de FRObservationResultDocument. Observations can contain observations.
Contrôle | 0..1*
Type | Reference(Observation - FR Observation Result Document, Observation)
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Exigences | Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.
Noms alternatifs | Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
72. DiagnosticReport.imagingStudy
Définition | One or more links to full details of any imaging performed during the diagnostic investigation. Typically, this is imaging performed by DICOM enabled modalities, but this is not required. A fully enabled PACS viewer can use this information to provide views of the source images.
Court | Acte d'imagerie associé au compte-renduReference to full details of imaging associated with the diagnostic report
Commentaires | ImagingStudy and the image element are somewhat overlapping - typically, the list of image references in the image element will also be found in one of the imaging study resources. However, each caters to different types of displays for different types of purposes. Neither, either, or both may be provided.
Contrôle | 0..*
Type | Reference(ImagingStudy - FR Imaging study Document, ImagingStudy)
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
74. DiagnosticReport.media
Définition | A list of key images associated with this report. The images are generally created during the diagnostic process, and may be directly of the patient, or of treated specimens (i.e. slides of interest).
Court | Images clés associées à ce rapportKey images associated with this report
Contrôle | 0..*
Type | BackboneElement
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | true
Exigences | Many diagnostic services include images in the report as part of their service.
Noms alternatifs | DICOM, Slides, Scans
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
76. DiagnosticReport.media.modifierExtension
Définition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Court | Extensions that cannot be ignored even if unrecognized
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | true parce que Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Résumé | true
Exigences | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Noms alternatifs | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
78. DiagnosticReport.media.link
Définition | Reference to the image source.
Court | Lien vers les images clésReference to the image source
Contrôle | 1..1
Type | Reference(Media - FR Media Document, Media)
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
80. DiagnosticReport.conclusion
Définition | Concise and clinically contextualized summary conclusion (interpretation/impression) of the diagnostic report.
Court | Conclusions cliniques et interprétations du rapport d’imagerie.Clinical conclusion (interpretation) of test results
Contrôle | 0..1
Type | string
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Doit être pris en charge (Must Support) | true
Résumé | false
Exigences | Need to be able to provide a conclusion that is not lost among the basic result data.
Noms alternatifs | Report
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
82. DiagnosticReport.presentedForm
Définition | Rich text representation of the entire result as issued by the diagnostic service. Multiple formats are allowed but they SHALL be semantically equivalent.
Court | Copie du documentEntire report as issued
Commentaires | "application/pdf" is recommended as the most reliable and interoperable in this context.
Contrôle | 10..1*
Type | Attachment
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Exigences | Gives laboratory the ability to provide its own fully formatted report for clinical fidelity.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

Des conseils sur l'interprétation du contenu de ce tableau peuvent être trouvésici

0. DiagnosticReport
2. DiagnosticReport.extension
Slicing | Cet élément introduit un ensemble de slices sur `DiagnosticReport.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
4. DiagnosticReport.extension:comparaison
Nom de la slice | comparaison
Court | Comparaisons avec des résultats antérieurs
Contrôle | 0..*
Type | Extension(FR Comparison Studies Extension) (Type d'extension : Reference(ImagingStudy - FR Imaging study Document))
Doit être pris en charge (Must Support) | true
6. DiagnosticReport.extension:historiqueMedical
Nom de la slice | historiqueMedical
Court | Historique médical du patient pertinent pour l'examen d'imagerie
