DiagnosticReportEuImagingMinimalMetadata
type: StructureDefinition
node role: treeRoot
id:
  v: DiagnosticReportEuImagingMinimalMetadata
language:
  v: en
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: StructureDefinition DiagnosticReportEuImagingMinimalMetadata Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> DiagnosticReport DiagnosticReport #xD; Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url #xD; extension:artifactVersion 0..1 string Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version #xD; extension:anatomical-region 0..* CodeableConcept The anatomical regions covered by the study this report reports on. URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/AnatomicalRegionExtension Binding: ValueSet: Anatomical Region (required) #xD; extension:comparison S 0..* Reference(ImagingStudy: General | ImagingSelection: General) Comparison studies URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRComparisonStudy #xD; extension:patientHistory S 0..* Reference() Patient history items selected by radiologist URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRPatientHistory #xD; extension:procedure S 0..* Reference(Procedure: Imaging Acquisition | AdverseEvent | Observation: Radiation Dose) Imaging procedure URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRImagingProcedure #xD; extension:finding S 0..* Reference(Observation: Imaging Finding | ImagingSelection: Key Image | DocumentReference: Key Image | DocumentReference) Key image findings URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRFinding #xD; extension:impression S 0..* Reference(Observation: Imaging Finding | Condition | DocumentReference: Key Image | ImagingSelection: Key Image) Impression URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRImpression #xD; extension:recommendation S 0..* Reference(CarePlan | ServiceRequest) Recommendations URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRRecommendation #xD; extension:communication S 0..* Reference() Communications with other care provi…
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm
  value: integer
    v: 1
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
  value: code
    v: draft
url:
  v: http://hl7.eu/fhir/imaging-r5/StructureDefinition/DiagnosticReportEuImagingMinimalMetadata
version:
  v: 1.0.0-ballot
name:
  v: DiagnosticReportEuImagingMinimalMetadata
title:
  v: DiagnosticReport: Imaging Report Minimal Metadata
status:
  v: draft
date:
  v: 2026-08-28T14:06:23+00:00
publisher:
  v: HL7 Europe
contact:
  name:
    v: HL7 Europe
  telecom:
    system:
      v: url
    value:
      v: http://hl7.eu
description:
  v: DiagnosticReport profile for minimal metadata imaging report exchange. This profile shares all common imaging report modeling with DiagnosticReportEuImaging but does not require a matching Composition resource.
jurisdiction:
  coding:
    system:
      v: http://unstats.un.org/unsd/methods/m49/m49.htm
    code:
      v: 150
    display:
      v: Europe
copyright:
  v: Copyright HL7 Europe. Licensed under Creative Commons public domain (CC0 1.0).
fhir version:
  v: 5.0.0
mapping:
  identity:
    v: workflow
  uri:
    v: http://hl7.org/fhir/workflow
  name:
    v: Workflow Pattern
mapping:
  identity:
    v: w5
  uri:
    v: http://hl7.org/fhir/fivews
  name:
    v: FiveWs Pattern Mapping
mapping:
  identity:
    v: v2
  uri:
    v: http://hl7.org/v2
  name:
    v: HL7 V2 Mapping
mapping:
  identity:
    v: rim
  uri:
    v: http://hl7.org/v3
  name:
    v: RIM Mapping
kind:
  v: resource
abstract:
  v: false
type:
  v: DiagnosticReport
base definition:
  v: http://hl7.org/fhir/StructureDefinition/DiagnosticReport
  link: http://hl7.org/fhir/StructureDefinition/DiagnosticReport
derivation:
  v: constraint
snapshot:
  extension:
    url:
      v: http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version
    value: string
      v: 5.0.0
  element:
    id:
      v: DiagnosticReport
    path:
      v: DiagnosticReport
    short:
      v: A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
    definition:
      v: The findings and interpretation of diagnostic tests performed on patients, groups of patients, products, substances, devices, and locations, and/or specimens derived from these. The report includes clinical context such as requesting provider information, and some mix of atomic results, images, textual and coded interpretations, and formatted representation of diagnostic reports. The report also includes non-clinical context such as batch analysis and stability reporting of products and substances.
    comment:
      v: 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.
    alias:
      v: Report
    alias:
      v: Test
    alias:
      v: Result
    alias:
      v: Results
    alias:
      v: Labs
    alias:
      v: Laboratory
    min:
      v: 0
    max:
      v: *
    base:
      path:
        v: DiagnosticReport
      min:
        v: 0
      max:
        v: *
    constraint:
      key:
        v: dgr-1
      severity:
        v: error
      human:
        v: When a Composition is referenced in `Diagnostic.composition`, all Observation resources referenced in `Composition.entry` must also be referenced in `Diagnostic.entry` or in the references Observations in `Observation.hasMember`
      expression:
        v: composition.exists() implies (composition.resolve().section.entry.reference.where(resolve() is Observation) in (result.reference|result.reference.resolve().hasMember.reference))
      source:
        v: http://hl7.org/fhir/StructureDefinition/DiagnosticReport
        link: http://hl7.org/fhir/StructureDefinition/DiagnosticReport
    constraint:
      key:
        v: dom-2
      severity:
        v: error
      human:
        v: If the resource is contained in another resource, it SHALL NOT contain nested Resources
      expression:
        v: contained.contained.empty()
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        link: http://hl7.org/fhir/StructureDefinition/DomainResource
    constraint:
      key:
        v: dom-3
      severity:
        v: error
      human:
        v: 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
      expression:
        v: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        link: http://hl7.org/fhir/StructureDefinition/DomainResource
    constraint:
      key:
        v: dom-4
      severity:
        v: error
      human:
        v: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
      expression:
        v: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        link: http://hl7.org/fhir/StructureDefinition/DomainResource
    constraint:
      key:
        v: dom-5
      severity:
        v: error
      human:
        v: If a resource is contained in another resource, it SHALL NOT have a security label
      expression:
        v: contained.meta.security.empty()
      source:
        v: http://hl7.org/fhir/StructureDefinition/DomainResource
        link: http://hl7.org/fhir/StructureDefinition/DomainResource
    constraint:
      extension:
        value: boolean
      extension:
        value: markdown
      key:
        v: dom-6

boolean
v: true

markdown
v: When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time.

v: warning

v: A resource should have narrative for robust management

v: text.`div`.exists()

v: false

v: false

v: false

identity:
  v: rim
map:
  v: Entity, Role, or Act,Observation[classCode=OBS, moodCode=EVN]

identity:
  v: workflow
map:
  v: Event

identity:
  v: w5
map:
  v: clinical.diagnostics

identity:
  v: v2
map:
  v: ORU -> OBR

id:
  v: DiagnosticReport.id
path:
  v: DiagnosticReport.id
short:
  v: Logical id of this artifact
definition:
  v: The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
comment:
  v: Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    value: url
      v: id
  code:
    v: http://hl7.org/fhirpath/System.String
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true

id:
  v: DiagnosticReport.meta
path:
  v: DiagnosticReport.meta
short:
  v: Metadata about the resource
definition:
  v: 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.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.meta
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Meta
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true

id:
  v: DiagnosticReport.implicitRules
path:
  v: DiagnosticReport.implicitRules
short:
  v: A set of rules under which this content was created
definition:
  v: 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.
comment:
  v: 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 its narrative along with other profiles, value sets, etc.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.implicitRules
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
must support:
  v: false
is modifier:
  v: true
is modifier reason:
  v: This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation
is summary:
  v: true

id:
  v: DiagnosticReport.language
path:
  v: DiagnosticReport.language
short:
  v: Language of the resource content
definition:
  v: The base language in which the resource is written.
comment:
  v: 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).
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Resource.language
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: Language
  strength:
    v: required
  description:
    v: IETF language tag for a human language
  value set:
    v: http://hl7.org/fhir/ValueSet/all-languages|5.0.0
    link: 5.0
    link: .0
  additional:
    purpose:
      v: starter
    value set:
      v: http://hl7.org/fhir/ValueSet/languages|5.0.0
      link: 5.0
      link: .0

id:
  v: DiagnosticReport.text
path:
  v: DiagnosticReport.text
short:
  v: Text summary of the resource, for human interpretation
definition:
  v: 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.
comment:
  v: Contained resources do not have a 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.
alias:
  v: narrative
alias:
  v: html
alias:
  v: xhtml
alias:
  v: display
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DomainResource.text
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Narrative
condition:
  v: dom-6
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: Act.text?

