EU Imaging Report R5, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/imaging-r5/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: DiagnosticReport: Imaging Report Minimal Metadata

Usages:

• Use this Profile: Bundle: Imaging Report Minimal Metadata
• Examples for this Profile: DiagnosticReport/DiagnosticReportMinimalMetadata

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport	C	0..*	DiagnosticReportEuCore	Diagnostic Report EU core Constraints: dgr-1
DiagnosticReport.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
DiagnosticReport.contained		0..*	Resource	Contained, inline Resources
DiagnosticReport.Slices for extension				Content/Rules for all slices
DiagnosticReport.Slices for extension.extension:DiagnosticReportCompositionR5		0..1	(Complex)	Associated Composition URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
DiagnosticReport.Slices for extension.extension:DiagnosticReportCompositionR5.extension		0..0		Extension Slice: Unordered, Open by value:url
DiagnosticReport.Slices for extension.extension:DiagnosticReportCompositionR5.url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
DiagnosticReport.Slices for extension.extension:DiagnosticReportCompositionR5.value[x]		1..1	Reference(Composition (EU core))	Value of extension
DiagnosticReport.Slices for extension.extension:note		0..*	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note
DiagnosticReport.Slices for extension.extension:note.extension		0..0		Extension Slice: Unordered, Open by value:url
DiagnosticReport.Slices for extension.extension:note.url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note"
DiagnosticReport.Slices for extension.extension:note.value[x]		1..1	Annotation	Value of extension
DiagnosticReport.Slices for extension.extension:note.value[x].Slices for extension				Content/Rules for all slices
DiagnosticReport.Slices for extension.extension:note.value[x].Slices for extension.extension:annotation-type		0..*	(Complex)	The type of annotation URL: http://hl7.org/fhir/StructureDefinition/annotationType
DiagnosticReport.Slices for extension.extension:note.value[x].Slices for extension.extension:annotation-type.extension		0..0		Extension Slice: Unordered, Open by value:url
DiagnosticReport.Slices for extension.extension:note.value[x].Slices for extension.extension:annotation-type.url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/annotationType"
DiagnosticReport.Slices for extension.extension:note.value[x].Slices for extension.extension:annotation-type.value[x]		1..1	CodeableConcept	Type of note Binding: hl7VS-commentType (example)
DiagnosticReport.Slices for extension.extension:note.value[x].text	Σ This element is included in summaries.	1..1	markdown	The annotation - text content (as markdown)
DiagnosticReport.Slices for extension.extension:artifactVersion		0..1	string	Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version
DiagnosticReport.Slices for extension.extension:anatomical-region		0..*	CodeableConcept	The anatomical regions covered by the study this report reports on. URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/AnatomicalRegionExtension Binding: ValueSet: Anatomical Region (required)
DiagnosticReport.Slices for extension.extension:comparison	S This element must be supported.	0..*	Reference(ImagingStudy: Reported Study | ImagingSelection: General)	Comparison studies URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRComparisonStudy
DiagnosticReport.Slices for extension.extension:patientHistory	S This element must be supported.	0..*	Reference()	Patient history items selected by radiologist URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRPatientHistory
DiagnosticReport.Slices for extension.extension:procedure	S This element must be supported.	0..*	Reference(Procedure: Imaging Acquisition | AdverseEvent | Observation: Radiation Dose)	Imaging procedure URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRImagingProcedure
DiagnosticReport.Slices for extension.extension:finding	S This element must be supported.	0..*	Reference(Observation: Imaging Finding | ImagingSelection: Key Image | DocumentReference: Key Image | DocumentReference)	Key image findings URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRFinding
DiagnosticReport.Slices for extension.extension:impression	S This element must be supported.	0..*	Reference(Observation: Imaging Finding | Condition | ImagingSelection: Key Image | DocumentReference: Key Image)	Impression URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRImpression
DiagnosticReport.Slices for extension.extension:recommendation	S This element must be supported.	0..*	Reference(CarePlan | ServiceRequest)	Recommendations URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRRecommendation
DiagnosticReport.Slices for extension.extension:communication	S This element must be supported.	0..*	Reference()	Communications with other care providers URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRCommunication
DiagnosticReport.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored
DiagnosticReport.identifier	Σ This element is included in summaries.	1..*	Identifier	Report identifier
DiagnosticReport.Slices for basedOn		0..*	Reference(ServiceRequest)	What was requested Slice: Unordered, Open by exists:identifier Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DiagnosticReport.Slices for basedOn.basedOn:order-resource		0..*	Reference(ServiceRequest: Imaging Order)	What was requested
DiagnosticReport.Slices for basedOn.basedOn:order-resource.reference	Σ This element is included in summaries. C	1..1	string	Literal reference, Relative, internal or absolute URL
DiagnosticReport.Slices for basedOn.basedOn:order-identifier		0..*	Reference(ServiceRequest)	What was requested
DiagnosticReport.Slices for basedOn.basedOn:order-identifier.identifier	Σ This element is included in summaries. C	1..1	AccessionNumberIdentifierEuImaging	Logical reference, when literal reference is not known
DiagnosticReport.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
DiagnosticReport.Slices for category	Σ This element is included in summaries.	2..*	CodeableConcept	Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DiagnosticReport.Slices for category.category:diagnostic-service	Σ This element is included in summaries.	0..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (required)
DiagnosticReport.Slices for category.category:imaging-report	Σ This element is included in summaries.	1..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074 Required Pattern: At least the following
DiagnosticReport.Slices for category.category:imaging-report.id		0..1	string	Unique id for inter-element referencing
DiagnosticReport.Slices for category.category:imaging-report.extension		0..*	Extension	Additional content defined by implementations
DiagnosticReport.Slices for category.category:imaging-report.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
DiagnosticReport.Slices for category.category:imaging-report.coding.id		0..1	string	Unique id for inter-element referencing
DiagnosticReport.Slices for category.category:imaging-report.coding.extension		0..*	Extension	Additional content defined by implementations
DiagnosticReport.Slices for category.category:imaging-report.coding.system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
DiagnosticReport.Slices for category.category:imaging-report.coding.version		0..1	string	Version of the system - if relevant
DiagnosticReport.Slices for category.category:imaging-report.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: 85430-7
DiagnosticReport.Slices for category.category:imaging-report.coding.display		0..1	string	Representation defined by the system
DiagnosticReport.Slices for category.category:imaging-report.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
DiagnosticReport.Slices for category.category:imaging-report.text		0..1	string	Plain text representation of the concept
DiagnosticReport.Slices for category.category:imaging	Σ This element is included in summaries.	1..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074 Required Pattern: At least the following
DiagnosticReport.Slices for category.category:imaging.id		0..1	string	Unique id for inter-element referencing
DiagnosticReport.Slices for category.category:imaging.extension		0..*	Extension	Additional content defined by implementations
DiagnosticReport.Slices for category.category:imaging.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
DiagnosticReport.Slices for category.category:imaging.coding.id		0..1	string	Unique id for inter-element referencing
DiagnosticReport.Slices for category.category:imaging.coding.extension		0..*	Extension	Additional content defined by implementations
DiagnosticReport.Slices for category.category:imaging.coding.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
DiagnosticReport.Slices for category.category:imaging.coding.version		0..1	string	Version of the system - if relevant
DiagnosticReport.Slices for category.category:imaging.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: Medical-Imaging
DiagnosticReport.Slices for category.category:imaging.coding.display		0..1	string	Representation defined by the system
DiagnosticReport.Slices for category.category:imaging.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
DiagnosticReport.Slices for category.category:imaging.text		0..1	string	Plain text representation of the concept
DiagnosticReport.code	Σ This element is included in summaries.	1..1	CodeableConcept	Type of Imaging Diagnostic Report Binding: ValueSet: Radiology Report Types (preferred)
DiagnosticReport.subject	Σ This element is included in summaries.	1..1	Reference(Patient (EU core))	Who and/or what this report is about
DiagnosticReport.issued	Σ This element is included in summaries.	0..1	instant	Date and time of report issuance
DiagnosticReport.Slices for performer	Σ This element is included in summaries.	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service. Slice: Unordered, Open by profile:$this
DiagnosticReport.Slices for performer.performer:organization	Σ This element is included in summaries.	0..*	Reference(Organization (EU core))	The organization producer of this report
DiagnosticReport.Slices for resultsInterpreter	Σ This element is included in summaries.	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter Slice: Unordered, Open by profile:resolve()
DiagnosticReport.Slices for resultsInterpreter.resultsInterpreter:author	Σ This element is included in summaries.	0..*	Reference(PractitionerRole (EU core))	Primary interpreter of results
DiagnosticReport.result	S This element must be supported. C	0..*	Reference(Observation: Imaging Finding | Observation: Narrative Report)	Findings
DiagnosticReport.Slices for study		0..*	Reference(ImagingStudy: Reported Study)	Study subject to this report Slice: Unordered, Open by exists:identifier Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DiagnosticReport.Slices for study.study:study-resource		0..*	Reference(GenomicStudy | ImagingStudy)	Study subject to this report
DiagnosticReport.Slices for study.study:study-resource.reference	Σ This element is included in summaries. C	1..1	string	Literal reference, Relative, internal or absolute URL
DiagnosticReport.Slices for study.study:study-identifier		0..*	Reference(GenomicStudy | ImagingStudy)	Study subject to this report
DiagnosticReport.Slices for study.study:study-identifier.identifier	Σ This element is included in summaries. C	1..1	StudyInstanceUidIdentifierEuImaging	Logical reference, when literal reference is not known
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.extension:note.​value[x].extension:annotation-type.​value[x]	Base	example	hl7VS-commentType	📦3.0.0	THO v7.1
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-ballot	This IG