Contrôle | 0..*
Type | Extension(FR Patient History Extension) (Type d'extension : Reference(Observation - FR Observation Pregnancy Document, Observation - FR Observation Contra Indications Document, Condition - FR Condition Document, Observation, FR Device Document, MedicationAdministration - FR Medication Administration Document))
Doit être pris en charge (Must Support) | true
8. DiagnosticReport.extension:procedure
Nom de la slice | procedure
Court | Technique d'imagerie
Contrôle | 0..*
Type | Extension(FR Imaging Procedure Extension) (Type d'extension : Reference(Procedure - FR Procedure Imaging Document))
Doit être pris en charge (Must Support) | true
10. DiagnosticReport.identifier
Court | Identifiant du compte-rendu d'imagerie
Note | Ceci est un identifiant métier, pas un identifiant de ressource (voir discussion)
12. DiagnosticReport.basedOn
Doit être pris en charge (Must Support) | true
Slicing | Cet élément introduit un ensemble de slices sur `DiagnosticReport.basedOn`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : pattern @ $this
14. DiagnosticReport.basedOn:serviceRequestAccessionNumber
Nom de la slice | serviceRequestAccessionNumber
Court | Référence à la demande d'examen contenant l'Accession Number
Contrôle | 0..*
Type | Reference(ServiceRequest - FR Service Request Imaging Document)
16. DiagnosticReport.status
Court | Statut du compte-rendu d'imagerie
18. DiagnosticReport.category
Valeur de motif | `{ "coding" : [{ "system" : "http://loinc.org", "code" : "18748-4", "display" : "Imagerie" }] }`
20. DiagnosticReport.code
Court | Type de document d'imagerie
Binding | Les codes DOIVENT (SHALL) être pris de JdvCodeDocumentImagerieCisis (20260619134041) (required to `https://smt.esante.gouv.fr/fhir/ValueSet/jdv-code-document-imagerie-cisis|20260619134041` )
22. DiagnosticReport.subject
Court | Patient concerné par le compte-rendu d'imagerie
Type | Reference(FR Patient INS Document)
24. DiagnosticReport.performer
Slicing | Cet élément introduit un ensemble de slices sur `DiagnosticReport.performer`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : pattern @ $this
26. DiagnosticReport.performer:organization
Nom de la slice | organization
Court | Organization productrice du CR d'imagerie
Contrôle | 0..*
Type | Reference(FR Organization Document)
28. DiagnosticReport.resultsInterpreter
30. DiagnosticReport.resultsInterpreter.extension:author
Nom de la slice | author
Court | Auteur du compte-rendu d'imagerie (Médecin - Radiologue)
32. DiagnosticReport.result
Court | Résultats d'examen (actuels ou antérieurs)
Commentaires | Les résultats sont exprimés sous forme non codée dans notre cas d’usage. Le contenu narratif du résultat est porté dans une note
Slicing | Cet élément introduit un ensemble de slices sur `DiagnosticReport.result`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : pattern @ reference
34. DiagnosticReport.result:resultatActuel
Nom de la slice | resultatActuel
Court | Résultats actuels de l'examen d'imagerie
Commentaires | Si les résultats d'examen sont codés, ils sont référencés dans FRObservationResultDocument. Si les résultats d'examen sont exprimés sous forme non codée, ils sont portés dans une note de FRObservationResultDocument.
Contrôle | 0..1
Type | Reference(Observation - FR Observation Result Document)
36. DiagnosticReport.result:resultatAnterieur
Nom de la slice | resultatAnterieur
Court | Résultats antérieurs
Commentaires | Si les résultats d'examen sont codés, ils sont référencés dans FRObservationResultDocument. Si les résultats d'examen sont exprimés sous forme non codée, ils sont portés dans une note de FRObservationResultDocument.
Contrôle | 0..1
Type | Reference(Observation - FR Observation Result Document)
38. DiagnosticReport.imagingStudy
Court | Acte d'imagerie associé au compte-rendu
Type | Reference(ImagingStudy - FR Imaging study Document)
40. DiagnosticReport.conclusion
Court | Conclusions cliniques et interprétations du rapport d’imagerie.

Des conseils sur l'interprétation du contenu de ce tableau peuvent être trouvésici

0. DiagnosticReport
Définition | The findings and interpretation of diagnostic tests performed on patients, groups of patients, devices, and locations, and/or specimens derived from these. The report includes clinical context such as requesting and provider information, and some mix of atomic results, images, textual and coded interpretations, and formatted representation of diagnostic reports.
