HL7 Europe Imaging Report R4
1.0.0-ballot - qa-preview
150
HL7 Europe Imaging Report R4
1.0.0-ballot - qa-preview
150
HL7 Europe Imaging Report R4, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/imaging-r4/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/diagnostic-report-obligation-eu-imaging | Version: 1.0.0-ballot | ||||
| Computable Name: DiagnosticReportObligationEuImaging | |||||
Copyright/Legal: Copyright HL7 Europe. Licensed under Creative Commons public domain (CC0 1.0). |
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Obligations for DiagnosticReport: Imaging Report
Usages:
You can also check for usages in the FHIR IG Statistics
Description Differentials, Snapshots, and other representations.
| Name | Flags | Card. | Type | Description & Constraints Filter:   | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
  DiagnosticReport |
0..* | DiagnosticReportEuImaging | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |||||||||
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||
| language |
O | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| ||||||||
  Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
   extension:artifactVersion |
O | 0..1 | string | Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version
| ||||||||
| extension:anatomical-region |
0..* | CodeableConcept | The anatomical regions covered by the study this report reports on. URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/AnatomicalRegionExtension Binding: ValueSet: Anatomical Region (required) | |||||||||
 extension:note |
O | 0..* | (Complex) | Comments about the diagnostic report URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note Constraints: ext-1
| ||||||||
  extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||
 url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note" | |||||||||
| extension:comparison |
SO | 0..* | Reference(ImagingStudy: General | Basic-ImagingSelection: General) | Extension: HL7IDR DiagnosticReport Comparison Study URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/HL7IDRComparisonStudy
| ||||||||
| extension:patientHistory |
S | 0..* | Reference() | Patient history items selected by radiologist URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/HL7IDRPatientHistory | ||||||||
| extension:procedure |
SO | 0..* | Reference(Procedure: Imaging Acquisition | AdverseEvent | Observation: Radiation Dose) | Extension: HL7IDR Imaging Procedure URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/HL7IDRImagingProcedure
| ||||||||
| extension:finding |
S | 0..* | Reference(Observation: Imaging Finding | Key images represented as an ImagingSelection for R4 | DocumentReference: Key Image | DocumentReference | Media) | Key image findings URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/HL7IDRFinding | ||||||||
| extension:impression |
SO | 0..* | Reference(Observation: Imaging Finding | Condition | DocumentReference: Key Image | Key images represented as an ImagingSelection for R4) | Extension: HL7IDR Impression URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/HL7IDRImpression
| ||||||||
| extension:recommendation |
SO | 0..* | Reference(CarePlan | ServiceRequest) | Extension: HL7IDR Recommendation URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/HL7IDRRecommendation
| ||||||||
| extension:communication |
S | 0..* | Reference() | Communications with other care providers URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/HL7IDRCommunication | ||||||||
| extension:radiationDose |
SO | 0..1 | string | Extension: Radiation Dose URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/RadiationDose
| ||||||||
| extension:informationRecipient |
0..* | Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization | CareTeam | Group) | Composition: Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient | |||||||||
 extension:composition |
O | 1..1 | (Complex) | Reference to a Composition resource for the DiagnosticReport structure URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition Constraints: ext-1
| ||||||||
 extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition" | |||||||||
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||
 identifier |
OΣ | 1..* | Identifier | Report identifier
| ||||||||
 Slices for basedOn |
0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested Slice: Unordered, Open by type:$this | |||||||||
| basedOn:ServiceRequestOrderEuImagingaccession |
O | 0..* | Reference(ServiceRequest: Imaging Order) | What was requested
| ||||||||
| identifier |
Σ | 1..1 | AccessionNumberIdentifierEuImaging | Logical reference, when literal reference is not known | ||||||||
| status |
?!OΣ | 1..1 | code | Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
| ||||||||
| Slices for category |
