HL7 Europe Imaging Report R5
1.0.0-beta - ci-build
150
HL7 Europe Imaging Report R5
1.0.0-beta - ci-build
150
HL7 Europe Imaging Report R5, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 1.0.0-beta built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/imaging-r5/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/DiagnosticReportEuImagingMinimalMetadata | Version: 1.0.0-beta | ||||
| Standards status: Draft Draft as of 2026-03-03 | Maturity Level: 1 | Computable Name: DiagnosticReportEuImagingMinimalMetadata | |||
Copyright/Legal: Copyright HL7 Europe. Licensed under Creative Commons public domain (CC0 1.0). |
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DiagnosticReport profile for minimal metadata imaging report exchange. This profile shares all common imaging report modeling with DiagnosticReportEuImaging but does not require a matching Composition resource.
Usages:
You can also check for usages in the FHIR IG Statistics
Description Differentials, Snapshots, and other representations.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  DiagnosticReport |
C | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: dgr-1 |
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| contained |
0..* | Resource | Contained, inline Resources | |
  Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
   extension:artifactVersion |
0..1 | string | Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version | |
| extension:anatomical-region |
0..* | CodeableConcept | The anatomical regions covered by the study this report reports on. URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/AnatomicalRegionExtension Binding: ValueSet: Anatomical Region (required) | |
| extension:comparison |
S | 0..* | Reference(ImagingStudy: General | ImagingSelection: General) | Comparison studies URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRComparisonStudy |
| extension:patientHistory |
S | 0..* | Reference() | Patient history items selected by radiologist URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRPatientHistory |
| extension:procedure |
S | 0..* | Reference(Procedure: Imaging Acquisition | AdverseEvent | Observation: Radiation Dose) | Imaging procedure URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRImagingProcedure |
| 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 |
| 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 |
| extension:recommendation |
S | 0..* | Reference(CarePlan | ServiceRequest) | Recommendations URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRRecommendation |
 extension:communication |
S | 0..* | Reference() | Communications with other care providers URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRCommunication |
 modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored |
 identifier |
Σ | 1..* | Identifier | Report identifier |
 Slices for basedOn |
0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested Slice: Unordered, Open by exists:identifier | |
 basedOn:order-resource |
0..* | Reference(ServiceRequest: Imaging Order) | What was requested | |
  reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
 basedOn:order-identifier |
0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested | |
 identifier |
ΣC | 1..1 | AccessionNumberIdentifierEuImaging | Logical reference, when literal reference is not known |
| status |
?!Σ | 1..1 | code | Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. |
| Slices for category |
Σ | 2..* | CodeableConcept | Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074 |
| category:diagnostic-service |
Σ | 0..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (required) |
| category:imaging-report |
Σ | 1..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074 Required Pattern: At least the following |
 id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
  coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
 id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 85430-7 | |
| display |
0..1 | string | Representation defined by the system | |
 userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| category:imaging |
Σ | 1..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074 Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.eu/fhir/eu-health-data-api/CodeSystem/eehrxf-document-priority-category-cs | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: Medical-Imaging | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| code |
Σ | 1..1 | CodeableConcept | Type of Imaging Diagnostic Report Binding: ValueSet: Radiology Report Types (preferred) |
 subject |
Σ | 0..1 | Reference(Patient (EU core)) | The subject of the report - usually, but not always, the patient |
| Slices for performer |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service Slice: Unordered, Open by profile:$this |
| performer:organization |
Σ | 0..* | Reference(Organization (EU core)) | The organization producer of this report |
| Slices for resultsInterpreter |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter Slice: Unordered, Open by profile:resolve() |
| resultsInterpreter:author |
Σ | 0..* | Reference(Practitioner (EU core) | PractitionerRole (EU core)) | Primary result interpreter |
| result |
SC | 0..* | Reference(Observation: Imaging Finding) | Findings |
 Slices for study |