Court | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
Commentaires | This is intended to capture a single report and is not suitable for use in displaying summary information that covers multiple reports. For example, this resource has not been designed for laboratory cumulative reporting formats nor detailed structured reports for sequencing.
Contrôle | 0..*
Est modificateur | false
Résumé | false
Noms alternatifs | Report, Test, Result, Results, Labs, Laboratory
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (`contained.contained.empty()`) dom-3: 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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`) dom-4: 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: If a resource is contained in another resource, it SHALL NOT have a security label (`contained.meta.security.empty()`) dom-6: A resource should have narrative for robust management (`text.`div`.exists()`)
2. DiagnosticReport.id
Définition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Court | Logical id of this artifact
Commentaires | The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
Contrôle | 0..1
Type | id
Est modificateur | false
Résumé | true
4. DiagnosticReport.meta
Définition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
Court | Metadata about the resource
Contrôle | 0..1
Type | Meta
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
6. DiagnosticReport.implicitRules
Définition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Court | A set of rules under which this content was created
Commentaires | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Contrôle | 0..1
Type | uri
Est modificateur | true parce que This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
8. DiagnosticReport.language
Définition | The base language in which the resource is written.
Court | Language of the resource content
Commentaires | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
Contrôle | 0..1
Binding | Les codes DEVRAIENT (SHOULD) être pris de CommonLanguages (preferred to `http://hl7.org/fhir/ValueSet/languages|4.0.1` ) A human language.
Bindings Additionnels | But
AllLanguages | Binding Max
Type | code
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
10. DiagnosticReport.text
Définition | A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
Court | Text summary of the resource, for human interpretation
Commentaires | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
Contrôle | 0..1
Type | Narrative
Est modificateur | false
Résumé | false
Noms alternatifs | narrative, html, xhtml, display
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
12. DiagnosticReport.contained
Définition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
Court | Contained, inline Resources
Commentaires | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
Contrôle | 0..*
Type | Resource
Est modificateur | false
Résumé | false
Noms alternatifs | inline resources, anonymous resources, contained resources
14. DiagnosticReport.extension
Définition | An Extension
Court | Extension
Contrôle | 0..*
Type | Extension
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Cet élément introduit un ensemble de slices sur `DiagnosticReport.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
16. DiagnosticReport.extension:comparaison
Nom de la slice | comparaison
Définition | Examen de comparaison radiologique
Court | Comparaisons avec des résultats antérieurs
Contrôle | 0..* Cet élément est affecté par les invariants suivants : ele-1
Type | Extension(FR Comparison Studies Extension) (Type d'extension : Reference(ImagingStudy - FR Imaging study Document))
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
18. DiagnosticReport.extension:historiqueMedical
Nom de la slice | historiqueMedical
Définition | Historique médical du patient pertinent pour l'examen d'imagerie
Court | Historique médical du patient pertinent pour l'examen d'imagerie
Contrôle | 0..* Cet élément est affecté par les invariants suivants : ele-1
Type | Extension(FR Patient History Extension) (Type d'extension : Reference(Observation - FR Observation Pregnancy Document, Observation - FR Observation Contra Indications Document, Condition - FR Condition Document, Observation, FR Device Document, MedicationAdministration - FR Medication Administration Document))
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
20. DiagnosticReport.extension:procedure
Nom de la slice | procedure
Définition | Imaging procedure used for the imaging acquisition
Court | Technique d'imagerie
Contrôle | 0..* Cet élément est affecté par les invariants suivants : ele-1
Type | Extension(FR Imaging Procedure Extension) (Type d'extension : Reference(Procedure - FR Procedure Imaging Document))
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
22. DiagnosticReport.modifierExtension
Définition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Court | Extensions that cannot be ignored
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | true parce que Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Résumé | false
Exigences | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
24. DiagnosticReport.identifier
Définition | Identifiers assigned to this report by the performer or other systems.
Court | Identifiant du compte-rendu d'imagerie
Commentaires | Usually assigned by the Information System of the diagnostic service provider (filler id).