Σ | 2..* | CodeableConcept | Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. | ||||||||
| category:diagnostic-service |
OΣ | 0..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (required)
| ||||||||
| category:imaging-report |
Σ | 1..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
  coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||
 id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 85430-7 | |||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||
 userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||
| category:imaging |
Σ | 1..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.eu/fhir/eu-health-data-api/CodeSystem/eehrxf-document-priority-category-cs | |||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: Medical-Imaging | |||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||
| code |
Σ | 1..1 | CodeableConcept | Type of Imaging Diagnostic Report Binding: ValueSet: Radiology Report Types (preferred) | ||||||||
 subject |
OΣ | 1..1 | Reference(Patient (EU core)(2.0.0-recon)) | The subject of the report - usually, but not always, the patient
| ||||||||
| Slices for effective[x] |
Σ | 0..1 | Clinically relevant time/time-period for report Slice: Unordered, Open by type:$this | |||||||||
| effectiveDateTime |
dateTime | |||||||||||
| effectivePeriod |
Period | |||||||||||
 effective[x]:effectivePeriod |
OΣ | 0..1 | Period | Clinically relevant time/time-period for report
| ||||||||
| issued |
OΣ | 0..1 | instant | Date and time of report issuance
| ||||||||
| Slices for performer |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service Slice: Unordered, Open by profile:$this | ||||||||
| performer:organization |
OΣ | 0..* | Reference(Organization (EU core)(2.0.0-recon)) | The organization producer of this report
| ||||||||
| Slices for resultsInterpreter |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter Slice: Unordered, Open by profile:resolve() | ||||||||
| resultsInterpreter:author |
OΣ | 0..* | Reference(Practitioner (EU core)(2.0.0-recon) | PractitionerRole (EU core)(2.0.0-recon)) | Primary result interpreter
| ||||||||
| result |
S | 0..* | Reference(Observation: Imaging Finding) | Findings | ||||||||
| media |
OΣ | 0..* | BackboneElement | Key images associated with this report
| ||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| link |
Σ | 1..1 | Reference(Media) | Reference to the image source | ||||||||
| presentedForm |
O | 0..* | Attachment | Entire report as issued
| ||||||||
| Documentation for this format | ||||||||||||
| 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.category:diagnostic-service | Base | required | Diagnostic Service Section Codes | 📦4.0.1 | FHIR Std. |
| DiagnosticReport.category:imaging-report | Base | example | Diagnostic Service Section Codes | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.category:imaging | Base | example | Diagnostic Service Section Codes | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.code | Base | preferred | ValueSet: Radiology Report Types | 📦1.0.0-ballot | This IG |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| DiagnosticReport |
0..* | DiagnosticReportEuImaging | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |||||||
 language |
O | 0..1 | code | Language of the resource content
| ||||||
| Slices for extension |
Content/Rules for all slices | |||||||||
| extension:artifactVersion |
O | 0..1 | ArtifactVersion(5.2.0) | Business version of the artifact
| ||||||
| extension:note |
O | 0..* | R5 DiagnosticReport.note | Comments about the diagnostic report
| ||||||
| extension:comparison |
O | 0..* | HL7IDRComparisonStudiesExt | Extension: HL7IDR DiagnosticReport Comparison Study
| ||||||
| extension:procedure |
O | 0..* | HL7IDRImagingProcedureExt | Extension: HL7IDR Imaging Procedure
| ||||||
| extension:impression |
O | 0..* | HL7IDRImpressionExt | Extension: HL7IDR Impression
| ||||||
| extension:recommendation |
O | 0..* | HL7IDRRecommendationExt | Extension: HL7IDR Recommendation
| ||||||
| extension:radiationDose |
O | 0..1 | RadiationDoseExt | Extension: Radiation Dose
| ||||||
| extension:composition |
O | 1..1 | R5 DiagnosticReport.composition | Reference to a Composition resource for the DiagnosticReport structure
| ||||||
| identifier |
O | 1..* | Identifier | Report identifier
| ||||||
| Slices for basedOn |
Content/Rules for all slices | |||||||||
| basedOn:ServiceRequestOrderEuImagingaccession |
O | 0..* | Reference(ServiceRequest: Imaging Order) | What was requested
| ||||||
| status |
O | 1..1 | code | Status of the Report
| ||||||
| Slices for category |
Content/Rules for all slices | |||||||||
| category:diagnostic-service |
O | 0..1 | CodeableConcept | Service category
| ||||||
| subject |