id:
  v: DiagnosticReport.contained
path:
  v: DiagnosticReport.contained
short:
  v: Contained, inline Resources
definition:
  v: These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.
comment:
  v: 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.
alias:
  v: inline resources
alias:
  v: anonymous resources
alias:
  v: contained resources
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.contained
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Resource
condition:
  v: dom-2
condition:
  v: dom-4
condition:
  v: dom-3
condition:
  v: dom-5
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: DiagnosticReport.extension
path:
  v: DiagnosticReport.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  ordered:
    v: false
  rules:
    v: open
short:
  v: Extension
definition:
  v: An Extension
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false

id:
  v: DiagnosticReport.extension:artifactVersion
path:
  v: DiagnosticReport.extension
slice name:
  v: artifactVersion
short:
  v: Business version of the artifact
definition:
  v: 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.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
  profile:
    v: http://hl7.org/fhir/StructureDefinition/artifact-version
    link: http://hl7.org/fhir/StructureDefinition/artifact-version
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false

id:
  v: DiagnosticReport.extension:anatomical-region
path:
  v: DiagnosticReport.extension
slice name:
  v: anatomical-region
short:
  v: The anatomical regions covered by the study this report reports on.
definition:
  v: 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 `ImagingStudy.serie.bodysite`, if present.
requirements:
  v: This field is present in order to be able to populate the MHD DocumentReference field.
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
  profile:
    v: http://hl7.eu/fhir/imaging-r5/StructureDefinition/AnatomicalRegionExtension
    link: http://hl7.eu/fhir/imaging-r5/StructureDefinition/AnatomicalRegionExtension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false

id:
  v: DiagnosticReport.extension:comparison
path:
  v: DiagnosticReport.extension
slice name:
  v: comparison
short:
  v: Comparison studies
definition:
  v: Studies used for comparison in part of diagnostic reporting. A comparison study MAY refer to content that is not stored in the same PACS or held by the same healthcare provider, and the receiver MAY be prepared to fall back to national or cross-national searches to locate the referred study.
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
  profile:
    v: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRComparisonStudy
    link: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRComparisonStudy
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
must support:
  v: true
is modifier:
  v: false
is summary:
  v: false

id:
  v: DiagnosticReport.extension:patientHistory
path:
  v: DiagnosticReport.extension
slice name:
  v: patientHistory
short:
  v: Patient history items selected by radiologist
definition:
  v: May have originally been extracted from the medical record by imaging staff, automated tools, or by the radiologists themselves.
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
  profile:
    v: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRPatientHistory
    link: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRPatientHistory
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
must support:
  v: true
is modifier:
  v: false
is summary:
  v: false

id:
  v: DiagnosticReport.extension:procedure
path:
  v: DiagnosticReport.extension
slice name:
  v: procedure
short:
  v: Imaging procedure
definition:
  v: Imaging procedure used to acquire the study.
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
  profile:
    v: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRImagingProcedure
    link: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRImagingProcedure
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
must support:
  v: true
is modifier:
  v: false
is summary:
  v: false

id:
  v: DiagnosticReport.extension:finding
path:
  v: DiagnosticReport.extension
slice name:
  v: finding
short:
  v: Key image findings
definition:
  v: Key images in the report
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
  profile:
    v: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRFinding
    link: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRFinding
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
must support:
  v: true
is modifier:
  v: false
is summary:
  v: false

id:
  v: DiagnosticReport.extension:impression
path:
  v: DiagnosticReport.extension
slice name:
  v: impression
short:
  v: Impression
definition:
  v: Impression in the imaging report.
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
  profile:
    v: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRImpression
    link: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRImpression
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
must support:
  v: true
is modifier:
  v: false
is summary:
  v: false

id:
  v: DiagnosticReport.extension:recommendation
path:
  v: DiagnosticReport.extension
slice name:
  v: recommendation
short:
  v: Recommendations
definition:
  v: Recommendations a radiologist provides in the report for possible follow up actions.
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
  profile:
    v: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRRecommendation
    link: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRRecommendation
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
must support:
  v: true
is modifier:
  v: false
is summary:
  v: false

id:
  v: DiagnosticReport.extension:communication
path:
  v: DiagnosticReport.extension
slice name:
  v: communication
short:
  v: Communications with other care providers
definition:
  v: Communications captures what communications have been made with other care providers.
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
  profile:
    v: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRCommunication
    link: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRCommunication
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
must support:
  v: true
is modifier:
  v: false
is summary:
  v: false

id:
  v: DiagnosticReport.modifierExtension
path:
  v: DiagnosticReport.modifierExtension
short:
  v: Extensions that cannot be ignored
definition:
  v: 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 managable, 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).
comment:
  v: 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.
requirements:
  v: 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](http://hl7.org/fhir/R5/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: DomainResource.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
must support:
  v: false
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: DiagnosticReport.identifier
path:
  v: DiagnosticReport.identifier
short:
  v: Report identifier
definition:
  v: Identifiers assigned to this Imaging Report by the performer or other systems. It shall be common to several report versions
comment:
  v: Composition.identifier SHALL be equal to one of the DiagnosticReport.identifier, if at least one exists
requirements:
  v: 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.
alias:
  v: ReportID
alias:
  v: Filler ID
alias:
  v: Placer ID
min:
  v: 1
max:
  v: *
base:
  path:
    v: DiagnosticReport.identifier
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Identifier
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.identifier
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.identifier
mapping:
  identity:
    v: v2
  map:
    v: OBR-51/ for globally unique filler ID - OBR-3 , For non-globally unique filler-id the flller/placer number must be combined with the universal service Id - OBR-2(if present)+OBR-3+OBR-4
mapping:
  identity:
    v: rim
  map:
    v: id

id:
  v: DiagnosticReport.basedOn
path:
  v: DiagnosticReport.basedOn
slicing:
  discriminator:
    type:
      v: exists
    path:
      v: identifier
  ordered:
    v: false
  rules:
    v: open
short:
  v: What was requested
definition:
  v: Details concerning a service requested.
comment:
  v: 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.
requirements:
  v: This allows tracing of authorization for the report and tracking whether proposals/recommendations were acted upon.
alias:
  v: Request
min:
  v: 0
max:
  v: *
base:
  path:
    v: DiagnosticReport.basedOn
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/ServiceRequest
    link: http://hl7.org/fhir/StructureDefinition/ServiceRequest
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/CarePlan
    link: http://hl7.org/fhir/StructureDefinition/CarePlan
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: workflow
  map:
    v: Event.basedOn
mapping:
  identity:
    v: v2
  map:
    v: ORC? OBR-2/3?
mapping:
  identity:
    v: rim
  map:
    v: outboundRelationship[typeCode=FLFS].target

id:
  v: DiagnosticReport.basedOn:order-resource
path:
  v: DiagnosticReport.basedOn
slice name:
  v: order-resource
short:
  v: What was requested
definition:
  v: Details concerning a service requested.
comment:
  v: 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.
requirements:
  v: This allows tracing of authorization for the report and tracking whether proposals/recommendations were acted upon.
alias:
  v: Request
min:
  v: 0
max:
  v: *
base:
  path:
    v: DiagnosticReport.basedOn
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
  target profile:
    v: http://hl7.eu/fhir/imaging-r5/StructureDefinition/ServiceRequestOrderEuImaging
    link: http://hl7.eu/fhir/imaging-r5/StructureDefinition/ServiceRequestOrderEuImaging
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: workflow
  map:
    v: Event.basedOn
mapping:
  identity:
    v: v2
  map:
    v: ORC? OBR-2/3?
mapping:
  identity:
    v: rim
  map:
    v: outboundRelationship[typeCode=FLFS].target

id:
  v: DiagnosticReport.basedOn:order-resource.id
path:
  v: DiagnosticReport.basedOn.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    value: url
      v: id
  code:
    v: http://hl7.org/fhirpath/System.String
condition:
  v: ele-1
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: DiagnosticReport.basedOn:order-resource.extension
path:
  v: DiagnosticReport.basedOn.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: 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 managable, 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.
comment:
  v: 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.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: DiagnosticReport.basedOn:order-resource.reference
path:
  v: DiagnosticReport.basedOn.reference
short:
  v: Literal reference, Relative, internal or absolute URL
definition:
  v: 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.
comment:
  v: 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.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Reference.reference
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
condition:
  v: ref-2
condition:
  v: ref-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: DiagnosticReport.basedOn:order-resource.type
path:
  v: DiagnosticReport.basedOn.type
short:
  v: Type the reference refers to (e.g. "Patient") - must be a resource in resources
definition:
  v: 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).
comment:
  v: 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 known RESTful URL) or by resolving the target of the reference.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.type
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: FHIRResourceTypeExt
  strength:
    v: extensible
  description:
    v: Aa resource (or, for logical models, the URI of the logical model).
  value set:
    v: http://hl7.org/fhir/ValueSet/resource-types|5.0.0
    link: 5.0
    link: .0
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: DiagnosticReport.basedOn:order-resource.identifier
path:
  v: DiagnosticReport.basedOn.identifier
short:
  v: Logical reference, when literal reference is not known
definition:
  v: 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.
comment:
  v: 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). This element only allows for a single identifier. In the case where additional identifers are required, use the [http://hl7.org/fhir/StructureDefinition/additionalIdentifier](http://hl7.org/fhir/extensions/StructureDefinition-additionalIdentifier.html) extension.
min:
  v: 0
max:
  v: 0
base:
  path:
    v: Reference.identifier
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Identifier
condition:
  v: ref-2
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .identifier