Note | Ceci est un identifiant métier, pas un identifiant de ressource (voir discussion)
Contrôle | 0..*
Type | Identifier
Est modificateur | false
Résumé | true
Exigences | Need to know what identifier to use when making queries about this report from the source laboratory, and for linking to the report outside FHIR context.
Noms alternatifs | ReportID, Filler ID, Placer ID
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
26. DiagnosticReport.basedOn
Définition | Details concerning a service requested.
Court | What was requested
Commentaires | Note: Usually there is one test request for each result, however in some circumstances multiple test requests may be represented using a single test result resource. Note that there are also cases where one request leads to multiple reports.
Contrôle | 0..*
Type | Reference(CarePlan, ImmunizationRecommendation, MedicationRequest, NutritionOrder, ServiceRequest)
Est modificateur | false
Doit être pris en charge (Must Support) | true
Types qui doivent être pris en charge (Must Support) | Aucune règle de prise en charge obligatoire concernant le choix des types/profils
Résumé | false
Exigences | This allows tracing of authorization for the report and tracking whether proposals/recommendations were acted upon.
Noms alternatifs | Request
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
Slicing | Cet élément introduit un ensemble de slices sur `DiagnosticReport.basedOn`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : pattern @ $this
28. DiagnosticReport.basedOn:serviceRequestAccessionNumber
Nom de la slice | serviceRequestAccessionNumber
Définition | Details concerning a service requested.
Court | Référence à la demande d'examen contenant l'Accession Number
Commentaires | Note: Usually there is one test request for each result, however in some circumstances multiple test requests may be represented using a single test result resource. Note that there are also cases where one request leads to multiple reports.
Contrôle | 0..*
Type | Reference(ServiceRequest - FR Service Request Imaging Document)
Est modificateur | false
Résumé | false
Exigences | This allows tracing of authorization for the report and tracking whether proposals/recommendations were acted upon.
Noms alternatifs | Request
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
30. DiagnosticReport.status
Définition | The status of the diagnostic report.
Court | Statut du compte-rendu d'imagerie
Contrôle | 1..1
Binding | Les codes DOIVENT (SHALL) être pris de DiagnosticReportStatus (required to `http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1` ) The status of the diagnostic report.
Type | code
Est modificateur | true parce que This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Doit être pris en charge (Must Support) | true
Résumé | true
Exigences | Diagnostic services routinely issue provisional/incomplete reports, and sometimes withdraw previously released reports.
Valeur de motif | `final`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
32. DiagnosticReport.category
Définition | A code that classifies the clinical discipline, department or diagnostic service that created the report (e.g. cardiology, biochemistry, hematology, MRI). This is used for searching, sorting and display purposes.
Court | Type de résultat
Commentaires | Multiple categories are allowed using various categorization schemes. The level of granularity is defined by the category concepts in the value set. More fine-grained filtering can be performed using the metadata and/or terminology hierarchy in DiagnosticReport.code.
Contrôle | 1..*
Binding | Les codes DEVRAIENT (SHOULD) être pris de JdvResultatTypeCisis (20260619134042) (preferred to `https://smt.esante.gouv.fr/fhir/ValueSet/jdv-resultat-type-cisis|20260619134042` )
Type | CodeableConcept
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | true
Noms alternatifs | Department, Sub-department, Service, Discipline
Valeur de motif | `{ "coding" : [{ "system" : "http://loinc.org", "code" : "18748-4", "display" : "Imagerie" }] }`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
34. DiagnosticReport.code
Définition | A code or name that describes this diagnostic report.
Court | Type de document d'imagerie
Contrôle | 1..1
Binding | Les codes DOIVENT (SHALL) être pris de JdvCodeDocumentImagerieCisis (20260619134041) (required to `https://smt.esante.gouv.fr/fhir/ValueSet/jdv-code-document-imagerie-cisis|20260619134041` )
Type | CodeableConcept
Est modificateur | false
Résumé | true
Noms alternatifs | Type
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
36. DiagnosticReport.subject
Définition | The subject of the report. Usually, but not always, this is a patient. However, diagnostic services also perform analyses on specimens collected from a variety of other sources.
