EU Imaging Report R4
1.0.0-ballot - ci-build 150

EU 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

Resource Profile: DiagnosticReport: Imaging Report Minimal Metadata

Official URL: http://hl7.eu/fhir/imaging/StructureDefinition/DiagnosticReportEuImagingMinimalMetadata Version: 1.0.0-ballot
Standards status: Draft Maturity Level: 1 Computable Name: DiagnosticReportEuImagingMinimalMetadata

Copyright/Legal: Copyright HL7 Europe. Licensed under Creative Commons public domain (CC0 1.0).

DiagnosticReport profile for minimal metadata imaging report exchange. This profile shares all common imaging report modeling with DiagnosticReportEuImaging but does not require a matching Composition resource.

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..* DiagnosticReportEuCore Diagnostic Report EU core
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.Slices for extension Content/Rules for all slices
DiagnosticReport.Slices for extension.extension:DiagnosticReportCompositionR5 0..1 (Complex) Associated Composition
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
Constraints: ext-1
DiagnosticReport.Slices for extension.extension:DiagnosticReportCompositionR5.extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
DiagnosticReport.Slices for extension.extension:DiagnosticReportCompositionR5.url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
DiagnosticReport.Slices for extension.extension:DiagnosticReportCompositionR5.value[x] 1..1 Reference(Composition (EU core)) Reference to a Composition resource for the DiagnosticReport structure
DiagnosticReport.Slices for extension.extension:note 0..* (Complex) Comments about the diagnostic report
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note
Constraints: ext-1
DiagnosticReport.Slices for extension.extension:note.extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
DiagnosticReport.Slices for extension.extension:note.url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note"
DiagnosticReport.Slices for extension.extension:artifactVersion 0..1 string Business version of the artifact
URL: http://hl7.org/fhir/StructureDefinition/artifact-version
DiagnosticReport.Slices for extension.extension:anatomical-region 0..* CodeableConcept The anatomical regions covered by the study this report reports on.
URL: http://hl7.eu/fhir/imaging/StructureDefinition/AnatomicalRegionExtension
Binding: ValueSet: Anatomical Region (required)
DiagnosticReport.Slices for extension.extension:comparison This element must be supported. 0..* Reference(ImagingStudy: Reported Study | Basic-ImagingSelection: General) Comparison studies
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRComparisonStudy
DiagnosticReport.Slices for extension.extension:patientHistory This element must be supported. 0..* Reference() Patient history items selected by radiologist
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRPatientHistory
DiagnosticReport.Slices for extension.extension:procedure This element must be supported. 0..* Reference(Procedure: Imaging Acquisition | AdverseEvent | Observation: Radiation Dose) Imaging procedure
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRImagingProcedure
DiagnosticReport.Slices for extension.extension:finding This element must be supported. 0..* Reference(Observation: Imaging Finding | Key images represented as an ImagingSelection for R4 | Media: Key Image | Media | DocumentReference) Key image findings
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRFinding
DiagnosticReport.Slices for extension.extension:impression This element must be supported. 0..* Reference(Observation: Imaging Finding | Condition | Key images represented as an ImagingSelection for R4 | Media: Key Image) Impression
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRImpression
DiagnosticReport.Slices for extension.extension:recommendation This element must be supported. 0..* Reference(CarePlan | ServiceRequest) Recommendations
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRRecommendation
DiagnosticReport.Slices for extension.extension:communication This element must be supported. 0..* Reference() Communications with other care providers
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRCommunication
DiagnosticReport.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
DiagnosticReport.identifier This element is included in summaries. 1..* Identifier Report identifier
DiagnosticReport.Slices for basedOn 0..* Reference(ServiceRequest) What was requested
Slice: Unordered, Open by exists:identifier

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DiagnosticReport.Slices for basedOn.basedOn:order-resource 0..* Reference(ServiceRequest: Imaging Order) What was requested
DiagnosticReport.Slices for basedOn.basedOn:order-resource.reference This element is included in summaries. C 1..1 string Literal reference, Relative, internal or absolute URL
DiagnosticReport.Slices for basedOn.basedOn:order-identifier 0..* Reference(ServiceRequest) What was requested
DiagnosticReport.Slices for basedOn.basedOn:order-identifier.identifier This element is included in summaries. 1..1 AccessionNumberIdentifierEuImaging Logical reference, when literal reference is not known
DiagnosticReport.status This element is a modifier element. This element is included in summaries. 1..1 code Status of the Report
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
DiagnosticReport.Slices for category This element is included in summaries. 2..* CodeableConcept Service category
Slice: Unordered, Open by value:$this
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DiagnosticReport.Slices for category.category:diagnostic-service This element is included in summaries. 0..1 CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (required)
DiagnosticReport.Slices for category.category:imaging-report This element is included in summaries. 1..1 CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.

Required Pattern:
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "85430-7"
    }
  ]
}
DiagnosticReport.Slices for category.category:imaging This element is included in summaries. 1..1 CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.

Required Pattern:
{
  "coding" : [
    {
      "system" : "http://hl7.eu/fhir/health-data-api/CodeSystem/eehrxf-document-priority-category-cs",
      "code" : "Medical-Imaging"
    }
  ]
}
DiagnosticReport.code This element is included in summaries. 1..1 CodeableConcept Type of Imaging Diagnostic Report
Binding: ValueSet: Radiology Report Types (preferred)
DiagnosticReport.subject This element is included in summaries. 1..1 Reference(Patient (EU core)) Who and/or what this report is about
DiagnosticReport.issued This element is included in summaries. 0..1 instant Date and time of report issuance
DiagnosticReport.Slices for performer This element is included in summaries. 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Responsible Diagnostic Service.
Slice: Unordered, Open by profile:$this
DiagnosticReport.Slices for performer.performer:organization This element is included in summaries. 0..* Reference(Organization (EU core)) The organization producer of this report
DiagnosticReport.Slices for resultsInterpreter This element is included in summaries. 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
Slice: Unordered, Open by profile:resolve()
DiagnosticReport.Slices for resultsInterpreter.resultsInterpreter:author This element is included in summaries. 0..* Reference(PractitionerRole (EU core)) Primary interpreter of results
DiagnosticReport.result This element must be supported. 0..* Reference(Observation: Imaging Finding | Observation: Narrative Report) Findings
DiagnosticReport.Slices for imagingStudy 0..* Reference(ImagingStudy: Reported Study) Study subject to this report
Slice: Unordered, Open by exists:identifier