Constraints

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()

This structure is derived from DiagnosticReportEuCore

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport			DiagnosticReportEuCore
DiagnosticReport.Slices for extension				Content/Rules for all slices
DiagnosticReport.Slices for extension.extension:artifactVersion		0..1	string	Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version
DiagnosticReport.Slices for extension.extension:anatomical-region		0..*	CodeableConcept	The anatomical regions covered by the study this report reports on. URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/AnatomicalRegionExtension Binding: ValueSet: Anatomical Region (required)
DiagnosticReport.Slices for extension.extension:comparison	S This element must be supported.	0..*	Reference(ImagingStudy: Reported Study | ImagingSelection: General)	Comparison studies URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRComparisonStudy
DiagnosticReport.Slices for extension.extension:patientHistory	S This element must be supported.	0..*	Reference()	Patient history items selected by radiologist URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRPatientHistory
DiagnosticReport.Slices for extension.extension:procedure	S This element must be supported.	0..*	Reference(Procedure: Imaging Acquisition | AdverseEvent | Observation: Radiation Dose)	Imaging procedure URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRImagingProcedure
DiagnosticReport.Slices for extension.extension:finding	S This element must be supported.	0..*	Reference(Observation: Imaging Finding | ImagingSelection: Key Image | DocumentReference: Key Image | DocumentReference)	Key image findings URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRFinding
DiagnosticReport.Slices for extension.extension:impression	S This element must be supported.	0..*	Reference(Observation: Imaging Finding | Condition | ImagingSelection: Key Image | DocumentReference: Key Image)	Impression URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRImpression
DiagnosticReport.Slices for extension.extension:recommendation	S This element must be supported.	0..*	Reference(CarePlan | ServiceRequest)	Recommendations URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRRecommendation
DiagnosticReport.Slices for extension.extension:communication	S This element must be supported.	0..*	Reference()	Communications with other care providers URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRCommunication
DiagnosticReport.identifier		1..*	Identifier	Report identifier
DiagnosticReport.Slices for basedOn		0..*	Reference(ServiceRequest)	What was requested Slice: Unordered, Open by exists:identifier Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DiagnosticReport.Slices for basedOn.basedOn:order-resource		0..*	Reference(ServiceRequest: Imaging Order)	What was requested
DiagnosticReport.Slices for basedOn.basedOn:order-resource.reference		1..1	string	Literal reference, Relative, internal or absolute URL
DiagnosticReport.Slices for basedOn.basedOn:order-resource.identifier		0..0		Logical reference, when literal reference is not known
DiagnosticReport.Slices for basedOn.basedOn:order-identifier		0..*	Reference(ServiceRequest)	What was requested
DiagnosticReport.Slices for basedOn.basedOn:order-identifier.reference		0..0		Literal reference, Relative, internal or absolute URL
DiagnosticReport.Slices for basedOn.basedOn:order-identifier.identifier		1..1	AccessionNumberIdentifierEuImaging	Logical reference, when literal reference is not known
DiagnosticReport.category		2..*	CodeableConcept	Service category
DiagnosticReport.Slices for category				Content/Rules for all slices
DiagnosticReport.Slices for category.category:imaging-report		1..1	CodeableConcept	Service category Required Pattern: At least the following
DiagnosticReport.Slices for category.category:imaging-report.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
DiagnosticReport.Slices for category.category:imaging-report.coding.system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
DiagnosticReport.Slices for category.category:imaging-report.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: 85430-7
DiagnosticReport.Slices for category.category:imaging		1..1	CodeableConcept	Service category Required Pattern: At least the following
DiagnosticReport.Slices for category.category:imaging.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
DiagnosticReport.Slices for category.category:imaging.coding.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
DiagnosticReport.Slices for category.category:imaging.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: Medical-Imaging
DiagnosticReport.code		1..1	CodeableConcept	Type of Imaging Diagnostic Report Binding: ValueSet: Radiology Report Types (preferred)
DiagnosticReport.subject		1..1	Reference(Patient (EU core))	Who and/or what this report is about
DiagnosticReport.issued		0..1	instant	Date and time of report issuance
DiagnosticReport.Slices for resultsInterpreter				Content/Rules for all slices
DiagnosticReport.Slices for resultsInterpreter.resultsInterpreter:author		0..*	Reference(PractitionerRole (EU core))	Primary interpreter of results
DiagnosticReport.result	S This element must be supported.	0..*	Reference(Observation: Imaging Finding | Observation: Narrative Report)	Findings
DiagnosticReport.Slices for study		0..*	Reference(ImagingStudy: Reported Study)	Study subject to this report Slice: Unordered, Open by exists:identifier Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DiagnosticReport.Slices for study.study:study-resource		0..*	Reference(GenomicStudy | ImagingStudy)	Study subject to this report
DiagnosticReport.Slices for study.study:study-resource.reference		1..1	string	Literal reference, Relative, internal or absolute URL
DiagnosticReport.Slices for study.study:study-resource.identifier		0..0		Logical reference, when literal reference is not known
DiagnosticReport.Slices for study.study:study-identifier		0..*	Reference(GenomicStudy | ImagingStudy)	Study subject to this report
DiagnosticReport.Slices for study.study:study-identifier.reference		0..0		Literal reference, Relative, internal or absolute URL
DiagnosticReport.Slices for study.study:study-identifier.identifier		1..1	StudyInstanceUidIdentifierEuImaging	Logical reference, when literal reference is not known
DiagnosticReport.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

Terminology Bindings (Differential)