0..* | Reference(ImagingStudy: General) | Study subject to this report Slice: Unordered, Open by exists:identifier | |
| study:study-resource |
0..* | Reference(GenomicStudy | ImagingStudy) | Reference to full details of an analysis associated with the diagnostic report | |
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| study:study-identifier |
0..* | Reference(GenomicStudy | ImagingStudy) | Reference to full details of an analysis associated with the diagnostic report | |
| identifier |
ΣC | 1..1 | StudyInstanceUidIdentifierEuImaging | Logical reference, when literal reference is not known |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.status | Base | required | Diagnostic Report Status | 📍5.0.0 | FHIR Std. |
| DiagnosticReport.category | Base | example | Diagnostic Service Section Codes | 📍5.0.0 | FHIR Std. |
| DiagnosticReport.category:diagnostic-service | Base | required | Diagnostic Service Section Codes | 📦5.0.0 | FHIR Std. |
| DiagnosticReport.category:imaging-report | Base | example | Diagnostic Service Section Codes | 📍5.0.0 | FHIR Std. |
| DiagnosticReport.category:imaging | Base | example | Diagnostic Service Section Codes | 📍5.0.0 | FHIR Std. |
| DiagnosticReport.code | Base | preferred | ValueSet: Radiology Report Types | 📦1.0.0-beta | This IG |
| Id | Grade | Path(s) | Description | Expression |
| dgr-1 | error | DiagnosticReport | 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` |
composition.exists() implies (composition.resolve().section.entry.reference.where(resolve() is Observation) in (result.reference|result.reference.resolve().hasMember.reference))
|
| dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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()
|
| dom-4 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DiagnosticReport |
DiagnosticReport | |||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:artifactVersion |
0..1 | string | Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version | |
| extension:anatomical-region |
0..* | CodeableConcept | The anatomical regions covered by the study this report reports on. URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/AnatomicalRegionExtension Binding: ValueSet: Anatomical Region (required) | |
| extension:comparison |
S | 0..* | Reference(ImagingStudy: General | ImagingSelection: General) | Comparison studies URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRComparisonStudy |
| extension:patientHistory |
S | 0..* | Reference() | Patient history items selected by radiologist URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRPatientHistory |
| extension:procedure |
S | 0..* | Reference(Procedure: Imaging Acquisition | AdverseEvent | Observation: Radiation Dose) | Imaging procedure URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRImagingProcedure |
| 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 |
| 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 |
| extension:recommendation |
S | 0..* | Reference(CarePlan | ServiceRequest) | Recommendations URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRRecommendation |
| extension:communication |
S | 0..* | Reference() | Communications with other care providers URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRCommunication |
 identifier |
1..* | Identifier | Report identifier | |
| Slices for basedOn |
0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested Slice: Unordered, Open by exists:identifier | |
| basedOn:order-resource |
0..* | Reference(ServiceRequest: Imaging Order) | What was requested | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| identifier |
0..0 | Logical reference, when literal reference is not known | ||
| basedOn:order-identifier |
0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested | |
| reference |
0..0 | Literal reference, Relative, internal or absolute URL | ||
| identifier |
1..1 | AccessionNumberIdentifierEuImaging | Logical reference, when literal reference is not known | |
| status |
1..1 | code | Status of the Report | |
| Slices for category |
2..* | CodeableConcept | Service category Slice: Unordered, Open by value:$this | |
| category:diagnostic-service |
0..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (required) | |
| category:imaging-report |
1..1 | CodeableConcept | Service category Required Pattern: At least the following | |
 coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 85430-7 | |
| category:imaging |
1..1 | CodeableConcept | Service category Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.eu/fhir/eu-health-data-api/CodeSystem/eehrxf-document-priority-category-cs | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: Medical-Imaging | |
| code |
1..1 | CodeableConcept | Type of Imaging Diagnostic Report Binding: ValueSet: Radiology Report Types (preferred) | |
| subject |
0..1 | Reference(Patient (EU core)) | The subject of the report - usually, but not always, the patient | |
| Slices for performer |
0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service Slice: Unordered, Open by profile:$this | |
| performer:organization |
0..* | Reference(Organization (EU core)) | The organization producer of this report | |
| Slices for resultsInterpreter |
0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter Slice: Unordered, Open by profile:resolve() | |
| resultsInterpreter:author |
0..* | Reference(Practitioner (EU core) | PractitionerRole (EU core)) | Primary result interpreter | |
