Patient Monitoring Outcome FHIR Implementation Guide
0.1.0 - STU1 Belgium flag

Patient Monitoring Outcome FHIR Implementation Guide, published by HL7 Belgium. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-be/patient-monitoring/ and changes regularly. See the Directory of published versions

Resource Profile: Holter Diagnostic Report

Official URL: http://hl7belgium.org/fhir/patient-monitoring/StructureDefinition/holter-diagnostic-report Version: 0.1.0
Draft as of 2026-11-05 Computable Name: HolterDiagnosticReport
Other Identifiers: OID:2.16.840.1.113883.4.642.40.54.42.1

A profile for ambulatory cardiac rhythm monitoring reports (Holter)

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: doco
DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
DiagnosticReport.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
DiagnosticReport.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
DiagnosticReport.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code registered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
DiagnosticReport.code This element is included in summaries. 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: Holter Report Code (required)
DiagnosticReport.effective[x] This element must be supported. This element is included in summaries. 1..1 Period Clinically relevant time/time-period for report
DiagnosticReport.result This element must be supported. 0..* Reference(Holter Observation) Observations
DiagnosticReport.conclusion This element must be supported. 0..1 string Clinical conclusion (interpretation) of test results

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 FHIR Std.
DiagnosticReport.code Base required Holter Report Code 📦0.1.0 This IG

Constraints

Id Grade Path(s) Description Expression

This structure is derived from DiagnosticReport

NameFlagsCard.TypeDescription & Constraints    Filter: doco
DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
DiagnosticReport.status This element must be supported. 1..1 code registered | partial | preliminary | final +
DiagnosticReport.code 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: Holter Report Code (required)
DiagnosticReport.effective[x] This element must be supported. 1..1 Period Clinically relevant time/time-period for report
DiagnosticReport.conclusion This element must be supported. 0..1 string Clinical conclusion (interpretation) of test results

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DiagnosticReport.code Base required Holter Report Code 📦0.1.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: doco
DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
DiagnosticReport.id This element is included in summaries. 0..1 id Logical id of this artifact
DiagnosticReport.meta This element is included in summaries. 0..1 Meta Metadata about the resource
DiagnosticReport.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
DiagnosticReport.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
DiagnosticReport.text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
DiagnosticReport.contained 0..* Resource Contained, inline Resources
DiagnosticReport.extension 0..* Extension Additional content defined by implementations
DiagnosticReport.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
DiagnosticReport.identifier This element is included in summaries. 0..* Identifier Business identifier for report
DiagnosticReport.basedOn 0..* Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) What was requested
DiagnosticReport.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code registered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
DiagnosticReport.category This element is included in summaries. 0..* CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
DiagnosticReport.code This element is included in summaries. 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: Holter Report Code (required)
DiagnosticReport.subject This element is included in summaries. 0..1 Reference(Patient | Group | Device | Location) The subject of the report - usually, but not always, the patient
DiagnosticReport.encounter This element is included in summaries. 0..1 Reference(Encounter) Health care event when test ordered
DiagnosticReport.effective[x] This element must be supported. This element is included in summaries. 1..1 Period Clinically relevant time/time-period for report
DiagnosticReport.issued This element is included in summaries. 0..1 instant DateTime this version was made
DiagnosticReport.performer This element is included in summaries. 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Responsible Diagnostic Service
DiagnosticReport.resultsInterpreter This element is included in summaries. 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
DiagnosticReport.specimen 0..* Reference(Specimen) Specimens this report is based on
DiagnosticReport.result This element must be supported. 0..* Reference(Holter Observation) Observations
DiagnosticReport.imagingStudy 0..* Reference(ImagingStudy) Reference to full details of imaging associated with the diagnostic report
DiagnosticReport.media This element is included in summaries. 0..* BackboneElement Key images associated with this report
DiagnosticReport.media.id 0..1 string Unique id for inter-element referencing
DiagnosticReport.media.extension 0..* Extension Additional content defined by implementations
DiagnosticReport.media.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
DiagnosticReport.media.comment 0..1 string Comment about the image (e.g. explanation)
DiagnosticReport.media.link This element is included in summaries. 1..1 Reference(Media) Reference to the image source
DiagnosticReport.conclusion This element must be supported. 0..1 string Clinical conclusion (interpretation) of test results
DiagnosticReport.conclusionCode 0..* CodeableConcept Codes for the clinical conclusion of test results
Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
DiagnosticReport.presentedForm 0..* Attachment Entire report as issued

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 FHIR Std.
DiagnosticReport.category Base example Diagnostic Service Section Codes 📍4.0.1 FHIR Std.
DiagnosticReport.code Base required Holter Report Code 📦0.1.0 This IG
DiagnosticReport.conclusionCode Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression