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport	C	0..*	DiagnosticReportEuCore	Diagnostic Report EU core Constraints: dgr-1
DiagnosticReport.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
DiagnosticReport.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
DiagnosticReport.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
DiagnosticReport.language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
DiagnosticReport.text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
DiagnosticReport.contained		0..*	Resource	Contained, inline Resources
DiagnosticReport.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
DiagnosticReport.Slices for extension.extension:DiagnosticReportCompositionR5		0..1	(Complex)	Associated Composition URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
DiagnosticReport.Slices for extension.extension:DiagnosticReportCompositionR5.id		0..1	id	Unique id for inter-element referencing
DiagnosticReport.Slices for extension.extension:DiagnosticReportCompositionR5.extension		0..0		Extension Slice: Unordered, Open by value:url
DiagnosticReport.Slices for extension.extension:DiagnosticReportCompositionR5.url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
DiagnosticReport.Slices for extension.extension:DiagnosticReportCompositionR5.value[x]		1..1	Reference(Composition (EU core))	Value of extension
DiagnosticReport.Slices for extension.extension:note		0..*	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note
DiagnosticReport.Slices for extension.extension:note.id		0..1	id	Unique id for inter-element referencing
DiagnosticReport.Slices for extension.extension:note.extension		0..0		Extension Slice: Unordered, Open by value:url
DiagnosticReport.Slices for extension.extension:note.url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note"
DiagnosticReport.Slices for extension.extension:note.value[x]		1..1	Annotation	Value of extension
DiagnosticReport.Slices for extension.extension:note.value[x].id		0..1	id	Unique id for inter-element referencing
DiagnosticReport.Slices for extension.extension:note.value[x].Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
DiagnosticReport.Slices for extension.extension:note.value[x].Slices for extension				Content/Rules for all slices
DiagnosticReport.Slices for extension.extension:note.value[x].Slices for extension.extension:annotation-type		0..*	(Complex)	The type of annotation URL: http://hl7.org/fhir/StructureDefinition/annotationType
DiagnosticReport.Slices for extension.extension:note.value[x].Slices for extension.extension:annotation-type.id		0..1	id	Unique id for inter-element referencing
DiagnosticReport.Slices for extension.extension:note.value[x].Slices for extension.extension:annotation-type.extension		0..0		Extension Slice: Unordered, Open by value:url
DiagnosticReport.Slices for extension.extension:note.value[x].Slices for extension.extension:annotation-type.url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/annotationType"
DiagnosticReport.Slices for extension.extension:note.value[x].Slices for extension.extension:annotation-type.value[x]		1..1	CodeableConcept	Type of note Binding: hl7VS-commentType (example)
DiagnosticReport.Slices for extension.extension:note.value[x].author[x]	Σ This element is included in summaries.	0..1		Individual responsible for the annotation
DiagnosticReport.Slices for extension.extension:note.value[x].author[x].authorReference			Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Organization)
DiagnosticReport.Slices for extension.extension:note.value[x].author[x].authorString			string
DiagnosticReport.Slices for extension.extension:note.value[x].time	Σ This element is included in summaries.	0..1	dateTime	When the annotation was made
DiagnosticReport.Slices for extension.extension:note.value[x].text	Σ This element is included in summaries.	1..1	markdown	The annotation - text content (as markdown)
DiagnosticReport.Slices for extension.extension:artifactVersion		0..1	string	Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version
DiagnosticReport.Slices for extension.extension:anatomical-region		0..*	CodeableConcept	The anatomical regions covered by the study this report reports on. URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/AnatomicalRegionExtension Binding: ValueSet: Anatomical Region (required)
DiagnosticReport.Slices for extension.extension:comparison	S This element must be supported.	0..*	Reference(ImagingStudy: Reported Study | ImagingSelection: General)	Comparison studies URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRComparisonStudy
DiagnosticReport.Slices for extension.extension:patientHistory	S This element must be supported.	0..*	Reference()	Patient history items selected by radiologist URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRPatientHistory
DiagnosticReport.Slices for extension.extension:procedure	S This element must be supported.	0..*	Reference(Procedure: Imaging Acquisition | AdverseEvent | Observation: Radiation Dose)	Imaging procedure URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRImagingProcedure
DiagnosticReport.Slices for extension.extension:finding	S This element must be supported.	0..*	Reference(Observation: Imaging Finding | ImagingSelection: Key Image | DocumentReference: Key Image | DocumentReference)	Key image findings URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRFinding
DiagnosticReport.Slices for extension.extension:impression	S This element must be supported.	0..*	Reference(Observation: Imaging Finding | Condition | ImagingSelection: Key Image | DocumentReference: Key Image)	Impression URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRImpression
DiagnosticReport.Slices for extension.extension:recommendation	S This element must be supported.	0..*	Reference(CarePlan | ServiceRequest)	Recommendations URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRRecommendation
DiagnosticReport.Slices for extension.extension:communication	S This element must be supported.	0..*	Reference()	Communications with other care providers URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRCommunication
DiagnosticReport.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored
DiagnosticReport.identifier	Σ This element is included in summaries.	1..*	Identifier	Report identifier
DiagnosticReport.Slices for basedOn		0..*	Reference(ServiceRequest)	What was requested Slice: Unordered, Open by exists:identifier Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DiagnosticReport.Slices for basedOn.basedOn:order-resource		0..*	Reference(ServiceRequest: Imaging Order)	What was requested
DiagnosticReport.Slices for basedOn.basedOn:order-resource.id		0..1	id	Unique id for inter-element referencing
DiagnosticReport.Slices for basedOn.basedOn:order-resource.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
DiagnosticReport.Slices for basedOn.basedOn:order-resource.reference	Σ This element is included in summaries. C	1..1	string	Literal reference, Relative, internal or absolute URL
DiagnosticReport.Slices for basedOn.basedOn:order-resource.type	Σ This element is included in summaries.	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).
DiagnosticReport.Slices for basedOn.basedOn:order-resource.display	Σ This element is included in summaries. C	0..1	string	Text alternative for the resource
DiagnosticReport.Slices for basedOn.basedOn:order-identifier		0..*	Reference(ServiceRequest)	What was requested
DiagnosticReport.Slices for basedOn.basedOn:order-identifier.id		0..1	id	Unique id for inter-element referencing
DiagnosticReport.Slices for basedOn.basedOn:order-identifier.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
DiagnosticReport.Slices for basedOn.basedOn:order-identifier.type	Σ This element is included in summaries.	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).
DiagnosticReport.Slices for basedOn.basedOn:order-identifier.identifier	Σ This element is included in summaries. C	1..1	AccessionNumberIdentifierEuImaging	Logical reference, when literal reference is not known
DiagnosticReport.Slices for basedOn.basedOn:order-identifier.display	Σ This element is included in summaries. C	0..1	string	Text alternative for the resource
DiagnosticReport.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
DiagnosticReport.Slices for category	Σ This element is included in summaries.	2..*	CodeableConcept	Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DiagnosticReport.Slices for category.category:diagnostic-service	Σ This element is included in summaries.	0..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (required)
DiagnosticReport.Slices for category.category:imaging-report	Σ This element is included in summaries.	1..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074 Required Pattern: At least the following
DiagnosticReport.Slices for category.category:imaging-report.id		0..1	string	Unique id for inter-element referencing
DiagnosticReport.Slices for category.category:imaging-report.extension		0..*	Extension	Additional content defined by implementations
DiagnosticReport.Slices for category.category:imaging-report.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
DiagnosticReport.Slices for category.category:imaging-report.coding.id		0..1	string	Unique id for inter-element referencing
DiagnosticReport.Slices for category.category:imaging-report.coding.extension		0..*	Extension	Additional content defined by implementations
DiagnosticReport.Slices for category.category:imaging-report.coding.system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
DiagnosticReport.Slices for category.category:imaging-report.coding.version		0..1	string	Version of the system - if relevant
DiagnosticReport.Slices for category.category:imaging-report.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: 85430-7
DiagnosticReport.Slices for category.category:imaging-report.coding.display		0..1	string	Representation defined by the system
DiagnosticReport.Slices for category.category:imaging-report.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
DiagnosticReport.Slices for category.category:imaging-report.text		0..1	string	Plain text representation of the concept
DiagnosticReport.Slices for category.category:imaging	Σ This element is included in summaries.	1..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074 Required Pattern: At least the following
DiagnosticReport.Slices for category.category:imaging.id		0..1	string	Unique id for inter-element referencing
DiagnosticReport.Slices for category.category:imaging.extension		0..*	Extension	Additional content defined by implementations
DiagnosticReport.Slices for category.category:imaging.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
DiagnosticReport.Slices for category.category:imaging.coding.id		0..1	string	Unique id for inter-element referencing
DiagnosticReport.Slices for category.category:imaging.coding.extension		0..*	Extension	Additional content defined by implementations
DiagnosticReport.Slices for category.category:imaging.coding.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
DiagnosticReport.Slices for category.category:imaging.coding.version		0..1	string	Version of the system - if relevant
DiagnosticReport.Slices for category.category:imaging.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: Medical-Imaging
DiagnosticReport.Slices for category.category:imaging.coding.display		0..1	string	Representation defined by the system
DiagnosticReport.Slices for category.category:imaging.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
DiagnosticReport.Slices for category.category:imaging.text		0..1	string	Plain text representation of the concept
DiagnosticReport.code	Σ This element is included in summaries.	1..1	CodeableConcept	Type of Imaging Diagnostic Report Binding: ValueSet: Radiology Report Types (preferred)
DiagnosticReport.subject	Σ This element is included in summaries.	1..1	Reference(Patient (EU core))	Who and/or what this report is about
DiagnosticReport.encounter	Σ This element is included in summaries.	0..1	Reference(Encounter)	The healthcare event which this Diagnostic Report is about (when test ordered).
DiagnosticReport.effective[x]	Σ This element is included in summaries.	0..1		Clinically relevant time/time-period for report.
DiagnosticReport.effective[x].effectiveDateTime			dateTime
DiagnosticReport.effective[x].effectivePeriod			Period
DiagnosticReport.issued	Σ This element is included in summaries.	0..1	instant	Date and time of report issuance
DiagnosticReport.Slices for performer	Σ This element is included in summaries.	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service. Slice: Unordered, Open by profile:$this
DiagnosticReport.Slices for performer.performer:organization	Σ This element is included in summaries.	0..*	Reference(Organization (EU core))	The organization producer of this report
DiagnosticReport.Slices for resultsInterpreter	Σ This element is included in summaries.	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter Slice: Unordered, Open by profile:resolve()
DiagnosticReport.Slices for resultsInterpreter.resultsInterpreter:author	Σ This element is included in summaries.	0..*	Reference(PractitionerRole (EU core))	Primary interpreter of results
DiagnosticReport.specimen		0..*	Reference(Specimen)	Specimens this report is based on.
DiagnosticReport.result	S This element must be supported. C	0..*	Reference(Observation: Imaging Finding | Observation: Narrative Report)	Findings
DiagnosticReport.note		0..*	Annotation	Comments about the diagnostic report
DiagnosticReport.Slices for study		0..*	Reference(ImagingStudy: Reported Study)	Study subject to this report Slice: Unordered, Open by exists:identifier Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DiagnosticReport.Slices for study.study:study-resource		0..*	Reference(GenomicStudy | ImagingStudy)	Study subject to this report
DiagnosticReport.Slices for study.study:study-resource.id		0..1	id	Unique id for inter-element referencing
DiagnosticReport.Slices for study.study:study-resource.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
DiagnosticReport.Slices for study.study:study-resource.reference	Σ This element is included in summaries. C	1..1	string	Literal reference, Relative, internal or absolute URL
DiagnosticReport.Slices for study.study:study-resource.type	Σ This element is included in summaries.	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).
DiagnosticReport.Slices for study.study:study-resource.display	Σ This element is included in summaries. C	0..1	string	Text alternative for the resource
DiagnosticReport.Slices for study.study:study-identifier		0..*	Reference(GenomicStudy | ImagingStudy)	Study subject to this report
DiagnosticReport.Slices for study.study:study-identifier.id		0..1	id	Unique id for inter-element referencing
DiagnosticReport.Slices for study.study:study-identifier.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
DiagnosticReport.Slices for study.study:study-identifier.type	Σ This element is included in summaries.	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).
DiagnosticReport.Slices for study.study:study-identifier.identifier	Σ This element is included in summaries. C	1..1	StudyInstanceUidIdentifierEuImaging	Logical reference, when literal reference is not known
DiagnosticReport.Slices for study.study:study-identifier.display	Σ This element is included in summaries. C	0..1	string	Text alternative for the resource
DiagnosticReport.supportingInfo		0..*	BackboneElement	Additional information supporting the diagnostic report
DiagnosticReport.supportingInfo.id		0..1	string	Unique id for inter-element referencing
DiagnosticReport.supportingInfo.extension		0..*	Extension	Additional content defined by implementations
DiagnosticReport.supportingInfo.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
DiagnosticReport.supportingInfo.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.
DiagnosticReport.supportingInfo.reference		1..1	Reference(Procedure | Observation | DiagnosticReport | Citation)	Supporting information reference
DiagnosticReport.media	Σ This element is included in summaries.	0..*	BackboneElement	Additional data (like images, diagrams or documents) associated with this report
DiagnosticReport.media.id		0..1	string	Unique id for inter-element referencing
DiagnosticReport.media.extension		0..*	Extension	Additional content defined by implementations
DiagnosticReport.media.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
DiagnosticReport.media.comment		0..1	string	Comment about the image or data (e.g. explanation)
DiagnosticReport.media.link	Σ This element is included in summaries.	1..1	Reference(DocumentReference)	Reference to the image or data
DiagnosticReport.conclusion		0..1	markdown	Clinical conclusion (interpretation) of test results
DiagnosticReport.conclusionCode		0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): SNOMED CT Clinical Findings
DiagnosticReport.presentedForm		0..*	Attachment	Entire report as issued (pdf recommended)
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.language	Base	required	All Languages	📍5.0.0	FHIR Std.
DiagnosticReport.extension:note.​value[x].extension:annotation-type.​value[x]	Base	example	hl7VS-commentType	📦3.0.0	THO v7.1
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-ballot	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	📦3.0.0	THO v7.1
DiagnosticReport.conclusionCode	Base	example	SNOMED CT Clinical Findings	📍5.0.0	FHIR Std.