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DiagnosticReport.Slices for imagingStudy.imagingStudy:study-resource 0..* Reference(ImagingStudy) Study subject to this report
DiagnosticReport.Slices for imagingStudy.imagingStudy:study-resource.reference This element is included in summaries. C 1..1 string Literal reference, Relative, internal or absolute URL
DiagnosticReport.Slices for imagingStudy.imagingStudy:study-identifier 0..* Reference(ImagingStudy) Study subject to this report
DiagnosticReport.Slices for imagingStudy.imagingStudy:study-identifier.identifier This element is included in summaries. 1..1 StudyInstanceUidIdentifierEuImaging Logical reference, when literal reference is not known

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
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

Constraints

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 DiagnosticReport.extension:DiagnosticReportCompositionR5, DiagnosticReport.extension:note, DiagnosticReport.extension:artifactVersion, DiagnosticReport.extension:anatomical-region, DiagnosticReport.extension:comparison, DiagnosticReport.extension:patientHistory, DiagnosticReport.extension:procedure, DiagnosticReport.extension:finding, DiagnosticReport.extension:impression, DiagnosticReport.extension:recommendation, DiagnosticReport.extension:communication, DiagnosticReport.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from DiagnosticReportEuCore

NameFlagsCard.TypeDescription & Constraints    Filter: doco
DiagnosticReport DiagnosticReportEuCore
DiagnosticReport.Slices for extension Content/Rules for all slices
DiagnosticReport.Slices for extension.extension:artifactVersion 0..1 string Business version of the artifact
URL: http://hl7.org/fhir/StructureDefinition/artifact-version
DiagnosticReport.Slices for extension.extension:anatomical-region 0..* CodeableConcept The anatomical regions covered by the study this report reports on.
URL: http://hl7.eu/fhir/imaging/StructureDefinition/AnatomicalRegionExtension
Binding: ValueSet: Anatomical Region (required)
DiagnosticReport.Slices for extension.extension:comparison This element must be supported. 0..* Reference(ImagingStudy: Reported Study | Basic-ImagingSelection: General) Comparison studies
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRComparisonStudy
DiagnosticReport.Slices for extension.extension:patientHistory This element must be supported. 0..* Reference() Patient history items selected by radiologist
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRPatientHistory
DiagnosticReport.Slices for extension.extension:procedure This element must be supported. 0..* Reference(Procedure: Imaging Acquisition | AdverseEvent | Observation: Radiation Dose) Imaging procedure
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRImagingProcedure
DiagnosticReport.Slices for extension.extension:finding This element must be supported. 0..* Reference(Observation: Imaging Finding | Key images represented as an ImagingSelection for R4 | Media: Key Image | Media | DocumentReference) Key image findings
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRFinding
DiagnosticReport.Slices for extension.extension:impression This element must be supported. 0..* Reference(Observation: Imaging Finding | Condition | Key images represented as an ImagingSelection for R4 | Media: Key Image) Impression
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRImpression
DiagnosticReport.Slices for extension.extension:recommendation This element must be supported. 0..* Reference(CarePlan | ServiceRequest) Recommendations
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRRecommendation
DiagnosticReport.Slices for extension.extension:communication This element must be supported. 0..* Reference() Communications with other care providers
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRCommunication
DiagnosticReport.identifier 1..* Identifier Report identifier
DiagnosticReport.Slices for basedOn 0..* Reference(ServiceRequest) What was requested
Slice: Unordered, Open by exists:identifier
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DiagnosticReport.Slices for basedOn.basedOn:order-resource 0..* Reference(ServiceRequest: Imaging Order) What was requested
DiagnosticReport.Slices for basedOn.basedOn:order-resource.reference 1..1 string Literal reference, Relative, internal or absolute URL
DiagnosticReport.Slices for basedOn.basedOn:order-resource.identifier 0..0 Logical reference, when literal reference is not known
DiagnosticReport.Slices for basedOn.basedOn:order-identifier 0..* Reference(ServiceRequest) What was requested
DiagnosticReport.Slices for basedOn.basedOn:order-identifier.reference 0..0 Literal reference, Relative, internal or absolute URL
DiagnosticReport.Slices for basedOn.basedOn:order-identifier.identifier 1..1 AccessionNumberIdentifierEuImaging Logical reference, when literal reference is not known
DiagnosticReport.Slices for category Content/Rules for all slices
DiagnosticReport.Slices for category.category:imaging-report 1..1 CodeableConcept Service category
Required Pattern:
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "85430-7"
    }
  ]
}
DiagnosticReport.Slices for category.category:imaging 1..1 CodeableConcept Service category
Required Pattern:
{
  "coding" : [
    {
      "system" : "http://hl7.eu/fhir/health-data-api/CodeSystem/eehrxf-document-priority-category-cs",
      "code" : "Medical-Imaging"
    }
  ]
}
DiagnosticReport.code 1..1 CodeableConcept Type of Imaging Diagnostic Report
Binding: ValueSet: Radiology Report Types (preferred)
DiagnosticReport.subject 1..1 Reference(Patient (EU core)) Who and/or what this report is about
DiagnosticReport.issued 0..1 instant Date and time of report issuance
DiagnosticReport.Slices for resultsInterpreter Content/Rules for all slices
DiagnosticReport.Slices for resultsInterpreter.resultsInterpreter:author 0..* Reference(PractitionerRole (EU core)) Primary interpreter of results
DiagnosticReport.result This element must be supported. 0..* Reference(Observation: Imaging Finding | Observation: Narrative Report) Findings
DiagnosticReport.Slices for imagingStudy 0..* Reference(ImagingStudy: Reported Study) Study subject to this report
Slice: Unordered, Open by exists:identifier
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DiagnosticReport.Slices for imagingStudy.imagingStudy:study-resource 0..* Reference(ImagingStudy) Study subject to this report
DiagnosticReport.Slices for imagingStudy.imagingStudy:study-resource.reference 1..1 string Literal reference, Relative, internal or absolute URL
DiagnosticReport.Slices for imagingStudy.imagingStudy:study-resource.identifier 0..0 Logical reference, when literal reference is not known
DiagnosticReport.Slices for imagingStudy.imagingStudy:study-identifier 0..* Reference(ImagingStudy) Study subject to this report
DiagnosticReport.Slices for imagingStudy.imagingStudy:study-identifier.reference 0..0 Literal reference, Relative, internal or absolute URL
DiagnosticReport.Slices for imagingStudy.imagingStudy:study-identifier.identifier 1..1 StudyInstanceUidIdentifierEuImaging Logical reference, when literal reference is not known