| result |
S | 0..* | Reference(Observation: Imaging Finding) | Findings |
| note |
||||
| Slices for extension |
Content/Rules for all slices | |||
| extension:annotation-type |
0..* | (Complex) | The type of annotation URL: http://hl7.org/fhir/StructureDefinition/annotationType | |
| value[x] |
1..1 | CodeableConcept | Value of extension Binding: ValueSet: Section codes used to label annotations. (preferred) | |
| Slices for study |
0..* | Reference(ImagingStudy: General) | Study subject to this report Slice: Unordered, Open by exists:identifier | |
| study:study-resource |
0..* | Reference(GenomicStudy | ImagingStudy) | Reference to full details of an analysis associated with the diagnostic report | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| identifier |
0..0 | Logical reference, when literal reference is not known | ||
| study:study-identifier |
0..* | Reference(GenomicStudy | ImagingStudy) | Reference to full details of an analysis associated with the diagnostic report | |
| reference |
0..0 | Literal reference, Relative, internal or absolute URL | ||
| identifier |
1..1 | StudyInstanceUidIdentifierEuImaging | Logical reference, when literal reference is not known | |
| composition |
0..0 | Composition is not allowed in this minimal metadata profile. If composition is present, use the DiagnosticReportEuImaging profile instead. | ||
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.category:diagnostic-service | Base | required | Diagnostic Service Section Codes | 📦5.0.0 | FHIR Std. |
| DiagnosticReport.code | Base | preferred | ValueSet: Radiology Report Types | 📦1.0.0-beta | This IG |
| DiagnosticReport.note.extension:annotation-type.value[x] | Base | preferred | ValueSet: Section codes used to label annotations. | 📦1.0.0-beta | This IG |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| DiagnosticReport |
C | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: dgr-1 | ||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:artifactVersion |
0..1 | string | Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version | |||||
| extension:anatomical-region |
0..* | CodeableConcept | The anatomical regions covered by the study this report reports on. URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/AnatomicalRegionExtension Binding: ValueSet: Anatomical Region (required) | |||||
| extension:comparison |
S | 0..* | Reference(ImagingStudy: General | ImagingSelection: General) | Comparison studies URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRComparisonStudy | ||||
| extension:patientHistory |
S | 0..* | Reference() | Patient history items selected by radiologist URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRPatientHistory | ||||
| extension:procedure |
S | 0..* | Reference(Procedure: Imaging Acquisition | AdverseEvent | Observation: Radiation Dose) | Imaging procedure URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRImagingProcedure | ||||
| 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 | ||||
| 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 | ||||
| extension:recommendation |
S | 0..* | Reference(CarePlan | ServiceRequest) | Recommendations URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRRecommendation | ||||
| extension:communication |
S | 0..* | Reference() | Communications with other care providers URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRCommunication | ||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 1..* | Identifier | Report identifier | ||||
| Slices for basedOn |
0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested Slice: Unordered, Open by exists:identifier | |||||
| basedOn:order-resource |
0..* | Reference(ServiceRequest: Imaging Order) | What was requested | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| display |
ΣC | 0..1 | string | Text alternative for the resource | ||||
| basedOn:order-identifier |
0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
ΣC | 1..1 | AccessionNumberIdentifierEuImaging | Logical reference, when literal reference is not known | ||||
| display |
ΣC | 0..1 | string | Text alternative for the resource | ||||
| status |
?!Σ | 1..1 | code | Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. | ||||
| Slices for category |
Σ | 2..* | CodeableConcept | Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074 | ||||
| category:diagnostic-service |
Σ | 0..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (required) | ||||
| category:imaging-report |
Σ | 1..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074 Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 85430-7 | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| category:imaging |
Σ | 1..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074 Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.eu/fhir/eu-health-data-api/CodeSystem/eehrxf-document-priority-category-cs | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: Medical-Imaging | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| code |
Σ | 1..1 | CodeableConcept | Type of Imaging Diagnostic Report Binding: ValueSet: Radiology Report Types (preferred) | ||||
| subject |
Σ | 0..1 | Reference(Patient (EU core)) | The subject of the report - usually, but not always, the patient | ||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Health care event when test ordered | ||||
