HL7 Europe Imaging Report R4
1.0.0-ballot - ci-build
150
HL7 Europe Imaging Report R4
1.0.0-ballot - ci-build
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
| Draft as of 2026-07-15 |
Definitions for the diagnostic-report-obligation-eu-imaging resource profile
Guidance on how to interpret the contents of this table can be foundhere
| 0. DiagnosticReport | ||||||||||
| Definition | The findings and interpretation of diagnostic tests performed on patients, groups of patients, devices, and locations, and/or specimens derived from these. The report includes clinical context such as requesting and provider information, and some mix of atomic results, images, textual and coded interpretations, and formatted representation of diagnostic reports. | |||||||||
| Short | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |||||||||
| Comments | This is intended to capture a single report and is not suitable for use in displaying summary information that covers multiple reports. For example, this resource has not been designed for laboratory cumulative reporting formats nor detailed structured reports for sequencing. | |||||||||
| Control | 0..* | |||||||||
| Is Modifier | false | |||||||||
| Summary | false | |||||||||
| Alternate Names | Report, Test, Result, Results, Labs, Laboratory | |||||||||
| Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()) dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()) dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists()) | |||||||||
| 2. DiagnosticReport.implicitRules | ||||||||||
| Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. | |||||||||
| Short | A set of rules under which this content was created | |||||||||
| Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. | |||||||||
| Control | 0..1 | |||||||||
| Type | uri | |||||||||
| Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation | |||||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | |||||||||
| Summary | true | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 4. DiagnosticReport.language | ||||||||||
| Definition | The base language in which the resource is written. | |||||||||
| Short | Language of the resource content | |||||||||
| Comments | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). | |||||||||
| Control | 0..1 | |||||||||
| Binding | The codes SHOULD be taken from CommonLanguageshttp://hl7.org/fhir/ValueSet/languages|4.0.1 (preferred to http://hl7.org/fhir/ValueSet/languages|4.0.1)A human language.
| |||||||||
| Type | code | |||||||||
| Is Modifier | false | |||||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | |||||||||
| Obligations |
| |||||||||
| Summary | false | |||||||||
| Requirements | EHDSImagingReport.header.language | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 6. DiagnosticReport.extension | ||||||||||
| Definition | An Extension May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | |||||||||
| Short | ExtensionAdditional content defined by implementations | |||||||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | |||||||||
| Control | 10..* | |||||||||
| Type | Extension | |||||||||
| Is Modifier | false | |||||||||
| Summary | false | |||||||||
| Alternate Names | extensions, user content | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | |||||||||
| Slicing | This element introduces a set of slices on DiagnosticReport.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | |||||||||
| 8. DiagnosticReport.extension:artifactVersion | ||||||||||
| Slice Name | artifactVersion | |||||||||
| Definition | The identifier that is used to identify this version of the artifact when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the artifact author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence. | |||||||||
| Short | Business version of the artifact | |||||||||
| Control | 0..1 | |||||||||
| Type | Extension(ArtifactVersion) (Extension Type: string) | |||||||||
| Is Modifier | false | |||||||||
| Obligations |
| |||||||||
| Summary | false | |||||||||
| Requirements | EHDSImagingReport.header.version | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | |||||||||
| 10. DiagnosticReport.extension:anatomical-region | ||||||||||
| Slice Name | anatomical-region | |||||||||
| Definition | The anatomical regions covered by the report, depending on the study there can be zero, one or more regions.
The regions SHALL overlap with the bodysite references from | |||||||||
| Short | The anatomical regions covered by the study this report reports on. | |||||||||
| Control | 0..* This element is affected by the following invariants: ele-1 | |||||||||
| Type | Extension(Extension: Anatomical Region) (Extension Type: CodeableConcept) | |||||||||
| Is Modifier | false | |||||||||
| Summary | false | |||||||||
| Requirements | This field is present in order to be able to populate the MHD DocumentReference field. | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | |||||||||
| 12. DiagnosticReport.extension:comparison | ||||||||||
| Slice Name | comparison | |||||||||
| Definition | Studies used for comparison in part of diagnostic reporting | |||||||||
| Short | Extension: HL7IDR DiagnosticReport Comparison Study | |||||||||
| Control | 0..* This element is affected by the following invariants: ele-1 | |||||||||
| Type | Extension(Extension: HL7IDR DiagnosticReport Comparison Study) (Extension Type: Reference(ImagingStudy: General, Basic-ImagingSelection: General)) | |||||||||
| Is Modifier | false | |||||||||
| Must Support | true | |||||||||
| Obligations |
| |||||||||
| Summary | false | |||||||||
| Requirements | EHDSImagingReport.body.comparisonStudy | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | |||||||||
| 14. DiagnosticReport.extension:patientHistory | ||||||||||
| Slice Name | patientHistory | |||||||||
| Definition | Patient history that are relevant for the report | |||||||||
| Short | Extension: HL7IDR Patient History | |||||||||
| Control | 0..* This element is affected by the following invariants: ele-1 | |||||||||
| Type | Extension(Extension: HL7IDR Patient History) (Extension Type: Reference) | |||||||||
| Is Modifier | false | |||||||||
| Must Support | true | |||||||||
| Obligations |
| |||||||||
| Summary | false | |||||||||
| Requirements | EHDSImagingReport.body.supportingInformation.observation; EHDSImagingReport.body.supportingInformation.condition; EHDSImagingReport.body.supportingInformation.priorMedicationAdministration; EHDSImagingReport.body.supportingInformation.device; EHDSImagingReport.body.supportingInformation.pregnancyStatus | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | |||||||||
| 16. DiagnosticReport.extension:procedure | ||||||||||
| Slice Name | procedure | |||||||||
| Definition | Imaging procedure used for the imaging acquisition and procedure specific information. | |||||||||
| Short | Extension: HL7IDR Imaging Procedure | |||||||||
| Control | 0..* This element is affected by the following invariants: ele-1 | |||||||||
| Type | Extension(Extension: HL7IDR Imaging Procedure) (Extension Type: Reference(Procedure: Imaging Acquisition, AdverseEvent, Observation: Radiation Dose)) | |||||||||
| Is Modifier | false | |||||||||
| Must Support | true | |||||||||
| Obligations |
| |||||||||
| Summary | false | |||||||||
| Requirements | EHDSImagingReport.body.exposureInformation; EHDSImagingReport.body.examinationReport.imagingProcedures | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | |||||||||
| 18. DiagnosticReport.extension:finding | ||||||||||
| Slice Name | finding | |||||||||
| Definition | Key images in the report | |||||||||
| Short | Key image findings | |||||||||
| Control | 0..* This element is affected by the following invariants: ele-1 | |||||||||
| Type | Extension(Extension: HL7IDR KeyImage Finding) (Extension Type: Reference(Observation: Imaging Finding, Key images represented as an ImagingSelection for R4, DocumentReference: Key Image, DocumentReference, Media)) | |||||||||
| Is Modifier | false | |||||||||
| Must Support | true | |||||||||
| Summary | false | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | |||||||||
| 20. DiagnosticReport.extension:impression | ||||||||||
| Slice Name | impression | |||||||||
| Definition | Impression in the imaging report | |||||||||
| Short | Extension: HL7IDR Impression | |||||||||
| Control | 0..* This element is affected by the following invariants: ele-1 | |||||||||
| Type | Extension(Extension: HL7IDR Impression) (Extension Type: Reference(Observation: Imaging Finding, Condition, DocumentReference: Key Image, Key images represented as an ImagingSelection for R4)) | |||||||||
| Is Modifier | false | |||||||||
| Must Support | true | |||||||||
| Obligations |
| |||||||||
| Summary | false | |||||||||
| Requirements | EHDSImagingReport.body.examinationReport.conclusion.conditionOrFinding[x] | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | |||||||||
| 22. DiagnosticReport.extension:recommendation | ||||||||||
| Slice Name | recommendation | |||||||||
| Definition | Recommendations for any follow up actions | |||||||||
| Short | Extension: HL7IDR Recommendation | |||||||||
| Control | 0..* This element is affected by the following invariants: ele-1 | |||||||||
| Type | Extension(Extension: HL7IDR Recommendation) (Extension Type: Reference(CarePlan, ServiceRequest)) | |||||||||
| Is Modifier | false | |||||||||
| Must Support | true | |||||||||
| Obligations |
| |||||||||
| Summary | false | |||||||||
| Requirements | EHDSImagingReport.body.recommendation | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | |||||||||
| 24. DiagnosticReport.extension:communication | ||||||||||
| Slice Name | communication | |||||||||
| Definition | Communications captures what communications have been made with other care providers. | |||||||||
| Short | Communications with other care providers | |||||||||
| Control | 0..* This element is affected by the following invariants: ele-1 | |||||||||
| Type | Extension(Extension: HL7IDR Communication) (Extension Type: Reference) | |||||||||
| Is Modifier | false | |||||||||
| Must Support | true | |||||||||
| Summary | false | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | |||||||||
| 26. DiagnosticReport.extension:informationRecipient | ||||||||||
| Slice Name | informationRecipient | |||||||||
| Definition | This extension applies to the Composition resource and is used to represent an intended recipient of the composition. | |||||||||
| Short | Composition: Information recipient | |||||||||
| Control | 0..* This element is affected by the following invariants: ele-1 | |||||||||
| Type | Extension(Composition: Information recipient) (Extension Type: Reference(Practitioner, Device, Patient, RelatedPerson, PractitionerRole, Organization, CareTeam, Group)) | |||||||||
| Is Modifier | false | |||||||||
| Summary | false | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | |||||||||
| 28. DiagnosticReport.extension:composition | ||||||||||
