HL7 Europe Imaging Study Report
0.1.1-build - ci-build
150
HL7 Europe Imaging Study Report
0.1.1-build - ci-build
150
HL7 Europe Imaging Study Report, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 0.1.1-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/imaging/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/ImDiagnosticReport | Version: 0.1.1-build | |||
| Standards status: Draft | Maturity Level: 1 | Computable Name: ImDiagnosticReport | ||
Copyright/Legal: Copyright HL7 Europe. Licensed under Creative Commons public domain (CC0 1.0). |
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DiagnosticReport profile for Imaging Reports. This document represents the report of an imaging study. It is the anchor resource that refers to all structured data as well as the Composition resource that contains the narrative text of the report.
The structure of the modelled has been aligned with the DiagnosticResource as defined by IHE-RAD-HL7IDR. As this specification has not been published yet, the relevant extensions have been included in this specification.
The DiagnosticReport has been designed in such a way that the relevant information can be easily found.
The table below shows the way the main content elements in a Radiology report are represented in this profile:
| Report Section | Report element | DiagnosticReport | Composition |
|---|---|---|---|
| header | patient | subject | subject |
| source organization | performer[organization] | ||
| author | resultsInterpreter[author] | ||
| attester | performer[attester], performer[legal-attester] | ||
| custodian | performer[organization] | ||
| code | code | type | |
| category | category | category | |
| imaging study | study resources | study | section[imaging-study].entry |
| notes | note.where(extension[annotationType].value → imagingstudy) | section[imaging-study].extension[note] | |
| order | order resources | extension[basedOn] | section[order].entry |
| notes | note.where(extension[annotationType].value → order) | section[order].extension[note] | |
| history | resources | extension[patientHistory] | section[history].entry |
| notes | note.where(extension[annotationType].value → history) | section[patient-history].extension[note] | |
| procedure | resources | extension[procedure] | section[procedure].entry |
| notes | note.where(extension[annotationType].value → procedure) | section[procedure].extension[note] | |
| comparison | resources | extension[comparison] | section[comparison].entry |
| notes | note.where(extension[annotationType].value → comparison) | section[comparison].extension[note] | |
| findings | resources | result | section[findings].entry |
| (key images are included as references from observations) | |||
| notes | note.where(extension[annotationType].value → findings) | section[findings].extension[note] | |
| impressions | resources | extension[impression] | section[impression].entry |
| notes | conclusion | section[impression].extension[note] | |
| recommendation | resources | extension[recommendation] | section[recommendation].entry |
| notes | note.where(extension[annotationType].value → recommendation) | section[recommendation].extension[note] | |
| communication | resources | extension[communication] | section[communication].entry |
| notes | note.where(extension[annotationType].value → communication) | section[communication].extension[note] |
The notes section has an optional annotation-type extension. When present it indicates that the note applies to the section identified in the Coding included in the extension.
This profile has been aligned with the IHE-IDR profile which is still under development, parts where we deviate are:
note field is used. The section the note applies to is identified using the annotation-type extension.Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Path | Conformance | ValueSet | URI |
| DiagnosticReport.status | required | DiagnosticReportStatushttp://hl7.org/fhir/ValueSet/diagnostic-report-status|5.0.0From the FHIR Standard | |
| DiagnosticReport.category | example | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sections|5.0.0From the FHIR Standard | |
| DiagnosticReport.category:diagnostic-service | required | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sectionsFrom the FHIR Standard | |
| DiagnosticReport.code | preferred | ImImagingReportTypesEuVShttp://hl7.eu/fhir/imaging-r5/ValueSet/ImImagingReportTypesEuVSFrom this IG |
| Id | Grade | Path(s) | Details | Requirements |
| 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 DiagnosticReport
| Path | Conformance | ValueSet | URI |
| DiagnosticReport.category:diagnostic-service | required | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sectionsFrom the FHIR Standard | |
| DiagnosticReport.code | preferred | ImImagingReportTypesEuVShttp://hl7.eu/fhir/imaging-r5/ValueSet/ImImagingReportTypesEuVSFrom this IG | |
| DiagnosticReport.note.extension:annotation-type.value[x] | preferred | Hl7EuImagingSectionValueSethttp://hl7.eu/fhir/imaging-r5/ValueSet/valueset-diagnosticreport-notesFrom this IG |
| Name | Flags | Card. | Type | Description & Constraints Filter:   | ||||
|---|---|---|---|---|---|---|---|---|
  DiagnosticReport |
C | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: dgr-1 | ||||