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DiagnosticReport.code Base preferred ValueSet: Radiology Report Types 📦1.0.0-ballot This IG
NameFlagsCard.TypeDescription & Constraints    Filter: doco
DiagnosticReport 0..* DiagnosticReportEuCore Diagnostic Report EU core
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.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
DiagnosticReport.Slices for extension.extension:DiagnosticReportCompositionR5 0..1 (Complex) Associated Composition
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
Constraints: ext-1
DiagnosticReport.Slices for extension.extension:DiagnosticReportCompositionR5.id 0..1 string Unique id for inter-element referencing
DiagnosticReport.Slices for extension.extension:DiagnosticReportCompositionR5.extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
DiagnosticReport.Slices for extension.extension:DiagnosticReportCompositionR5.url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
DiagnosticReport.Slices for extension.extension:DiagnosticReportCompositionR5.value[x] 1..1 Reference(Composition (EU core)) Reference to a Composition resource for the DiagnosticReport structure
DiagnosticReport.Slices for extension.extension:note 0..* (Complex) Comments about the diagnostic report
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note
Constraints: ext-1
DiagnosticReport.Slices for extension.extension:note.id 0..1 string Unique id for inter-element referencing
DiagnosticReport.Slices for extension.extension:note.extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
DiagnosticReport.Slices for extension.extension:note.url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note"
DiagnosticReport.Slices for extension.extension:note.value[x] 0..1 Annotation Comments about the diagnostic report
DiagnosticReport.Slices for extension.extension:note.value[x].id 0..1 string Unique id for inter-element referencing
DiagnosticReport.Slices for extension.extension:note.value[x].Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
DiagnosticReport.Slices for extension.extension:note.value[x].Slices for extension Content/Rules for all slices
DiagnosticReport.Slices for extension.extension:note.value[x].Slices for extension.extension:annotation-type 0..* (Complex) The type of annotation
URL: http://hl7.org/fhir/StructureDefinition/annotationType
DiagnosticReport.Slices for extension.extension:note.value[x].Slices for extension.extension:annotation-type.id 0..1 id Unique id for inter-element referencing
DiagnosticReport.Slices for extension.extension:note.value[x].Slices for extension.extension:annotation-type.extension 0..0 Extension
Slice: Unordered, Open by value:url
DiagnosticReport.Slices for extension.extension:note.value[x].Slices for extension.extension:annotation-type.url 1..1 uri "http://hl7.org/fhir/StructureDefinition/annotationType"
DiagnosticReport.Slices for extension.extension:note.value[x].Slices for extension.extension:annotation-type.value[x] 1..1 CodeableConcept Type of note
Binding: hl7VS-commentType (example)
DiagnosticReport.Slices for extension.extension:note.value[x].author[x] This element is included in summaries. 0..1 Individual responsible for the annotation
DiagnosticReport.Slices for extension.extension:note.value[x].author[x].authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
DiagnosticReport.Slices for extension.extension:note.value[x].author[x].authorString string
DiagnosticReport.Slices for extension.extension:note.value[x].time This element is included in summaries. 0..1 dateTime When the annotation was made
DiagnosticReport.Slices for extension.extension:note.value[x].text This element is included in summaries. 1..1 markdown The annotation - text content (as markdown)
DiagnosticReport.Slices for extension.extension:artifactVersion 0..1 string Business version of the artifact
URL: http://hl7.org/fhir/StructureDefinition/artifact-version
DiagnosticReport.Slices for extension.extension:anatomical-region 0..* CodeableConcept The anatomical regions covered by the study this report reports on.
URL: http://hl7.eu/fhir/imaging/StructureDefinition/AnatomicalRegionExtension
Binding: ValueSet: Anatomical Region (required)
DiagnosticReport.Slices for extension.extension:comparison This element must be supported. 0..* Reference(ImagingStudy: Reported Study | Basic-ImagingSelection: General) Comparison studies
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRComparisonStudy
DiagnosticReport.Slices for extension.extension:patientHistory This element must be supported. 0..* Reference() Patient history items selected by radiologist
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRPatientHistory
DiagnosticReport.Slices for extension.extension:procedure This element must be supported. 0..* Reference(Procedure: Imaging Acquisition | AdverseEvent | Observation: Radiation Dose) Imaging procedure
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRImagingProcedure
DiagnosticReport.Slices for extension.extension:finding This element must be supported. 0..* Reference(Observation: Imaging Finding | Key images represented as an ImagingSelection for R4 | Media: Key Image | Media | DocumentReference) Key image findings
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRFinding
DiagnosticReport.Slices for extension.extension:impression This element must be supported. 0..* Reference(Observation: Imaging Finding | Condition | Key images represented as an ImagingSelection for R4 | Media: Key Image) Impression
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRImpression
DiagnosticReport.Slices for extension.extension:recommendation This element must be supported. 0..* Reference(CarePlan | ServiceRequest) Recommendations
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRRecommendation
DiagnosticReport.Slices for extension.extension:communication This element must be supported. 0..* Reference() Communications with other care providers
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRCommunication
DiagnosticReport.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
DiagnosticReport.identifier This element is included in summaries. 1..* Identifier Report identifier
DiagnosticReport.Slices for basedOn 0..* Reference(ServiceRequest) What was requested
Slice: Unordered, Open by exists:identifier