id:
  v: DiagnosticReport.basedOn:order-resource.display
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
  value: boolean
    v: true
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
  value: boolean
    v: true
path:
  v: DiagnosticReport.basedOn.display
short:
  v: Text alternative for the resource
definition:
  v: Plain text narrative that identifies the resource in addition to the resource reference.
comment:
  v: 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.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.display
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
condition:
  v: ref-2
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: DiagnosticReport.basedOn:order-identifier
path:
  v: DiagnosticReport.basedOn
slice name:
  v: order-identifier
short:
  v: What was requested
definition:
  v: Details concerning a service requested.
comment:
  v: 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.
requirements:
  v: This allows tracing of authorization for the report and tracking whether proposals/recommendations were acted upon.
alias:
  v: Request
min:
  v: 0
max:
  v: *
base:
  path:
    v: DiagnosticReport.basedOn
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/CarePlan|5.0.0
    link: 5.0
    link: .0
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation|5.0.0
    link: 5.0
    link: .0
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/MedicationRequest|5.0.0
    link: 5.0
    link: .0
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/NutritionOrder|5.0.0
    link: 5.0
    link: .0
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/ServiceRequest|5.0.0
    link: 5.0
    link: .0
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: workflow
  map:
    v: Event.basedOn
mapping:
  identity:
    v: v2
  map:
    v: ORC? OBR-2/3?
mapping:
  identity:
    v: rim
  map:
    v: outboundRelationship[typeCode=FLFS].target

id:
  v: DiagnosticReport.basedOn:order-identifier.id
path:
  v: DiagnosticReport.basedOn.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    value: url
      v: id
  code:
    v: http://hl7.org/fhirpath/System.String
condition:
  v: ele-1
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: DiagnosticReport.basedOn:order-identifier.extension
path:
  v: DiagnosticReport.basedOn.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: 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 managable, 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.
comment:
  v: 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.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: DiagnosticReport.basedOn:order-identifier.reference
path:
  v: DiagnosticReport.basedOn.reference
short:
  v: Literal reference, Relative, internal or absolute URL
definition:
  v: 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.
comment:
  v: 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.
min:
  v: 0
max:
  v: 0
base:
  path:
    v: Reference.reference
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
condition:
  v: ref-2
condition:
  v: ref-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: DiagnosticReport.basedOn:order-identifier.type
path:
  v: DiagnosticReport.basedOn.type
short:
  v: Type the reference refers to (e.g. "Patient") - must be a resource in resources
definition:
  v: 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).
comment:
  v: 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 known RESTful URL) or by resolving the target of the reference.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.type
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: FHIRResourceTypeExt
  strength:
    v: extensible
  description:
    v: Aa resource (or, for logical models, the URI of the logical model).
  value set:
    v: http://hl7.org/fhir/ValueSet/resource-types|5.0.0
    link: 5.0
    link: .0
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: DiagnosticReport.basedOn:order-identifier.identifier
path:
  v: DiagnosticReport.basedOn.identifier
short:
  v: Logical reference, when literal reference is not known
definition:
  v: 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.
comment:
  v: 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). This element only allows for a single identifier. In the case where additional identifers are required, use the [http://hl7.org/fhir/StructureDefinition/additionalIdentifier](http://hl7.org/fhir/extensions/StructureDefinition-additionalIdentifier.html) extension.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Reference.identifier
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Identifier
  profile:
    v: http://hl7.eu/fhir/imaging-r5/StructureDefinition/AccessionNumberIdentifierEuImaging
    link: http://hl7.eu/fhir/imaging-r5/StructureDefinition/AccessionNumberIdentifierEuImaging
condition:
  v: ref-2
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .identifier

id:
  v: DiagnosticReport.basedOn:order-identifier.display
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
  value: boolean
    v: true
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
  value: boolean
    v: true
path:
  v: DiagnosticReport.basedOn.display
short:
  v: Text alternative for the resource
definition:
  v: Plain text narrative that identifies the resource in addition to the resource reference.
comment:
  v: 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.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.display
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
condition:
  v: ref-2
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: DiagnosticReport.status
path:
  v: DiagnosticReport.status
short:
  v: Status of the Report
definition:
  v: The status of the diagnostic report.
requirements:
  v: Diagnostic services routinely issue provisional/incomplete reports, and sometimes withdraw previously released reports.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: DiagnosticReport.status
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: code
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
must support:
  v: false
is modifier:
  v: true
is modifier reason:
  v: 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
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: DiagnosticReportStatus
  strength:
    v: required
  description:
    v: The status of the diagnostic report.
  value set:
    v: http://hl7.org/fhir/ValueSet/diagnostic-report-status|5.0.0
    link: 5.0
    link: .0
mapping:
  identity:
    v: workflow
  map:
    v: Event.status
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.status
mapping:
  identity:
    v: v2
  map:
    v: OBR-25 (not 1:1 mapping)
mapping:
  identity:
    v: rim
  map:
    v: statusCode Note: final and amended are distinguished by whether observation is the subject of a ControlAct event of type "revise"

id:
  v: DiagnosticReport.category
path:
  v: DiagnosticReport.category
slicing:
  discriminator:
    type:
      v: value
    path:
      v: $this
  ordered:
    v: false
  rules:
    v: open
short:
  v: Service category
definition:
  v: 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.
comment:
  v: 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.
alias:
  v: Department
alias:
  v: Sub-department
alias:
  v: Service
alias:
  v: Discipline
min:
  v: 2
max:
  v: *
base:
  path:
    v: DiagnosticReport.category
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: DiagnosticServiceSection
  strength:
    v: example
  description:
    v: HL7 V2 table 0074
  value set:
    v: http://hl7.org/fhir/ValueSet/diagnostic-service-sections|5.0.0
    link: 5.0
    link: .0
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.class
mapping:
  identity:
    v: v2
  map:
    v: OBR-24
mapping:
  identity:
    v: rim
  map:
    v: inboundRelationship[typeCode=COMP].source[classCode=LIST, moodCode=EVN, code < LabService].code

id:
  v: DiagnosticReport.category:diagnostic-service
path:
  v: DiagnosticReport.category
slice name:
  v: diagnostic-service
short:
  v: Service category
definition:
  v: 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.
comment:
  v: 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.
alias:
  v: Department
alias:
  v: Sub-department
alias:
  v: Service
alias:
  v: Discipline
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DiagnosticReport.category
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
binding:
  strength:
    v: required
  value set:
    v: http://hl7.org/fhir/ValueSet/diagnostic-service-sections
    link: http://hl7.org/fhir/ValueSet/diagnostic-service-sections
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.class
mapping:
  identity:
    v: v2
  map:
    v: OBR-24
mapping:
  identity:
    v: rim
  map:
    v: inboundRelationship[typeCode=COMP].source[classCode=LIST, moodCode=EVN, code < LabService].code

id:
  v: DiagnosticReport.category:imaging-report
path:
  v: DiagnosticReport.category
slice name:
  v: imaging-report
short:
  v: Service category
definition:
  v: Defines the category of the report, Diagnostic imaging report.
comment:
  v: 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.
alias:
  v: Department
alias:
  v: Sub-department
alias:
  v: Service
alias:
  v: Discipline
min:
  v: 1
max:
  v: 1
base:
  path:
    v: DiagnosticReport.category
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
pattern: CodeableConcept
  coding: https://loinc.org/rdf/85430-7
    system:
      v: http://loinc.org
    code:
      v: 85430-7
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: DiagnosticServiceSection
  strength:
    v: example
  description:
    v: HL7 V2 table 0074
  value set:
    v: http://hl7.org/fhir/ValueSet/diagnostic-service-sections|5.0.0
    link: 5.0
    link: .0
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.class
mapping:
  identity:
    v: v2
  map:
    v: OBR-24
mapping:
  identity:
    v: rim
  map:
    v: inboundRelationship[typeCode=COMP].source[classCode=LIST, moodCode=EVN, code < LabService].code