  id |
Σ | 0..1 | id | Logical id of this artifact | ||||
 meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
  Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
   extension:artifactVersion |
0..1 | string | Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version | |||||
| extension:comparison |
S | 0..* | Reference(ImagingStudy: General | ImagingSelection) | Comparison studies URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRComparisonStudy | ||||
| extension:patientHistory |
S | 0..* | Reference() | Patient history items selected by radiologist URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRPatientHistory | ||||
| extension:procedure |
S | 0..* | Reference(Procedure: Imaging Acquisition) | Imaging procedure URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRImagingProcedure | ||||
| extension:finding |
S | 0..* | Reference(DocumentReference: Key Image | ImagingSelection: Key Image) | Key image findings URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRFinding | ||||
| extension:impression |
S | 0..* | Reference(Observation: Imaging Finding | Condition | DocumentReference: Key Image | ImagingSelection: Key Image) | Impression URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRImpression | ||||
| extension:recommendation |
S | 0..* | Reference(CarePlan | ServiceRequest) | Recommendations URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRRecommendation | ||||
 extension:communication |
S | 0..* | Reference() | Communications with other care providers URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRCommunication | ||||
 modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 1..* | Identifier | Report identifier | ||||
 Slices for basedOn |
0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested Slice: Unordered, Open by type:$this | |||||
 basedOn:imorderaccession |
0..* | Reference(ServiceRequest: Imaging Order) | What was requested | |||||
  id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
ΣC | 1..1 | ImAccessionNumberIdentifier | Logical reference, when literal reference is not known | ||||
 display |
ΣC | 0..1 | string | Text alternative for the resource | ||||
| status |
?!Σ | 1..1 | code | Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. | ||||
| Slices for category |
Σ | 1..* | CodeableConcept | Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074 | ||||
| category:diagnostic-service |
Σ | 1..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (required) | ||||
| code |
Σ | 1..1 | CodeableConcept | Type of Imaging Diagnostic Report Binding: Radiology Report Types (preferred) | ||||
 subject |
Σ | 0..1 | Reference(Patient (EU core)) | The subject of the report - usually, but not always, the patient | ||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Health care event when test ordered | ||||
 effective[x] |
Σ | 0..1 | Clinically relevant time/time-period for report | |||||
| effectiveDateTime |
dateTime | |||||||
 effectivePeriod |
Period | |||||||
| issued |
Σ | 0..1 | instant | DateTime this version was made | ||||
| Slices for performer |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service Slice: Unordered, Open by profile:$this | ||||
| performer:organization |
Σ | 0..* | Reference(Organization (EU core)) | The organization producer of this report | ||||
| Slices for resultsInterpreter |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter Slice: Unordered, Open by profile:resolve() | ||||
| resultsInterpreter:author |
Σ | 0..* | Reference(PractitionerRole (EU core)) | Primary result interpreter | ||||
| specimen |
0..* | Reference(Specimen) | Specimens this report is based on | |||||
| result |
SC | 0..* | Reference(Observation: Imaging Finding) | Findings | ||||
| note |
0..* | Annotation | Comments about the diagnostic report | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| extension:annotation-type |
0..* | (Complex) | The type of annotation URL: http://hl7.org/fhir/StructureDefinition/annotationType | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..0 | |||||||
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/annotationType" | |||||
| value[x] |
1..1 | CodeableConcept | Value of extension Binding: Section codes used to label annotations. (preferred) | |||||
| author[x] |
Σ | 0..1 | Individual responsible for the annotation | |||||
| authorReference |
Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Organization) | |||||||
| authorString |
string | |||||||
| time |
Σ | 0..1 | dateTime | When the annotation was made | ||||
| text |
Σ | 1..1 | markdown | The annotation - text content (as markdown) | ||||
| study |
0..* | Reference(ImagingStudy: General) | Study subject to this report | |||||
| supportingInfo |
0..* | BackboneElement | Additional information supporting the diagnostic report | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| type |
1..1 | CodeableConcept | Supporting information role code Binding: hl7VS-VS-observationType (example): The code value for the role of the supporting information in the diagnostic report. | |||||
| reference |
1..1 | Reference(Procedure | Observation | DiagnosticReport | Citation) | Supporting information reference | |||||
| composition |