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DiagnosticReport.Slices for basedOn.basedOn:order-resource 0..* Reference(ServiceRequest: Imaging Order) What was requested
DiagnosticReport.Slices for basedOn.basedOn:order-resource.id 0..1 string Unique id for inter-element referencing
DiagnosticReport.Slices for basedOn.basedOn:order-resource.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
DiagnosticReport.Slices for basedOn.basedOn:order-resource.reference This element is included in summaries. C 1..1 string Literal reference, Relative, internal or absolute URL
DiagnosticReport.Slices for basedOn.basedOn:order-resource.type This element is included in summaries. 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).
DiagnosticReport.Slices for basedOn.basedOn:order-resource.display This element is included in summaries. 0..1 string Text alternative for the resource
DiagnosticReport.Slices for basedOn.basedOn:order-identifier 0..* Reference(ServiceRequest) What was requested
DiagnosticReport.Slices for basedOn.basedOn:order-identifier.id 0..1 string Unique id for inter-element referencing
DiagnosticReport.Slices for basedOn.basedOn:order-identifier.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
DiagnosticReport.Slices for basedOn.basedOn:order-identifier.type This element is included in summaries. 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).
DiagnosticReport.Slices for basedOn.basedOn:order-identifier.identifier This element is included in summaries. 1..1 AccessionNumberIdentifierEuImaging Logical reference, when literal reference is not known
DiagnosticReport.Slices for basedOn.basedOn:order-identifier.display This element is included in summaries. 0..1 string Text alternative for the resource
DiagnosticReport.status This element is a modifier element. This element is included in summaries. 1..1 code Status of the Report
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
DiagnosticReport.Slices for category This element is included in summaries. 2..* CodeableConcept Service category
Slice: Unordered, Open by value:$this
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DiagnosticReport.Slices for category.category:diagnostic-service This element is included in summaries. 0..1 CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (required)
DiagnosticReport.Slices for category.category:imaging-report This element is included in summaries. 1..1 CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.

Required Pattern:
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "85430-7"
    }
  ]
}
DiagnosticReport.Slices for category.category:imaging This element is included in summaries. 1..1 CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.

Required Pattern:
{
  "coding" : [
    {
      "system" : "http://hl7.eu/fhir/health-data-api/CodeSystem/eehrxf-document-priority-category-cs",
      "code" : "Medical-Imaging"
    }
  ]
}
DiagnosticReport.code This element is included in summaries. 1..1 CodeableConcept Type of Imaging Diagnostic Report
Binding: ValueSet: Radiology Report Types (preferred)
DiagnosticReport.subject This element is included in summaries. 1..1 Reference(Patient (EU core)) Who and/or what this report is about
DiagnosticReport.encounter This element is included in summaries. 0..1 Reference(Encounter) The healthcare event which this Diagnostic Report is about (when test ordered).
DiagnosticReport.effective[x] This element is included in summaries. 0..1 Clinically relevant time/time-period for report.
DiagnosticReport.effective[x].effectiveDateTime dateTime
DiagnosticReport.effective[x].effectivePeriod Period
DiagnosticReport.issued This element is included in summaries. 0..1 instant Date and time of report issuance
DiagnosticReport.Slices for performer This element is included in summaries. 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Responsible Diagnostic Service.
Slice: Unordered, Open by profile:$this
DiagnosticReport.Slices for performer.performer:organization This element is included in summaries. 0..* Reference(Organization (EU core)) The organization producer of this report
DiagnosticReport.Slices for resultsInterpreter This element is included in summaries. 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
Slice: Unordered, Open by profile:resolve()
DiagnosticReport.Slices for resultsInterpreter.resultsInterpreter:author This element is included in summaries. 0..* Reference(PractitionerRole (EU core)) Primary interpreter of results
DiagnosticReport.specimen 0..* Reference(Specimen) Specimens this report is based on.
DiagnosticReport.result This element must be supported. 0..* Reference(Observation: Imaging Finding | Observation: Narrative Report) Findings
DiagnosticReport.Slices for imagingStudy 0..* Reference(ImagingStudy: Reported Study) Study subject to this report
Slice: Unordered, Open by exists:identifier

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DiagnosticReport.Slices for imagingStudy.imagingStudy:study-resource 0..* Reference(ImagingStudy) Study subject to this report
DiagnosticReport.Slices for imagingStudy.imagingStudy:study-resource.id 0..1 string Unique id for inter-element referencing
DiagnosticReport.Slices for imagingStudy.imagingStudy:study-resource.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
DiagnosticReport.Slices for imagingStudy.imagingStudy:study-resource.reference This element is included in summaries. C 1..1 string Literal reference, Relative, internal or absolute URL
DiagnosticReport.Slices for imagingStudy.imagingStudy:study-resource.type This element is included in summaries. 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).
DiagnosticReport.Slices for imagingStudy.imagingStudy:study-resource.display This element is included in summaries. 0..1 string Text alternative for the resource
DiagnosticReport.Slices for imagingStudy.imagingStudy:study-identifier 0..* Reference(ImagingStudy) Study subject to this report
DiagnosticReport.Slices for imagingStudy.imagingStudy:study-identifier.id 0..1 string Unique id for inter-element referencing
DiagnosticReport.Slices for imagingStudy.imagingStudy:study-identifier.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
DiagnosticReport.Slices for imagingStudy.imagingStudy:study-identifier.type This element is included in summaries. 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).
DiagnosticReport.Slices for imagingStudy.imagingStudy:study-identifier.identifier This element is included in summaries. 1..1 StudyInstanceUidIdentifierEuImaging Logical reference, when literal reference is not known
DiagnosticReport.Slices for imagingStudy.imagingStudy:study-identifier.display This element is included in summaries. 0..1 string Text alternative for the resource
DiagnosticReport.media This element is included in summaries. 0..* BackboneElement Additional data (like images, diagrams or documents) 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 or data (e.g. explanation)
DiagnosticReport.media.link This element is included in summaries. 1..1 Reference(Media) Reference to the image or data
DiagnosticReport.conclusion 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 (pdf recommended)

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.extension:note.​value[x].extension:annotation-type.​value[x] Base example hl7VS-commentType 📦3.0.0 THO v7.3
DiagnosticReport.basedOn:order-resource.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
DiagnosticReport.basedOn:order-identifier.​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.imagingStudy:study-resource.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
DiagnosticReport.imagingStudy:study-identifier.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
DiagnosticReport.conclusionCode Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.