| Slice Name | composition | |||||||||
| Definition | Reference to a Composition resource instance that provides structure for organizing the contents of the DiagnosticReport. | |||||||||
| Short | Reference to a Composition resource for the DiagnosticReport structure | |||||||||
| Control | 1..1 This element is affected by the following invariants: ele-1 | |||||||||
| Type | Extension(Cross-version Extension for R5.DiagnosticReport.composition for use in FHIR R4) (Extension Type: Reference) | |||||||||
| Is Modifier | false | |||||||||
| Obligations |
| |||||||||
| Summary | false | |||||||||
| Requirements | EHDSImagingReport. | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | |||||||||
| 30. DiagnosticReport.extension:composition.extension | ||||||||||
| Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | |||||||||
| Short | ExtensionAdditional content defined by implementations | |||||||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | |||||||||
| Control | 0..0* | |||||||||
| Type | Extension | |||||||||
| Is Modifier | false | |||||||||
| Summary | false | |||||||||
| Alternate Names | extensions, user content | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists())ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | |||||||||
| Slicing | This element introduces a set of slices on DiagnosticReport.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | |||||||||
| 32. DiagnosticReport.extension:composition.url | ||||||||||
| Definition | Source of the definition for the extension code - a logical name or a URL. | |||||||||
| Short | identifies the meaning of the extension | |||||||||
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | |||||||||
| Control | 1..1 | |||||||||
| Type | uri | |||||||||
| Is Modifier | false | |||||||||
| XML Format | In the XML format, this property is represented as an attribute. | |||||||||
| Summary | false | |||||||||
| Fixed Value | http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition | |||||||||
| 34. DiagnosticReport.modifierExtension | ||||||||||
| Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | |||||||||
| Short | Extensions that cannot be ignored | |||||||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | |||||||||
| Control | 0..* | |||||||||
| Type | Extension | |||||||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them | |||||||||
| Summary | false | |||||||||
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | |||||||||
| Alternate Names | extensions, user content | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | |||||||||
| 36. DiagnosticReport.identifier | ||||||||||
| Definition | Identifiers assigned to this Imaging Report by the performer or other systems. It shall be common to several report versions Identifiers assigned to this report by the performer or other systems. | |||||||||
| Short | Report identifierBusiness identifier for report | |||||||||
| Comments | Composition.identifier SHALL be equal to one of the DiagnosticReport.identifier, if at least one exists Usually assigned by the Information System of the diagnostic service provider (filler id). | |||||||||
| Note | This is a business identifier, not a resource identifier (see discussion) | |||||||||
| Control | 10..* | |||||||||
| Type | Identifier | |||||||||
| Is Modifier | false | |||||||||
| Obligations |
| |||||||||
| Summary | true | |||||||||
| Requirements | EHDSImagingReport.header.identifier Need to know what identifier to use when making queries about this report from the source laboratory, and for linking to the report outside FHIR context. | |||||||||
| Alternate Names | ReportID, Filler ID, Placer ID | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 38. DiagnosticReport.basedOn | ||||||||||
| Definition | Details concerning a service requested. | |||||||||
| Short | What was requested | |||||||||
| Comments | Note: Usually there is one test request for each result, however in some circumstances multiple test requests may be represented using a single test result resource. Note that there are also cases where one request leads to multiple reports. | |||||||||
| Control | 0..* | |||||||||
| Type | Reference(ServiceRequest, CarePlan, CarePlan, ImmunizationRecommendation, MedicationRequest, NutritionOrder, ServiceRequest) | |||||||||
| Is Modifier | false | |||||||||
| Summary | false | |||||||||
| Requirements | This allows tracing of authorization for the report and tracking whether proposals/recommendations were acted upon. | |||||||||
| Alternate Names | Request | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| Slicing | This element introduces a set of slices on DiagnosticReport.basedOn. The slices areUnordered and Open, and can be differentiated using the following discriminators: | |||||||||
| 40. DiagnosticReport.basedOn:ServiceRequestOrderEuImagingaccession | ||||||||||
| Slice Name | ServiceRequestOrderEuImagingaccession | |||||||||
| Definition | Details concerning a service requested. | |||||||||
| Short | What was requested | |||||||||
| Comments | Note: Usually there is one test request for each result, however in some circumstances multiple test requests may be represented using a single test result resource. Note that there are also cases where one request leads to multiple reports. | |||||||||
| Control | 0..* | |||||||||
| Type | Reference(ServiceRequest: Imaging Order, CarePlan, ImmunizationRecommendation, MedicationRequest, NutritionOrder, ServiceRequest) | |||||||||
| Is Modifier | false | |||||||||
| Obligations |
| |||||||||
| Summary | false | |||||||||
| Requirements | EHDSImagingReport.body.orderInformation.orderId This allows tracing of authorization for the report and tracking whether proposals/recommendations were acted upon. | |||||||||
| Alternate Names | Request | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 42. DiagnosticReport.basedOn:ServiceRequestOrderEuImagingaccession.identifier | ||||||||||
| Definition | An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference. | |||||||||
| Short | Logical reference, when literal reference is not known | |||||||||
| Comments | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any). | |||||||||
| Note | This is a business identifier, not a resource identifier (see discussion) | |||||||||
| Control | 10..1 | |||||||||
| Type | Identifier(Identifier: Accession Number) | |||||||||
| Is Modifier | false | |||||||||
| Summary | true | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 44. DiagnosticReport.status | ||||||||||
| Definition | The status of the diagnostic report. | |||||||||
| Short | Status of the Reportregistered | partial | preliminary | final + | |||||||||
| Comments | DiagnosticReport.status and Composition.status shall be aligned | |||||||||
| Control | 1..1 | |||||||||
| Binding | The codes SHALL be taken from DiagnosticReportStatushttp://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 (required to http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1)The status of the diagnostic report. | |||||||||
| Type | code | |||||||||
| Is Modifier | true because This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid | |||||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | |||||||||
| Obligations |
| |||||||||
| Summary | true | |||||||||
| Requirements | EHDSImagingReport.header.status Diagnostic services routinely issue provisional/incomplete reports, and sometimes withdraw previously released reports. | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 46. DiagnosticReport.category | ||||||||||
| Definition | A code that classifies the clinical discipline, department or diagnostic service that created the report (e.g. cardiology, biochemistry, hematology, MRI). This is used for searching, sorting and display purposes. | |||||||||
| Short | Service category | |||||||||
| Comments | Multiple categories are allowed using various categorization schemes. The level of granularity is defined by the category concepts in the value set. More fine-grained filtering can be performed using the metadata and/or terminology hierarchy in DiagnosticReport.code. | |||||||||
| Control | 20..* | |||||||||
| Binding | For example codes, see DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sections|4.0.1 (example to http://hl7.org/fhir/ValueSet/diagnostic-service-sections|4.0.1)Codes for diagnostic service sections. | |||||||||
| Type | CodeableConcept | |||||||||
| Is Modifier | false | |||||||||
| Summary | true | |||||||||
| Alternate Names | Department, Sub-department, Service, Discipline | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| Slicing | This element introduces a set of slices on DiagnosticReport.category. The slices areUnordered and Open, and can be differentiated using the following discriminators: | |||||||||
| 48. DiagnosticReport.category:diagnostic-service | ||||||||||
| Slice Name | diagnostic-service | |||||||||
| Definition | A code that classifies the clinical discipline, department or diagnostic service that created the report (e.g. cardiology, biochemistry, hematology, MRI). This is used for searching, sorting and display purposes. | |||||||||
| Short | Service category | |||||||||
| Comments | Multiple categories are allowed using various categorization schemes. The level of granularity is defined by the category concepts in the value set. More fine-grained filtering can be performed using the metadata and/or terminology hierarchy in DiagnosticReport.code. | |||||||||
| Control | 0..1* | |||||||||
| Binding | The codes SHALL be taken from For example codes, see DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sections|4.0.1 (required to http://hl7.org/fhir/ValueSet/diagnostic-service-sections) | |||||||||
| Type | CodeableConcept | |||||||||
| Is Modifier | false | |||||||||
| Obligations |
| |||||||||
| Summary | true | |||||||||
| Requirements | EHDSImagingReport.header.serviceSpecialty | |||||||||
| Alternate Names | Department, Sub-department, Service, Discipline | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 50. DiagnosticReport.category:imaging-report | ||||||||||
| Slice Name | imaging-report | |||||||||
| Definition | Defines the category of the report, Diagnostic imaging report. A code that classifies the clinical discipline, department or diagnostic service that created the report (e.g. cardiology, biochemistry, hematology, MRI). This is used for searching, sorting and display purposes. | |||||||||
| Short | Service category | |||||||||
| Comments | Multiple categories are allowed using various categorization schemes. The level of granularity is defined by the category concepts in the value set. More fine-grained filtering can be performed using the metadata and/or terminology hierarchy in DiagnosticReport.code. | |||||||||
| Control | 10..1* | |||||||||
| Binding | For example codes, see DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sections|4.0.1 (example to http://hl7.org/fhir/ValueSet/diagnostic-service-sections|4.0.1)Codes for diagnostic service sections. | |||||||||