Constraints

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()

This structure is derived from DiagnosticReportEuCore

Summary

Mandatory: 3 elements(4 nested mandatory elements)
Must-Support: 8 elements
Prohibited: 5 elements

Structures

This structure refers to these other structures:

• ServiceRequest: Imaging Order (http://hl7.eu/fhir/imaging-r5/StructureDefinition/ServiceRequestOrderEuImaging)
• Identifier: Accession Number (http://hl7.eu/fhir/imaging-r5/StructureDefinition/AccessionNumberIdentifierEuImaging)
• Patient (EU core) (http://hl7.eu/fhir/base-r5/StructureDefinition/patient-eu-core)
• Observation: Imaging Finding (http://hl7.eu/fhir/imaging-r5/StructureDefinition/ObservationFindingEuImaging)
• Observation: Narrative Report (http://hl7.eu/fhir/imaging-r5/StructureDefinition/ObservationNarrativeReport)
• ImagingStudy: Reported Study (http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImagingStudyEuImaging)
• Identifier: Study Instance UID (http://hl7.eu/fhir/imaging-r5/StructureDefinition/StudyInstanceUidIdentifierEuImaging)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/artifact-version
• http://hl7.eu/fhir/imaging-r5/StructureDefinition/AnatomicalRegionExtension
• http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRComparisonStudy
• http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRPatientHistory
• http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRImagingProcedure
• http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRFinding
• http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRImpression
• http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRRecommendation
• http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRCommunication

Slices

This structure defines the following Slices:

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

Maturity: 1

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport	C	0..*	DiagnosticReportEuCore	Diagnostic Report EU core Constraints: dgr-1
DiagnosticReport.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
DiagnosticReport.contained		0..*	Resource	Contained, inline Resources
DiagnosticReport.Slices for extension				Content/Rules for all slices
DiagnosticReport.Slices for extension.extension:DiagnosticReportCompositionR5		0..1	(Complex)	Associated Composition URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
DiagnosticReport.Slices for extension.extension:DiagnosticReportCompositionR5.extension		0..0		Extension Slice: Unordered, Open by value:url
DiagnosticReport.Slices for extension.extension:DiagnosticReportCompositionR5.url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
DiagnosticReport.Slices for extension.extension:DiagnosticReportCompositionR5.value[x]		1..1	Reference(Composition (EU core))	Value of extension
DiagnosticReport.Slices for extension.extension:note		0..*	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note
DiagnosticReport.Slices for extension.extension:note.extension		0..0		Extension Slice: Unordered, Open by value:url
DiagnosticReport.Slices for extension.extension:note.url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note"
DiagnosticReport.Slices for extension.extension:note.value[x]		1..1	Annotation	Value of extension
DiagnosticReport.Slices for extension.extension:note.value[x].Slices for extension				Content/Rules for all slices
DiagnosticReport.Slices for extension.extension:note.value[x].Slices for extension.extension:annotation-type		0..*	(Complex)	The type of annotation URL: http://hl7.org/fhir/StructureDefinition/annotationType
DiagnosticReport.Slices for extension.extension:note.value[x].Slices for extension.extension:annotation-type.extension		0..0		Extension Slice: Unordered, Open by value:url
DiagnosticReport.Slices for extension.extension:note.value[x].Slices for extension.extension:annotation-type.url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/annotationType"
DiagnosticReport.Slices for extension.extension:note.value[x].Slices for extension.extension:annotation-type.value[x]		1..1	CodeableConcept	Type of note Binding: hl7VS-commentType (example)
DiagnosticReport.Slices for extension.extension:note.value[x].text	Σ This element is included in summaries.	1..1	markdown	The annotation - text content (as markdown)
DiagnosticReport.Slices for extension.extension:artifactVersion		0..1	string	Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version
DiagnosticReport.Slices for extension.extension:anatomical-region		0..*	CodeableConcept	The anatomical regions covered by the study this report reports on. URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/AnatomicalRegionExtension Binding: ValueSet: Anatomical Region (required)
DiagnosticReport.Slices for extension.extension:comparison	S This element must be supported.	0..*	Reference(ImagingStudy: Reported Study | ImagingSelection: General)	Comparison studies URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRComparisonStudy
DiagnosticReport.Slices for extension.extension:patientHistory	S This element must be supported.	0..*	Reference()	Patient history items selected by radiologist URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRPatientHistory
DiagnosticReport.Slices for extension.extension:procedure	S This element must be supported.	0..*	Reference(Procedure: Imaging Acquisition | AdverseEvent | Observation: Radiation Dose)	Imaging procedure URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRImagingProcedure
DiagnosticReport.Slices for extension.extension:finding	S This element must be supported.	0..*	Reference(Observation: Imaging Finding | ImagingSelection: Key Image | DocumentReference: Key Image | DocumentReference)	Key image findings URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRFinding
DiagnosticReport.Slices for extension.extension:impression	S This element must be supported.	0..*	Reference(Observation: Imaging Finding | Condition | ImagingSelection: Key Image | DocumentReference: Key Image)	Impression URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRImpression
DiagnosticReport.Slices for extension.extension:recommendation	S This element must be supported.	0..*	Reference(CarePlan | ServiceRequest)	Recommendations URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRRecommendation
DiagnosticReport.Slices for extension.extension:communication	S This element must be supported.	0..*	Reference()	Communications with other care providers URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRCommunication
DiagnosticReport.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored
DiagnosticReport.identifier	Σ This element is included in summaries.	1..*	Identifier	Report identifier
DiagnosticReport.Slices for basedOn		0..*	Reference(ServiceRequest)	What was requested Slice: Unordered, Open by exists:identifier Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DiagnosticReport.Slices for basedOn.basedOn:order-resource		0..*	Reference(ServiceRequest: Imaging Order)	What was requested
DiagnosticReport.Slices for basedOn.basedOn:order-resource.reference	Σ This element is included in summaries. C	1..1	string	Literal reference, Relative, internal or absolute URL
DiagnosticReport.Slices for basedOn.basedOn:order-identifier		0..*	Reference(ServiceRequest)	What was requested
DiagnosticReport.Slices for basedOn.basedOn:order-identifier.identifier	Σ This element is included in summaries. C	1..1	AccessionNumberIdentifierEuImaging	Logical reference, when literal reference is not known
DiagnosticReport.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
DiagnosticReport.Slices for category	Σ This element is included in summaries.	2..*	CodeableConcept	Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DiagnosticReport.Slices for category.category:diagnostic-service	Σ This element is included in summaries.	0..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (required)
DiagnosticReport.Slices for category.category:imaging-report	Σ This element is included in summaries.	1..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074 Required Pattern: At least the following
DiagnosticReport.Slices for category.category:imaging-report.id		0..1	string	Unique id for inter-element referencing
DiagnosticReport.Slices for category.category:imaging-report.extension		0..*	Extension	Additional content defined by implementations
DiagnosticReport.Slices for category.category:imaging-report.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
DiagnosticReport.Slices for category.category:imaging-report.coding.id		0..1	string	Unique id for inter-element referencing
DiagnosticReport.Slices for category.category:imaging-report.coding.extension		0..*	Extension	Additional content defined by implementations
DiagnosticReport.Slices for category.category:imaging-report.coding.system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
DiagnosticReport.Slices for category.category:imaging-report.coding.version		0..1	string	Version of the system - if relevant
DiagnosticReport.Slices for category.category:imaging-report.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: 85430-7
DiagnosticReport.Slices for category.category:imaging-report.coding.display		0..1	string	Representation defined by the system
DiagnosticReport.Slices for category.category:imaging-report.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
DiagnosticReport.Slices for category.category:imaging-report.text		0..1	string	Plain text representation of the concept
DiagnosticReport.Slices for category.category:imaging	Σ This element is included in summaries.	1..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074 Required Pattern: At least the following
DiagnosticReport.Slices for category.category:imaging.id		0..1	string	Unique id for inter-element referencing
DiagnosticReport.Slices for category.category:imaging.extension		0..*	Extension	Additional content defined by implementations
DiagnosticReport.Slices for category.category:imaging.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
DiagnosticReport.Slices for category.category:imaging.coding.id		0..1	string	Unique id for inter-element referencing
DiagnosticReport.Slices for category.category:imaging.coding.extension		0..*	Extension	Additional content defined by implementations
DiagnosticReport.Slices for category.category:imaging.coding.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
DiagnosticReport.Slices for category.category:imaging.coding.version		0..1	string	Version of the system - if relevant
DiagnosticReport.Slices for category.category:imaging.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: Medical-Imaging
DiagnosticReport.Slices for category.category:imaging.coding.display		0..1	string	Representation defined by the system
DiagnosticReport.Slices for category.category:imaging.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
DiagnosticReport.Slices for category.category:imaging.text		0..1	string	Plain text representation of the concept
DiagnosticReport.code	Σ This element is included in summaries.	1..1	CodeableConcept	Type of Imaging Diagnostic Report Binding: ValueSet: Radiology Report Types (preferred)
DiagnosticReport.subject	Σ This element is included in summaries.	1..1	Reference(Patient (EU core))	Who and/or what this report is about
DiagnosticReport.issued	Σ This element is included in summaries.	0..1	instant	Date and time of report issuance
DiagnosticReport.Slices for performer	Σ This element is included in summaries.	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service. Slice: Unordered, Open by profile:$this
DiagnosticReport.Slices for performer.performer:organization	Σ This element is included in summaries.	0..*	Reference(Organization (EU core))	The organization producer of this report
DiagnosticReport.Slices for resultsInterpreter	Σ This element is included in summaries.	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter Slice: Unordered, Open by profile:resolve()
DiagnosticReport.Slices for resultsInterpreter.resultsInterpreter:author	Σ This element is included in summaries.	0..*	Reference(PractitionerRole (EU core))	Primary interpreter of results
DiagnosticReport.result	S This element must be supported. C	0..*	Reference(Observation: Imaging Finding | Observation: Narrative Report)	Findings
DiagnosticReport.Slices for study		0..*	Reference(ImagingStudy: Reported Study)	Study subject to this report Slice: Unordered, Open by exists:identifier Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DiagnosticReport.Slices for study.study:study-resource		0..*	Reference(GenomicStudy | ImagingStudy)	Study subject to this report
DiagnosticReport.Slices for study.study:study-resource.reference	Σ This element is included in summaries. C	1..1	string	Literal reference, Relative, internal or absolute URL
DiagnosticReport.Slices for study.study:study-identifier		0..*	Reference(GenomicStudy | ImagingStudy)	Study subject to this report
DiagnosticReport.Slices for study.study:study-identifier.identifier	Σ This element is included in summaries. C	1..1	StudyInstanceUidIdentifierEuImaging	Logical reference, when literal reference is not known
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.extension:note.​value[x].extension:annotation-type.​value[x]	Base	example	hl7VS-commentType	📦3.0.0	THO v7.1
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-ballot	This IG