Court | Patient concerné par le compte-rendu d'imagerie
Contrôle | 0..1
Type | Reference(FR Patient INS Document)
Est modificateur | false
Résumé | true
Exigences | SHALL know the subject context.
Noms alternatifs | Patient
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
38. DiagnosticReport.encounter
Définition | The healthcare event (e.g. a patient and healthcare provider interaction) which this DiagnosticReport is about.
Court | Health care event when test ordered
Commentaires | This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission laboratory tests).
Contrôle | 0..1
Type | Reference(Encounter)
Est modificateur | false
Résumé | true
Exigences | Links the request to the Encounter context.
Noms alternatifs | Context
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
40. DiagnosticReport.effective[x]
Définition | The time or time-period the observed values are related to. When the subject of the report is a patient, this is usually either the time of the procedure or of specimen collection(s), but very often the source of the date/time is not known, only the date/time itself.
Court | Date
Commentaires | If the diagnostic procedure was performed on the patient, this is the time it was performed. If there are specimens, the diagnostically relevant time can be derived from the specimen collection times, but the specimen information is not always available, and the exact relationship between the specimens and the diagnostically relevant time is not always automatic.
Contrôle | 1..1
Type | dateTime
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Doit être pris en charge (Must Support) | true
Résumé | true
Exigences | Need to know where in the patient history to file/present this report.
Noms alternatifs | Observation time, Effective Time, Occurrence
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
42. DiagnosticReport.issued
Définition | The date and time that this version of the report was made available to providers, typically after the report was reviewed and verified.
Court | DateTime this version was made
Commentaires | May be different from the update time of the resource itself, because that is the status of the record (potentially a secondary copy), not the actual release time of the report.
Contrôle | 0..1
Type | instant
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Exigences | Clinicians need to be able to check the date that the report was released.
Noms alternatifs | Date published, Date Issued, Date Verified
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
44. DiagnosticReport.performer
Définition | The diagnostic service that is responsible for issuing the report.
Court | Exécutant
Commentaires | This is not necessarily the source of the atomic data items or the entity that interpreted the results. It is the entity that takes responsibility for the clinical report.
Contrôle | 0..*
Type | Reference(FR Practitioner Document, FR PractitionerRole Document, FR Organization Document)
Est modificateur | false
Doit être pris en charge (Must Support) | true
Types qui doivent être pris en charge (Must Support) | Aucune règle de prise en charge obligatoire concernant le choix des types/profils
Résumé | true
Exigences | Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis.
Noms alternatifs | Laboratory, Service, Practitioner, Department, Company, Authorized by, Director
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
Slicing | Cet élément introduit un ensemble de slices sur `DiagnosticReport.performer`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : pattern @ $this
46. DiagnosticReport.performer:organization
Nom de la slice | organization
Définition | The diagnostic service that is responsible for issuing the report.
Court | Organization productrice du CR d'imagerie
Commentaires | This is not necessarily the source of the atomic data items or the entity that interpreted the results. It is the entity that takes responsibility for the clinical report.
Contrôle | 0..*
Type | Reference(FR Organization Document)
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | true
Exigences | Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis.
Noms alternatifs | Laboratory, Service, Practitioner, Department, Company, Authorized by, Director
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
48. DiagnosticReport.resultsInterpreter
Définition | The practitioner or organization that is responsible for the report's conclusions and interpretations.
Court | Auteur
Commentaires | Might not be the same entity that takes responsibility for the clinical report.
Contrôle | 0..*
Type | Reference(FR Practitioner Document, FR PractitionerRole Document, FR Organization Document)
Est modificateur | false
Doit être pris en charge (Must Support) | true
Types qui doivent être pris en charge (Must Support) | Aucune règle de prise en charge obligatoire concernant le choix des types/profils
Résumé | true
Exigences | Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis.