id:
  v: DiagnosticReport.category:imaging
path:
  v: DiagnosticReport.category
slice name:
  v: imaging
short:
  v: Service category
definition:
  v: Defines the priority category of the report as defined in the API spec.
comment:
  v: 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.
alias:
  v: Department
alias:
  v: Sub-department
alias:
  v: Service
alias:
  v: Discipline
min:
  v: 1
max:
  v: 1
base:
  path:
    v: DiagnosticReport.category
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
pattern: CodeableConcept
  coding:
    system:
      v: http://hl7.eu/fhir/eu-health-data-api/CodeSystem/eehrxf-document-priority-category-cs
    code:
      v: Medical-Imaging
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: DiagnosticServiceSection
  strength:
    v: example
  description:
    v: HL7 V2 table 0074
  value set:
    v: http://hl7.org/fhir/ValueSet/diagnostic-service-sections|5.0.0
    link: 5.0
    link: .0
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.class
mapping:
  identity:
    v: v2
  map:
    v: OBR-24
mapping:
  identity:
    v: rim
  map:
    v: inboundRelationship[typeCode=COMP].source[classCode=LIST, moodCode=EVN, code < LabService].code

id:
  v: DiagnosticReport.code
path:
  v: DiagnosticReport.code
short:
  v: Type of Imaging Diagnostic Report
definition:
  v: Defines the document type, it is recommended to take this from the suggested LOINC set.
alias:
  v: Type
min:
  v: 1
max:
  v: 1
base:
  path:
    v: DiagnosticReport.code
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
binding:
  strength:
    v: preferred
  value set:
    v: http://hl7.eu/fhir/imaging-r5/ValueSet/ImagingReportTypesEuVSEuImaging
    link: http://hl7.eu/fhir/imaging-r5/ValueSet/ImagingReportTypesEuVSEuImaging
mapping:
  identity:
    v: workflow
  map:
    v: Event.code
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.what[x]
mapping:
  identity:
    v: v2
  map:
    v: OBR-4 (HL7 V2 doesn't provide an easy way to indicate both the ordered test and the performed panel)
mapping:
  identity:
    v: rim
  map:
    v: code

id:
  v: DiagnosticReport.subject
path:
  v: DiagnosticReport.subject
short:
  v: The subject of the report - usually, but not always, the patient
definition:
  v: 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.
requirements:
  v: SHALL know the subject context.
alias:
  v: Patient
min:
  v: 1
max:
  v: 1
base:
  path:
    v: DiagnosticReport.subject
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
  target profile:
    v: http://hl7.eu/fhir/base-r5/StructureDefinition/patient-eu-core
    link: http://hl7.eu/fhir/base-r5/StructureDefinition/patient-eu-core
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.subject
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.subject[x]
mapping:
  identity:
    v: v2
  map:
    v: PID-3 (no HL7 V2 mapping for Group or Device)
mapping:
  identity:
    v: rim
  map:
    v: participation[typeCode=SBJ]

id:
  v: DiagnosticReport.encounter
path:
  v: DiagnosticReport.encounter
short:
  v: Health care event when test ordered
definition:
  v: The healthcare event (e.g. a patient and healthcare provider interaction) which this DiagnosticReport is about.
comment:
  v: 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).
requirements:
  v: Links the request to the Encounter context.
alias:
  v: Context
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DiagnosticReport.encounter
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Encounter|5.0.0
    link: 5.0
    link: .0
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.encounter
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.context
mapping:
  identity:
    v: v2
  map:
    v: PV1-19
mapping:
  identity:
    v: rim
  map:
    v: inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]

id:
  v: DiagnosticReport.effective[x]
path:
  v: DiagnosticReport.effective[x]
short:
  v: Clinically relevant time/time-period for report
definition:
  v: 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.
comment:
  v: 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.
requirements:
  v: Need to know where in the patient history to file/present this report.
alias:
  v: Observation time
alias:
  v: Effective Time
alias:
  v: Occurrence
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DiagnosticReport.effective[x]
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: dateTime
type:
  code:
    v: Period
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.occurrence[x]
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.done[x]
mapping:
  identity:
    v: v2
  map:
    v: OBR-7
mapping:
  identity:
    v: rim
  map:
    v: effectiveTime

id:
  v: DiagnosticReport.issued
path:
  v: DiagnosticReport.issued
short:
  v: Date and time of report issuance
definition:
  v: 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.
comment:
  v: 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.
requirements:
  v: Clinicians need to be able to check the date that the report was released.
alias:
  v: Date published
alias:
  v: Date Issued
alias:
  v: Date Verified
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DiagnosticReport.issued
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: instant
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.recorded
mapping:
  identity:
    v: v2
  map:
    v: OBR-22
mapping:
  identity:
    v: rim
  map:
    v: participation[typeCode=VRF or AUT].time

id:
  v: DiagnosticReport.performer
path:
  v: DiagnosticReport.performer
slicing:
  discriminator:
    type:
      v: profile
    path:
      v: $this
  description:
    v: Organization that delivered the report
  ordered:
    v: false
  rules:
    v: open
short:
  v: Responsible Diagnostic Service
definition:
  v: The diagnostic service that is responsible for issuing the report.
comment:
  v: 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.
requirements:
  v: 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.
alias:
  v: Laboratory
alias:
  v: Service
alias:
  v: Practitioner
alias:
  v: Department
alias:
  v: Company
alias:
  v: Authorized by
alias:
  v: Director
min:
  v: 0
max:
  v: *
base:
  path:
    v: DiagnosticReport.performer
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Practitioner|5.0.0
    link: 5.0
    link: .0
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/PractitionerRole|5.0.0
    link: 5.0
    link: .0
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Organization|5.0.0
    link: 5.0
    link: .0
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/CareTeam|5.0.0
    link: 5.0
    link: .0
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.performer.actor
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.actor
mapping:
  identity:
    v: v2
  map:
    v: PRT-8 (where this PRT-4-Participation = "PO")
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode=PRF]

id:
  v: DiagnosticReport.performer:organization
path:
  v: DiagnosticReport.performer
slice name:
  v: organization
short:
  v: The organization producer of this report
definition:
  v: 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.
comment:
  v: 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.
requirements:
  v: 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.
alias:
  v: Laboratory
alias:
  v: Service
alias:
  v: Practitioner
alias:
  v: Department
alias:
  v: Company
alias:
  v: Authorized by
alias:
  v: Director
min:
  v: 0
max:
  v: *
base:
  path:
    v: DiagnosticReport.performer
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
  target profile:
    v: http://hl7.eu/fhir/base-r5/StructureDefinition/organization-eu-core
    link: http://hl7.eu/fhir/base-r5/StructureDefinition/organization-eu-core
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.performer.actor
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.actor
mapping:
  identity:
    v: v2
  map:
    v: PRT-8 (where this PRT-4-Participation = "PO")
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode=PRF]

id:
  v: DiagnosticReport.resultsInterpreter
path:
  v: DiagnosticReport.resultsInterpreter
slicing:
  discriminator:
    type:
      v: profile
    path:
      v: resolve()
  description:
    v: Primary interpreter of results
  ordered:
    v: false
  rules:
    v: open
short:
  v: Primary result interpreter
definition:
  v: The practitioner or organization that is responsible for the report's conclusions and interpretations.
comment:
  v: Might not be the same entity that takes responsibility for the clinical report.
requirements:
  v: 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.
alias:
  v: Analyzed by
alias:
  v: Reported by
min:
  v: 0
max:
  v: *
base:
  path:
    v: DiagnosticReport.resultsInterpreter
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Practitioner|5.0.0
    link: 5.0
    link: .0
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/PractitionerRole|5.0.0
    link: 5.0
    link: .0
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Organization|5.0.0
    link: 5.0
    link: .0
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/CareTeam|5.0.0
    link: 5.0
    link: .0
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.performer.actor
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.actor
mapping:
  identity:
    v: v2
  map:
    v: OBR-32, PRT-8 (where this PRT-4-Participation = "PI")
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode=PRF]