| Type | CodeableConcept | |||||||||
| Is Modifier | false | |||||||||
| Summary | true | |||||||||
| Alternate Names | Department, Sub-department, Service, Discipline | |||||||||
| Pattern Value | { | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 52. DiagnosticReport.category:imaging | ||||||||||
| Slice Name | imaging | |||||||||
| Definition | Defines the priority category of the report as defined in the API spec. A code that classifies the clinical discipline, department or diagnostic service that created the report (e.g. cardiology, biochemistry, hematology, MRI). This is used for searching, sorting and display purposes. | |||||||||
| Short | Service category | |||||||||
| Comments | Multiple categories are allowed using various categorization schemes. The level of granularity is defined by the category concepts in the value set. More fine-grained filtering can be performed using the metadata and/or terminology hierarchy in DiagnosticReport.code. | |||||||||
| Control | 10..1* | |||||||||
| Binding | For example codes, see DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sections|4.0.1 (example to http://hl7.org/fhir/ValueSet/diagnostic-service-sections|4.0.1)Codes for diagnostic service sections. | |||||||||
| Type | CodeableConcept | |||||||||
| Is Modifier | false | |||||||||
| Summary | true | |||||||||
| Alternate Names | Department, Sub-department, Service, Discipline | |||||||||
| Pattern Value | { | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 54. DiagnosticReport.code | ||||||||||
| Definition | Defines the document type, it is recommended to take this from the suggested LOINC set. A code or name that describes this diagnostic report. | |||||||||
| Short | Type of Imaging Diagnostic ReportName/Code for this diagnostic report | |||||||||
| Control | 1..1 | |||||||||
| Binding | The codes SHOULD be taken from ValueSet: Radiology Report Typeshttp://hl7.org/fhir/ValueSet/report-codes|4.0.1 (preferred to http://hl7.eu/fhir/imaging/ValueSet/ImagingReportTypesEuVSEuImaging) | |||||||||
| Type | CodeableConcept | |||||||||
| Is Modifier | false | |||||||||
| Summary | true | |||||||||
| Alternate Names | Type | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 56. DiagnosticReport.subject | ||||||||||
| Definition | The subject of the report. Usually, but not always, this is a patient. However, diagnostic services also perform analyses on specimens collected from a variety of other sources. | |||||||||
| Short | The subject of the report - usually, but not always, the patient | |||||||||
| Control | 10..1 | |||||||||
| Type | Reference(Patient (EU core), Patient, Group, Device, Location) | |||||||||
| Is Modifier | false | |||||||||
| Obligations |
| |||||||||
| Summary | true | |||||||||
| Requirements | EHDSImagingReport.header.subject SHALL know the subject context. | |||||||||
| Alternate Names | Patient | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 58. DiagnosticReport.effective[x] | ||||||||||
| Definition | The time or time-period the observed values are related to. When the subject of the report is a patient, this is usually either the time of the procedure or of specimen collection(s), but very often the source of the date/time is not known, only the date/time itself. | |||||||||
| Short | Clinically relevant time/time-period for report | |||||||||
| Comments | If the diagnostic procedure was performed on the patient, this is the time it was performed. If there are specimens, the diagnostically relevant time can be derived from the specimen collection times, but the specimen information is not always available, and the exact relationship between the specimens and the diagnostically relevant time is not always automatic. | |||||||||
| Control | 0..1 | |||||||||
| Type | Choice of: dateTime, Period | |||||||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | |||||||||
| Is Modifier | false | |||||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | |||||||||
| Summary | true | |||||||||
| Requirements | Need to know where in the patient history to file/present this report. | |||||||||
| Alternate Names | Observation time, Effective Time, Occurrence | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| Slicing | This element introduces a set of slices on DiagnosticReport.effective[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators: | |||||||||
| 60. DiagnosticReport.effective[x]:effectivePeriod | ||||||||||
| Slice Name | effectivePeriod | |||||||||
| Definition | The time or time-period the observed values are related to. When the subject of the report is a patient, this is usually either the time of the procedure or of specimen collection(s), but very often the source of the date/time is not known, only the date/time itself. | |||||||||
| Short | Clinically relevant time/time-period for report | |||||||||
| Comments | If the diagnostic procedure was performed on the patient, this is the time it was performed. If there are specimens, the diagnostically relevant time can be derived from the specimen collection times, but the specimen information is not always available, and the exact relationship between the specimens and the diagnostically relevant time is not always automatic. | |||||||||
| Control | 0..1 | |||||||||
| Type | Period, dateTime | |||||||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | |||||||||
| Is Modifier | false | |||||||||
| Obligations |
| |||||||||
| Summary | true | |||||||||
| Requirements | EHDSImagingReport.header.period Need to know where in the patient history to file/present this report. | |||||||||
| Alternate Names | Observation time, Effective Time, Occurrence | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 62. DiagnosticReport.issued | ||||||||||
| Definition | The date and time that the report was issued. This is not necessarily the same as the date and time that the report was created, since a report may be revised and/or reviewed after it is created. The date and time that this version of the report was made available to providers, typically after the report was reviewed and verified. | |||||||||
| Short | Date and time of report issuanceDateTime this version was made | |||||||||
| Comments | May be different from the update time of the resource itself, because that is the status of the record (potentially a secondary copy), not the actual release time of the report. | |||||||||
| Control | 0..1 | |||||||||
| Type | instant | |||||||||
| Is Modifier | false | |||||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | |||||||||
| Obligations |
| |||||||||
| Summary | true | |||||||||
| Requirements | EHDSImagingReport.header.date Clinicians need to be able to check the date that the report was released. | |||||||||
| Alternate Names | Date published, Date Issued, Date Verified | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 64. DiagnosticReport.performer | ||||||||||
| Definition | The diagnostic service that is responsible for issuing the report. | |||||||||
| Short | Responsible Diagnostic Service | |||||||||
| Comments | This is not necessarily the source of the atomic data items or the entity that interpreted the results. It is the entity that takes responsibility for the clinical report. | |||||||||
| Control | 0..* | |||||||||
| Type | Reference(Practitioner, PractitionerRole, Organization, CareTeam) | |||||||||
| Is Modifier | false | |||||||||
| Summary | true | |||||||||
| Requirements | Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis. | |||||||||
| Alternate Names | Laboratory, Service, Practitioner, Department, Company, Authorized by, Director | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| Slicing | This element introduces a set of slices on DiagnosticReport.performer. The slices areUnordered and Open, and can be differentiated using the following discriminators: | |||||||||
| 66. DiagnosticReport.performer:organization | ||||||||||
| Slice Name | organization | |||||||||
| Definition | The organization responsible for producing this report. In case practitioners produce them in their private practices, they will be accounted as an organization for this purpose. The diagnostic service that is responsible for issuing the report. | |||||||||
| Short | The organization producer of this reportResponsible Diagnostic Service | |||||||||
| Comments | This is not necessarily the source of the atomic data items or the entity that interpreted the results. It is the entity that takes responsibility for the clinical report. | |||||||||
| Control | 0..* | |||||||||
| Type | Reference(Organization (EU core), Practitioner, PractitionerRole, Organization, CareTeam) | |||||||||
| Is Modifier | false | |||||||||
| Obligations |
| |||||||||
| Summary | true | |||||||||
| Requirements | EHDSImagingReport.header.author[x] Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis. | |||||||||
| Alternate Names | Laboratory, Service, Practitioner, Department, Company, Authorized by, Director | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 68. DiagnosticReport.resultsInterpreter | ||||||||||
| Definition | The practitioner or organization that is responsible for the report's conclusions and interpretations. | |||||||||
| Short | Primary result interpreter | |||||||||
| Comments | Might not be the same entity that takes responsibility for the clinical report. | |||||||||
| Control | 0..* | |||||||||
| Type | Reference(Practitioner, PractitionerRole, Organization, CareTeam) | |||||||||
| Is Modifier | false | |||||||||
| Summary | true | |||||||||
| Requirements | Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis. | |||||||||
| Alternate Names | Analyzed by, Reported by | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| Slicing | This element introduces a set of slices on DiagnosticReport.resultsInterpreter. The slices areUnordered and Open, and can be differentiated using the following discriminators: | |||||||||
| 70. DiagnosticReport.resultsInterpreter:author | ||||||||||
| Slice Name | author | |||||||||
| Definition | The practitioner or organization that is responsible for the report's conclusions and interpretations. | |||||||||
| Short | Primary result interpreter | |||||||||
| Comments | Might not be the same entity that takes responsibility for the clinical report. | |||||||||
| Control | 0..* | |||||||||
| Type | Reference(Practitioner (EU core), PractitionerRole (EU core), Practitioner, PractitionerRole, Organization, CareTeam) | |||||||||
| Is Modifier | false | |||||||||
| Obligations |
| |||||||||
| Summary | true | |||||||||
| Requirements | EHDSImagingReport.header.author[x] Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis. | |||||||||
| Alternate Names | Analyzed by, Reported by | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 72. DiagnosticReport.result | ||||||||||