O | 1..1 | Reference(Patient (EU core)(2.0.0-recon)) | The subject of the report - usually, but not always, the patient
| ||||||
| Slices for effective[x] |
0..1 | dateTime, Period | Clinically relevant time/time-period for report Slice: Unordered, Open by type:$this | |||||||
| effective[x]:effectivePeriod |
O | 0..1 | Period | Clinically relevant time/time-period for report
| ||||||
| issued |
O | 0..1 | instant | Date and time of report issuance
| ||||||
| Slices for performer |
Content/Rules for all slices | |||||||||
| performer:organization |
O | 0..* | Reference(Organization (EU core)(2.0.0-recon)) | The organization producer of this report
| ||||||
| Slices for resultsInterpreter |
Content/Rules for all slices | |||||||||
| resultsInterpreter:author |
O | 0..* | Reference(Practitioner (EU core)(2.0.0-recon) | PractitionerRole (EU core)(2.0.0-recon)) | Primary result interpreter
| ||||||
| media |
O | 0..* | BackboneElement | Key images associated with this report
| ||||||
| presentedForm |
O | 0..* | Attachment | Entire report as issued
| ||||||
| Documentation for this format | ||||||||||
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DiagnosticReport |
0..* | DiagnosticReportEuImaging | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |||||||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||
| language |
O | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| ||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| extension:artifactVersion |
O | 0..1 | string | Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version
| ||||||||
| extension:anatomical-region |
0..* | CodeableConcept | The anatomical regions covered by the study this report reports on. URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/AnatomicalRegionExtension Binding: ValueSet: Anatomical Region (required) | |||||||||
| extension:note |
O | 0..* | (Complex) | Comments about the diagnostic report URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note Constraints: ext-1
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note" | |||||||||
 value[x] |
0..1 | Annotation | Comments about the diagnostic report | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| extension:annotation-type |
0..* | (Complex) | The type of annotation URL: http://hl7.org/fhir/StructureDefinition/annotationType | |||||||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/annotationType" | |||||||||
| value[x] |
1..1 | CodeableConcept | Value of extension Binding: ValueSet: Section codes used to label annotations. (preferred) | |||||||||
 author[x] |
Σ | 0..1 | Individual responsible for the annotation | |||||||||
| authorReference |
Reference(Practitioner | Patient | RelatedPerson | Organization) | |||||||||||
| authorString |
string | |||||||||||
| time |
Σ | 0..1 | dateTime | When the annotation was made | ||||||||
| text |
Σ | 1..1 | markdown | The annotation - text content (as markdown) | ||||||||
| extension:comparison |
SO | 0..* | Reference(ImagingStudy: General | Basic-ImagingSelection: General) | Extension: HL7IDR DiagnosticReport Comparison Study URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/HL7IDRComparisonStudy
| ||||||||
| extension:patientHistory |
S | 0..* | Reference() | Patient history items selected by radiologist URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/HL7IDRPatientHistory | ||||||||
| extension:procedure |
SO | 0..* | Reference(Procedure: Imaging Acquisition | AdverseEvent | Observation: Radiation Dose) | Extension: HL7IDR Imaging Procedure URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/HL7IDRImagingProcedure
| ||||||||
| extension:finding |
S | 0..* | Reference(Observation: Imaging Finding | Key images represented as an ImagingSelection for R4 | DocumentReference: Key Image | DocumentReference | Media) | Key image findings URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/HL7IDRFinding | ||||||||
| extension:impression |
SO | 0..* | Reference(Observation: Imaging Finding | Condition | DocumentReference: Key Image | Key images represented as an ImagingSelection for R4) | Extension: HL7IDR Impression URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/HL7IDRImpression
| ||||||||
| extension:recommendation |
SO | 0..* | Reference(CarePlan | ServiceRequest) | Extension: HL7IDR Recommendation URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/HL7IDRRecommendation
| ||||||||
| extension:communication |
S | 0..* | Reference() | Communications with other care providers URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/HL7IDRCommunication | ||||||||
| extension:radiationDose |
SO | 0..1 | string | Extension: Radiation Dose URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/RadiationDose
| ||||||||
| extension:informationRecipient |