id:
  v: DiagnosticReport.resultsInterpreter:author
path:
  v: DiagnosticReport.resultsInterpreter
slice name:
  v: author
short:
  v: Primary result interpreter
definition:
  v: The practitioner or organization that is responsible for the report's conclusions and interpretations.
comment:
  v: Might not be the same entity that takes responsibility for the clinical report.
requirements:
  v: 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.
alias:
  v: Analyzed by
alias:
  v: Reported by
min:
  v: 0
max:
  v: *
base:
  path:
    v: DiagnosticReport.resultsInterpreter
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
  target profile:
    v: http://hl7.eu/fhir/base-r5/StructureDefinition/practitioner-eu-core
    link: http://hl7.eu/fhir/base-r5/StructureDefinition/practitioner-eu-core
  target profile:
    v: http://hl7.eu/fhir/base-r5/StructureDefinition/practitionerRole-eu-core
    link: http://hl7.eu/fhir/base-r5/StructureDefinition/practitionerRole-eu-core
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: workflow
  map:
    v: Event.performer.actor
mapping:
  identity:
    v: w5
  map:
    v: FiveWs.actor
mapping:
  identity:
    v: v2
  map:
    v: OBR-32, PRT-8 (where this PRT-4-Participation = "PI")
mapping:
  identity:
    v: rim
  map:
    v: .participation[typeCode=PRF]

id:
  v: DiagnosticReport.specimen
path:
  v: DiagnosticReport.specimen
short:
  v: Specimens this report is based on
definition:
  v: Details about the specimens on which this diagnostic report is based.
comment:
  v: 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.
requirements:
  v: Need to be able to report information about the collected specimens on which the report is based.
min:
  v: 0
max:
  v: *
base:
  path:
    v: DiagnosticReport.specimen
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Specimen|5.0.0
    link: 5.0
    link: .0
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: v2
  map:
    v: SPM
mapping:
  identity:
    v: rim
  map:
    v: participation[typeCode=SBJ]

id:
  v: DiagnosticReport.result
path:
  v: DiagnosticReport.result
short:
  v: Findings
definition:
  v: 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.
comment:
  v: Observations can contain observations.
requirements:
  v: Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.
alias:
  v: Data
alias:
  v: Atomic Value
alias:
  v: Result
alias:
  v: Atomic result
alias:
  v: Data
alias:
  v: Test
alias:
  v: Analyte
alias:
  v: Battery
alias:
  v: Organizer
min:
  v: 0
max:
  v: *
base:
  path:
    v: DiagnosticReport.result
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
  target profile:
    v: http://hl7.eu/fhir/imaging-r5/StructureDefinition/ObservationFindingEuImaging
    link: http://hl7.eu/fhir/imaging-r5/StructureDefinition/ObservationFindingEuImaging
  target profile:
    v: http://hl7.eu/fhir/imaging-r5/StructureDefinition/ObservationNarrativeReport
    link: http://hl7.eu/fhir/imaging-r5/StructureDefinition/ObservationNarrativeReport
condition:
  v: dgr-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
must support:
  v: true
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: v2
  map:
    v: OBXs
mapping:
  identity:
    v: rim
  map:
    v: outboundRelationship[typeCode=COMP].target

id:
  v: DiagnosticReport.note
path:
  v: DiagnosticReport.note
short:
  v: Comments about the diagnostic report
definition:
  v: Comments about the diagnostic report.
comment:
  v: May include general statements about the diagnostic report, or statements about significant, unexpected or unreliable results values contained within the diagnostic report, or information about its source when relevant to its interpretation.
requirements:
  v: Need to be able to provide free text additional information.
min:
  v: 0
max:
  v: *
base:
  path:
    v: DiagnosticReport.note
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Annotation
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: unknown

id:
  v: DiagnosticReport.study
path:
  v: DiagnosticReport.study
slicing:
  discriminator:
    type:
      v: exists
    path:
      v: identifier
  ordered:
    v: false
  rules:
    v: open
short:
  v: Study subject to this report
definition:
  v: Study subject to this report. Note: Any associated study (e.g. comparison studies) used during reporting should be tracked in the associatedStudy extension.
comment:
  v: For laboratory-type studies like GenomeStudy, type resources will be used for tracking additional metadata and workflow aspects of complex studies. ImagingStudy and the media element are somewhat overlapping - typically, the list of image references in the media 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.
min:
  v: 0
max:
  v: *
base:
  path:
    v: DiagnosticReport.study
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
  target profile:
    v: http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImagingStudyEuImaging
    link: http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImagingStudyEuImaging
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false

id:
  v: DiagnosticReport.study:study-resource
path:
  v: DiagnosticReport.study
slice name:
  v: study-resource
short:
  v: Reference to full details of an analysis associated with the diagnostic report
definition:
  v: One or more links to full details of any study performed during the diagnostic investigation. An ImagingStudy might comprise a set of radiologic images obtained via a procedure that are analyzed as a group. Typically, this is imaging performed by DICOM enabled modalities, but this is not required. A fully enabled PACS viewer can use this information to provide views of the source images. A GenomicStudy might comprise one or more analyses, each serving a specific purpose. These analyses may vary in method (e.g., karyotyping, CNV, or SNV detection), performer, software, devices used, or regions targeted.
comment:
  v: For laboratory-type studies like GenomeStudy, type resources will be used for tracking additional metadata and workflow aspects of complex studies. ImagingStudy and the media element are somewhat overlapping - typically, the list of image references in the media 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.
min:
  v: 0
max:
  v: *
base:
  path:
    v: DiagnosticReport.study
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/GenomicStudy|5.0.0
    link: 5.0
    link: .0
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/ImagingStudy|5.0.0
    link: 5.0
    link: .0
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false

id:
  v: DiagnosticReport.study:study-resource.id
path:
  v: DiagnosticReport.study.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    value: url
      v: id
  code:
    v: http://hl7.org/fhirpath/System.String
condition:
  v: ele-1
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: DiagnosticReport.study:study-resource.extension
path:
  v: DiagnosticReport.study.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: 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 managable, 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.
comment:
  v: 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.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: DiagnosticReport.study:study-resource.reference
path:
  v: DiagnosticReport.study.reference
short:
  v: Literal reference, Relative, internal or absolute URL
definition:
  v: 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.
comment:
  v: 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.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Reference.reference
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
condition:
  v: ref-2
condition:
  v: ref-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: DiagnosticReport.study:study-resource.type
path:
  v: DiagnosticReport.study.type
short:
  v: Type the reference refers to (e.g. "Patient") - must be a resource in resources
definition:
  v: 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).
comment:
  v: 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 known RESTful URL) or by resolving the target of the reference.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.type
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: FHIRResourceTypeExt
  strength:
    v: extensible
  description:
    v: Aa resource (or, for logical models, the URI of the logical model).
  value set:
    v: http://hl7.org/fhir/ValueSet/resource-types|5.0.0
    link: 5.0
    link: .0
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: DiagnosticReport.study:study-resource.identifier
path:
  v: DiagnosticReport.study.identifier
short:
  v: Logical reference, when literal reference is not known
definition:
  v: 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.
comment:
  v: 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). This element only allows for a single identifier. In the case where additional identifers are required, use the [http://hl7.org/fhir/StructureDefinition/additionalIdentifier](http://hl7.org/fhir/extensions/StructureDefinition-additionalIdentifier.html) extension.
min:
  v: 0
max:
  v: 0
base:
  path:
    v: Reference.identifier
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Identifier
condition:
  v: ref-2
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .identifier

id:
  v: DiagnosticReport.study:study-resource.display
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
  value: boolean
    v: true
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
  value: boolean
    v: true
path:
  v: DiagnosticReport.study.display
short:
  v: Text alternative for the resource
definition:
  v: Plain text narrative that identifies the resource in addition to the resource reference.
comment:
  v: 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.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.display
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
condition:
  v: ref-2
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: DiagnosticReport.study:study-identifier
path:
  v: DiagnosticReport.study
slice name:
  v: study-identifier
short:
  v: Reference to full details of an analysis associated with the diagnostic report
definition:
  v: One or more links to full details of any study performed during the diagnostic investigation. An ImagingStudy might comprise a set of radiologic images obtained via a procedure that are analyzed as a group. Typically, this is imaging performed by DICOM enabled modalities, but this is not required. A fully enabled PACS viewer can use this information to provide views of the source images. A GenomicStudy might comprise one or more analyses, each serving a specific purpose. These analyses may vary in method (e.g., karyotyping, CNV, or SNV detection), performer, software, devices used, or regions targeted.
comment:
  v: For laboratory-type studies like GenomeStudy, type resources will be used for tracking additional metadata and workflow aspects of complex studies. ImagingStudy and the media element are somewhat overlapping - typically, the list of image references in the media 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.
min:
  v: 0
max:
  v: *
base:
  path:
    v: DiagnosticReport.study
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/GenomicStudy|5.0.0
    link: 5.0
    link: .0
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/ImagingStudy|5.0.0
    link: 5.0
    link: .0
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false