C | 1..1 | Reference(Composition: Imaging Report) | Imaging Diagnostic Report | ||||
| conclusion |
0..1 | markdown | Clinical conclusion (interpretation) of test results | |||||
| conclusionCode |
0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): SNOMED CT Clinical Findings | |||||
| presentedForm |
0..* | Attachment | Entire report as issued | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI |
| DiagnosticReport.language | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages|5.0.0From the FHIR Standard | |
| DiagnosticReport.basedOn:imorderaccession.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types|5.0.0From the FHIR Standard | |
| DiagnosticReport.status | required | DiagnosticReportStatushttp://hl7.org/fhir/ValueSet/diagnostic-report-status|5.0.0From the FHIR Standard | |
| DiagnosticReport.category | example | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sections|5.0.0From the FHIR Standard | |
| DiagnosticReport.category:diagnostic-service | required | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sectionsFrom the FHIR Standard | |
| DiagnosticReport.code | preferred | ImImagingReportTypesEuVShttp://hl7.eu/fhir/imaging-r5/ValueSet/ImImagingReportTypesEuVSFrom this IG | |
| DiagnosticReport.note.extension:annotation-type.value[x] | preferred | Hl7EuImagingSectionValueSethttp://hl7.eu/fhir/imaging-r5/ValueSet/valueset-diagnosticreport-notesFrom this IG | |
| DiagnosticReport.supportingInfo.type | example | Hl7VSVSObservationTypehttp://terminology.hl7.org/ValueSet/v2-0936 | |
| DiagnosticReport.conclusionCode | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findings|5.0.0From the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| 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 DiagnosticReport
Summary
Mandatory: 4 elements(1 nested mandatory element)
Must-Support: 8 elements
Prohibited: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Maturity: 1
Key Elements View
| Path | Conformance | ValueSet | URI |
| DiagnosticReport.status | required | DiagnosticReportStatushttp://hl7.org/fhir/ValueSet/diagnostic-report-status|5.0.0From the FHIR Standard | |
| DiagnosticReport.category | example | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sections|5.0.0From the FHIR Standard | |
| DiagnosticReport.category:diagnostic-service | required | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sectionsFrom the FHIR Standard | |
| DiagnosticReport.code | preferred | ImImagingReportTypesEuVShttp://hl7.eu/fhir/imaging-r5/ValueSet/ImImagingReportTypesEuVSFrom this IG |
| Id | Grade | Path(s) | Details | Requirements |
| 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 DiagnosticReport
| Path | Conformance | ValueSet | URI |
| DiagnosticReport.category:diagnostic-service | required | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sectionsFrom the FHIR Standard | |
| DiagnosticReport.code | preferred | ImImagingReportTypesEuVShttp://hl7.eu/fhir/imaging-r5/ValueSet/ImImagingReportTypesEuVSFrom this IG | |
| DiagnosticReport.note.extension:annotation-type.value[x] | preferred | Hl7EuImagingSectionValueSethttp://hl7.eu/fhir/imaging-r5/ValueSet/valueset-diagnosticreport-notesFrom this IG |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| DiagnosticReport |
C | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: dgr-1 | ||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:artifactVersion |
0..1 | string | Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version | |||||
| extension:comparison |
S | 0..* | Reference(ImagingStudy: General | ImagingSelection) | Comparison studies URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRComparisonStudy | ||||
| extension:patientHistory |
S | 0..* | Reference() | Patient history items selected by radiologist URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRPatientHistory | ||||
| extension:procedure |
S | 0..* | Reference(Procedure: Imaging Acquisition) | Imaging procedure URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRImagingProcedure | ||||
| extension:finding |
S | 0..* | Reference(DocumentReference: Key Image | ImagingSelection: Key Image) | Key image findings URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRFinding | ||||
| extension:impression |
S | 0..* | Reference(Observation: Imaging Finding | Condition | DocumentReference: Key Image | ImagingSelection: Key Image) | Impression URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRImpression | ||||
| extension:recommendation |
S | 0..* | Reference(CarePlan | ServiceRequest) | Recommendations URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRRecommendation | ||||
| extension:communication |
S | 0..* | Reference() | Communications with other care providers URL: http://hl7.eu/fhir/imaging-r5/StructureDefinition/HL7IDRCommunication | ||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 1..* | Identifier | Report identifier | ||||
| Slices for basedOn |
0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested Slice: Unordered, Open by type:$this | |||||
| basedOn:imorderaccession |
0..* | Reference(ServiceRequest: Imaging Order) | What was requested | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
ΣC | 1..1 | ImAccessionNumberIdentifier | Logical reference, when literal reference is not known | ||||