| Definition | Detailed description of the findings on the imaging study. The findings should be described in a clear and concise manner, using standardized anatomic, pathologic, and radiologic terminology whenever possible. Observations that are part of this diagnostic report. | |||||||||
| Short | FindingsObservations | |||||||||
| Comments | Observations can contain observations. | |||||||||
| Control | 0..* | |||||||||
| Type | Reference(Observation: Imaging Finding, Observation: Narrative Report, Observation) | |||||||||
| Is Modifier | false | |||||||||
| Must Support | true | |||||||||
| Must Support Types | No must-support rules about the choice of types/profiles | |||||||||
| Obligations |
| |||||||||
| Summary | false | |||||||||
| Requirements | EHDSImagingReport.body.examinationReport.results[x]; EHDSImagingReport.body.examinationReport.conclusion.impression Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful. | |||||||||
| Alternate Names | Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 74. DiagnosticReport.media | ||||||||||
| Definition | A list of key images associated with this report. The images are generally created during the diagnostic process, and may be directly of the patient, or of treated specimens (i.e. slides of interest). | |||||||||
| Short | Key images associated with this report | |||||||||
| Control | 0..* | |||||||||
| Type | BackboneElement | |||||||||
| Is Modifier | false | |||||||||
| Obligations |
| |||||||||
| Summary | true | |||||||||
| Requirements | EHDSImagingReport.attachments Many diagnostic services include images in the report as part of their service. | |||||||||
| Alternate Names | DICOM, Slides, Scans | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 76. DiagnosticReport.media.modifierExtension | ||||||||||
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | |||||||||
| Short | Extensions that cannot be ignored even if unrecognized | |||||||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | |||||||||
| Control | 0..* | |||||||||
| Type | Extension | |||||||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | |||||||||
| Summary | true | |||||||||
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | |||||||||
| Alternate Names | extensions, user content, modifiers | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | |||||||||
| 78. DiagnosticReport.media.link | ||||||||||
| Definition | Reference to the image source. | |||||||||
| Short | Reference to the image source | |||||||||
| Control | 1..1 | |||||||||
| Type | Reference(Media) | |||||||||
| Is Modifier | false | |||||||||
| Summary | true | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 80. DiagnosticReport.presentedForm | ||||||||||
| Definition | Rich text representation of the entire result as issued by the diagnostic service. Multiple formats are allowed but they SHALL be semantically equivalent. | |||||||||
| Short | Entire report as issued | |||||||||
| Comments | "application/pdf" is recommended as the most reliable and interoperable in this context. | |||||||||
| Control | 0..* | |||||||||
| Type | Attachment | |||||||||
| Is Modifier | false | |||||||||
| Obligations |
| |||||||||
| Summary | false | |||||||||
| Requirements | EHDSImagingReport.presentedForm Gives laboratory the ability to provide its own fully formatted report for clinical fidelity. | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
Guidance on how to interpret the contents of this table can be foundhere
| 0. DiagnosticReport | ||||||||||
| 2. DiagnosticReport.language | ||||||||||
| Obligations |
| |||||||||
| Requirements | EHDSImagingReport.header.language | |||||||||
| 4. DiagnosticReport.extension:artifactVersion | ||||||||||
| Slice Name | artifactVersion | |||||||||
| Obligations |
| |||||||||
| Requirements | EHDSImagingReport.header.version | |||||||||
| 6. DiagnosticReport.extension:comparison | ||||||||||
| Slice Name | comparison | |||||||||
| Obligations |
| |||||||||
| Requirements | EHDSImagingReport.body.comparisonStudy | |||||||||
| 8. DiagnosticReport.extension:patientHistory | ||||||||||
| Slice Name | patientHistory | |||||||||
| Obligations |
| |||||||||
| Requirements | EHDSImagingReport.body.supportingInformation.observation; EHDSImagingReport.body.supportingInformation.condition; EHDSImagingReport.body.supportingInformation.priorMedicationAdministration; EHDSImagingReport.body.supportingInformation.device; EHDSImagingReport.body.supportingInformation.pregnancyStatus | |||||||||
| 10. DiagnosticReport.extension:procedure | ||||||||||
| Slice Name | procedure | |||||||||
| Obligations |
| |||||||||
| Requirements | EHDSImagingReport.body.exposureInformation; EHDSImagingReport.body.examinationReport.imagingProcedures | |||||||||
| 12. DiagnosticReport.extension:impression | ||||||||||
| Slice Name | impression | |||||||||
| Obligations |
| |||||||||
| Requirements | EHDSImagingReport.body.examinationReport.conclusion.conditionOrFinding[x] | |||||||||
| 14. DiagnosticReport.extension:recommendation | ||||||||||
| Slice Name | recommendation | |||||||||
| Obligations |
| |||||||||
| Requirements | EHDSImagingReport.body.recommendation | |||||||||
| 16. DiagnosticReport.extension:composition | ||||||||||
| Slice Name | composition | |||||||||
| Obligations |
| |||||||||
| Requirements | EHDSImagingReport. | |||||||||
| 18. DiagnosticReport.identifier | ||||||||||
| Note | This is a business identifier, not a resource identifier (see discussion) | |||||||||
| Obligations |
| |||||||||
| Requirements | EHDSImagingReport.header.identifier | |||||||||
| 20. DiagnosticReport.basedOn:ServiceRequestOrderEuImagingaccession | ||||||||||
| Slice Name | ServiceRequestOrderEuImagingaccession | |||||||||
| Obligations |
| |||||||||
| Requirements | EHDSImagingReport.body.orderInformation.orderId | |||||||||
| 22. DiagnosticReport.status | ||||||||||
| Obligations |
| |||||||||
| Requirements | EHDSImagingReport.header.status | |||||||||
| 24. DiagnosticReport.category:diagnostic-service | ||||||||||
| Slice Name | diagnostic-service | |||||||||
| Obligations |
| |||||||||
| Requirements | EHDSImagingReport.header.serviceSpecialty | |||||||||
| 26. DiagnosticReport.subject | ||||||||||
| Obligations |
| |||||||||
| Requirements | EHDSImagingReport.header.subject | |||||||||
| 28. DiagnosticReport.effective[x] | ||||||||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | |||||||||
| Slicing | This element introduces a set of slices on DiagnosticReport.effective[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators: | |||||||||
| 30. DiagnosticReport.effective[x]:effectivePeriod | ||||||||||
| Slice Name | effectivePeriod | |||||||||
| Control | 0..1 | |||||||||
| Type | Period | |||||||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | |||||||||
| Obligations |
| |||||||||
| Requirements | EHDSImagingReport.header.period | |||||||||
| 32. DiagnosticReport.issued | ||||||||||
| Obligations |
| |||||||||
| Requirements | EHDSImagingReport.header.date | |||||||||
| 34. DiagnosticReport.performer:organization | ||||||||||
| Slice Name | organization | |||||||||
| Obligations |
| |||||||||
| Requirements | EHDSImagingReport.header.author[x] | |||||||||
| 36. DiagnosticReport.resultsInterpreter:author | ||||||||||
| Slice Name | author | |||||||||
| Obligations |
| |||||||||
| Requirements | EHDSImagingReport.header.author[x] | |||||||||
| 38. DiagnosticReport.result | ||||||||||
| Obligations |
| |||||||||
| Requirements | EHDSImagingReport.body.examinationReport.results[x]; EHDSImagingReport.body.examinationReport.conclusion.impression | |||||||||
| 40. DiagnosticReport.media | ||||||||||
| Obligations |
| |||||||||
| Requirements | EHDSImagingReport.attachments | |||||||||
| 42. DiagnosticReport.presentedForm | ||||||||||
| Obligations |
| |||||||||
| Requirements | EHDSImagingReport.presentedForm | |||||||||
Guidance on how to interpret the contents of this table can be foundhere
| 0. DiagnosticReport | ||||||||||
| Definition | The findings and interpretation of diagnostic tests performed on patients, groups of patients, devices, and locations, and/or specimens derived from these. The report includes clinical context such as requesting and provider information, and some mix of atomic results, images, textual and coded interpretations, and formatted representation of diagnostic reports. | |||||||||
| Short | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |||||||||
| Comments | This is intended to capture a single report and is not suitable for use in displaying summary information that covers multiple reports. For example, this resource has not been designed for laboratory cumulative reporting formats nor detailed structured reports for sequencing. | |||||||||
| Control | 0..* | |||||||||
| Is Modifier | false | |||||||||
| Summary | false | |||||||||
| Alternate Names | Report, Test, Result, Results, Labs, Laboratory | |||||||||
| Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource ( contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated ( contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())dom-5: If a resource is contained in another resource, it SHALL NOT have a security label ( contained.meta.security.empty())dom-6: A resource should have narrative for robust management ( text.`div`.exists()) | |||||||||
| 2. DiagnosticReport.id | ||||||||||
| Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. | |||||||||
| Short | Logical id of this artifact | |||||||||
| Comments | The only time that a resource does not have an id is when it is being submitted to the server using a create operation. | |||||||||
| Control | 0..1 | |||||||||
| Type | id | |||||||||
| Is Modifier | false | |||||||||
| Summary | true | |||||||||
| 4. DiagnosticReport.meta | ||||||||||
| Definition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. | |||||||||
| Short | Metadata about the resource | |||||||||
| Control | 0..1 | |||||||||
| Type | Meta | |||||||||
| Is Modifier | false | |||||||||
| Summary | true | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 6. DiagnosticReport.implicitRules | ||||||||||
| Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. | |||||||||
| Short | A set of rules under which this content was created | |||||||||
| Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. | |||||||||
| Control | 0..1 | |||||||||
| Type | uri | |||||||||
| Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation | |||||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | |||||||||
| Summary | true | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 8. DiagnosticReport.language | ||||||||||
| Definition | The base language in which the resource is written. | |||||||||
| Short | Language of the resource content | |||||||||
| Comments | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). | |||||||||
| Control | 0..1 | |||||||||
| Binding | The codes SHOULD be taken from CommonLanguages (preferred to http://hl7.org/fhir/ValueSet/languages|4.0.1)A human language.