This structure is derived from DiagnosticReport

Summary

Mandatory: 1 element
Must-Support: 4 elements

Structures

This structure refers to these other structures:

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
DiagnosticReport.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
DiagnosticReport.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
DiagnosticReport.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code registered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
DiagnosticReport.code This element is included in summaries. 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: Holter Report Code (required)
DiagnosticReport.effective[x] This element must be supported. This element is included in summaries. 1..1 Period Clinically relevant time/time-period for report
DiagnosticReport.result This element must be supported. 0..* Reference(Holter Observation) Observations
DiagnosticReport.conclusion This element must be supported. 0..1 string Clinical conclusion (interpretation) of test results

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 FHIR Std.
DiagnosticReport.code Base required Holter Report Code 📦0.1.0 This IG

Constraints

Id Grade Path(s) Description Expression

Differential View

This structure is derived from DiagnosticReport

NameFlagsCard.TypeDescription & Constraints    Filter: doco
DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
DiagnosticReport.status This element must be supported. 1..1 code registered | partial | preliminary | final +
DiagnosticReport.code 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: Holter Report Code (required)
DiagnosticReport.effective[x] This element must be supported. 1..1 Period Clinically relevant time/time-period for report
DiagnosticReport.result This element must be supported. 0..* Reference(Holter Observation) Observations
DiagnosticReport.conclusion This element must be supported. 0..1 string Clinical conclusion (interpretation) of test results

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DiagnosticReport.code Base required Holter Report Code 📦0.1.0 This IG

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: doco
DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
DiagnosticReport.id This element is included in summaries. 0..1 id Logical id of this artifact
DiagnosticReport.meta This element is included in summaries. 0..1 Meta Metadata about the resource
DiagnosticReport.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
DiagnosticReport.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
DiagnosticReport.text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
DiagnosticReport.contained 0..* Resource Contained, inline Resources
DiagnosticReport.extension 0..* Extension Additional content defined by implementations
DiagnosticReport.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
DiagnosticReport.identifier This element is included in summaries. 0..* Identifier Business identifier for report
DiagnosticReport.basedOn 0..* Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) What was requested
DiagnosticReport.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code registered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
DiagnosticReport.category This element is included in summaries. 0..* CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
DiagnosticReport.code This element is included in summaries. 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: Holter Report Code (required)
DiagnosticReport.subject This element is included in summaries. 0..1 Reference(Patient | Group | Device | Location) The subject of the report - usually, but not always, the patient
DiagnosticReport.encounter This element is included in summaries. 0..1 Reference(Encounter) Health care event when test ordered
DiagnosticReport.effective[x] This element must be supported. This element is included in summaries. 1..1 Period Clinically relevant time/time-period for report
DiagnosticReport.issued This element is included in summaries. 0..1 instant DateTime this version was made
DiagnosticReport.performer This element is included in summaries. 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Responsible Diagnostic Service
DiagnosticReport.resultsInterpreter This element is included in summaries. 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
DiagnosticReport.specimen 0..* Reference(Specimen) Specimens this report is based on
DiagnosticReport.result This element must be supported. 0..* Reference(Holter Observation) Observations
DiagnosticReport.imagingStudy 0..* Reference(ImagingStudy) Reference to full details of imaging associated with the diagnostic report
DiagnosticReport.media This element is included in summaries. 0..* BackboneElement Key images associated with this report
DiagnosticReport.media.id 0..1 string Unique id for inter-element referencing
DiagnosticReport.media.extension 0..* Extension Additional content defined by implementations
DiagnosticReport.media.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
DiagnosticReport.media.comment 0..1 string Comment about the image (e.g. explanation)
DiagnosticReport.media.link This element is included in summaries. 1..1 Reference(Media) Reference to the image source
DiagnosticReport.conclusion This element must be supported. 0..1 string Clinical conclusion (interpretation) of test results
DiagnosticReport.conclusionCode 0..* CodeableConcept Codes for the clinical conclusion of test results
Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
DiagnosticReport.presentedForm 0..* Attachment Entire report as issued

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 FHIR Std.
DiagnosticReport.category Base example Diagnostic Service Section Codes 📍4.0.1 FHIR Std.
DiagnosticReport.code Base required Holter Report Code 📦0.1.0 This IG
DiagnosticReport.conclusionCode Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression

This structure is derived from DiagnosticReport

Summary

Mandatory: 1 element
Must-Support: 4 elements

Structures

This structure refers to these other structures:

 

Other representations of profile: CSV, Excel, Schematron