id:
  v: DiagnosticReport.study:study-identifier.id
path:
  v: DiagnosticReport.study.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    value: url
      v: id
  code:
    v: http://hl7.org/fhirpath/System.String
condition:
  v: ele-1
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: DiagnosticReport.study:study-identifier.extension
path:
  v: DiagnosticReport.study.extension
slicing:
  discriminator:
    type:
      v: value
    path:
      v: url
  description:
    v: Extensions are always sliced by (at least) url
  rules:
    v: open
short:
  v: Additional content defined by implementations
definition:
  v: 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 managable, 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.
comment:
  v: 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.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: DiagnosticReport.study:study-identifier.reference
path:
  v: DiagnosticReport.study.reference
short:
  v: Literal reference, Relative, internal or absolute URL
definition:
  v: 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.
comment:
  v: 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.
min:
  v: 0
max:
  v: 0
base:
  path:
    v: Reference.reference
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
condition:
  v: ref-2
condition:
  v: ref-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: DiagnosticReport.study:study-identifier.type
path:
  v: DiagnosticReport.study.type
short:
  v: Type the reference refers to (e.g. "Patient") - must be a resource in resources
definition:
  v: 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).
comment:
  v: 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 known RESTful URL) or by resolving the target of the reference.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.type
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: uri
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: FHIRResourceTypeExt
  strength:
    v: extensible
  description:
    v: Aa resource (or, for logical models, the URI of the logical model).
  value set:
    v: http://hl7.org/fhir/ValueSet/resource-types|5.0.0
    link: 5.0
    link: .0
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: DiagnosticReport.study:study-identifier.identifier
path:
  v: DiagnosticReport.study.identifier
short:
  v: Logical reference, when literal reference is not known
definition:
  v: 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.
comment:
  v: 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). This element only allows for a single identifier. In the case where additional identifers are required, use the [http://hl7.org/fhir/StructureDefinition/additionalIdentifier](http://hl7.org/fhir/extensions/StructureDefinition-additionalIdentifier.html) extension.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: Reference.identifier
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Identifier
  profile:
    v: http://hl7.eu/fhir/imaging-r5/StructureDefinition/StudyInstanceUidIdentifierEuImaging
    link: http://hl7.eu/fhir/imaging-r5/StructureDefinition/StudyInstanceUidIdentifierEuImaging
condition:
  v: ref-2
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .identifier

id:
  v: DiagnosticReport.study:study-identifier.display
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
  value: boolean
    v: true
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable
  value: boolean
    v: true
path:
  v: DiagnosticReport.study.display
short:
  v: Text alternative for the resource
definition:
  v: Plain text narrative that identifies the resource in addition to the resource reference.
comment:
  v: 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.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Reference.display
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
condition:
  v: ref-2
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: DiagnosticReport.supportingInfo
path:
  v: DiagnosticReport.supportingInfo
short:
  v: Additional information supporting the diagnostic report
definition:
  v: This backbone element contains supporting information that was used in the creation of the report not included in the results already included in the report.
min:
  v: 0
max:
  v: *
base:
  path:
    v: DiagnosticReport.supportingInfo
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false

id:
  v: DiagnosticReport.supportingInfo.id
path:
  v: DiagnosticReport.supportingInfo.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    value: url
      v: string
  code:
    v: http://hl7.org/fhirpath/System.String
condition:
  v: ele-1
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: DiagnosticReport.supportingInfo.extension
path:
  v: DiagnosticReport.supportingInfo.extension
short:
  v: Additional content defined by implementations
definition:
  v: 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 managable, 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.
comment:
  v: 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.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: DiagnosticReport.supportingInfo.modifierExtension
path:
  v: DiagnosticReport.supportingInfo.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: 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 managable, 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).
comment:
  v: 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.
requirements:
  v: 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](http://hl7.org/fhir/R5/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: DiagnosticReport.supportingInfo.type
path:
  v: DiagnosticReport.supportingInfo.type
short:
  v: Supporting information role code
definition:
  v: The code value for the role of the supporting information in the diagnostic report.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: DiagnosticReport.supportingInfo.type
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: DiagnosticReportSupportingInfoType
  strength:
    v: example
  description:
    v: The code value for the role of the supporting information in the diagnostic report.
  value set:
    v: http://terminology.hl7.org/ValueSet/v2-0936
    link: http://terminology.hl7.org/ValueSet/v2-0936

id:
  v: DiagnosticReport.supportingInfo.reference
path:
  v: DiagnosticReport.supportingInfo.reference
short:
  v: Supporting information reference
definition:
  v: The reference for the supporting information in the diagnostic report.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: DiagnosticReport.supportingInfo.reference
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Procedure|5.0.0
    link: 5.0
    link: .0
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Observation|5.0.0
    link: 5.0
    link: .0
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/DiagnosticReport|5.0.0
    link: 5.0
    link: .0
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Citation|5.0.0
    link: 5.0
    link: .0
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false

id:
  v: DiagnosticReport.media
path:
  v: DiagnosticReport.media
short:
  v: Key images or data associated with this report
definition:
  v: A list of key images or data associated with this report. The images or data are generally created during the diagnostic process, and may be directly of the patient, or of treated specimens (i.e. slides of interest).
requirements:
  v: Many diagnostic services include images or data in the report as part of their service.
alias:
  v: DICOM
alias:
  v: Slides
alias:
  v: Scans
min:
  v: 0
max:
  v: *
base:
  path:
    v: DiagnosticReport.media
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: BackboneElement
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: v2
  map:
    v: OBX?
mapping:
  identity:
    v: rim
  map:
    v: outboundRelationship[typeCode=COMP].target

id:
  v: DiagnosticReport.media.id
path:
  v: DiagnosticReport.media.id
representation:
  v: xmlAttr
short:
  v: Unique id for inter-element referencing
definition:
  v: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: Element.id
  min:
    v: 0
  max:
    v: 1
type:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    value: url
      v: string
  code:
    v: http://hl7.org/fhirpath/System.String
condition:
  v: ele-1
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: DiagnosticReport.media.extension
path:
  v: DiagnosticReport.media.extension
short:
  v: Additional content defined by implementations
definition:
  v: 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 managable, 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.
comment:
  v: 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.
alias:
  v: extensions
alias:
  v: user content
min:
  v: 0
max:
  v: *
base:
  path:
    v: Element.extension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: n/a

id:
  v: DiagnosticReport.media.modifierExtension
path:
  v: DiagnosticReport.media.modifierExtension
short:
  v: Extensions that cannot be ignored even if unrecognized
definition:
  v: 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 managable, 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).
comment:
  v: 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.
requirements:
  v: 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](http://hl7.org/fhir/R5/extensibility.html#modifierExtension).
alias:
  v: extensions
alias:
  v: user content
alias:
  v: modifiers
min:
  v: 0
max:
  v: *
base:
  path:
    v: BackboneElement.modifierExtension
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Extension
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
constraint:
  key:
    v: ext-1
  severity:
    v: error
  human:
    v: Must have either extensions or value[x], not both
  expression:
    v: extension.exists() != value.exists()
  source:
    v: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
is modifier:
  v: true
is modifier reason:
  v: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: N/A

id:
  v: DiagnosticReport.media.comment
path:
  v: DiagnosticReport.media.comment
short:
  v: Comment about the image or data (e.g. explanation)
definition:
  v: A comment about the image or data. Typically, this is used to provide an explanation for why the image or data is included, or to draw the viewer's attention to important features.
comment:
  v: The comment should be displayed with the image or data. It would be common for the report to include additional discussion of the image or data contents or in other sections such as the conclusion.
requirements:
  v: The provider of the report should make a comment about each image or data included in the report.
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DiagnosticReport.media.comment
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: string
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: .inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="annotation"].value

id:
  v: DiagnosticReport.media.link
path:
  v: DiagnosticReport.media.link
short:
  v: Reference to the image or data source
definition:
  v: Reference to the image or data source.
min:
  v: 1
max:
  v: 1
base:
  path:
    v: DiagnosticReport.media.link
  min:
    v: 1
  max:
    v: 1
type:
  code:
    v: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/DocumentReference|5.0.0
    link: 5.0
    link: .0
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: true
mapping:
  identity:
    v: rim
  map:
    v: .value.reference