Constraints

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()

This structure is derived from DiagnosticReportEuCore

Summary

Mandatory: 3 elements(4 nested mandatory elements)
Must-Support: 8 elements
Prohibited: 4 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of DiagnosticReport.basedOn
  • The element 1 is sliced based on the value of DiagnosticReport.imagingStudy

Maturity: 1

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
DiagnosticReport 0..* DiagnosticReportEuCore Diagnostic Report EU core
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.Slices for extension Content/Rules for all slices
DiagnosticReport.Slices for extension.extension:DiagnosticReportCompositionR5 0..1 (Complex) Associated Composition
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
Constraints: ext-1
DiagnosticReport.Slices for extension.extension:DiagnosticReportCompositionR5.extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
DiagnosticReport.Slices for extension.extension:DiagnosticReportCompositionR5.url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
DiagnosticReport.Slices for extension.extension:DiagnosticReportCompositionR5.value[x] 1..1 Reference(Composition (EU core)) Reference to a Composition resource for the DiagnosticReport structure
DiagnosticReport.Slices for extension.extension:note 0..* (Complex) Comments about the diagnostic report
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note
Constraints: ext-1
DiagnosticReport.Slices for extension.extension:note.extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
DiagnosticReport.Slices for extension.extension:note.url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note"
DiagnosticReport.Slices for extension.extension:artifactVersion 0..1 string Business version of the artifact
URL: http://hl7.org/fhir/StructureDefinition/artifact-version
DiagnosticReport.Slices for extension.extension:anatomical-region 0..* CodeableConcept The anatomical regions covered by the study this report reports on.
URL: http://hl7.eu/fhir/imaging/StructureDefinition/AnatomicalRegionExtension
Binding: ValueSet: Anatomical Region (required)
DiagnosticReport.Slices for extension.extension:comparison This element must be supported. 0..* Reference(ImagingStudy: Reported Study | Basic-ImagingSelection: General) Comparison studies
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRComparisonStudy
DiagnosticReport.Slices for extension.extension:patientHistory This element must be supported. 0..* Reference() Patient history items selected by radiologist
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRPatientHistory
DiagnosticReport.Slices for extension.extension:procedure This element must be supported. 0..* Reference(Procedure: Imaging Acquisition | AdverseEvent | Observation: Radiation Dose) Imaging procedure
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRImagingProcedure
DiagnosticReport.Slices for extension.extension:finding This element must be supported. 0..* Reference(Observation: Imaging Finding | Key images represented as an ImagingSelection for R4 | Media: Key Image | Media | DocumentReference) Key image findings
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRFinding
DiagnosticReport.Slices for extension.extension:impression This element must be supported. 0..* Reference(Observation: Imaging Finding | Condition | Key images represented as an ImagingSelection for R4 | Media: Key Image) Impression
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRImpression
DiagnosticReport.Slices for extension.extension:recommendation This element must be supported. 0..* Reference(CarePlan | ServiceRequest) Recommendations
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRRecommendation
DiagnosticReport.Slices for extension.extension:communication This element must be supported. 0..* Reference() Communications with other care providers
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRCommunication
DiagnosticReport.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
DiagnosticReport.identifier This element is included in summaries. 1..* Identifier Report identifier
DiagnosticReport.Slices for basedOn 0..* Reference(ServiceRequest) What was requested
Slice: Unordered, Open by exists:identifier

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DiagnosticReport.Slices for basedOn.basedOn:order-resource 0..* Reference(ServiceRequest: Imaging Order) What was requested
DiagnosticReport.Slices for basedOn.basedOn:order-resource.reference This element is included in summaries. C 1..1 string Literal reference, Relative, internal or absolute URL
DiagnosticReport.Slices for basedOn.basedOn:order-identifier 0..* Reference(ServiceRequest) What was requested
DiagnosticReport.Slices for basedOn.basedOn:order-identifier.identifier This element is included in summaries. 1..1 AccessionNumberIdentifierEuImaging Logical reference, when literal reference is not known
DiagnosticReport.status This element is a modifier element. This element is included in summaries. 1..1 code Status of the Report
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
DiagnosticReport.Slices for category This element is included in summaries. 2..* CodeableConcept Service category
Slice: Unordered, Open by value:$this
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DiagnosticReport.Slices for category.category:diagnostic-service This element is included in summaries. 0..1 CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (required)
DiagnosticReport.Slices for category.category:imaging-report This element is included in summaries. 1..1 CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.

Required Pattern:
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "85430-7"
    }
  ]
}
DiagnosticReport.Slices for category.category:imaging This element is included in summaries. 1..1 CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.

Required Pattern:
{
  "coding" : [
    {
      "system" : "http://hl7.eu/fhir/health-data-api/CodeSystem/eehrxf-document-priority-category-cs",
      "code" : "Medical-Imaging"
    }
  ]
}
DiagnosticReport.code This element is included in summaries. 1..1 CodeableConcept Type of Imaging Diagnostic Report
Binding: ValueSet: Radiology Report Types (preferred)
DiagnosticReport.subject This element is included in summaries. 1..1 Reference(Patient (EU core)) Who and/or what this report is about
DiagnosticReport.issued This element is included in summaries. 0..1 instant Date and time of report issuance
DiagnosticReport.Slices for performer This element is included in summaries. 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Responsible Diagnostic Service.
Slice: Unordered, Open by profile:$this
DiagnosticReport.Slices for performer.performer:organization This element is included in summaries. 0..* Reference(Organization (EU core)) The organization producer of this report
DiagnosticReport.Slices for resultsInterpreter This element is included in summaries. 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
Slice: Unordered, Open by profile:resolve()
DiagnosticReport.Slices for resultsInterpreter.resultsInterpreter:author This element is included in summaries. 0..* Reference(PractitionerRole (EU core)) Primary interpreter of results
DiagnosticReport.result This element must be supported. 0..* Reference(Observation: Imaging Finding | Observation: Narrative Report) Findings
DiagnosticReport.Slices for imagingStudy 0..* Reference(ImagingStudy: Reported Study) Study subject to this report
Slice: Unordered, Open by exists:identifier