| |||||||||
| Type | code | |||||||||
| Is Modifier | false | |||||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | |||||||||
| Obligations |
| |||||||||
| Summary | false | |||||||||
| Requirements | EHDSImagingReport.header.language | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 10. DiagnosticReport.text | ||||||||||
| Definition | A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. | |||||||||
| Short | Text summary of the resource, for human interpretation | |||||||||
| Comments | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later. | |||||||||
| Control | 0..1 | |||||||||
| Type | Narrative | |||||||||
| Is Modifier | false | |||||||||
| Summary | false | |||||||||
| Alternate Names | narrative, html, xhtml, display | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 12. DiagnosticReport.contained | ||||||||||
| Definition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. | |||||||||
| Short | Contained, inline Resources | |||||||||
| Comments | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels. | |||||||||
| Control | 0..* | |||||||||
| Type | Resource | |||||||||
| Is Modifier | false | |||||||||
| Summary | false | |||||||||
| Alternate Names | inline resources, anonymous resources, contained resources | |||||||||
| 14. DiagnosticReport.extension | ||||||||||
| Definition | An Extension | |||||||||
| Short | Extension | |||||||||
| Control | 1..* | |||||||||
| Type | Extension | |||||||||
| Is Modifier | false | |||||||||
| Summary | false | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | |||||||||
| Slicing | This element introduces a set of slices on DiagnosticReport.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | |||||||||
| 16. DiagnosticReport.extension:artifactVersion | ||||||||||
| Slice Name | artifactVersion | |||||||||
| Definition | The identifier that is used to identify this version of the artifact when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the artifact author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence. | |||||||||
| Short | Business version of the artifact | |||||||||
| Control | 0..1 | |||||||||
| Type | Extension(ArtifactVersion) (Extension Type: string) | |||||||||
| Is Modifier | false | |||||||||
| Obligations |
| |||||||||
| Summary | false | |||||||||
| Requirements | EHDSImagingReport.header.version | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | |||||||||
| 18. DiagnosticReport.extension:anatomical-region | ||||||||||
| Slice Name | anatomical-region | |||||||||
| Definition | The anatomical regions covered by the report, depending on the study there can be zero, one or more regions.
The regions SHALL overlap with the bodysite references from | |||||||||
| Short | The anatomical regions covered by the study this report reports on. | |||||||||
| Control | 0..* This element is affected by the following invariants: ele-1 | |||||||||
| Type | Extension(Extension: Anatomical Region) (Extension Type: CodeableConcept) | |||||||||
| Is Modifier | false | |||||||||
| Summary | false | |||||||||
| Requirements | This field is present in order to be able to populate the MHD DocumentReference field. | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | |||||||||
| 20. DiagnosticReport.extension:comparison | ||||||||||
| Slice Name | comparison | |||||||||
| Definition | Studies used for comparison in part of diagnostic reporting | |||||||||
| Short | Extension: HL7IDR DiagnosticReport Comparison Study | |||||||||
| Control | 0..* This element is affected by the following invariants: ele-1 | |||||||||
| Type | Extension(Extension: HL7IDR DiagnosticReport Comparison Study) (Extension Type: Reference(ImagingStudy: General, Basic-ImagingSelection: General)) | |||||||||
| Is Modifier | false | |||||||||
| Must Support | true | |||||||||
| Obligations |
| |||||||||
| Summary | false | |||||||||
| Requirements | EHDSImagingReport.body.comparisonStudy | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | |||||||||
| 22. DiagnosticReport.extension:patientHistory | ||||||||||
| Slice Name | patientHistory | |||||||||
| Definition | Patient history that are relevant for the report | |||||||||
| Short | Extension: HL7IDR Patient History | |||||||||
| Control | 0..* This element is affected by the following invariants: ele-1 | |||||||||
| Type | Extension(Extension: HL7IDR Patient History) (Extension Type: Reference) | |||||||||
| Is Modifier | false | |||||||||
| Must Support | true | |||||||||
| Obligations |
| |||||||||
| Summary | false | |||||||||
| Requirements | EHDSImagingReport.body.supportingInformation.observation; EHDSImagingReport.body.supportingInformation.condition; EHDSImagingReport.body.supportingInformation.priorMedicationAdministration; EHDSImagingReport.body.supportingInformation.device; EHDSImagingReport.body.supportingInformation.pregnancyStatus | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | |||||||||
| 24. DiagnosticReport.extension:procedure | ||||||||||
| Slice Name | procedure | |||||||||
| Definition | Imaging procedure used for the imaging acquisition and procedure specific information. | |||||||||
| Short | Extension: HL7IDR Imaging Procedure | |||||||||
| Control | 0..* This element is affected by the following invariants: ele-1 | |||||||||
| Type | Extension(Extension: HL7IDR Imaging Procedure) (Extension Type: Reference(Procedure: Imaging Acquisition, AdverseEvent, Observation: Radiation Dose)) | |||||||||
| Is Modifier | false | |||||||||
| Must Support | true | |||||||||
| Obligations |
| |||||||||
| Summary | false | |||||||||
| Requirements | EHDSImagingReport.body.exposureInformation; EHDSImagingReport.body.examinationReport.imagingProcedures | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | |||||||||
| 26. DiagnosticReport.extension:finding | ||||||||||
| Slice Name | finding | |||||||||
| Definition | Key images in the report | |||||||||
| Short | Key image findings | |||||||||
| Control | 0..* This element is affected by the following invariants: ele-1 | |||||||||
| Type | Extension(Extension: HL7IDR KeyImage Finding) (Extension Type: Reference(Observation: Imaging Finding, Key images represented as an ImagingSelection for R4, DocumentReference: Key Image, DocumentReference, Media)) | |||||||||
| Is Modifier | false | |||||||||
| Must Support | true | |||||||||
| Summary | false | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | |||||||||
| 28. DiagnosticReport.extension:impression | ||||||||||
| Slice Name | impression | |||||||||
| Definition | Impression in the imaging report | |||||||||
| Short | Extension: HL7IDR Impression | |||||||||
| Control | 0..* This element is affected by the following invariants: ele-1 | |||||||||
| Type | Extension(Extension: HL7IDR Impression) (Extension Type: Reference(Observation: Imaging Finding, Condition, DocumentReference: Key Image, Key images represented as an ImagingSelection for R4)) | |||||||||
| Is Modifier | false | |||||||||
| Must Support | true | |||||||||
| Obligations |
| |||||||||
| Summary | false | |||||||||
| Requirements | EHDSImagingReport.body.examinationReport.conclusion.conditionOrFinding[x] | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | |||||||||
| 30. DiagnosticReport.extension:recommendation | ||||||||||
| Slice Name | recommendation | |||||||||
| Definition | Recommendations for any follow up actions | |||||||||
| Short | Extension: HL7IDR Recommendation | |||||||||
| Control | 0..* This element is affected by the following invariants: ele-1 | |||||||||
| Type | Extension(Extension: HL7IDR Recommendation) (Extension Type: Reference(CarePlan, ServiceRequest)) | |||||||||
| Is Modifier | false | |||||||||
| Must Support | true | |||||||||
| Obligations |
| |||||||||
| Summary | false | |||||||||
| Requirements | EHDSImagingReport.body.recommendation | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | |||||||||
| 32. DiagnosticReport.extension:communication | ||||||||||
| Slice Name | communication | |||||||||
| Definition | Communications captures what communications have been made with other care providers. | |||||||||
| Short | Communications with other care providers | |||||||||
| Control | 0..* This element is affected by the following invariants: ele-1 | |||||||||
| Type | Extension(Extension: HL7IDR Communication) (Extension Type: Reference) | |||||||||
| Is Modifier | false | |||||||||
| Must Support | true | |||||||||
| Summary | false | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | |||||||||
| 34. DiagnosticReport.extension:informationRecipient | ||||||||||
| Slice Name | informationRecipient | |||||||||
| Definition | This extension applies to the Composition resource and is used to represent an intended recipient of the composition. | |||||||||
| Short | Composition: Information recipient | |||||||||
| Control | 0..* This element is affected by the following invariants: ele-1 | |||||||||
| Type | Extension(Composition: Information recipient) (Extension Type: Reference(Practitioner, Device, Patient, RelatedPerson, PractitionerRole, Organization, CareTeam, Group)) | |||||||||
| Is Modifier | false | |||||||||
| Summary | false | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | |||||||||
| 36. DiagnosticReport.extension:composition | ||||||||||
| Slice Name | composition | |||||||||
| Definition | Reference to a Composition resource instance that provides structure for organizing the contents of the DiagnosticReport. | |||||||||
| Short | Reference to a Composition resource for the DiagnosticReport structure | |||||||||
| Control | 1..1 This element is affected by the following invariants: ele-1 | |||||||||
| Type | Extension(Cross-version Extension for R5.DiagnosticReport.composition for use in FHIR R4) (Extension Type: Reference) | |||||||||
| Is Modifier | false | |||||||||
| Obligations |
| |||||||||
| Summary | false | |||||||||
| Requirements | EHDSImagingReport. | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | |||||||||
| 38. DiagnosticReport.extension:composition.id | ||||||||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | |||||||||
| Short | Unique id for inter-element referencing | |||||||||
| Control | 0..1 | |||||||||
| Type | string | |||||||||
| Is Modifier | false | |||||||||