Constraints

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

This structure is derived from DiagnosticReportEuCore

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport			DiagnosticReportEuCore
DiagnosticReport.Slices for extension				Content/Rules for all slices
DiagnosticReport.Slices for extension.extension:artifactVersion		0..1	string	Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version
DiagnosticReport.Slices for extension.extension:anatomical-region		0..*	CodeableConcept	The anatomical regions covered by the study this report reports on. URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/AnatomicalRegionExtension Binding: ValueSet: Anatomical Region (required)
DiagnosticReport.Slices for extension.extension:comparison	S This element must be supported.	0..*	Reference(ImagingStudy: Reported Study | ImagingSelection: General)	Comparison studies URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRComparisonStudy
DiagnosticReport.Slices for extension.extension:patientHistory	S This element must be supported.	0..*	Reference()	Patient history items selected by radiologist URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRPatientHistory
DiagnosticReport.Slices for extension.extension:procedure	S This element must be supported.	0..*	Reference(Procedure: Imaging Acquisition | AdverseEvent | Observation: Radiation Dose)	Imaging procedure URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRImagingProcedure
DiagnosticReport.Slices for extension.extension:finding	S This element must be supported.	0..*	Reference(Observation: Imaging Finding | ImagingSelection: Key Image | DocumentReference: Key Image | DocumentReference)	Key image findings URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRFinding
DiagnosticReport.Slices for extension.extension:impression	S This element must be supported.	0..*	Reference(Observation: Imaging Finding | Condition | ImagingSelection: Key Image | DocumentReference: Key Image)	Impression URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRImpression
DiagnosticReport.Slices for extension.extension:recommendation	S This element must be supported.	0..*	Reference(CarePlan | ServiceRequest)	Recommendations URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRRecommendation
DiagnosticReport.Slices for extension.extension:communication	S This element must be supported.	0..*	Reference()	Communications with other care providers URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRCommunication
DiagnosticReport.identifier		1..*	Identifier	Report identifier
DiagnosticReport.Slices for basedOn		0..*	Reference(ServiceRequest)	What was requested Slice: Unordered, Open by exists:identifier Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DiagnosticReport.Slices for basedOn.basedOn:order-resource		0..*	Reference(ServiceRequest: Imaging Order)	What was requested
DiagnosticReport.Slices for basedOn.basedOn:order-resource.reference		1..1	string	Literal reference, Relative, internal or absolute URL
DiagnosticReport.Slices for basedOn.basedOn:order-resource.identifier		0..0		Logical reference, when literal reference is not known
DiagnosticReport.Slices for basedOn.basedOn:order-identifier		0..*	Reference(ServiceRequest)	What was requested
DiagnosticReport.Slices for basedOn.basedOn:order-identifier.reference		0..0		Literal reference, Relative, internal or absolute URL
DiagnosticReport.Slices for basedOn.basedOn:order-identifier.identifier		1..1	AccessionNumberIdentifierEuImaging	Logical reference, when literal reference is not known
DiagnosticReport.category		2..*	CodeableConcept	Service category
DiagnosticReport.Slices for category				Content/Rules for all slices
DiagnosticReport.Slices for category.category:imaging-report		1..1	CodeableConcept	Service category Required Pattern: At least the following
DiagnosticReport.Slices for category.category:imaging-report.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
DiagnosticReport.Slices for category.category:imaging-report.coding.system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
DiagnosticReport.Slices for category.category:imaging-report.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: 85430-7
DiagnosticReport.Slices for category.category:imaging		1..1	CodeableConcept	Service category Required Pattern: At least the following
DiagnosticReport.Slices for category.category:imaging.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
DiagnosticReport.Slices for category.category:imaging.coding.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
DiagnosticReport.Slices for category.category:imaging.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: Medical-Imaging
DiagnosticReport.code		1..1	CodeableConcept	Type of Imaging Diagnostic Report Binding: ValueSet: Radiology Report Types (preferred)
DiagnosticReport.subject		1..1	Reference(Patient (EU core))	Who and/or what this report is about
DiagnosticReport.issued		0..1	instant	Date and time of report issuance
DiagnosticReport.Slices for resultsInterpreter				Content/Rules for all slices
DiagnosticReport.Slices for resultsInterpreter.resultsInterpreter:author		0..*	Reference(PractitionerRole (EU core))	Primary interpreter of results
DiagnosticReport.result	S This element must be supported.	0..*	Reference(Observation: Imaging Finding | Observation: Narrative Report)	Findings
DiagnosticReport.Slices for study		0..*	Reference(ImagingStudy: Reported Study)	Study subject to this report Slice: Unordered, Open by exists:identifier Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DiagnosticReport.Slices for study.study:study-resource		0..*	Reference(GenomicStudy | ImagingStudy)	Study subject to this report
DiagnosticReport.Slices for study.study:study-resource.reference		1..1	string	Literal reference, Relative, internal or absolute URL
DiagnosticReport.Slices for study.study:study-resource.identifier		0..0		Logical reference, when literal reference is not known
DiagnosticReport.Slices for study.study:study-identifier		0..*	Reference(GenomicStudy | ImagingStudy)	Study subject to this report
DiagnosticReport.Slices for study.study:study-identifier.reference		0..0		Literal reference, Relative, internal or absolute URL
DiagnosticReport.Slices for study.study:study-identifier.identifier		1..1	StudyInstanceUidIdentifierEuImaging	Logical reference, when literal reference is not known
DiagnosticReport.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

Terminology Bindings (Differential)