 effective[x] |
Σ | 0..1 | Clinically relevant time/time-period for report | |||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| issued |
Σ | 0..1 | instant | DateTime this version was made | ||||
| Slices for performer |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service Slice: Unordered, Open by profile:$this | ||||
| performer:organization |
Σ | 0..* | Reference(Organization (EU core)) | The organization producer of this report | ||||
| Slices for resultsInterpreter |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter Slice: Unordered, Open by profile:resolve() | ||||
| resultsInterpreter:author |
Σ | 0..* | Reference(Practitioner (EU core) | PractitionerRole (EU core)) | Primary result interpreter | ||||
| specimen |
0..* | Reference(Specimen) | Specimens this report is based on | |||||
| result |
SC | 0..* | Reference(Observation: Imaging Finding) | Findings | ||||
| note |
0..* | Annotation | Comments about the diagnostic report | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| extension:annotation-type |
0..* | (Complex) | The type of annotation URL: http://hl7.org/fhir/StructureDefinition/annotationType | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/annotationType" | |||||
| value[x] |
1..1 | CodeableConcept | Value of extension Binding: ValueSet: Section codes used to label annotations. (preferred) | |||||
| author[x] |
Σ | 0..1 | Individual responsible for the annotation | |||||
| authorReference |
Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Organization) | |||||||
| authorString |
string | |||||||
| time |
Σ | 0..1 | dateTime | When the annotation was made | ||||
| text |
Σ | 1..1 | markdown | The annotation - text content (as markdown) | ||||
| Slices for study |
0..* | Reference(ImagingStudy: General) | Study subject to this report Slice: Unordered, Open by exists:identifier | |||||
| study:study-resource |
0..* | Reference(GenomicStudy | ImagingStudy) | Reference to full details of an analysis associated with the diagnostic report | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| display |
ΣC | 0..1 | string | Text alternative for the resource | ||||
| study:study-identifier |
0..* | Reference(GenomicStudy | ImagingStudy) | Reference to full details of an analysis associated with the diagnostic report | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
ΣC | 1..1 | StudyInstanceUidIdentifierEuImaging | Logical reference, when literal reference is not known | ||||
| display |
ΣC | 0..1 | string | Text alternative for the resource | ||||
| supportingInfo |
0..* | BackboneElement | Additional information supporting the diagnostic report | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| type |
1..1 | CodeableConcept | Supporting information role code Binding: hl7VS-VS-observationType (example): The code value for the role of the supporting information in the diagnostic report. | |||||
| reference |
1..1 | Reference(Procedure | Observation | DiagnosticReport | Citation) | Supporting information reference | |||||
| media |
Σ | 0..* | BackboneElement | Key images or data associated with this report | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| comment |
0..1 | string | Comment about the image or data (e.g. explanation) | |||||
| link |
Σ | 1..1 | Reference(DocumentReference) | Reference to the image or data source | ||||
| conclusion |
0..1 | markdown | Clinical conclusion (interpretation) of test results | |||||
| conclusionCode |
0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): SNOMED CT Clinical Findings | |||||
| presentedForm |
0..* | Attachment | Entire report as issued | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.language | Base | required | All Languages | 📍5.0.0 | FHIR Std. |
| DiagnosticReport.basedOn:order-resource.type | Base | extensible | Resource Types | 📍5.0.0 | FHIR Std. |
| DiagnosticReport.basedOn:order-identifier.type | Base | extensible | Resource Types | 📍5.0.0 | FHIR Std. |
| DiagnosticReport.status | Base | required | Diagnostic Report Status | 📍5.0.0 | FHIR Std. |
| DiagnosticReport.category | Base | example | Diagnostic Service Section Codes | 📍5.0.0 | FHIR Std. |
| DiagnosticReport.category:diagnostic-service | Base | required | Diagnostic Service Section Codes | 📦5.0.0 | FHIR Std. |
| DiagnosticReport.category:imaging-report | Base | example | Diagnostic Service Section Codes | 📍5.0.0 | FHIR Std. |
| DiagnosticReport.category:imaging | Base | example | Diagnostic Service Section Codes | 📍5.0.0 | FHIR Std. |
| DiagnosticReport.code | Base | preferred | ValueSet: Radiology Report Types | 📦1.0.0-beta | This IG |
| DiagnosticReport.note.extension:annotation-type.value[x] | Base | preferred | ValueSet: Section codes used to label annotations. | 📦1.0.0-beta | This IG |
| DiagnosticReport.study:study-resource.type | Base | extensible | Resource Types | 📍5.0.0 | FHIR Std. |
| DiagnosticReport.study:study-identifier.type | Base | extensible | Resource Types | 📍5.0.0 | FHIR Std. |
| DiagnosticReport.supportingInfo.type | Base | example | hl7VS-VS-observationType | 📦2.0.0 | THO v7.0 |
| DiagnosticReport.conclusionCode | Base | example | SNOMED CT Clinical Findings | 📍5.0.0 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dgr-1 | error | DiagnosticReport | 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` |