| XML Format | In the XML format, this property is represented as an attribute. | |||||||||
| Summary | false | |||||||||
| 40. DiagnosticReport.extension:composition.extension | ||||||||||
| Definition | An Extension | |||||||||
| Short | Extension | |||||||||
| Control | 0..0 | |||||||||
| Type | Extension | |||||||||
| Is Modifier | false | |||||||||
| Summary | false | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | |||||||||
| Slicing | This element introduces a set of slices on DiagnosticReport.extension.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | |||||||||
| 42. DiagnosticReport.extension:composition.url | ||||||||||
| Definition | Source of the definition for the extension code - a logical name or a URL. | |||||||||
| Short | identifies the meaning of the extension | |||||||||
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | |||||||||
| Control | 1..1 | |||||||||
| Type | uri | |||||||||
| Is Modifier | false | |||||||||
| XML Format | In the XML format, this property is represented as an attribute. | |||||||||
| Summary | false | |||||||||
| Fixed Value | http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition | |||||||||
| 44. DiagnosticReport.extension:composition.value[x] | ||||||||||
| Definition | Reference to a Composition resource instance that provides structure for organizing the contents of the DiagnosticReport. | |||||||||
| Short | Reference to a Composition resource for the DiagnosticReport structure | |||||||||
| Control | 0..1 | |||||||||
| Type | Reference(Composition: Imaging Report) | |||||||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | |||||||||
| Is Modifier | false | |||||||||
| Summary | false | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 46. DiagnosticReport.modifierExtension | ||||||||||
| Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | |||||||||
| Short | Extensions that cannot be ignored | |||||||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | |||||||||
| Control | 0..* | |||||||||
| Type | Extension | |||||||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them | |||||||||
| Summary | false | |||||||||
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | |||||||||
| Alternate Names | extensions, user content | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | |||||||||
| 48. DiagnosticReport.identifier | ||||||||||
| Definition | Identifiers assigned to this Imaging Report by the performer or other systems. It shall be common to several report versions | |||||||||
| Short | Report identifier | |||||||||
| Comments | Composition.identifier SHALL be equal to one of the DiagnosticReport.identifier, if at least one exists | |||||||||
| Note | This is a business identifier, not a resource identifier (see discussion) | |||||||||
| Control | 1..* | |||||||||
| Type | Identifier | |||||||||
| Is Modifier | false | |||||||||
| Obligations |
| |||||||||
| Summary | true | |||||||||
| Requirements | EHDSImagingReport.header.identifier | |||||||||
| Alternate Names | ReportID, Filler ID, Placer ID | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 50. DiagnosticReport.basedOn | ||||||||||
| Definition | Details concerning a service requested. | |||||||||
| Short | What was requested | |||||||||
| Comments | Note: Usually there is one test request for each result, however in some circumstances multiple test requests may be represented using a single test result resource. Note that there are also cases where one request leads to multiple reports. | |||||||||
| Control | 0..* | |||||||||
| Type | Reference(ServiceRequest, CarePlan) | |||||||||
| Is Modifier | false | |||||||||
| Summary | false | |||||||||
| Requirements | This allows tracing of authorization for the report and tracking whether proposals/recommendations were acted upon. | |||||||||
| Alternate Names | Request | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| Slicing | This element introduces a set of slices on DiagnosticReport.basedOn. The slices areUnordered and Open, and can be differentiated using the following discriminators: | |||||||||
| 52. DiagnosticReport.basedOn:ServiceRequestOrderEuImagingaccession | ||||||||||
| Slice Name | ServiceRequestOrderEuImagingaccession | |||||||||
| Definition | Details concerning a service requested. | |||||||||
| Short | What was requested | |||||||||
| Comments | Note: Usually there is one test request for each result, however in some circumstances multiple test requests may be represented using a single test result resource. Note that there are also cases where one request leads to multiple reports. | |||||||||
| Control | 0..* | |||||||||
| Type | Reference(ServiceRequest: Imaging Order) | |||||||||
| Is Modifier | false | |||||||||
| Obligations |
| |||||||||
| Summary | false | |||||||||
| Requirements | EHDSImagingReport.body.orderInformation.orderId | |||||||||
| Alternate Names | Request | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 54. DiagnosticReport.basedOn:ServiceRequestOrderEuImagingaccession.id | ||||||||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | |||||||||
| Short | Unique id for inter-element referencing | |||||||||
| Control | 0..1 | |||||||||
| Type | string | |||||||||
| Is Modifier | false | |||||||||
| XML Format | In the XML format, this property is represented as an attribute. | |||||||||
| Summary | false | |||||||||
| 56. DiagnosticReport.basedOn:ServiceRequestOrderEuImagingaccession.extension | ||||||||||
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | |||||||||
| Short | Additional content defined by implementations | |||||||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | |||||||||
| Control | 0..* | |||||||||
| Type | Extension | |||||||||
| Is Modifier | false | |||||||||
| Summary | false | |||||||||
| Alternate Names | extensions, user content | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | |||||||||
| Slicing | This element introduces a set of slices on DiagnosticReport.basedOn.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators: | |||||||||
| 58. DiagnosticReport.basedOn:ServiceRequestOrderEuImagingaccession.reference | ||||||||||
| Definition | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. | |||||||||
| Short | Literal reference, Relative, internal or absolute URL | |||||||||
| Comments | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. | |||||||||
| Control | 0..1 This element is affected by the following invariants: ref-1 | |||||||||
| Type | string | |||||||||
| Is Modifier | false | |||||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | |||||||||
| Summary | true | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 60. DiagnosticReport.basedOn:ServiceRequestOrderEuImagingaccession.type | ||||||||||
| Definition | The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources). | |||||||||
| Short | Type the reference refers to (e.g. "Patient") | |||||||||
| Comments | This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified. | |||||||||
| Control | 0..1 | |||||||||
| Binding | Unless not suitable, these codes SHALL be taken from ResourceType (extensible to http://hl7.org/fhir/ValueSet/resource-types|4.0.1)Aa resource (or, for logical models, the URI of the logical model). | |||||||||
| Type | uri | |||||||||
| Is Modifier | false | |||||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | |||||||||
| Summary | true | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 62. DiagnosticReport.basedOn:ServiceRequestOrderEuImagingaccession.identifier | ||||||||||
| Definition | An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference. | |||||||||
| Short | Logical reference, when literal reference is not known | |||||||||
| Comments | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any). | |||||||||
| Note | This is a business identifier, not a resource identifier (see discussion) | |||||||||
| Control | 1..1 | |||||||||
| Type | Identifier(Identifier: Accession Number) | |||||||||
| Is Modifier | false | |||||||||
| Summary | true | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 64. DiagnosticReport.basedOn:ServiceRequestOrderEuImagingaccession.display | ||||||||||
| Definition | Plain text narrative that identifies the resource in addition to the resource reference. | |||||||||
| Short | Text alternative for the resource | |||||||||
| Comments | This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it. | |||||||||
| Control | 0..1 | |||||||||
| Type | string | |||||||||
| Is Modifier | false | |||||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | |||||||||
| Summary | true | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 66. DiagnosticReport.status | ||||||||||
| Definition | The status of the diagnostic report. | |||||||||
| Short | Status of the Report | |||||||||
| Comments | DiagnosticReport.status and Composition.status shall be aligned | |||||||||
| Control | 1..1 | |||||||||
| Binding | The codes SHALL be taken from DiagnosticReportStatus (required to http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1)The status of the diagnostic report. | |||||||||
| Type | code | |||||||||
| Is Modifier | true because This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid | |||||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | |||||||||
| Obligations |
| |||||||||
| Summary | true | |||||||||
| Requirements | EHDSImagingReport.header.status | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 68. DiagnosticReport.category | ||||||||||
| Definition | A code that classifies the clinical discipline, department or diagnostic service that created the report (e.g. cardiology, biochemistry, hematology, MRI). This is used for searching, sorting and display purposes. | |||||||||
| Short | Service category | |||||||||
| Comments | Multiple categories are allowed using various categorization schemes. The level of granularity is defined by the category concepts in the value set. More fine-grained filtering can be performed using the metadata and/or terminology hierarchy in DiagnosticReport.code. | |||||||||
| Control | 2..* | |||||||||
| Binding | For example codes, see DiagnosticServiceSectionCodes (example to http://hl7.org/fhir/ValueSet/diagnostic-service-sections|4.0.1)Codes for diagnostic service sections. | |||||||||