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

Snapshot ViewView

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport	C	0..*	DiagnosticReportEuCore	Diagnostic Report EU core Constraints: dgr-1
DiagnosticReport.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
DiagnosticReport.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
DiagnosticReport.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
DiagnosticReport.language		0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
DiagnosticReport.text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
DiagnosticReport.contained		0..*	Resource	Contained, inline Resources
DiagnosticReport.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
DiagnosticReport.Slices for extension.extension:DiagnosticReportCompositionR5		0..1	(Complex)	Associated Composition URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
DiagnosticReport.Slices for extension.extension:DiagnosticReportCompositionR5.id		0..1	id	Unique id for inter-element referencing
DiagnosticReport.Slices for extension.extension:DiagnosticReportCompositionR5.extension		0..0		Extension Slice: Unordered, Open by value:url
DiagnosticReport.Slices for extension.extension:DiagnosticReportCompositionR5.url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
DiagnosticReport.Slices for extension.extension:DiagnosticReportCompositionR5.value[x]		1..1	Reference(Composition (EU core))	Value of extension
DiagnosticReport.Slices for extension.extension:note		0..*	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note
DiagnosticReport.Slices for extension.extension:note.id		0..1	id	Unique id for inter-element referencing
DiagnosticReport.Slices for extension.extension:note.extension		0..0		Extension Slice: Unordered, Open by value:url
DiagnosticReport.Slices for extension.extension:note.url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note"
DiagnosticReport.Slices for extension.extension:note.value[x]		1..1	Annotation	Value of extension
DiagnosticReport.Slices for extension.extension:note.value[x].id		0..1	id	Unique id for inter-element referencing
DiagnosticReport.Slices for extension.extension:note.value[x].Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
DiagnosticReport.Slices for extension.extension:note.value[x].Slices for extension				Content/Rules for all slices
DiagnosticReport.Slices for extension.extension:note.value[x].Slices for extension.extension:annotation-type		0..*	(Complex)	The type of annotation URL: http://hl7.org/fhir/StructureDefinition/annotationType
DiagnosticReport.Slices for extension.extension:note.value[x].Slices for extension.extension:annotation-type.id		0..1	id	Unique id for inter-element referencing
DiagnosticReport.Slices for extension.extension:note.value[x].Slices for extension.extension:annotation-type.extension		0..0		Extension Slice: Unordered, Open by value:url
DiagnosticReport.Slices for extension.extension:note.value[x].Slices for extension.extension:annotation-type.url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/annotationType"
DiagnosticReport.Slices for extension.extension:note.value[x].Slices for extension.extension:annotation-type.value[x]		1..1	CodeableConcept	Type of note Binding: hl7VS-commentType (example)
DiagnosticReport.Slices for extension.extension:note.value[x].author[x]	Σ This element is included in summaries.	0..1		Individual responsible for the annotation
DiagnosticReport.Slices for extension.extension:note.value[x].author[x].authorReference			Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Organization)
DiagnosticReport.Slices for extension.extension:note.value[x].author[x].authorString			string
DiagnosticReport.Slices for extension.extension:note.value[x].time	Σ This element is included in summaries.	0..1	dateTime	When the annotation was made
DiagnosticReport.Slices for extension.extension:note.value[x].text	Σ This element is included in summaries.	1..1	markdown	The annotation - text content (as markdown)
DiagnosticReport.Slices for extension.extension:artifactVersion		0..1	string	Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version
DiagnosticReport.Slices for extension.extension:anatomical-region		0..*	CodeableConcept	The anatomical regions covered by the study this report reports on. URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/AnatomicalRegionExtension Binding: ValueSet: Anatomical Region (required)
DiagnosticReport.Slices for extension.extension:comparison	S This element must be supported.	0..*	Reference(ImagingStudy: Reported Study | ImagingSelection: General)	Comparison studies URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRComparisonStudy
DiagnosticReport.Slices for extension.extension:patientHistory	S This element must be supported.	0..*	Reference()	Patient history items selected by radiologist URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRPatientHistory
DiagnosticReport.Slices for extension.extension:procedure	S This element must be supported.	0..*	Reference(Procedure: Imaging Acquisition | AdverseEvent | Observation: Radiation Dose)	Imaging procedure URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRImagingProcedure
DiagnosticReport.Slices for extension.extension:finding	S This element must be supported.	0..*	Reference(Observation: Imaging Finding | ImagingSelection: Key Image | DocumentReference: Key Image | DocumentReference)	Key image findings URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRFinding
DiagnosticReport.Slices for extension.extension:impression	S This element must be supported.	0..*	Reference(Observation: Imaging Finding | Condition | ImagingSelection: Key Image | DocumentReference: Key Image)	Impression URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRImpression
DiagnosticReport.Slices for extension.extension:recommendation	S This element must be supported.	0..*	Reference(CarePlan | ServiceRequest)	Recommendations URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRRecommendation
DiagnosticReport.Slices for extension.extension:communication	S This element must be supported.	0..*	Reference()	Communications with other care providers URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRCommunication
DiagnosticReport.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored
DiagnosticReport.identifier	Σ This element is included in summaries.	1..*	Identifier	Report identifier
DiagnosticReport.Slices for basedOn		0..*	Reference(ServiceRequest)	What was requested Slice: Unordered, Open by exists:identifier Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DiagnosticReport.Slices for basedOn.basedOn:order-resource		0..*	Reference(ServiceRequest: Imaging Order)	What was requested
DiagnosticReport.Slices for basedOn.basedOn:order-resource.id		0..1	id	Unique id for inter-element referencing
DiagnosticReport.Slices for basedOn.basedOn:order-resource.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
DiagnosticReport.Slices for basedOn.basedOn:order-resource.reference	Σ This element is included in summaries. C	1..1	string	Literal reference, Relative, internal or absolute URL
DiagnosticReport.Slices for basedOn.basedOn:order-resource.type	Σ This element is included in summaries.	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).
DiagnosticReport.Slices for basedOn.basedOn:order-resource.display	Σ This element is included in summaries. C	0..1	string	Text alternative for the resource
DiagnosticReport.Slices for basedOn.basedOn:order-identifier		0..*	Reference(ServiceRequest)	What was requested
DiagnosticReport.Slices for basedOn.basedOn:order-identifier.id		0..1	id	Unique id for inter-element referencing
DiagnosticReport.Slices for basedOn.basedOn:order-identifier.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
DiagnosticReport.Slices for basedOn.basedOn:order-identifier.type	Σ This element is included in summaries.	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).
DiagnosticReport.Slices for basedOn.basedOn:order-identifier.identifier	Σ This element is included in summaries. C	1..1	AccessionNumberIdentifierEuImaging	Logical reference, when literal reference is not known
DiagnosticReport.Slices for basedOn.basedOn:order-identifier.display	Σ This element is included in summaries. C	0..1	string	Text alternative for the resource
DiagnosticReport.status	?! This element is a modifier element. Σ This element is included in summaries.	1..1	code	Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
DiagnosticReport.Slices for category	Σ This element is included in summaries.	2..*	CodeableConcept	Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DiagnosticReport.Slices for category.category:diagnostic-service	Σ This element is included in summaries.	0..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (required)
DiagnosticReport.Slices for category.category:imaging-report	Σ This element is included in summaries.	1..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074 Required Pattern: At least the following
DiagnosticReport.Slices for category.category:imaging-report.id		0..1	string	Unique id for inter-element referencing
DiagnosticReport.Slices for category.category:imaging-report.extension		0..*	Extension	Additional content defined by implementations
DiagnosticReport.Slices for category.category:imaging-report.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
DiagnosticReport.Slices for category.category:imaging-report.coding.id		0..1	string	Unique id for inter-element referencing
DiagnosticReport.Slices for category.category:imaging-report.coding.extension		0..*	Extension	Additional content defined by implementations
DiagnosticReport.Slices for category.category:imaging-report.coding.system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
DiagnosticReport.Slices for category.category:imaging-report.coding.version		0..1	string	Version of the system - if relevant
DiagnosticReport.Slices for category.category:imaging-report.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: 85430-7
DiagnosticReport.Slices for category.category:imaging-report.coding.display		0..1	string	Representation defined by the system
DiagnosticReport.Slices for category.category:imaging-report.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
DiagnosticReport.Slices for category.category:imaging-report.text		0..1	string	Plain text representation of the concept
DiagnosticReport.Slices for category.category:imaging	Σ This element is included in summaries.	1..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074 Required Pattern: At least the following
DiagnosticReport.Slices for category.category:imaging.id		0..1	string	Unique id for inter-element referencing
DiagnosticReport.Slices for category.category:imaging.extension		0..*	Extension	Additional content defined by implementations
DiagnosticReport.Slices for category.category:imaging.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
DiagnosticReport.Slices for category.category:imaging.coding.id		0..1	string	Unique id for inter-element referencing
DiagnosticReport.Slices for category.category:imaging.coding.extension		0..*	Extension	Additional content defined by implementations
DiagnosticReport.Slices for category.category:imaging.coding.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
DiagnosticReport.Slices for category.category:imaging.coding.version		0..1	string	Version of the system - if relevant
DiagnosticReport.Slices for category.category:imaging.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: Medical-Imaging
DiagnosticReport.Slices for category.category:imaging.coding.display		0..1	string	Representation defined by the system
DiagnosticReport.Slices for category.category:imaging.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
DiagnosticReport.Slices for category.category:imaging.text		0..1	string	Plain text representation of the concept
DiagnosticReport.code	Σ This element is included in summaries.	1..1	CodeableConcept	Type of Imaging Diagnostic Report Binding: ValueSet: Radiology Report Types (preferred)
DiagnosticReport.subject	Σ This element is included in summaries.	1..1	Reference(Patient (EU core))	Who and/or what this report is about
DiagnosticReport.encounter	Σ This element is included in summaries.	0..1	Reference(Encounter)	The healthcare event which this Diagnostic Report is about (when test ordered).
DiagnosticReport.effective[x]	Σ This element is included in summaries.	0..1		Clinically relevant time/time-period for report.
DiagnosticReport.effective[x].effectiveDateTime			dateTime
DiagnosticReport.effective[x].effectivePeriod			Period
DiagnosticReport.issued	Σ This element is included in summaries.	0..1	instant	Date and time of report issuance
DiagnosticReport.Slices for performer	Σ This element is included in summaries.	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service. Slice: Unordered, Open by profile:$this
DiagnosticReport.Slices for performer.performer:organization	Σ This element is included in summaries.	0..*	Reference(Organization (EU core))	The organization producer of this report
DiagnosticReport.Slices for resultsInterpreter	Σ This element is included in summaries.	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter Slice: Unordered, Open by profile:resolve()
DiagnosticReport.Slices for resultsInterpreter.resultsInterpreter:author	Σ This element is included in summaries.	0..*	Reference(PractitionerRole (EU core))	Primary interpreter of results
DiagnosticReport.specimen		0..*	Reference(Specimen)	Specimens this report is based on.
DiagnosticReport.result	S This element must be supported. C	0..*	Reference(Observation: Imaging Finding | Observation: Narrative Report)	Findings
DiagnosticReport.note		0..*	Annotation	Comments about the diagnostic report
DiagnosticReport.Slices for study		0..*	Reference(ImagingStudy: Reported Study)	Study subject to this report Slice: Unordered, Open by exists:identifier Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
DiagnosticReport.Slices for study.study:study-resource		0..*	Reference(GenomicStudy | ImagingStudy)	Study subject to this report
DiagnosticReport.Slices for study.study:study-resource.id		0..1	id	Unique id for inter-element referencing
DiagnosticReport.Slices for study.study:study-resource.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
DiagnosticReport.Slices for study.study:study-resource.reference	Σ This element is included in summaries. C	1..1	string	Literal reference, Relative, internal or absolute URL
DiagnosticReport.Slices for study.study:study-resource.type	Σ This element is included in summaries.	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).
DiagnosticReport.Slices for study.study:study-resource.display	Σ This element is included in summaries. C	0..1	string	Text alternative for the resource
DiagnosticReport.Slices for study.study:study-identifier		0..*	Reference(GenomicStudy | ImagingStudy)	Study subject to this report
DiagnosticReport.Slices for study.study:study-identifier.id		0..1	id	Unique id for inter-element referencing
DiagnosticReport.Slices for study.study:study-identifier.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
DiagnosticReport.Slices for study.study:study-identifier.type	Σ This element is included in summaries.	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).
DiagnosticReport.Slices for study.study:study-identifier.identifier	Σ This element is included in summaries. C	1..1	StudyInstanceUidIdentifierEuImaging	Logical reference, when literal reference is not known
DiagnosticReport.Slices for study.study:study-identifier.display	Σ This element is included in summaries. C	0..1	string	Text alternative for the resource
DiagnosticReport.supportingInfo		0..*	BackboneElement	Additional information supporting the diagnostic report
DiagnosticReport.supportingInfo.id		0..1	string	Unique id for inter-element referencing
DiagnosticReport.supportingInfo.extension		0..*	Extension	Additional content defined by implementations
DiagnosticReport.supportingInfo.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
DiagnosticReport.supportingInfo.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.
DiagnosticReport.supportingInfo.reference		1..1	Reference(Procedure | Observation | DiagnosticReport | Citation)	Supporting information reference
DiagnosticReport.media	Σ This element is included in summaries.	0..*	BackboneElement	Additional data (like images, diagrams or documents) associated with this report
DiagnosticReport.media.id		0..1	string	Unique id for inter-element referencing
DiagnosticReport.media.extension		0..*	Extension	Additional content defined by implementations
DiagnosticReport.media.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
DiagnosticReport.media.comment		0..1	string	Comment about the image or data (e.g. explanation)
DiagnosticReport.media.link	Σ This element is included in summaries.	1..1	Reference(DocumentReference)	Reference to the image or data
DiagnosticReport.conclusion		0..1	markdown	Clinical conclusion (interpretation) of test results
DiagnosticReport.conclusionCode		0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): SNOMED CT Clinical Findings
DiagnosticReport.presentedForm		0..*	Attachment	Entire report as issued (pdf recommended)
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DiagnosticReport.language	Base	required	All Languages	📍5.0.0	FHIR Std.
DiagnosticReport.extension:note.​value[x].extension:annotation-type.​value[x]	Base	example	hl7VS-commentType	📦3.0.0	THO v7.1
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-ballot	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	📦3.0.0	THO v7.1
DiagnosticReport.conclusionCode	Base	example	SNOMED CT Clinical Findings	📍5.0.0	FHIR Std.