0..* | Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization | CareTeam | Group) | Composition: Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient | |||||||||
| extension:composition |
O | 1..1 | (Complex) | Reference to a Composition resource for the DiagnosticReport structure URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition Constraints: ext-1
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition" | |||||||||
| value[x] |
0..1 | Reference(Composition: Imaging Report) | Reference to a Composition resource for the DiagnosticReport structure | |||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||
| identifier |
OΣ | 1..* | Identifier | Report identifier
| ||||||||
| Slices for basedOn |
0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested Slice: Unordered, Open by type:$this | |||||||||
| basedOn:ServiceRequestOrderEuImagingaccession |
O | 0..* | Reference(ServiceRequest: Imaging Order) | What was requested
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||||||
| identifier |
Σ | 1..1 | AccessionNumberIdentifierEuImaging | Logical reference, when literal reference is not known | ||||||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||||||
| status |
?!OΣ | 1..1 | code | Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
| ||||||||
| Slices for category |
Σ | 2..* | CodeableConcept | Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. | ||||||||
| category:diagnostic-service |
OΣ | 0..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (required)
| ||||||||
| category:imaging-report |
Σ | 1..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 85430-7 | |||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||
| category:imaging |
Σ | 1..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.eu/fhir/eu-health-data-api/CodeSystem/eehrxf-document-priority-category-cs | |||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: Medical-Imaging | |||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||
| code |
Σ | 1..1 | CodeableConcept | Type of Imaging Diagnostic Report Binding: ValueSet: Radiology Report Types (preferred) | ||||||||
| subject |
OΣ | 1..1 | Reference(Patient (EU core)(2.0.0-recon)) | The subject of the report - usually, but not always, the patient
| ||||||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Health care event when test ordered | ||||||||
| Slices for effective[x] |
Σ | 0..1 | Clinically relevant time/time-period for report Slice: Unordered, Open by type:$this | |||||||||
| effectiveDateTime |
dateTime | |||||||||||
| effectivePeriod |
Period | |||||||||||
| effective[x]:effectivePeriod |
OΣ | 0..1 | Period | Clinically relevant time/time-period for report
| ||||||||
| issued |
OΣ | 0..1 | instant | Date and time of report issuance
| ||||||||
| Slices for performer |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service Slice: Unordered, Open by profile:$this | ||||||||
| performer:organization |
OΣ | 0..* | Reference(Organization (EU core)(2.0.0-recon)) | The organization producer of this report
| ||||||||
| Slices for resultsInterpreter |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter Slice: Unordered, Open by profile:resolve() | ||||||||
| resultsInterpreter:author |
OΣ | 0..* | Reference(Practitioner (EU core)(2.0.0-recon) | PractitionerRole (EU core)(2.0.0-recon)) | Primary result interpreter
| ||||||||
| specimen |
0..* | Reference(Specimen) | Specimens this report is based on | |||||||||
| result |
S | 0..* | Reference(Observation: Imaging Finding) | Findings | ||||||||
| imagingStudy |
0..* | Reference(ImagingStudy: General) | Study subject to this report | |||||||||
| media |
OΣ | 0..* | BackboneElement | Key images associated with this report
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| comment |
0..1 | string | Comment about the image (e.g. explanation) | |||||||||
| link |
Σ | 1..1 | Reference(Media) | Reference to the image source | ||||||||
| conclusion |
0..1 | string | Clinical conclusion (interpretation) of test results | |||||||||
| conclusionCode |
0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. | |||||||||
| presentedForm |
O | 0..* | Attachment | Entire report as issued
| ||||||||
| Documentation for this format | ||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.extension:note.value[x].extension:annotation-type.value[x] | Base | preferred | ValueSet: Section codes used to label annotations. | 📦1.0.0-ballot | This IG |
| DiagnosticReport.basedOn:ServiceRequestOrderEuImagingaccession.type | Base | extensible | ResourceType | 📍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.category:diagnostic-service | Base | required | Diagnostic Service Section Codes | 📦4.0.1 | FHIR Std. |