| Type | CodeableConcept | |||||||||
| Is Modifier | false | |||||||||
| Summary | true | |||||||||
| Alternate Names | Department, Sub-department, Service, Discipline | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| Slicing | This element introduces a set of slices on DiagnosticReport.category. The slices areUnordered and Open, and can be differentiated using the following discriminators: | |||||||||
| 70. DiagnosticReport.category:diagnostic-service | ||||||||||
| Slice Name | diagnostic-service | |||||||||
| Definition | A code that classifies the clinical discipline, department or diagnostic service that created the report (e.g. cardiology, biochemistry, hematology, MRI). This is used for searching, sorting and display purposes. | |||||||||
| Short | Service category | |||||||||
| Comments | Multiple categories are allowed using various categorization schemes. The level of granularity is defined by the category concepts in the value set. More fine-grained filtering can be performed using the metadata and/or terminology hierarchy in DiagnosticReport.code. | |||||||||
| Control | 0..1 | |||||||||
| Binding | The codes SHALL be taken from DiagnosticServiceSectionCodes (required to http://hl7.org/fhir/ValueSet/diagnostic-service-sections) | |||||||||
| Type | CodeableConcept | |||||||||
| Is Modifier | false | |||||||||
| Obligations |
| |||||||||
| Summary | true | |||||||||
| Requirements | EHDSImagingReport.header.serviceSpecialty | |||||||||
| Alternate Names | Department, Sub-department, Service, Discipline | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 72. DiagnosticReport.category:imaging-report | ||||||||||
| Slice Name | imaging-report | |||||||||
| Definition | Defines the category of the report, Diagnostic imaging report. | |||||||||
| Short | Service category | |||||||||
| Comments | Multiple categories are allowed using various categorization schemes. The level of granularity is defined by the category concepts in the value set. More fine-grained filtering can be performed using the metadata and/or terminology hierarchy in DiagnosticReport.code. | |||||||||
| Control | 1..1 | |||||||||
| Binding | For example codes, see DiagnosticServiceSectionCodes (example to http://hl7.org/fhir/ValueSet/diagnostic-service-sections|4.0.1)Codes for diagnostic service sections. | |||||||||
| Type | CodeableConcept | |||||||||
| Is Modifier | false | |||||||||
| Summary | true | |||||||||
| Alternate Names | Department, Sub-department, Service, Discipline | |||||||||
| Pattern Value | { | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 74. DiagnosticReport.category:imaging | ||||||||||
| Slice Name | imaging | |||||||||
| Definition | Defines the priority category of the report as defined in the API spec. | |||||||||
| Short | Service category | |||||||||
| Comments | Multiple categories are allowed using various categorization schemes. The level of granularity is defined by the category concepts in the value set. More fine-grained filtering can be performed using the metadata and/or terminology hierarchy in DiagnosticReport.code. | |||||||||
| Control | 1..1 | |||||||||
| Binding | For example codes, see DiagnosticServiceSectionCodes (example to http://hl7.org/fhir/ValueSet/diagnostic-service-sections|4.0.1)Codes for diagnostic service sections. | |||||||||
| Type | CodeableConcept | |||||||||
| Is Modifier | false | |||||||||
| Summary | true | |||||||||
| Alternate Names | Department, Sub-department, Service, Discipline | |||||||||
| Pattern Value | { | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 76. DiagnosticReport.code | ||||||||||
| Definition | Defines the document type, it is recommended to take this from the suggested LOINC set. | |||||||||
| Short | Type of Imaging Diagnostic Report | |||||||||
| Control | 1..1 | |||||||||
| Binding | The codes SHOULD be taken from ValueSet: Radiology Report Types (preferred to http://hl7.eu/fhir/imaging/ValueSet/ImagingReportTypesEuVSEuImaging) | |||||||||
| Type | CodeableConcept | |||||||||
| Is Modifier | false | |||||||||
| Summary | true | |||||||||
| Alternate Names | Type | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 78. DiagnosticReport.subject | ||||||||||
| Definition | The subject of the report. Usually, but not always, this is a patient. However, diagnostic services also perform analyses on specimens collected from a variety of other sources. | |||||||||
| Short | The subject of the report - usually, but not always, the patient | |||||||||
| Control | 1..1 | |||||||||
| Type | Reference(Patient (EU core)) | |||||||||
| Is Modifier | false | |||||||||
| Obligations |
| |||||||||
| Summary | true | |||||||||
| Requirements | EHDSImagingReport.header.subject | |||||||||
| Alternate Names | Patient | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 80. DiagnosticReport.encounter | ||||||||||
| Definition | The healthcare event (e.g. a patient and healthcare provider interaction) which this DiagnosticReport is about. | |||||||||
| Short | Health care event when test ordered | |||||||||
| Comments | This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission laboratory tests). | |||||||||
| Control | 0..1 | |||||||||
| Type | Reference(Encounter) | |||||||||
| Is Modifier | false | |||||||||
| Summary | true | |||||||||
| Requirements | Links the request to the Encounter context. | |||||||||
| Alternate Names | Context | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 82. DiagnosticReport.effective[x] | ||||||||||
| Definition | The time or time-period the observed values are related to. When the subject of the report is a patient, this is usually either the time of the procedure or of specimen collection(s), but very often the source of the date/time is not known, only the date/time itself. | |||||||||
| Short | Clinically relevant time/time-period for report | |||||||||
| Comments | If the diagnostic procedure was performed on the patient, this is the time it was performed. If there are specimens, the diagnostically relevant time can be derived from the specimen collection times, but the specimen information is not always available, and the exact relationship between the specimens and the diagnostically relevant time is not always automatic. | |||||||||
| Control | 0..1 | |||||||||
| Type | Choice of: dateTime, Period | |||||||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | |||||||||
| Is Modifier | false | |||||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | |||||||||
| Summary | true | |||||||||
| Requirements | Need to know where in the patient history to file/present this report. | |||||||||
| Alternate Names | Observation time, Effective Time, Occurrence | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| Slicing | This element introduces a set of slices on DiagnosticReport.effective[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators: | |||||||||
| 84. DiagnosticReport.effective[x]:effectivePeriod | ||||||||||
| Slice Name | effectivePeriod | |||||||||
| Definition | The time or time-period the observed values are related to. When the subject of the report is a patient, this is usually either the time of the procedure or of specimen collection(s), but very often the source of the date/time is not known, only the date/time itself. | |||||||||
| Short | Clinically relevant time/time-period for report | |||||||||
| Comments | If the diagnostic procedure was performed on the patient, this is the time it was performed. If there are specimens, the diagnostically relevant time can be derived from the specimen collection times, but the specimen information is not always available, and the exact relationship between the specimens and the diagnostically relevant time is not always automatic. | |||||||||
| Control | 0..1 | |||||||||
| Type | Period | |||||||||
| [x] Note | SeeChoice of Data Typesfor further information about how to use [x] | |||||||||
| Is Modifier | false | |||||||||
| Obligations |
| |||||||||
| Summary | true | |||||||||
| Requirements | EHDSImagingReport.header.period | |||||||||
| Alternate Names | Observation time, Effective Time, Occurrence | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 86. DiagnosticReport.issued | ||||||||||
| Definition | The date and time that the report was issued. This is not necessarily the same as the date and time that the report was created, since a report may be revised and/or reviewed after it is created. | |||||||||
| Short | Date and time of report issuance | |||||||||
| Comments | May be different from the update time of the resource itself, because that is the status of the record (potentially a secondary copy), not the actual release time of the report. | |||||||||
| Control | 0..1 | |||||||||
| Type | instant | |||||||||
| Is Modifier | false | |||||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | |||||||||
| Obligations |
| |||||||||
| Summary | true | |||||||||
| Requirements | EHDSImagingReport.header.date | |||||||||
| Alternate Names | Date published, Date Issued, Date Verified | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 88. DiagnosticReport.performer | ||||||||||
| Definition | The diagnostic service that is responsible for issuing the report. | |||||||||
| Short | Responsible Diagnostic Service | |||||||||
| Comments | This is not necessarily the source of the atomic data items or the entity that interpreted the results. It is the entity that takes responsibility for the clinical report. | |||||||||
| Control | 0..* | |||||||||
| Type | Reference(Practitioner, PractitionerRole, Organization, CareTeam) | |||||||||
| Is Modifier | false | |||||||||
| Summary | true | |||||||||
| Requirements | Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis. | |||||||||
| Alternate Names | Laboratory, Service, Practitioner, Department, Company, Authorized by, Director | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| Slicing | This element introduces a set of slices on DiagnosticReport.performer. The slices areUnordered and Open, and can be differentiated using the following discriminators: | |||||||||
| 90. DiagnosticReport.performer:organization | ||||||||||
| Slice Name | organization | |||||||||