composition.exists() implies (composition.resolve().section.entry.reference.where(resolve() is Observation) in (result.reference|result.reference.resolve().hasMember.reference))
|
| dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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()
|
| dom-4 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Summary
Mandatory: 3 elements(4 nested mandatory elements)
Must-Support: 8 elements
Prohibited: 5 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Maturity: 1
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DiagnosticReport |
C | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: dgr-1 |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| contained |
0..* | Resource | Contained, inline Resources | |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:artifactVersion |
0..1 | string | Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version | |
| extension:anatomical-region |
0..* | CodeableConcept | The anatomical regions covered by the study this report reports on. URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/AnatomicalRegionExtension Binding: ValueSet: Anatomical Region (required) | |
| extension:comparison |
S | 0..* | Reference(ImagingStudy: General | ImagingSelection: General) | Comparison studies URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRComparisonStudy |
| extension:patientHistory |
S | 0..* | Reference() | Patient history items selected by radiologist URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRPatientHistory |
| extension:procedure |
S | 0..* | Reference(Procedure: Imaging Acquisition | AdverseEvent | Observation: Radiation Dose) | Imaging procedure URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRImagingProcedure |
| 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 |
| 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 |
| extension:recommendation |
S | 0..* | Reference(CarePlan | ServiceRequest) | Recommendations URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRRecommendation |
| extension:communication |
S | 0..* | Reference() | Communications with other care providers URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRCommunication |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| identifier |
Σ | 1..* | Identifier | Report identifier |
| Slices for basedOn |
0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested Slice: Unordered, Open by exists:identifier | |
| basedOn:order-resource |
0..* | Reference(ServiceRequest: Imaging Order) | What was requested | |
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| basedOn:order-identifier |
0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested | |
| identifier |
ΣC | 1..1 | AccessionNumberIdentifierEuImaging | Logical reference, when literal reference is not known |
| status |
?!Σ | 1..1 | code | Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. |
| Slices for category |
Σ | 2..* | CodeableConcept | Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074 |
| category:diagnostic-service |
Σ | 0..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (required) |
| category:imaging-report |
Σ | 1..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074 Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 85430-7 | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| category:imaging |
Σ | 1..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074 Required Pattern: At least the following |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.eu/fhir/eu-health-data-api/CodeSystem/eehrxf-document-priority-category-cs | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: Medical-Imaging | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| code |
Σ | 1..1 | CodeableConcept | Type of Imaging Diagnostic Report Binding: ValueSet: Radiology Report Types (preferred) |
| subject |
Σ | 0..1 | Reference(Patient (EU core)) | The subject of the report - usually, but not always, the patient |
| Slices for performer |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service Slice: Unordered, Open by profile:$this |
| performer:organization |
Σ | 0..* | Reference(Organization (EU core)) | The organization producer of this report |
| Slices for resultsInterpreter |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter Slice: Unordered, Open by profile:resolve() |
| resultsInterpreter:author |
Σ | 0..* | Reference(Practitioner (EU core) | PractitionerRole (EU core)) | Primary result interpreter |
| result |
SC | 0..* | Reference(Observation: Imaging Finding) | Findings |
| Slices for study |
0..* | Reference(ImagingStudy: General) | Study subject to this report Slice: Unordered, Open by exists:identifier | |
| study:study-resource |
0..* | Reference(GenomicStudy | ImagingStudy) | Reference to full details of an analysis associated with the diagnostic report | |
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| study:study-identifier |
0..* | Reference(GenomicStudy | ImagingStudy) | Reference to full details of an analysis associated with the diagnostic report | |
| identifier |
ΣC | 1..1 | StudyInstanceUidIdentifierEuImaging | Logical reference, when literal reference is not known |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.status | Base | required | Diagnostic Report Status | 📍5.0.0 | FHIR Std. |
| DiagnosticReport.category | Base | example | Diagnostic Service Section Codes | 📍5.0.0 | FHIR Std. |