id:
  v: DiagnosticReport.composition
path:
  v: DiagnosticReport.composition
short:
  v: Composition is not allowed in this minimal metadata profile. If composition is present, use the DiagnosticReportEuImaging profile instead.
definition:
  v: Reference to a Composition resource instance that provides structure for organizing the contents of the DiagnosticReport.
comment:
  v: The Composition provides structure to the content of the DiagnosticReport (and only contains contents referenced in the DiagnosticReport) - e.g., to order the sections of an anatomic pathology structured report.
min:
  v: 0
max:
  v: 0
base:
  path:
    v: DiagnosticReport.composition
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/Composition|5.0.0
    link: 5.0
    link: .0
condition:
  v: dgr-1
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: rim
  map:
    v: .value.reference

id:
  v: DiagnosticReport.conclusion
path:
  v: DiagnosticReport.conclusion
short:
  v: Clinical conclusion (interpretation) of test results
definition:
  v: Concise and clinically contextualized summary conclusion (interpretation/impression) of the diagnostic report.
requirements:
  v: Need to be able to provide a conclusion that is not lost among the basic result data.
alias:
  v: Report
min:
  v: 0
max:
  v: 1
base:
  path:
    v: DiagnosticReport.conclusion
  min:
    v: 0
  max:
    v: 1
type:
  code:
    v: markdown
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: v2
  map:
    v: OBX
mapping:
  identity:
    v: rim
  map:
    v: inboundRelationship[typeCode="SPRT"].source[classCode=OBS, moodCode=EVN, code=LOINC:48767-8].value (type=ST)

id:
  v: DiagnosticReport.conclusionCode
path:
  v: DiagnosticReport.conclusionCode
short:
  v: Codes for the clinical conclusion of test results
definition:
  v: One or more codes that represent the summary conclusion (interpretation/impression) of the diagnostic report.
min:
  v: 0
max:
  v: *
base:
  path:
    v: DiagnosticReport.conclusionCode
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: CodeableConcept
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
binding:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    value: string
      v: AdjunctDiagnosis
  strength:
    v: example
  description:
    v: SNOMED CT Clinical Findings
  value set:
    v: http://hl7.org/fhir/ValueSet/clinical-findings|5.0.0
    link: 5.0
    link: .0
mapping:
  identity:
    v: v2
  map:
    v: OBX
mapping:
  identity:
    v: rim
  map:
    v: inboundRelationship[typeCode=SPRT].source[classCode=OBS, moodCode=EVN, code=LOINC:54531-9].value (type=CD)

id:
  v: DiagnosticReport.presentedForm
path:
  v: DiagnosticReport.presentedForm
short:
  v: Entire report as issued
definition:
  v: Rich text representation of the entire result as issued by the diagnostic service. Multiple formats are allowed but they SHALL be semantically equivalent.
comment:
  v: "application/pdf" is recommended as the most reliable and interoperable in this context.
requirements:
  v: Gives laboratory the ability to provide its own fully formatted report for clinical fidelity.
min:
  v: 0
max:
  v: *
base:
  path:
    v: DiagnosticReport.presentedForm
  min:
    v: 0
  max:
    v: *
type:
  code:
    v: Attachment
constraint:
  key:
    v: ele-1
  severity:
    v: error
  human:
    v: All FHIR elements must have a @value or children
  expression:
    v: hasValue() or (children().count() > id.count())
  source:
    v: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
must support:
  v: false
is modifier:
  v: false
is summary:
  v: false
mapping:
  identity:
    v: v2
  map:
    v: OBX
mapping:
  identity:
    v: rim
  map:
    v: text (type=ED)

element:
  id:
    v: DiagnosticReport.extension
  path:
    v: DiagnosticReport.extension
  slicing:
    discriminator:
      type:
        v: value
      path:
        v: url
    ordered:
      v: false
    rules:
      v: open
element:
  id:
    v: DiagnosticReport.extension:artifactVersion
  path:
    v: DiagnosticReport.extension
  slice name:
    v: artifactVersion
  min:
    v: 0
  max:
    v: 1
  type:
    code:
      v: Extension
    profile:
      v: http://hl7.org/fhir/StructureDefinition/artifact-version
      link: http://hl7.org/fhir/StructureDefinition/artifact-version
element:
  id:
    v: DiagnosticReport.extension:anatomical-region
  path:
    v: DiagnosticReport.extension
  slice name:
    v: anatomical-region
  short:
    v: The anatomical regions covered by the study this report reports on.
  definition:
    v: 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 `ImagingStudy.serie.bodysite`, if present.
  requirements:
    v: This field is present in order to be able to populate the MHD DocumentReference field.
  min:
    v: 0
  max:
    v: *
  type:
    code:
      v: Extension
    profile:
      v: http://hl7.eu/fhir/imaging-r5/StructureDefinition/AnatomicalRegionExtension
      link: http://hl7.eu/fhir/imaging-r5/StructureDefinition/AnatomicalRegionExtension
element:
  id:
    v: DiagnosticReport.extension:comparison
  path:
    v: DiagnosticReport.extension
  slice name:
    v: comparison
  short:
    v: Comparison studies
  definition:
    v: Studies used for comparison in part of diagnostic reporting. A comparison study MAY refer to content that is not stored in the same PACS or held by the same healthcare provider, and the receiver MAY be prepared to fall back to national or cross-national searches to locate the referred study.
  min:
    v: 0
  max:
    v: *
  type:
    code:
      v: Extension
    profile:
      v: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRComparisonStudy
      link: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRComparisonStudy
  must support:
    v: true
element:
  id:
    v: DiagnosticReport.extension:patientHistory
  path:
    v: DiagnosticReport.extension
  slice name:
    v: patientHistory
  short:
    v: Patient history items selected by radiologist
  definition:
    v: May have originally been extracted from the medical record by imaging staff, automated tools, or by the radiologists themselves.
  min:
    v: 0
  max:
    v: *
  type:
    code:
      v: Extension
    profile:
      v: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRPatientHistory
      link: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRPatientHistory
  must support:
    v: true
element:
  id:
    v: DiagnosticReport.extension:procedure
  path:
    v: DiagnosticReport.extension
  slice name:
    v: procedure
  short:
    v: Imaging procedure
  definition:
    v: Imaging procedure used to acquire the study.
  min:
    v: 0
  max:
    v: *
  type:
    code:
      v: Extension
    profile:
      v: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRImagingProcedure
      link: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRImagingProcedure
  must support:
    v: true
element:
  id:
    v: DiagnosticReport.extension:finding
  path:
    v: DiagnosticReport.extension
  slice name:
    v: finding
  short:
    v: Key image findings
  definition:
    v: Key images in the report
  min:
    v: 0
  max:
    v: *
  type:
    code:
      v: Extension
    profile:
      v: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRFinding
      link: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRFinding
  must support:
    v: true
element:
  id:
    v: DiagnosticReport.extension:impression
  path:
    v: DiagnosticReport.extension
  slice name:
    v: impression
  short:
    v: Impression
  definition:
    v: Impression in the imaging report.
  min:
    v: 0
  max:
    v: *
  type:
    code:
      v: Extension
    profile:
      v: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRImpression
      link: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRImpression
  must support:
    v: true
element:
  id:
    v: DiagnosticReport.extension:recommendation
  path:
    v: DiagnosticReport.extension
  slice name:
    v: recommendation
  short:
    v: Recommendations
  definition:
    v: Recommendations a radiologist provides in the report for possible follow up actions.
  min:
    v: 0
  max:
    v: *
  type:
    code:
      v: Extension
    profile:
      v: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRRecommendation
      link: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRRecommendation
  must support:
    v: true
element:
  id:
    v: DiagnosticReport.extension:communication
  path:
    v: DiagnosticReport.extension
  slice name:
    v: communication
  short:
    v: Communications with other care providers

v: Communications captures what communications have been made with other care providers.