| Definition | The organization responsible for producing this report. In case practitioners produce them in their private practices, they will be accounted as an organization for this purpose. | |||||||||
| Short | The organization producer of this report | |||||||||
| Comments | This is not necessarily the source of the atomic data items or the entity that interpreted the results. It is the entity that takes responsibility for the clinical report. | |||||||||
| Control | 0..* | |||||||||
| Type | Reference(Organization (EU core)) | |||||||||
| Is Modifier | false | |||||||||
| Obligations |
| |||||||||
| Summary | true | |||||||||
| Requirements | EHDSImagingReport.header.author[x] | |||||||||
| Alternate Names | Laboratory, Service, Practitioner, Department, Company, Authorized by, Director | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 92. DiagnosticReport.resultsInterpreter | ||||||||||
| Definition | The practitioner or organization that is responsible for the report's conclusions and interpretations. | |||||||||
| Short | Primary result interpreter | |||||||||
| Comments | Might not be the same entity that takes responsibility for the clinical report. | |||||||||
| Control | 0..* | |||||||||
| Type | Reference(Practitioner, PractitionerRole, Organization, CareTeam) | |||||||||
| Is Modifier | false | |||||||||
| Summary | true | |||||||||
| Requirements | Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis. | |||||||||
| Alternate Names | Analyzed by, Reported by | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| Slicing | This element introduces a set of slices on DiagnosticReport.resultsInterpreter. The slices areUnordered and Open, and can be differentiated using the following discriminators: | |||||||||
| 94. DiagnosticReport.resultsInterpreter:author | ||||||||||
| Slice Name | author | |||||||||
| Definition | The practitioner or organization that is responsible for the report's conclusions and interpretations. | |||||||||
| Short | Primary result interpreter | |||||||||
| Comments | Might not be the same entity that takes responsibility for the clinical report. | |||||||||
| Control | 0..* | |||||||||
| Type | Reference(Practitioner (EU core), PractitionerRole (EU core)) | |||||||||
| Is Modifier | false | |||||||||
| Obligations |
| |||||||||
| Summary | true | |||||||||
| Requirements | EHDSImagingReport.header.author[x] | |||||||||
| Alternate Names | Analyzed by, Reported by | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 96. DiagnosticReport.specimen | ||||||||||
| Definition | Details about the specimens on which this diagnostic report is based. | |||||||||
| Short | Specimens this report is based on | |||||||||
| Comments | If the specimen is sufficiently specified with a code in the test result name, then this additional data may be redundant. If there are multiple specimens, these may be represented per observation or group. | |||||||||
| Control | 0..* | |||||||||
| Type | Reference(Specimen) | |||||||||
| Is Modifier | false | |||||||||
| Summary | false | |||||||||
| Requirements | Need to be able to report information about the collected specimens on which the report is based. | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 98. DiagnosticReport.result | ||||||||||
| Definition | Detailed description of the findings on the imaging study. The findings should be described in a clear and concise manner, using standardized anatomic, pathologic, and radiologic terminology whenever possible. | |||||||||
| Short | Findings | |||||||||
| Comments | Observations can contain observations. | |||||||||
| Control | 0..* | |||||||||
| Type | Reference(Observation: Imaging Finding, Observation: Narrative Report) | |||||||||
| Is Modifier | false | |||||||||
| Must Support | true | |||||||||
| Must Support Types | No must-support rules about the choice of types/profiles | |||||||||
| Obligations |
| |||||||||
| Summary | false | |||||||||
| Requirements | EHDSImagingReport.body.examinationReport.results[x]; EHDSImagingReport.body.examinationReport.conclusion.impression | |||||||||
| Alternate Names | Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 100. DiagnosticReport.imagingStudy | ||||||||||
| Definition | Study subject to this report. Note: Any associated study (e.g. comparison studies) used during reporting should be tracked in the associatedStudy extension. | |||||||||
| Short | Study subject to this report | |||||||||
| Comments | ImagingStudy and the image element are somewhat overlapping - typically, the list of image references in the image element will also be found in one of the imaging study resources. However, each caters to different types of displays for different types of purposes. Neither, either, or both may be provided. | |||||||||
| Control | 0..* | |||||||||
| Type | Reference(ImagingStudy: General) | |||||||||
| Is Modifier | false | |||||||||
| Summary | false | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 102. DiagnosticReport.media | ||||||||||
| Definition | A list of key images associated with this report. The images are generally created during the diagnostic process, and may be directly of the patient, or of treated specimens (i.e. slides of interest). | |||||||||
| Short | Key images associated with this report | |||||||||
| Control | 0..* | |||||||||
| Type | BackboneElement | |||||||||
| Is Modifier | false | |||||||||
| Obligations |
| |||||||||
| Summary | true | |||||||||
| Requirements | EHDSImagingReport.attachments | |||||||||
| Alternate Names | DICOM, Slides, Scans | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 104. DiagnosticReport.media.id | ||||||||||
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | |||||||||
| Short | Unique id for inter-element referencing | |||||||||
| Control | 0..1 | |||||||||
| Type | string | |||||||||
| Is Modifier | false | |||||||||
| XML Format | In the XML format, this property is represented as an attribute. | |||||||||
| Summary | false | |||||||||
| 106. DiagnosticReport.media.extension | ||||||||||
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | |||||||||
| Short | Additional content defined by implementations | |||||||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | |||||||||
| Control | 0..* | |||||||||
| Type | Extension | |||||||||
| Is Modifier | false | |||||||||
| Summary | false | |||||||||
| Alternate Names | extensions, user content | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | |||||||||
| 108. DiagnosticReport.media.modifierExtension | ||||||||||
| Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | |||||||||
| Short | Extensions that cannot be ignored even if unrecognized | |||||||||
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | |||||||||
| Control | 0..* | |||||||||
| Type | Extension | |||||||||
| Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | |||||||||
| Summary | true | |||||||||
| Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | |||||||||
| Alternate Names | extensions, user content, modifiers | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists()) | |||||||||
| 110. DiagnosticReport.media.comment | ||||||||||
| Definition | A comment about the image. Typically, this is used to provide an explanation for why the image is included, or to draw the viewer's attention to important features. | |||||||||
| Short | Comment about the image (e.g. explanation) | |||||||||
| Comments | The comment should be displayed with the image. It would be common for the report to include additional discussion of the image contents in other sections such as the conclusion. | |||||||||
| Control | 0..1 | |||||||||
| Type | string | |||||||||
| Is Modifier | false | |||||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | |||||||||
| Summary | false | |||||||||
| Requirements | The provider of the report should make a comment about each image included in the report. | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 112. DiagnosticReport.media.link | ||||||||||
| Definition | Reference to the image source. | |||||||||
| Short | Reference to the image source | |||||||||
| Control | 1..1 | |||||||||
| Type | Reference(Media) | |||||||||
| Is Modifier | false | |||||||||
| Summary | true | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 114. DiagnosticReport.conclusion | ||||||||||
| Definition | Concise and clinically contextualized summary conclusion (interpretation/impression) of the diagnostic report. | |||||||||
| Short | Clinical conclusion (interpretation) of test results | |||||||||
| Control | 0..1 | |||||||||
| Type | string | |||||||||
| Is Modifier | false | |||||||||
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension | |||||||||
| Summary | false | |||||||||
| Requirements | Need to be able to provide a conclusion that is not lost among the basic result data. | |||||||||
| Alternate Names | Report | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 116. DiagnosticReport.conclusionCode | ||||||||||
| Definition | One or more codes that represent the summary conclusion (interpretation/impression) of the diagnostic report. | |||||||||
| Short | Codes for the clinical conclusion of test results | |||||||||
| Control | 0..* | |||||||||
| Binding | For example codes, see SNOMEDCTClinicalFindings (example to http://hl7.org/fhir/ValueSet/clinical-findings|4.0.1)Diagnosis codes provided as adjuncts to the report. | |||||||||
| Type | CodeableConcept | |||||||||
| Is Modifier | false | |||||||||
| Summary | false | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
| 118. DiagnosticReport.presentedForm | ||||||||||
| Definition | Rich text representation of the entire result as issued by the diagnostic service. Multiple formats are allowed but they SHALL be semantically equivalent. | |||||||||
| Short | Entire report as issued | |||||||||
| Comments | "application/pdf" is recommended as the most reliable and interoperable in this context. | |||||||||
| Control | 0..* | |||||||||
| Type | Attachment | |||||||||
| Is Modifier | false | |||||||||
| Obligations |
| |||||||||
| Summary | false | |||||||||
| Requirements | EHDSImagingReport.presentedForm | |||||||||
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) | |||||||||
IG © 2025+ HL7 Europe.
Package hl7.fhir.eu.imaging#1.0.0-ballot based on FHIR 4.0.1.
Generated
2026-07-15