| DiagnosticReport.category:diagnostic-service | Base | required | Diagnostic Service Section Codes | 📦5.0.0 | FHIR Std. |
| DiagnosticReport.category:imaging-report | Base | example | Diagnostic Service Section Codes | 📍5.0.0 | FHIR Std. |
| DiagnosticReport.category:imaging | Base | example | Diagnostic Service Section Codes | 📍5.0.0 | FHIR Std. |
| DiagnosticReport.code | Base | preferred | ValueSet: Radiology Report Types | 📦1.0.0-beta | This IG |
| Id | Grade | Path(s) | Description | Expression |
| dgr-1 | error | DiagnosticReport | 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` |
composition.exists() implies (composition.resolve().section.entry.reference.where(resolve() is Observation) in (result.reference|result.reference.resolve().hasMember.reference))
|
| dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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()
|
| dom-4 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Differential View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DiagnosticReport |
DiagnosticReport | |||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:artifactVersion |
0..1 | string | Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version | |
| extension:anatomical-region |
0..* | CodeableConcept | The anatomical regions covered by the study this report reports on. URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/AnatomicalRegionExtension Binding: ValueSet: Anatomical Region (required) | |
| extension:comparison |
S | 0..* | Reference(ImagingStudy: General | ImagingSelection: General) | Comparison studies URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRComparisonStudy |
| extension:patientHistory |
S | 0..* | Reference() | Patient history items selected by radiologist URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRPatientHistory |
| extension:procedure |
S | 0..* | Reference(Procedure: Imaging Acquisition | AdverseEvent | Observation: Radiation Dose) | Imaging procedure URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRImagingProcedure |
| 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 |
| 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 |
| extension:recommendation |
S | 0..* | Reference(CarePlan | ServiceRequest) | Recommendations URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRRecommendation |
| extension:communication |
S | 0..* | Reference() | Communications with other care providers URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRCommunication |
| identifier |
1..* | Identifier | Report identifier | |
| Slices for basedOn |
0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested Slice: Unordered, Open by exists:identifier | |
| basedOn:order-resource |
0..* | Reference(ServiceRequest: Imaging Order) | What was requested | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| identifier |
0..0 | Logical reference, when literal reference is not known | ||
| basedOn:order-identifier |
0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested | |
| reference |
0..0 | Literal reference, Relative, internal or absolute URL | ||
| identifier |
1..1 | AccessionNumberIdentifierEuImaging | Logical reference, when literal reference is not known | |
| status |
1..1 | code | Status of the Report | |
| Slices for category |
2..* | CodeableConcept | Service category Slice: Unordered, Open by value:$this | |
| category:diagnostic-service |
0..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (required) | |
| category:imaging-report |
1..1 | CodeableConcept | Service category Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 85430-7 | |
| category:imaging |
1..1 | CodeableConcept | Service category Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.eu/fhir/eu-health-data-api/CodeSystem/eehrxf-document-priority-category-cs | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: Medical-Imaging | |
| code |
1..1 | CodeableConcept | Type of Imaging Diagnostic Report Binding: ValueSet: Radiology Report Types (preferred) | |
| subject |
0..1 | Reference(Patient (EU core)) | The subject of the report - usually, but not always, the patient | |
| Slices for performer |
0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service Slice: Unordered, Open by profile:$this | |
| performer:organization |
0..* | Reference(Organization (EU core)) | The organization producer of this report | |
| Slices for resultsInterpreter |
0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter Slice: Unordered, Open by profile:resolve() | |
| resultsInterpreter:author |
0..* | Reference(Practitioner (EU core) | PractitionerRole (EU core)) | Primary result interpreter | |
| result |
S | 0..* | Reference(Observation: Imaging Finding) | Findings |
| note |
||||
| Slices for extension |
Content/Rules for all slices | |||
| extension:annotation-type |
0..* | (Complex) | The type of annotation URL: http://hl7.org/fhir/StructureDefinition/annotationType | |
| value[x] |
1..1 | CodeableConcept | Value of extension Binding: ValueSet: Section codes used to label annotations. (preferred) | |
| Slices for study |
0..* | Reference(ImagingStudy: General) | Study subject to this report Slice: Unordered, Open by exists:identifier | |
| study:study-resource |
0..* | Reference(GenomicStudy | ImagingStudy) | Reference to full details of an analysis associated with the diagnostic report | |