| DiagnosticReport.category:imaging-report | Base | example | Diagnostic Service Section Codes | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.category:imaging | Base | example | Diagnostic Service Section Codes | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.code | Base | preferred | ValueSet: Radiology Report Types | 📦1.0.0-ballot | This IG |
| DiagnosticReport.conclusionCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Summary
Slices
This structure defines the following Slices:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DiagnosticReport |
0..* | DiagnosticReportEuImaging | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |||||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||
| language |
O | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| ||||||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| extension:artifactVersion |
O | 0..1 | string | Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version
| ||||||||
| extension:anatomical-region |
0..* | CodeableConcept | The anatomical regions covered by the study this report reports on. URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/AnatomicalRegionExtension Binding: ValueSet: Anatomical Region (required) | |||||||||
| extension:note |
O | 0..* | (Complex) | Comments about the diagnostic report URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note Constraints: ext-1
| ||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note" | |||||||||
| extension:comparison |
SO | 0..* | Reference(ImagingStudy: General | Basic-ImagingSelection: General) | Extension: HL7IDR DiagnosticReport Comparison Study URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/HL7IDRComparisonStudy
| ||||||||
| extension:patientHistory |
S | 0..* | Reference() | Patient history items selected by radiologist URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/HL7IDRPatientHistory | ||||||||
| extension:procedure |
SO | 0..* | Reference(Procedure: Imaging Acquisition | AdverseEvent | Observation: Radiation Dose) | Extension: HL7IDR Imaging Procedure URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/HL7IDRImagingProcedure
| ||||||||
| extension:finding |
S | 0..* | Reference(Observation: Imaging Finding | Key images represented as an ImagingSelection for R4 | DocumentReference: Key Image | DocumentReference | Media) | Key image findings URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/HL7IDRFinding | ||||||||
| extension:impression |
SO | 0..* | Reference(Observation: Imaging Finding | Condition | DocumentReference: Key Image | Key images represented as an ImagingSelection for R4) | Extension: HL7IDR Impression URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/HL7IDRImpression
| ||||||||
| extension:recommendation |
SO | 0..* | Reference(CarePlan | ServiceRequest) | Extension: HL7IDR Recommendation URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/HL7IDRRecommendation
| ||||||||
| extension:communication |
S | 0..* | Reference() | Communications with other care providers URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/HL7IDRCommunication | ||||||||
| extension:radiationDose |
SO | 0..1 | string | Extension: Radiation Dose URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/RadiationDose
| ||||||||
| extension:informationRecipient |
0..* | Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization | CareTeam | Group) | Composition: Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient | |||||||||
| extension:composition |
O | 1..1 | (Complex) | Reference to a Composition resource for the DiagnosticReport structure URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition Constraints: ext-1
| ||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition" | |||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||
| identifier |
OΣ | 1..* | Identifier | Report identifier
| ||||||||
| Slices for basedOn |
0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested Slice: Unordered, Open by type:$this | |||||||||
| basedOn:ServiceRequestOrderEuImagingaccession |
O | 0..* | Reference(ServiceRequest: Imaging Order) | What was requested
| ||||||||
| identifier |
Σ | 1..1 | AccessionNumberIdentifierEuImaging | Logical reference, when literal reference is not known | ||||||||
| status |
?!OΣ | 1..1 | code | Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
| ||||||||
| Slices for category |
Σ | 2..* | CodeableConcept | Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. | ||||||||
| category:diagnostic-service |
OΣ | 0..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (required)
| ||||||||
| category:imaging-report |
Σ | 1..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 85430-7 | |||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||
| category:imaging |