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DiagnosticReport.Slices for imagingStudy.imagingStudy:study-resource 0..* Reference(ImagingStudy) Study subject to this report
DiagnosticReport.Slices for imagingStudy.imagingStudy:study-resource.reference This element is included in summaries. C 1..1 string Literal reference, Relative, internal or absolute URL
DiagnosticReport.Slices for imagingStudy.imagingStudy:study-identifier 0..* Reference(ImagingStudy) Study subject to this report
DiagnosticReport.Slices for imagingStudy.imagingStudy:study-identifier.identifier This element is included in summaries. 1..1 StudyInstanceUidIdentifierEuImaging Logical reference, when literal reference is not known

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
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

Constraints

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 DiagnosticReport.extension:DiagnosticReportCompositionR5, DiagnosticReport.extension:note, DiagnosticReport.extension:artifactVersion, DiagnosticReport.extension:anatomical-region, DiagnosticReport.extension:comparison, DiagnosticReport.extension:patientHistory, DiagnosticReport.extension:procedure, DiagnosticReport.extension:finding, DiagnosticReport.extension:impression, DiagnosticReport.extension:recommendation, DiagnosticReport.extension:communication, DiagnosticReport.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

This structure is derived from DiagnosticReportEuCore

NameFlagsCard.TypeDescription & Constraints    Filter: doco
DiagnosticReport DiagnosticReportEuCore
DiagnosticReport.Slices for extension Content/Rules for all slices
DiagnosticReport.Slices for extension.extension:artifactVersion 0..1 string Business version of the artifact
URL: http://hl7.org/fhir/StructureDefinition/artifact-version
DiagnosticReport.Slices for extension.extension:anatomical-region 0..* CodeableConcept The anatomical regions covered by the study this report reports on.
URL: http://hl7.eu/fhir/imaging/StructureDefinition/AnatomicalRegionExtension
Binding: ValueSet: Anatomical Region (required)
DiagnosticReport.Slices for extension.extension:comparison This element must be supported. 0..* Reference(ImagingStudy: Reported Study | Basic-ImagingSelection: General) Comparison studies
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRComparisonStudy
DiagnosticReport.Slices for extension.extension:patientHistory This element must be supported. 0..* Reference() Patient history items selected by radiologist
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRPatientHistory
DiagnosticReport.Slices for extension.extension:procedure This element must be supported. 0..* Reference(Procedure: Imaging Acquisition | AdverseEvent | Observation: Radiation Dose) Imaging procedure
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRImagingProcedure
DiagnosticReport.Slices for extension.extension:finding This element must be supported. 0..* Reference(Observation: Imaging Finding | Key images represented as an ImagingSelection for R4 | Media: Key Image | Media | DocumentReference) Key image findings
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRFinding
DiagnosticReport.Slices for extension.extension:impression This element must be supported. 0..* Reference(Observation: Imaging Finding | Condition | Key images represented as an ImagingSelection for R4 | Media: Key Image) Impression
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRImpression
DiagnosticReport.Slices for extension.extension:recommendation This element must be supported. 0..* Reference(CarePlan | ServiceRequest) Recommendations
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRRecommendation
DiagnosticReport.Slices for extension.extension:communication This element must be supported. 0..* Reference() Communications with other care providers
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRCommunication
DiagnosticReport.identifier 1..* Identifier Report identifier
DiagnosticReport.Slices for basedOn 0..* Reference(ServiceRequest) What was requested
Slice: Unordered, Open by exists:identifier
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DiagnosticReport.Slices for basedOn.basedOn:order-resource 0..* Reference(ServiceRequest: Imaging Order) What was requested
DiagnosticReport.Slices for basedOn.basedOn:order-resource.reference 1..1 string Literal reference, Relative, internal or absolute URL
DiagnosticReport.Slices for basedOn.basedOn:order-resource.identifier 0..0 Logical reference, when literal reference is not known
DiagnosticReport.Slices for basedOn.basedOn:order-identifier 0..* Reference(ServiceRequest) What was requested
DiagnosticReport.Slices for basedOn.basedOn:order-identifier.reference 0..0 Literal reference, Relative, internal or absolute URL
DiagnosticReport.Slices for basedOn.basedOn:order-identifier.identifier 1..1 AccessionNumberIdentifierEuImaging Logical reference, when literal reference is not known
DiagnosticReport.category 2..* CodeableConcept Service category
DiagnosticReport.Slices for category Content/Rules for all slices
DiagnosticReport.Slices for category.category:imaging-report 1..1 CodeableConcept Service category
Required Pattern:
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "85430-7"
    }
  ]
}
DiagnosticReport.Slices for category.category:imaging 1..1 CodeableConcept Service category
Required Pattern:
{
  "coding" : [
    {
      "system" : "http://hl7.eu/fhir/health-data-api/CodeSystem/eehrxf-document-priority-category-cs",
      "code" : "Medical-Imaging"
    }
  ]
}
DiagnosticReport.code 1..1 CodeableConcept Type of Imaging Diagnostic Report
Binding: ValueSet: Radiology Report Types (preferred)
DiagnosticReport.subject 1..1 Reference(Patient (EU core)) Who and/or what this report is about
DiagnosticReport.issued 0..1 instant Date and time of report issuance
DiagnosticReport.Slices for resultsInterpreter Content/Rules for all slices
DiagnosticReport.Slices for resultsInterpreter.resultsInterpreter:author 0..* Reference(PractitionerRole (EU core)) Primary interpreter of results
DiagnosticReport.result This element must be supported. 0..* Reference(Observation: Imaging Finding | Observation: Narrative Report) Findings
DiagnosticReport.Slices for imagingStudy 0..* Reference(ImagingStudy: Reported Study) Study subject to this report
Slice: Unordered, Open by exists:identifier
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DiagnosticReport.Slices for imagingStudy.imagingStudy:study-resource 0..* Reference(ImagingStudy) Study subject to this report
DiagnosticReport.Slices for imagingStudy.imagingStudy:study-resource.reference 1..1 string Literal reference, Relative, internal or absolute URL
DiagnosticReport.Slices for imagingStudy.imagingStudy:study-resource.identifier 0..0 Logical reference, when literal reference is not known
DiagnosticReport.Slices for imagingStudy.imagingStudy:study-identifier 0..* Reference(ImagingStudy) Study subject to this report
DiagnosticReport.Slices for imagingStudy.imagingStudy:study-identifier.reference 0..0 Literal reference, Relative, internal or absolute URL
DiagnosticReport.Slices for imagingStudy.imagingStudy:study-identifier.identifier 1..1 StudyInstanceUidIdentifierEuImaging Logical reference, when literal reference is not known