| reference |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
| identifier |
0..0 | Logical reference, when literal reference is not known | ||
| study:study-identifier |
0..* | Reference(GenomicStudy | ImagingStudy) | Reference to full details of an analysis associated with the diagnostic report | |
| reference |
0..0 | Literal reference, Relative, internal or absolute URL | ||
| identifier |
1..1 | StudyInstanceUidIdentifierEuImaging | Logical reference, when literal reference is not known | |
| composition |
0..0 | Composition is not allowed in this minimal metadata profile. If composition is present, use the DiagnosticReportEuImaging profile instead. | ||
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.category:diagnostic-service | Base | required | Diagnostic Service Section Codes | 📦5.0.0 | FHIR Std. |
| DiagnosticReport.code | Base | preferred | ValueSet: Radiology Report Types | 📦1.0.0-beta | This IG |
| DiagnosticReport.note.extension:annotation-type.value[x] | Base | preferred | ValueSet: Section codes used to label annotations. | 📦1.0.0-beta | This IG |
Snapshot ViewView
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| DiagnosticReport |
C | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: dgr-1 | ||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:artifactVersion |
0..1 | string | Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version | |||||
| extension:anatomical-region |
0..* | CodeableConcept | The anatomical regions covered by the study this report reports on. URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/AnatomicalRegionExtension Binding: ValueSet: Anatomical Region (required) | |||||
| extension:comparison |
S | 0..* | Reference(ImagingStudy: General | ImagingSelection: General) | Comparison studies URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRComparisonStudy | ||||
| extension:patientHistory |
S | 0..* | Reference() | Patient history items selected by radiologist URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRPatientHistory | ||||
| extension:procedure |
S | 0..* | Reference(Procedure: Imaging Acquisition | AdverseEvent | Observation: Radiation Dose) | Imaging procedure URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRImagingProcedure | ||||
| 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 | ||||
| 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 | ||||
| extension:recommendation |
S | 0..* | Reference(CarePlan | ServiceRequest) | Recommendations URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRRecommendation | ||||
| extension:communication |
S | 0..* | Reference() | Communications with other care providers URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRCommunication | ||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 1..* | Identifier | Report identifier | ||||
| Slices for basedOn |
0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested Slice: Unordered, Open by exists:identifier | |||||
| basedOn:order-resource |
0..* | Reference(ServiceRequest: Imaging Order) | What was requested | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| display |
ΣC | 0..1 | string | Text alternative for the resource | ||||
| basedOn:order-identifier |
0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
ΣC | 1..1 | AccessionNumberIdentifierEuImaging | Logical reference, when literal reference is not known | ||||
| display |
ΣC | 0..1 | string | Text alternative for the resource | ||||
| status |
?!Σ | 1..1 | code | Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. | ||||
| Slices for category |
Σ | 2..* | CodeableConcept | Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074 | ||||
| category:diagnostic-service |
Σ | 0..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (required) | ||||
| category:imaging-report |
Σ | 1..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074 Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 85430-7 | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| category:imaging |
Σ | 1..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074 Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.eu/fhir/eu-health-data-api/CodeSystem/eehrxf-document-priority-category-cs | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: Medical-Imaging | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| code |
Σ | 1..1 | CodeableConcept | Type of Imaging Diagnostic Report Binding: ValueSet: Radiology Report Types (preferred) | ||||
| subject |
Σ | 0..1 | Reference(Patient (EU core)) | The subject of the report - usually, but not always, the patient | ||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Health care event when test ordered | ||||
| effective[x] |
Σ | 0..1 | Clinically relevant time/time-period for report | |||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| issued |
Σ | 0..1 | instant | DateTime this version was made | ||||
| Slices for performer |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service Slice: Unordered, Open by profile:$this | ||||
| performer:organization |
Σ | 0..* | Reference(Organization (EU core)) | The organization producer of this report | ||||
| Slices for resultsInterpreter |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter Slice: Unordered, Open by profile:resolve() | ||||
| resultsInterpreter:author |