Σ | 1..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.eu/fhir/eu-health-data-api/CodeSystem/eehrxf-document-priority-category-cs | |||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: Medical-Imaging | |||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||
| code |
Σ | 1..1 | CodeableConcept | Type of Imaging Diagnostic Report Binding: ValueSet: Radiology Report Types (preferred) | ||||||||
| subject |
OΣ | 1..1 | Reference(Patient (EU core)(2.0.0-recon)) | The subject of the report - usually, but not always, the patient
| ||||||||
| Slices for effective[x] |
Σ | 0..1 | Clinically relevant time/time-period for report Slice: Unordered, Open by type:$this | |||||||||
| effectiveDateTime |
dateTime | |||||||||||
| effectivePeriod |
Period | |||||||||||
| effective[x]:effectivePeriod |
OΣ | 0..1 | Period | Clinically relevant time/time-period for report
| ||||||||
| issued |
OΣ | 0..1 | instant | Date and time of report issuance
| ||||||||
| Slices for performer |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service Slice: Unordered, Open by profile:$this | ||||||||
| performer:organization |
OΣ | 0..* | Reference(Organization (EU core)(2.0.0-recon)) | The organization producer of this report
| ||||||||
| Slices for resultsInterpreter |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter Slice: Unordered, Open by profile:resolve() | ||||||||
| resultsInterpreter:author |
OΣ | 0..* | Reference(Practitioner (EU core)(2.0.0-recon) | PractitionerRole (EU core)(2.0.0-recon)) | Primary result interpreter
| ||||||||
| result |
S | 0..* | Reference(Observation: Imaging Finding) | Findings | ||||||||
| media |
OΣ | 0..* | BackboneElement | Key images associated with this report
| ||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| link |
Σ | 1..1 | Reference(Media) | Reference to the image source | ||||||||
| presentedForm |
O | 0..* | Attachment | Entire report as issued
| ||||||||
| Documentation for this format | ||||||||||||
| 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.category:diagnostic-service | Base | required | Diagnostic Service Section Codes | 📦4.0.1 | FHIR Std. |
| DiagnosticReport.category:imaging-report | Base | example | Diagnostic Service Section Codes | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.category:imaging | Base | example | Diagnostic Service Section Codes | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.code | Base | preferred | ValueSet: Radiology Report Types | 📦1.0.0-ballot | This IG |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Differential View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| DiagnosticReport |
0..* | DiagnosticReportEuImaging | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |||||||
| language |
O | 0..1 | code | Language of the resource content
| ||||||
| Slices for extension |
Content/Rules for all slices | |||||||||
| extension:artifactVersion |
O | 0..1 | ArtifactVersion(5.2.0) | Business version of the artifact
| ||||||
| extension:note |
O | 0..* | R5 DiagnosticReport.note | Comments about the diagnostic report
| ||||||
| extension:comparison |
O | 0..* | HL7IDRComparisonStudiesExt | Extension: HL7IDR DiagnosticReport Comparison Study
| ||||||
| extension:procedure |
O | 0..* | HL7IDRImagingProcedureExt | Extension: HL7IDR Imaging Procedure
| ||||||
| extension:impression |
O | 0..* | HL7IDRImpressionExt | Extension: HL7IDR Impression
| ||||||
| extension:recommendation |
O | 0..* | HL7IDRRecommendationExt | Extension: HL7IDR Recommendation
| ||||||
| extension:radiationDose |
O | 0..1 | RadiationDoseExt | Extension: Radiation Dose
| ||||||
| extension:composition |
O | 1..1 | R5 DiagnosticReport.composition | Reference to a Composition resource for the DiagnosticReport structure
| ||||||
| identifier |
O | 1..* | Identifier | Report identifier
| ||||||
| Slices for basedOn |
Content/Rules for all slices | |||||||||
| basedOn:ServiceRequestOrderEuImagingaccession |
O | 0..* | Reference(ServiceRequest: Imaging Order) | What was requested
| ||||||
| status |
O | 1..1 | code | Status of the Report
| ||||||
| Slices for category |
Content/Rules for all slices | |||||||||
| category:diagnostic-service |
O | 0..1 | CodeableConcept | Service category
| ||||||
| subject |
O | 1..1 | Reference(Patient (EU core)(2.0.0-recon)) | The subject of the report - usually, but not always, the patient
| ||||||
| Slices for effective[x] |
0..1 | dateTime, Period | Clinically relevant time/time-period for report Slice: Unordered, Open by type:$this | |||||||
| effective[x]:effectivePeriod |
O | 0..1 | Period | Clinically relevant time/time-period for report
| ||||||
| issued |
O | 0..1 | instant | Date and time of report issuance
| ||||||
| Slices for performer |
Content/Rules for all slices | |||||||||
| performer:organization |
O | 0..* | Reference(Organization (EU core)(2.0.0-recon)) | The organization producer of this report