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DiagnosticReport.code Base preferred ValueSet: Radiology Report Types 📦1.0.0-ballot This IG

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: doco
DiagnosticReport 0..* DiagnosticReportEuCore Diagnostic Report EU core
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.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
DiagnosticReport.Slices for extension.extension:DiagnosticReportCompositionR5 0..1 (Complex) Associated Composition
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
Constraints: ext-1
DiagnosticReport.Slices for extension.extension:DiagnosticReportCompositionR5.id 0..1 string Unique id for inter-element referencing
DiagnosticReport.Slices for extension.extension:DiagnosticReportCompositionR5.extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
DiagnosticReport.Slices for extension.extension:DiagnosticReportCompositionR5.url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
DiagnosticReport.Slices for extension.extension:DiagnosticReportCompositionR5.value[x] 1..1 Reference(Composition (EU core)) Reference to a Composition resource for the DiagnosticReport structure
DiagnosticReport.Slices for extension.extension:note 0..* (Complex) Comments about the diagnostic report
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note
Constraints: ext-1
DiagnosticReport.Slices for extension.extension:note.id 0..1 string Unique id for inter-element referencing
DiagnosticReport.Slices for extension.extension:note.extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
DiagnosticReport.Slices for extension.extension:note.url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note"
DiagnosticReport.Slices for extension.extension:note.value[x] 0..1 Annotation Comments about the diagnostic report
DiagnosticReport.Slices for extension.extension:note.value[x].id 0..1 string Unique id for inter-element referencing
DiagnosticReport.Slices for extension.extension:note.value[x].Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
DiagnosticReport.Slices for extension.extension:note.value[x].Slices for extension Content/Rules for all slices
DiagnosticReport.Slices for extension.extension:note.value[x].Slices for extension.extension:annotation-type 0..* (Complex) The type of annotation
URL: http://hl7.org/fhir/StructureDefinition/annotationType
DiagnosticReport.Slices for extension.extension:note.value[x].Slices for extension.extension:annotation-type.id 0..1 id Unique id for inter-element referencing
DiagnosticReport.Slices for extension.extension:note.value[x].Slices for extension.extension:annotation-type.extension 0..0 Extension
Slice: Unordered, Open by value:url
DiagnosticReport.Slices for extension.extension:note.value[x].Slices for extension.extension:annotation-type.url 1..1 uri "http://hl7.org/fhir/StructureDefinition/annotationType"
DiagnosticReport.Slices for extension.extension:note.value[x].Slices for extension.extension:annotation-type.value[x] 1..1 CodeableConcept Type of note
Binding: hl7VS-commentType (example)
DiagnosticReport.Slices for extension.extension:note.value[x].author[x] This element is included in summaries. 0..1 Individual responsible for the annotation
DiagnosticReport.Slices for extension.extension:note.value[x].author[x].authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
DiagnosticReport.Slices for extension.extension:note.value[x].author[x].authorString string
DiagnosticReport.Slices for extension.extension:note.value[x].time This element is included in summaries. 0..1 dateTime When the annotation was made
DiagnosticReport.Slices for extension.extension:note.value[x].text This element is included in summaries. 1..1 markdown The annotation - text content (as markdown)
DiagnosticReport.Slices for extension.extension:artifactVersion 0..1 string Business version of the artifact
URL: http://hl7.org/fhir/StructureDefinition/artifact-version
DiagnosticReport.Slices for extension.extension:anatomical-region 0..* CodeableConcept The anatomical regions covered by the study this report reports on.
URL: http://hl7.eu/fhir/imaging/StructureDefinition/AnatomicalRegionExtension
Binding: ValueSet: Anatomical Region (required)
DiagnosticReport.Slices for extension.extension:comparison This element must be supported. 0..* Reference(ImagingStudy: Reported Study | Basic-ImagingSelection: General) Comparison studies
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRComparisonStudy
DiagnosticReport.Slices for extension.extension:patientHistory This element must be supported. 0..* Reference() Patient history items selected by radiologist
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRPatientHistory
DiagnosticReport.Slices for extension.extension:procedure This element must be supported. 0..* Reference(Procedure: Imaging Acquisition | AdverseEvent | Observation: Radiation Dose) Imaging procedure
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRImagingProcedure
DiagnosticReport.Slices for extension.extension:finding This element must be supported. 0..* Reference(Observation: Imaging Finding | Key images represented as an ImagingSelection for R4 | Media: Key Image | Media | DocumentReference) Key image findings
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRFinding
DiagnosticReport.Slices for extension.extension:impression This element must be supported. 0..* Reference(Observation: Imaging Finding | Condition | Key images represented as an ImagingSelection for R4 | Media: Key Image) Impression
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRImpression
DiagnosticReport.Slices for extension.extension:recommendation This element must be supported. 0..* Reference(CarePlan | ServiceRequest) Recommendations
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRRecommendation
DiagnosticReport.Slices for extension.extension:communication This element must be supported. 0..* Reference() Communications with other care providers
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRCommunication
DiagnosticReport.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored
DiagnosticReport.identifier This element is included in summaries. 1..* Identifier Report identifier
DiagnosticReport.Slices for basedOn 0..* Reference(ServiceRequest) What was requested
Slice: Unordered, Open by exists:identifier