Noms alternatifs | Analyzed by, Reported by
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
50. DiagnosticReport.resultsInterpreter.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Court | Unique id for inter-element referencing
Contrôle | 0..1
Type | string
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
52. DiagnosticReport.resultsInterpreter.extension
Définition | An Extension
Court | Extension
Contrôle | 1..*
Type | Extension
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Cet élément introduit un ensemble de slices sur `DiagnosticReport.resultsInterpreter.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
54. DiagnosticReport.resultsInterpreter.extension:author
Nom de la slice | author
Définition | Extension permettant de représenter un acteur impliqué dans le document avec son type et sa référence.
Court | Auteur du compte-rendu d'imagerie (Médecin - Radiologue)
Contrôle | 1..*
Type | Extension(FR Actor Extension) (Extension complexe)
Est modificateur | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
56. DiagnosticReport.resultsInterpreter.extension:author.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Court | Unique id for inter-element referencing
Contrôle | 0..1
Type | string
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
58. DiagnosticReport.resultsInterpreter.extension:author.extension
Définition | An Extension
Court | Extension
Contrôle | 2..*
Type | Extension
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Cet élément introduit un ensemble de slices sur `DiagnosticReport.resultsInterpreter.extension.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
60. DiagnosticReport.resultsInterpreter.extension:author.extension:type
Nom de la slice | type
Définition | An Extension
Court | Extension
Contrôle | 1..1
Type | Extension
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
62. DiagnosticReport.resultsInterpreter.extension:author.extension:type.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Court | Unique id for inter-element referencing
Contrôle | 0..1
Type | string
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
64. DiagnosticReport.resultsInterpreter.extension:author.extension:type.extension
Définition | An Extension
Court | Extension
Contrôle | 0..0
Type | Extension
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Cet élément introduit un ensemble de slices sur `DiagnosticReport.resultsInterpreter.extension.extension.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
66. DiagnosticReport.resultsInterpreter.extension:author.extension:type.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Court | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Contrôle | 1..1
Type | uri
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
Valeur fixe | `type`
68. DiagnosticReport.resultsInterpreter.extension:author.extension:type.value[x]
Définition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Court | Value of extension
Contrôle | 0..1
Binding | Les codes DOIVENT (SHALL) être pris de FRValueSetActorTypeDocument (0.1.0) (required to `https://interop.esante.gouv.fr/ig/fhir/document-core/ValueSet/fr-vs-actor-type-document|0.1.0` )
Type | code
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | false
Valeur de motif | `AUT`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
70. DiagnosticReport.resultsInterpreter.extension:author.extension:typeCode
Nom de la slice | typeCode
Définition | An Extension
Court | Type de participation
Contrôle | 0..1
Type | Extension
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
72. DiagnosticReport.resultsInterpreter.extension:author.extension:typeCode.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Court | Unique id for inter-element referencing
Contrôle | 0..1
Type | string
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
74. DiagnosticReport.resultsInterpreter.extension:author.extension:typeCode.extension
Définition | An Extension
Court | Extension
Contrôle | 0..0
Type | Extension
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Cet élément introduit un ensemble de slices sur `DiagnosticReport.resultsInterpreter.extension.extension.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
76. DiagnosticReport.resultsInterpreter.extension:author.extension:typeCode.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Court | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Contrôle | 1..1
Type | uri
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
Valeur fixe | `typeCode`
78. DiagnosticReport.resultsInterpreter.extension:author.extension:typeCode.value[x]
Définition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Court | Value of extension
Contrôle | 0..1
Type | CodeableConcept
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
80. DiagnosticReport.resultsInterpreter.extension:author.extension:actor
Nom de la slice | actor
Définition | An Extension
Court | Extension
Contrôle | 1..1
Type | Extension
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
82. DiagnosticReport.resultsInterpreter.extension:author.extension:actor.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Court | Unique id for inter-element referencing
Contrôle | 0..1
Type | string
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
84. DiagnosticReport.resultsInterpreter.extension:author.extension:actor.extension
Définition | An Extension
Court | Extension
Contrôle | 0..0
Type | Extension
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Cet élément introduit un ensemble de slices sur `DiagnosticReport.resultsInterpreter.extension.extension.extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
86. DiagnosticReport.resultsInterpreter.extension:author.extension:actor.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Court | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Contrôle | 1..1
Type | uri
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
Valeur fixe | `actor`
88. DiagnosticReport.resultsInterpreter.extension:author.extension:actor.value[x]
Définition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Court | Value of extension
Contrôle | 0..1
Type | Reference(FR PractitionerRole Document)
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
90. DiagnosticReport.resultsInterpreter.extension:author.url
Définition | Source of the definition for the extension code - a logical name or a URL.