v: 0

v: *

code:
  v: Extension
profile:
  v: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRCommunication
  link: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRCommunication

v: true

id:
  v: DiagnosticReport.identifier
path:
  v: DiagnosticReport.identifier
short:
  v: Report identifier
definition:
  v: Identifiers assigned to this Imaging Report by the performer or other systems. It shall be common to several report versions
comment:
  v: Composition.identifier SHALL be equal to one of the DiagnosticReport.identifier, if at least one exists
min:
  v: 1

id:
  v: DiagnosticReport.basedOn
path:
  v: DiagnosticReport.basedOn
slicing:
  discriminator:
    type:
      v: exists
    path:
      v: identifier
  ordered:
    v: false
  rules:
    v: open
type:
  code:
    v: Reference
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/ServiceRequest
    link: http://hl7.org/fhir/StructureDefinition/ServiceRequest
  target profile:
    v: http://hl7.org/fhir/StructureDefinition/CarePlan
    link: http://hl7.org/fhir/StructureDefinition/CarePlan

id:
  v: DiagnosticReport.basedOn:order-resource
path:
  v: DiagnosticReport.basedOn
slice name:
  v: order-resource
min:
  v: 0
max:
  v: *
type:
  code:
    v: Reference
  target profile:
    v: http://hl7.eu/fhir/imaging-r5/StructureDefinition/ServiceRequestOrderEuImaging
    link: http://hl7.eu/fhir/imaging-r5/StructureDefinition/ServiceRequestOrderEuImaging

id:
  v: DiagnosticReport.basedOn:order-resource.reference
path:
  v: DiagnosticReport.basedOn.reference
min:
  v: 1

id:
  v: DiagnosticReport.basedOn:order-resource.identifier
path:
  v: DiagnosticReport.basedOn.identifier
max:
  v: 0

id:
  v: DiagnosticReport.basedOn:order-identifier
path:
  v: DiagnosticReport.basedOn
slice name:
  v: order-identifier
min:
  v: 0
max:
  v: *

id:
  v: DiagnosticReport.basedOn:order-identifier.reference
path:
  v: DiagnosticReport.basedOn.reference
max:
  v: 0

id:
  v: DiagnosticReport.basedOn:order-identifier.identifier
path:
  v: DiagnosticReport.basedOn.identifier
min:
  v: 1
type:
  code:
    v: Identifier
  profile:
    v: http://hl7.eu/fhir/imaging-r5/StructureDefinition/AccessionNumberIdentifierEuImaging
    link: http://hl7.eu/fhir/imaging-r5/StructureDefinition/AccessionNumberIdentifierEuImaging

id:
  v: DiagnosticReport.status
path:
  v: DiagnosticReport.status
short:
  v: Status of the Report

id:
  v: DiagnosticReport.category
path:
  v: DiagnosticReport.category
slicing:
  discriminator:
    type:
      v: value
    path:
      v: $this
  ordered:
    v: false
  rules:
    v: open
min:
  v: 2

id:
  v: DiagnosticReport.category:diagnostic-service
path:
  v: DiagnosticReport.category
slice name:
  v: diagnostic-service
min:
  v: 0
max:
  v: 1
binding:
  strength:
    v: required
  value set:
    v: http://hl7.org/fhir/ValueSet/diagnostic-service-sections
    link: http://hl7.org/fhir/ValueSet/diagnostic-service-sections

id:
  v: DiagnosticReport.category:imaging-report
path:
  v: DiagnosticReport.category
slice name:
  v: imaging-report
definition:
  v: Defines the category of the report, Diagnostic imaging report.
min:
  v: 1
max:
  v: 1
pattern: CodeableConcept
  coding: https://loinc.org/rdf/85430-7
    system:
      v: http://loinc.org
    code:
      v: 85430-7

id:
  v: DiagnosticReport.category:imaging
path:
  v: DiagnosticReport.category
slice name:
  v: imaging
definition:
  v: Defines the priority category of the report as defined in the API spec.
min:
  v: 1
max:
  v: 1
pattern: CodeableConcept
  coding:
    system:
      v: http://hl7.eu/fhir/eu-health-data-api/CodeSystem/eehrxf-document-priority-category-cs
    code:
      v: Medical-Imaging

id:
  v: DiagnosticReport.code
path:
  v: DiagnosticReport.code
short:
  v: Type of Imaging Diagnostic Report
definition:
  v: Defines the document type, it is recommended to take this from the suggested LOINC set.
binding:
  strength:
    v: preferred
  value set:
    v: http://hl7.eu/fhir/imaging-r5/ValueSet/ImagingReportTypesEuVSEuImaging
    link: http://hl7.eu/fhir/imaging-r5/ValueSet/ImagingReportTypesEuVSEuImaging

id:
  v: DiagnosticReport.subject
path:
  v: DiagnosticReport.subject
min:
  v: 1
type:
  code:
    v: Reference
  target profile:
    v: http://hl7.eu/fhir/base-r5/StructureDefinition/patient-eu-core
    link: http://hl7.eu/fhir/base-r5/StructureDefinition/patient-eu-core

id:
  v: DiagnosticReport.issued
path:
  v: DiagnosticReport.issued
short:
  v: Date and time of report issuance
definition:
  v: 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.

id:
  v: DiagnosticReport.performer
path:
  v: DiagnosticReport.performer
slicing:
  discriminator:
    type:
      v: profile
    path:
      v: $this
  description:
    v: Organization that delivered the report
  ordered:
    v: false
  rules:
    v: open

id:
  v: DiagnosticReport.performer:organization
path:
  v: DiagnosticReport.performer
slice name:
  v: organization
short:
  v: The organization producer of this report
definition:
  v: 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.
min:
  v: 0
max:
  v: *
type:
  code:
    v: Reference
  target profile:
    v: http://hl7.eu/fhir/base-r5/StructureDefinition/organization-eu-core
    link: http://hl7.eu/fhir/base-r5/StructureDefinition/organization-eu-core

id:
  v: DiagnosticReport.resultsInterpreter
path:
  v: DiagnosticReport.resultsInterpreter
slicing:
  discriminator:
    type:
      v: profile
    path:
      v: resolve()
  description:
    v: Primary interpreter of results
  ordered:
    v: false
  rules:
    v: open

id:
  v: DiagnosticReport.resultsInterpreter:author
path:
  v: DiagnosticReport.resultsInterpreter
slice name:
  v: author
min:
  v: 0
max:
  v: *
type:
  code:
    v: Reference
  target profile:
    v: http://hl7.eu/fhir/base-r5/StructureDefinition/practitioner-eu-core
    link: http://hl7.eu/fhir/base-r5/StructureDefinition/practitioner-eu-core
  target profile:
    v: http://hl7.eu/fhir/base-r5/StructureDefinition/practitionerRole-eu-core
    link: http://hl7.eu/fhir/base-r5/StructureDefinition/practitionerRole-eu-core

id:
  v: DiagnosticReport.result
path:
  v: DiagnosticReport.result
short:
  v: Findings
definition:
  v: 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.
type:
  code:
    v: Reference
  target profile:
    v: http://hl7.eu/fhir/imaging-r5/StructureDefinition/ObservationFindingEuImaging
    link: http://hl7.eu/fhir/imaging-r5/StructureDefinition/ObservationFindingEuImaging
  target profile:
    v: http://hl7.eu/fhir/imaging-r5/StructureDefinition/ObservationNarrativeReport
    link: http://hl7.eu/fhir/imaging-r5/StructureDefinition/ObservationNarrativeReport
must support:
  v: true

id:
  v: DiagnosticReport.study
path:
  v: DiagnosticReport.study
slicing:
  discriminator:
    type:
      v: exists
    path:
      v: identifier
  ordered:
    v: false
  rules:
    v: open
short:
  v: Study subject to this report
definition:
  v: Study subject to this report. Note: Any associated study (e.g. comparison studies) used during reporting should be tracked in the associatedStudy extension.
type:
  code:
    v: Reference
  target profile:
    v: http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImagingStudyEuImaging
    link: http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImagingStudyEuImaging

id:
  v: DiagnosticReport.study:study-resource
path:
  v: DiagnosticReport.study
slice name:
  v: study-resource
min:
  v: 0
max:
  v: *

id:
  v: DiagnosticReport.study:study-resource.reference
path:
  v: DiagnosticReport.study.reference
min:
  v: 1

id:
  v: DiagnosticReport.study:study-resource.identifier
path:
  v: DiagnosticReport.study.identifier
max:
  v: 0

id:
  v: DiagnosticReport.study:study-identifier
path:
  v: DiagnosticReport.study
slice name:
  v: study-identifier
min:
  v: 0
max:
  v: *

id:
  v: DiagnosticReport.study:study-identifier.reference
path:
  v: DiagnosticReport.study.reference
max:
  v: 0

id:
  v: DiagnosticReport.study:study-identifier.identifier
path:
  v: DiagnosticReport.study.identifier
min:
  v: 1
type:
  code:
    v: Identifier
  profile:
    v: http://hl7.eu/fhir/imaging-r5/StructureDefinition/StudyInstanceUidIdentifierEuImaging
    link: http://hl7.eu/fhir/imaging-r5/StructureDefinition/StudyInstanceUidIdentifierEuImaging

id:
  v: DiagnosticReport.composition
path:
  v: DiagnosticReport.composition
short:
  v: Composition is not allowed in this minimal metadata profile. If composition is present, use the DiagnosticReportEuImaging profile instead.
max:
  v: 0