| ||||||
| Slices for resultsInterpreter |
Content/Rules for all slices | |||||||||
| resultsInterpreter:author |
O | 0..* | Reference(Practitioner (EU core)(2.0.0-recon) | PractitionerRole (EU core)(2.0.0-recon)) | Primary result interpreter
| ||||||
| media |
O | 0..* | BackboneElement | Key images associated with this report
| ||||||
| presentedForm |
O | 0..* | Attachment | Entire report as issued
| ||||||
| Documentation for this format | ||||||||||
Snapshot ViewView
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DiagnosticReport |
0..* | DiagnosticReportEuImaging | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |||||||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||
| language |
O | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| ||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| extension:artifactVersion |
O | 0..1 | string | Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version
| ||||||||
| extension:anatomical-region |
0..* | CodeableConcept | The anatomical regions covered by the study this report reports on. URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/AnatomicalRegionExtension Binding: ValueSet: Anatomical Region (required) | |||||||||
| extension:note |
O | 0..* | (Complex) | Comments about the diagnostic report URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note Constraints: ext-1
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note" | |||||||||
| value[x] |
0..1 | Annotation | Comments about the diagnostic report | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| extension:annotation-type |
0..* | (Complex) | The type of annotation URL: http://hl7.org/fhir/StructureDefinition/annotationType | |||||||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/annotationType" | |||||||||
| value[x] |
1..1 | CodeableConcept | Value of extension Binding: ValueSet: Section codes used to label annotations. (preferred) | |||||||||
| author[x] |
Σ | 0..1 | Individual responsible for the annotation | |||||||||
| authorReference |
Reference(Practitioner | Patient | RelatedPerson | Organization) | |||||||||||
| authorString |
string | |||||||||||
| time |
Σ | 0..1 | dateTime | When the annotation was made | ||||||||
| text |
Σ | 1..1 | markdown | The annotation - text content (as markdown) | ||||||||
| extension:comparison |
SO | 0..* | Reference(ImagingStudy: General | Basic-ImagingSelection: General) | Extension: HL7IDR DiagnosticReport Comparison Study URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/HL7IDRComparisonStudy
| ||||||||
| extension:patientHistory |
S | 0..* | Reference() | Patient history items selected by radiologist URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/HL7IDRPatientHistory | ||||||||
| extension:procedure |
SO | 0..* | Reference(Procedure: Imaging Acquisition | AdverseEvent | Observation: Radiation Dose) | Extension: HL7IDR Imaging Procedure URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/HL7IDRImagingProcedure
| ||||||||
| extension:finding |
S | 0..* | Reference(Observation: Imaging Finding | Key images represented as an ImagingSelection for R4 | DocumentReference: Key Image | DocumentReference | Media) | Key image findings URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/HL7IDRFinding | ||||||||
| extension:impression |
SO | 0..* | Reference(Observation: Imaging Finding | Condition | DocumentReference: Key Image | Key images represented as an ImagingSelection for R4) | Extension: HL7IDR Impression URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/HL7IDRImpression
| ||||||||
| extension:recommendation |
SO | 0..* | Reference(CarePlan | ServiceRequest) | Extension: HL7IDR Recommendation URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/HL7IDRRecommendation
| ||||||||
| extension:communication |
S | 0..* | Reference() | Communications with other care providers URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/HL7IDRCommunication | ||||||||
| extension:radiationDose |
SO | 0..1 | string | Extension: Radiation Dose URL: http://hl7.eu/fhir/imaging-r4/StructureDefinition/RadiationDose
| ||||||||
| extension:informationRecipient |
0..* | Reference(Practitioner | Device | Patient | RelatedPerson | PractitionerRole | Organization | CareTeam | Group) | Composition: Information recipient URL: http://hl7.eu/fhir/StructureDefinition/information-recipient | |||||||||
| extension:composition |
O | 1..1 | (Complex) | Reference to a Composition resource for the DiagnosticReport structure URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition Constraints: ext-1
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition" | |||||||||
| value[x] |
0..1 | Reference(Composition: Imaging Report) | Reference to a Composition resource for the DiagnosticReport structure | |||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||