Court | identifies the meaning of the extension
Commentaires | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Contrôle | 1..1
Type | uri
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
Valeur fixe | `https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-actor-extension`
92. DiagnosticReport.resultsInterpreter.extension:author.value[x]
Définition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Court | Value of extension
Contrôle | 0..0
Type | Choix de : base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
94. DiagnosticReport.resultsInterpreter.reference
Définition | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
Court | Literal reference, Relative, internal or absolute URL
Commentaires | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
Contrôle | 0..1 Cet élément est affecté par les invariants suivants : ref-1
Type | string
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
96. DiagnosticReport.resultsInterpreter.type
Définition | The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).
Court | Type the reference refers to (e.g. "Patient")
Commentaires | This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.
Contrôle | 0..1
Binding | Sauf si inapproprié, ces codes DOIVENT (SHALL) être pris de ResourceType (extensible to `http://hl7.org/fhir/ValueSet/resource-types|4.0.1` ) Aa resource (or, for logical models, the URI of the logical model).
Type | uri
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
98. DiagnosticReport.resultsInterpreter.identifier
Définition | An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
Court | Logical reference, when literal reference is not known
Commentaires | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
Note | Ceci est un identifiant métier, pas un identifiant de ressource (voir discussion)
Contrôle | 0..1
Type | Identifier
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
100. DiagnosticReport.resultsInterpreter.display
Définition | Plain text narrative that identifies the resource in addition to the resource reference.
Court | Text alternative for the resource
Commentaires | This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
Contrôle | 0..1
Type | string
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
102. DiagnosticReport.specimen
Définition | Details about the specimens on which this diagnostic report is based.
Court | Specimens this report is based on
Commentaires | If the specimen is sufficiently specified with a code in the test result name, then this additional data may be redundant. If there are multiple specimens, these may be represented per observation or group.
Contrôle | 0..*
Type | Reference(Specimen)
Est modificateur | false
Résumé | false
Exigences | Need to be able to report information about the collected specimens on which the report is based.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
104. DiagnosticReport.result
Définition | Observations that are part of this diagnostic report.
Court | Résultats d'examen (actuels ou antérieurs)
Commentaires | Les résultats sont exprimés sous forme non codée dans notre cas d’usage. Le contenu narratif du résultat est porté dans une note
Contrôle | 1..*
Type | Reference(Observation - FR Observation Result Document, Observation - FR Observation Laboratory Report Results Document)
Est modificateur | false
Doit être pris en charge (Must Support) | true
Types qui doivent être pris en charge (Must Support) | Aucune règle de prise en charge obligatoire concernant le choix des types/profils
Résumé | false
Exigences | Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.
Noms alternatifs | Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
Slicing | Cet élément introduit un ensemble de slices sur `DiagnosticReport.result`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : pattern @ reference
106. DiagnosticReport.result:resultatActuel
Nom de la slice | resultatActuel
Définition | Observations that are part of this diagnostic report.
Court | Résultats actuels de l'examen d'imagerie
Commentaires | Si les résultats d'examen sont codés, ils sont référencés dans FRObservationResultDocument. Si les résultats d'examen sont exprimés sous forme non codée, ils sont portés dans une note de FRObservationResultDocument.
Contrôle | 0..1
Type | Reference(Observation - FR Observation Result Document)
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Exigences | Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.