Σ | 0..* | Reference(Practitioner (EU core) | PractitionerRole (EU core)) | Primary result interpreter | ||||
| specimen |
0..* | Reference(Specimen) | Specimens this report is based on | |||||
| result |
SC | 0..* | Reference(Observation: Imaging Finding) | Findings | ||||
| note |
0..* | Annotation | Comments about the diagnostic report | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| extension:annotation-type |
0..* | (Complex) | The type of annotation URL: http://hl7.org/fhir/StructureDefinition/annotationType | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/annotationType" | |||||
| value[x] |
1..1 | CodeableConcept | Value of extension Binding: ValueSet: Section codes used to label annotations. (preferred) | |||||
| author[x] |
Σ | 0..1 | Individual responsible for the annotation | |||||
| authorReference |
Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Organization) | |||||||
| authorString |
string | |||||||
| time |
Σ | 0..1 | dateTime | When the annotation was made | ||||
| text |
Σ | 1..1 | markdown | The annotation - text content (as markdown) | ||||
| Slices for study |
0..* | Reference(ImagingStudy: General) | Study subject to this report Slice: Unordered, Open by exists:identifier | |||||
| study:study-resource |
0..* | Reference(GenomicStudy | ImagingStudy) | Reference to full details of an analysis associated with the diagnostic report | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| display |
ΣC | 0..1 | string | Text alternative for the resource | ||||
| study:study-identifier |
0..* | Reference(GenomicStudy | ImagingStudy) | Reference to full details of an analysis associated with the diagnostic report | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
ΣC | 1..1 | StudyInstanceUidIdentifierEuImaging | Logical reference, when literal reference is not known | ||||
| display |
ΣC | 0..1 | string | Text alternative for the resource | ||||
| supportingInfo |
0..* | BackboneElement | Additional information supporting the diagnostic report | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| type |
1..1 | CodeableConcept | Supporting information role code Binding: hl7VS-VS-observationType (example): The code value for the role of the supporting information in the diagnostic report. | |||||
| reference |
1..1 | Reference(Procedure | Observation | DiagnosticReport | Citation) | Supporting information reference | |||||
| media |
Σ | 0..* | BackboneElement | Key images or data associated with this report | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| comment |
0..1 | string | Comment about the image or data (e.g. explanation) | |||||
| link |
Σ | 1..1 | Reference(DocumentReference) | Reference to the image or data source | ||||
| conclusion |
0..1 | markdown | Clinical conclusion (interpretation) of test results | |||||
| conclusionCode |
0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): SNOMED CT Clinical Findings | |||||
| presentedForm |
0..* | Attachment | Entire report as issued | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.language | Base | required | All Languages | 📍5.0.0 | FHIR Std. |
| DiagnosticReport.basedOn:order-resource.type | Base | extensible | Resource Types | 📍5.0.0 | FHIR Std. |
| DiagnosticReport.basedOn:order-identifier.type | Base | extensible | Resource Types | 📍5.0.0 | FHIR Std. |
| DiagnosticReport.status | Base | required | Diagnostic Report Status | 📍5.0.0 | FHIR Std. |
| DiagnosticReport.category | Base | example | Diagnostic Service Section Codes | 📍5.0.0 | FHIR Std. |
| DiagnosticReport.category:diagnostic-service | Base | required | Diagnostic Service Section Codes | 📦5.0.0 | FHIR Std. |
| DiagnosticReport.category:imaging-report | Base | example | Diagnostic Service Section Codes | 📍5.0.0 | FHIR Std. |
| DiagnosticReport.category:imaging | Base | example | Diagnostic Service Section Codes | 📍5.0.0 | FHIR Std. |
| DiagnosticReport.code | Base | preferred | ValueSet: Radiology Report Types | 📦1.0.0-beta | This IG |
| DiagnosticReport.note.extension:annotation-type.value[x] | Base | preferred | ValueSet: Section codes used to label annotations. | 📦1.0.0-beta | This IG |
| DiagnosticReport.study:study-resource.type | Base | extensible | Resource Types | 📍5.0.0 | FHIR Std. |
| DiagnosticReport.study:study-identifier.type | Base | extensible | Resource Types | 📍5.0.0 | FHIR Std. |
| DiagnosticReport.supportingInfo.type | Base | example | hl7VS-VS-observationType | 📦2.0.0 | THO v7.0 |
| DiagnosticReport.conclusionCode | Base | example | SNOMED CT Clinical Findings | 📍5.0.0 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dgr-1 | error | DiagnosticReport | 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` |
composition.exists() implies (composition.resolve().section.entry.reference.where(resolve() is Observation) in (result.reference|result.reference.resolve().hasMember.reference))
|
| dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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()
|
| dom-4 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Summary
Mandatory: 3 elements(4 nested mandatory elements)
Must-Support: 8 elements
Prohibited: 5 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Maturity: 1
Other representations of profile: CSV, Excel, Schematron
IG © 2025+ HL7 Europe.
Package hl7.fhir.eu.imaging-r5#1.0.0-beta based on FHIR 5.0.0.
Generated
2026-03-03