| identifier |
OΣ | 1..* | Identifier | Report identifier
| ||||||||
| Slices for basedOn |
0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested Slice: Unordered, Open by type:$this | |||||||||
| basedOn:ServiceRequestOrderEuImagingaccession |
O | 0..* | Reference(ServiceRequest: Imaging Order) | What was requested
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||||||
| identifier |
Σ | 1..1 | AccessionNumberIdentifierEuImaging | Logical reference, when literal reference is not known | ||||||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||||||
| status |
?!OΣ | 1..1 | code | Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
| ||||||||
| Slices for category |
Σ | 2..* | CodeableConcept | Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. | ||||||||
| category:diagnostic-service |
OΣ | 0..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (required)
| ||||||||
| category:imaging-report |
Σ | 1..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 85430-7 | |||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||
| category:imaging |
Σ | 1..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.eu/fhir/eu-health-data-api/CodeSystem/eehrxf-document-priority-category-cs | |||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: Medical-Imaging | |||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||
| code |
Σ | 1..1 | CodeableConcept | Type of Imaging Diagnostic Report Binding: ValueSet: Radiology Report Types (preferred) | ||||||||
| subject |
OΣ | 1..1 | Reference(Patient (EU core)(2.0.0-recon)) | The subject of the report - usually, but not always, the patient
| ||||||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Health care event when test ordered | ||||||||
| Slices for effective[x] |
Σ | 0..1 | Clinically relevant time/time-period for report Slice: Unordered, Open by type:$this | |||||||||
| effectiveDateTime |
dateTime | |||||||||||
| effectivePeriod |
Period | |||||||||||
| effective[x]:effectivePeriod |
OΣ | 0..1 | Period | Clinically relevant time/time-period for report
| ||||||||
| issued |
OΣ | 0..1 | instant | Date and time of report issuance
| ||||||||
| Slices for performer |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service Slice: Unordered, Open by profile:$this | ||||||||
| performer:organization |
OΣ | 0..* | Reference(Organization (EU core)(2.0.0-recon)) | The organization producer of this report
| ||||||||
| Slices for resultsInterpreter |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter Slice: Unordered, Open by profile:resolve() | ||||||||
| resultsInterpreter:author |
OΣ | 0..* | Reference(Practitioner (EU core)(2.0.0-recon) | PractitionerRole (EU core)(2.0.0-recon)) | Primary result interpreter
| ||||||||
| specimen |
0..* | Reference(Specimen) | Specimens this report is based on | |||||||||
| result |
S | 0..* | Reference(Observation: Imaging Finding) | Findings | ||||||||
| imagingStudy |
0..* | Reference(ImagingStudy: General) | Study subject to this report | |||||||||
| media |
OΣ | 0..* | BackboneElement | Key images associated with this report
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| comment |
0..1 | string | Comment about the image (e.g. explanation) | |||||||||
| link |
Σ | 1..1 | Reference(Media) | Reference to the image source | ||||||||
| conclusion |
0..1 | string | Clinical conclusion (interpretation) of test results | |||||||||
| conclusionCode |
0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. | |||||||||
| presentedForm |
O | 0..* | Attachment | Entire report as issued
| ||||||||
| Documentation for this format | ||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.extension:note.value[x].extension:annotation-type.value[x] | Base | preferred | ValueSet: Section codes used to label annotations. | 📦1.0.0-ballot | This IG |
| DiagnosticReport.basedOn:ServiceRequestOrderEuImagingaccession.type | Base | extensible | ResourceType | 📍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.category:diagnostic-service | Base | required | Diagnostic Service Section Codes | 📦4.0.1 | FHIR Std. |
| DiagnosticReport.category:imaging-report | Base | example | Diagnostic Service Section Codes | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.category:imaging | Base | example | Diagnostic Service Section Codes | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.code | Base | preferred | ValueSet: Radiology Report Types | 📦1.0.0-ballot | This IG |
| DiagnosticReport.conclusionCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Summary
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron
IG © 2025+ HL7 Europe.
Package hl7.fhir.eu.imaging-r4#1.0.0-ballot based on FHIR 4.0.1.
Generated
2026-03-11