| display |
ΣC | 0..1 | string | Text alternative for the resource | ||||
| status |
?!Σ | 1..1 | code | Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. | ||||
| Slices for category |
Σ | 1..* | CodeableConcept | Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074 | ||||
| category:diagnostic-service |
Σ | 1..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (required) | ||||
| code |
Σ | 1..1 | CodeableConcept | Type of Imaging Diagnostic Report Binding: Radiology Report Types (preferred) | ||||
| subject |
Σ | 0..1 | Reference(Patient (EU core)) | The subject of the report - usually, but not always, the patient | ||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Health care event when test ordered | ||||
| effective[x] |
Σ | 0..1 | Clinically relevant time/time-period for report | |||||
| effectiveDateTime |
dateTime | |||||||
| effectivePeriod |
Period | |||||||
| issued |
Σ | 0..1 | instant | DateTime this version was made | ||||
| Slices for performer |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service Slice: Unordered, Open by profile:$this | ||||
| performer:organization |
Σ | 0..* | Reference(Organization (EU core)) | The organization producer of this report | ||||
| Slices for resultsInterpreter |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter Slice: Unordered, Open by profile:resolve() | ||||
| resultsInterpreter:author |
Σ | 0..* | Reference(PractitionerRole (EU core)) | Primary result interpreter | ||||
| specimen |
0..* | Reference(Specimen) | Specimens this report is based on | |||||
| result |
SC | 0..* | Reference(Observation: Imaging Finding) | Findings | ||||
| note |
0..* | Annotation | Comments about the diagnostic report | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| extension:annotation-type |
0..* | (Complex) | The type of annotation URL: http://hl7.org/fhir/StructureDefinition/annotationType | |||||
| id |
0..1 | id | Unique id for inter-element referencing | |||||
| extension |
0..0 | |||||||
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/annotationType" | |||||
| value[x] |
1..1 | CodeableConcept | Value of extension Binding: Section codes used to label annotations. (preferred) | |||||
| author[x] |
Σ | 0..1 | Individual responsible for the annotation | |||||
| authorReference |
Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Organization) | |||||||
| authorString |
string | |||||||
| time |
Σ | 0..1 | dateTime | When the annotation was made | ||||
| text |
Σ | 1..1 | markdown | The annotation - text content (as markdown) | ||||
| study |
0..* | Reference(ImagingStudy: General) | Study subject to this report | |||||
| supportingInfo |
0..* | BackboneElement | Additional information supporting the diagnostic report | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| type |
1..1 | CodeableConcept | Supporting information role code Binding: hl7VS-VS-observationType (example): The code value for the role of the supporting information in the diagnostic report. | |||||
| reference |
1..1 | Reference(Procedure | Observation | DiagnosticReport | Citation) | Supporting information reference | |||||
| composition |
C | 1..1 | Reference(Composition: Imaging Report) | Imaging Diagnostic Report | ||||
| conclusion |
0..1 | markdown | Clinical conclusion (interpretation) of test results | |||||
| conclusionCode |
0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): SNOMED CT Clinical Findings | |||||
| presentedForm |
0..* | Attachment | Entire report as issued | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI |
| DiagnosticReport.language | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages|5.0.0From the FHIR Standard | |
| DiagnosticReport.basedOn:imorderaccession.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types|5.0.0From the FHIR Standard | |
| DiagnosticReport.status | required | DiagnosticReportStatushttp://hl7.org/fhir/ValueSet/diagnostic-report-status|5.0.0From the FHIR Standard | |
| DiagnosticReport.category | example | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sections|5.0.0From the FHIR Standard | |
| DiagnosticReport.category:diagnostic-service | required | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sectionsFrom the FHIR Standard | |
| DiagnosticReport.code | preferred | ImImagingReportTypesEuVShttp://hl7.eu/fhir/imaging-r5/ValueSet/ImImagingReportTypesEuVSFrom this IG | |
| DiagnosticReport.note.extension:annotation-type.value[x] | preferred | Hl7EuImagingSectionValueSethttp://hl7.eu/fhir/imaging-r5/ValueSet/valueset-diagnosticreport-notesFrom this IG | |
| DiagnosticReport.supportingInfo.type | example | Hl7VSVSObservationTypehttp://terminology.hl7.org/ValueSet/v2-0936 | |
| DiagnosticReport.conclusionCode | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findings|5.0.0From the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| 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 DiagnosticReport
Summary
Mandatory: 4 elements(1 nested mandatory element)
Must-Support: 8 elements
Prohibited: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Maturity: 1
Other representations of profile: CSV, Excel, Schematron
IG © 2025+ HL7 Europe. Package hl7.fhir.eu.imaging-r5#0.1.1-build based on FHIR 5.0.0. Generated 2025-09-24