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DiagnosticReport.Slices for basedOn.basedOn:order-resource 0..* Reference(ServiceRequest: Imaging Order) What was requested
DiagnosticReport.Slices for basedOn.basedOn:order-resource.id 0..1 string Unique id for inter-element referencing
DiagnosticReport.Slices for basedOn.basedOn:order-resource.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
DiagnosticReport.Slices for basedOn.basedOn:order-resource.reference This element is included in summaries. C 1..1 string Literal reference, Relative, internal or absolute URL
DiagnosticReport.Slices for basedOn.basedOn:order-resource.type This element is included in summaries. 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).
DiagnosticReport.Slices for basedOn.basedOn:order-resource.display This element is included in summaries. 0..1 string Text alternative for the resource
DiagnosticReport.Slices for basedOn.basedOn:order-identifier 0..* Reference(ServiceRequest) What was requested
DiagnosticReport.Slices for basedOn.basedOn:order-identifier.id 0..1 string Unique id for inter-element referencing
DiagnosticReport.Slices for basedOn.basedOn:order-identifier.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
DiagnosticReport.Slices for basedOn.basedOn:order-identifier.type This element is included in summaries. 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).
DiagnosticReport.Slices for basedOn.basedOn:order-identifier.identifier This element is included in summaries. 1..1 AccessionNumberIdentifierEuImaging Logical reference, when literal reference is not known
DiagnosticReport.Slices for basedOn.basedOn:order-identifier.display This element is included in summaries. 0..1 string Text alternative for the resource
DiagnosticReport.status This element is a modifier element. This element is included in summaries. 1..1 code Status of the Report
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
DiagnosticReport.Slices for category This element is included in summaries. 2..* CodeableConcept Service category
Slice: Unordered, Open by value:$this
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DiagnosticReport.Slices for category.category:diagnostic-service This element is included in summaries. 0..1 CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (required)
DiagnosticReport.Slices for category.category:imaging-report This element is included in summaries. 1..1 CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.

Required Pattern:
{
  "coding" : [
    {
      "system" : "http://loinc.org",
      "code" : "85430-7"
    }
  ]
}
DiagnosticReport.Slices for category.category:imaging This element is included in summaries. 1..1 CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.

Required Pattern:
{
  "coding" : [
    {
      "system" : "http://hl7.eu/fhir/health-data-api/CodeSystem/eehrxf-document-priority-category-cs",
      "code" : "Medical-Imaging"
    }
  ]
}
DiagnosticReport.code This element is included in summaries. 1..1 CodeableConcept Type of Imaging Diagnostic Report
Binding: ValueSet: Radiology Report Types (preferred)
DiagnosticReport.subject This element is included in summaries. 1..1 Reference(Patient (EU core)) Who and/or what this report is about
DiagnosticReport.encounter This element is included in summaries. 0..1 Reference(Encounter) The healthcare event which this Diagnostic Report is about (when test ordered).
DiagnosticReport.effective[x] This element is included in summaries. 0..1 Clinically relevant time/time-period for report.
DiagnosticReport.effective[x].effectiveDateTime dateTime
DiagnosticReport.effective[x].effectivePeriod Period
DiagnosticReport.issued This element is included in summaries. 0..1 instant Date and time of report issuance
DiagnosticReport.Slices for performer This element is included in summaries. 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Responsible Diagnostic Service.
Slice: Unordered, Open by profile:$this
DiagnosticReport.Slices for performer.performer:organization This element is included in summaries. 0..* Reference(Organization (EU core)) The organization producer of this report
DiagnosticReport.Slices for resultsInterpreter This element is included in summaries. 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
Slice: Unordered, Open by profile:resolve()
DiagnosticReport.Slices for resultsInterpreter.resultsInterpreter:author This element is included in summaries. 0..* Reference(PractitionerRole (EU core)) Primary interpreter of results
DiagnosticReport.specimen 0..* Reference(Specimen) Specimens this report is based on.
DiagnosticReport.result This element must be supported. 0..* Reference(Observation: Imaging Finding | Observation: Narrative Report) Findings
DiagnosticReport.Slices for imagingStudy 0..* Reference(ImagingStudy: Reported Study) Study subject to this report
Slice: Unordered, Open by exists:identifier

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DiagnosticReport.Slices for imagingStudy.imagingStudy:study-resource 0..* Reference(ImagingStudy) Study subject to this report
DiagnosticReport.Slices for imagingStudy.imagingStudy:study-resource.id 0..1 string Unique id for inter-element referencing
DiagnosticReport.Slices for imagingStudy.imagingStudy:study-resource.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
DiagnosticReport.Slices for imagingStudy.imagingStudy:study-resource.reference This element is included in summaries. C 1..1 string Literal reference, Relative, internal or absolute URL
DiagnosticReport.Slices for imagingStudy.imagingStudy:study-resource.type This element is included in summaries. 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).
DiagnosticReport.Slices for imagingStudy.imagingStudy:study-resource.display This element is included in summaries. 0..1 string Text alternative for the resource
DiagnosticReport.Slices for imagingStudy.imagingStudy:study-identifier 0..* Reference(ImagingStudy) Study subject to this report
DiagnosticReport.Slices for imagingStudy.imagingStudy:study-identifier.id 0..1 string Unique id for inter-element referencing
DiagnosticReport.Slices for imagingStudy.imagingStudy:study-identifier.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
DiagnosticReport.Slices for imagingStudy.imagingStudy:study-identifier.type This element is included in summaries. 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).
DiagnosticReport.Slices for imagingStudy.imagingStudy:study-identifier.identifier This element is included in summaries. 1..1 StudyInstanceUidIdentifierEuImaging Logical reference, when literal reference is not known
DiagnosticReport.Slices for imagingStudy.imagingStudy:study-identifier.display This element is included in summaries. 0..1 string Text alternative for the resource
DiagnosticReport.media This element is included in summaries. 0..* BackboneElement Additional data (like images, diagrams or documents) 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 or data (e.g. explanation)
DiagnosticReport.media.link This element is included in summaries. 1..1 Reference(Media) Reference to the image or data
DiagnosticReport.conclusion 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 (pdf recommended)

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.extension:note.​value[x].extension:annotation-type.​value[x] Base example hl7VS-commentType 📦3.0.0 THO v7.3
DiagnosticReport.basedOn:order-resource.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
DiagnosticReport.basedOn:order-identifier.​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.imagingStudy:study-resource.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
DiagnosticReport.imagingStudy:study-identifier.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
DiagnosticReport.conclusionCode Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.

Constraints

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()

This structure is derived from DiagnosticReportEuCore

Summary

Mandatory: 3 elements(4 nested mandatory elements)
Must-Support: 8 elements
Prohibited: 4 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of DiagnosticReport.basedOn
  • The element 1 is sliced based on the value of DiagnosticReport.imagingStudy

Maturity: 1

 

Other representations of profile: CSV, Excel, Schematron