Noms alternatifs | Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
108. DiagnosticReport.result:resultatAnterieur
Nom de la slice | resultatAnterieur
Définition | Observations that are part of this diagnostic report.
Court | Résultats antérieurs
Commentaires | Si les résultats d'examen sont codés, ils sont référencés dans FRObservationResultDocument. Si les résultats d'examen sont exprimés sous forme non codée, ils sont portés dans une note de FRObservationResultDocument.
Contrôle | 0..1
Type | Reference(Observation - FR Observation Result Document)
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Exigences | Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.
Noms alternatifs | Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
110. DiagnosticReport.imagingStudy
Définition | One or more links to full details of any imaging performed during the diagnostic investigation. Typically, this is imaging performed by DICOM enabled modalities, but this is not required. A fully enabled PACS viewer can use this information to provide views of the source images.
Court | Acte d'imagerie associé au compte-rendu
Commentaires | ImagingStudy and the image element are somewhat overlapping - typically, the list of image references in the image element will also be found in one of the imaging study resources. However, each caters to different types of displays for different types of purposes. Neither, either, or both may be provided.
Contrôle | 0..*
Type | Reference(ImagingStudy - FR Imaging study Document)
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
112. DiagnosticReport.media
Définition | A list of key images associated with this report. The images are generally created during the diagnostic process, and may be directly of the patient, or of treated specimens (i.e. slides of interest).
Court | Images clés associées à ce rapport
Contrôle | 0..*
Type | BackboneElement
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | true
Exigences | Many diagnostic services include images in the report as part of their service.
Noms alternatifs | DICOM, Slides, Scans
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
114. DiagnosticReport.media.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Court | Unique id for inter-element referencing
Contrôle | 0..1
Type | string
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
116. DiagnosticReport.media.extension
Définition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Court | Additional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | false
Résumé | false
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
118. DiagnosticReport.media.modifierExtension
Définition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Court | Extensions that cannot be ignored even if unrecognized
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | true parce que Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Résumé | true
Exigences | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Noms alternatifs | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
120. DiagnosticReport.media.comment
Définition | A comment about the image. Typically, this is used to provide an explanation for why the image is included, or to draw the viewer's attention to important features.
Court | Comment about the image (e.g. explanation)
Commentaires | The comment should be displayed with the image. It would be common for the report to include additional discussion of the image contents in other sections such as the conclusion.
Contrôle | 0..1
Type | string
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | false
Exigences | The provider of the report should make a comment about each image included in the report.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
122. DiagnosticReport.media.link
Définition | Reference to the image source.
Court | Lien vers les images clés
Contrôle | 1..1
Type | Reference(Media - FR Media Document)
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
124. DiagnosticReport.conclusion
Définition | Concise and clinically contextualized summary conclusion (interpretation/impression) of the diagnostic report.
Court | Conclusions cliniques et interprétations du rapport d’imagerie.
Contrôle | 0..1
Type | string
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Doit être pris en charge (Must Support) | true
Résumé | false
Exigences | Need to be able to provide a conclusion that is not lost among the basic result data.
Noms alternatifs | Report
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
126. DiagnosticReport.conclusionCode
Définition | One or more codes that represent the summary conclusion (interpretation/impression) of the diagnostic report.
Court | Codes for the clinical conclusion of test results
Contrôle | 0..*
Binding | Pour des exemples de codes, voir SNOMEDCTClinicalFindings (example to `http://hl7.org/fhir/ValueSet/clinical-findings|4.0.1` ) Diagnosis codes provided as adjuncts to the report.
Type | CodeableConcept
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
128. DiagnosticReport.presentedForm
Définition | Rich text representation of the entire result as issued by the diagnostic service. Multiple formats are allowed but they SHALL be semantically equivalent.
Court | Copie du document
Commentaires | "application/pdf" is recommended as the most reliable and interoperable in this context.
Contrôle | 1..1
Type | Attachment
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | false
Exigences | Gives laboratory the ability to provide its own fully formatted report for clinical fidelity.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)