Constraints

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()

This structure is derived from DiagnosticReportEuCore

Summary

Mandatory: 3 elements(4 nested mandatory elements)
Must-Support: 8 elements
Prohibited: 5 elements

Structures

This structure refers to these other structures:

• ServiceRequest: Imaging Order (http://hl7.eu/fhir/imaging-r5/StructureDefinition/ServiceRequestOrderEuImaging)
• Identifier: Accession Number (http://hl7.eu/fhir/imaging-r5/StructureDefinition/AccessionNumberIdentifierEuImaging)
• Patient (EU core) (http://hl7.eu/fhir/base-r5/StructureDefinition/patient-eu-core)
• Observation: Imaging Finding (http://hl7.eu/fhir/imaging-r5/StructureDefinition/ObservationFindingEuImaging)
• Observation: Narrative Report (http://hl7.eu/fhir/imaging-r5/StructureDefinition/ObservationNarrativeReport)
• ImagingStudy: Reported Study (http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImagingStudyEuImaging)
• Identifier: Study Instance UID (http://hl7.eu/fhir/imaging-r5/StructureDefinition/StudyInstanceUidIdentifierEuImaging)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/artifact-version
• http://hl7.eu/fhir/imaging-r5/StructureDefinition/AnatomicalRegionExtension
• http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRComparisonStudy
• http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRPatientHistory
• http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRImagingProcedure
• http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRFinding
• http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRImpression
• http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRRecommendation
• http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRCommunication

Slices

This structure defines the following Slices:

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

Maturity: 1