This page is part of the HL7 Europe Imaging Study Report (v0.1.0-ballot: STU 1 Ballot 1) based on FHIR (HL7® FHIR® Standard) v5.0.0. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

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Resource Profile: Report obligations for ImDiagnosticReport

Report obligations for ImDiagnosticReport

Usage:

• This Resource Profile is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Key Elements Table
• Differential Table
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Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport	C	0..*	ImDiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports dgr-1: 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` dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
language	O	0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:handle Imaging study report provider
contained		0..*	Resource	Contained, inline Resources
Slices for extension				Content/Rules for all slices
extension:artifactVersion		0..1	string	Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	OΣ	0..*	Identifier	Report identifier ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study report provider
Slices for basedOn	O	0..*	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study report provider
basedOn:imorderaccession		0..1	Reference(IM Imaging Order)	What was requested ele-1: All FHIR elements must have a @value or children
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
identifier	ΣC	1..1	ImAccessionNumberIdentifier	Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children
status	?!OΣ	1..1	code	Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:handle Imaging study report provider
Slices for category	Σ	1..*	CodeableConcept	Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074 ele-1: All FHIR elements must have a @value or children
category:imaging	OΣ	1..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074 ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following Obligations Actor SHALL:populate-if-known Imaging study report provider
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18748-4
display		1..1	string	Representation defined by the system Fixed Value: Diagnostic imaging study
coding	Σ	1..1	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
code	OΣ	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): LOINC Codes for Diagnostic Reports ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:handle Imaging study report provider
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this ele-1: All FHIR elements must have a @value or children
coding:eu-template	Σ	1..1	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.eu/fhir/imaging-r5/CodeSystem/Hl7EuDocumentTypes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: imaging-report-v0-0-1
display		1..1	string	Representation defined by the system Fixed Value: Imaging Report V0.0.1
subject	OΣ	0..1	Reference(IM Imaging Patient)	The subject of the report - usually, but not always, the patient ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study report provider
Slices for effective[x]	Σ	0..1		Clinically relevant time/time-period for report Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectivePeriod	OΣ	0..1	Period	Clinically relevant time/time-period for report ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study report provider
issued	OΣ	0..1	instant	DateTime this version was made ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study report provider
Slices for performer	Σ	1..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service Slice: Unordered, Open by profile:$this ele-1: All FHIR elements must have a @value or children
performer:author	OΣ	1..*	Reference(PractitionerRole (EU base))	Responsible Diagnostic Service ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study report provider
Slices for resultsInterpreter	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children
resultsInterpreter:author	Σ	0..*	Reference(PractitionerRole (EU base))	Primary result interpreter ele-1: All FHIR elements must have a @value or children
result	OC	0..*	Reference(Observation)	Observations ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study report provider
Slices for supportingInfo		0..*	BackboneElement	Additional information supporting the diagnostic report Slice: Unordered, Open by value:reference ele-1: All FHIR elements must have a @value or children
supportingInfo:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
type		1..1	CodeableConcept	Supporting information role code Binding: DiagnosticReport supportInfo codes (extensible) ele-1: All FHIR elements must have a @value or children
reference		1..1	Reference(Procedure | Observation | DiagnosticReport | Citation)	Supporting information reference ele-1: All FHIR elements must have a @value or children
supportingInfo:procedure		0..*	BackboneElement	Additional information supporting the diagnostic report ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
type		1..1	CodeableConcept	Supporting information role code Binding: DiagnosticReport supportInfo codes (extensible) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.eu/fhir/imaging-r5/CodeSystem/codesystem-diagnostic-report-support-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: imaging-procedure
reference		1..1	Reference(IM Imaging Procedure)	Supporting information reference ele-1: All FHIR elements must have a @value or children
media	OΣ	0..*	BackboneElement	Key images or data associated with this report ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study report provider
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
link	Σ	1..1	Reference(DocumentReference)	Reference to the image or data source ele-1: All FHIR elements must have a @value or children
composition	OC	1..1	Reference(Imaging Composition)	Imaging Diagnostic Report ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study report provider
conclusion	O	0..1	markdown	Clinical conclusion (interpretation) of test results ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study report provider
presentedForm	O	0..*	Attachment	Entire report as issued ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study report provider
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|5.0.0 from the FHIR Standard
DiagnosticReport.category	example	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard
DiagnosticReport.category:imaging	example	Pattern: LOINC Code 18748-4("Diagnostic imaging study") http://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard
DiagnosticReport.code	preferred	LOINCDiagnosticReportCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/report-codes from the FHIR Standard
DiagnosticReport.supportingInfo.type	extensible	DiagnosticReportSupportingInfoVCodes (a valid code from Diagnostic Report Support Info Code System) http://hl7.eu/fhir/imaging-r5/ValueSet/valueset-diagnosticreport-report-support-info from this IG
DiagnosticReport.supportingInfo:procedure.type	extensible	Pattern: imaging-procedure http://hl7.eu/fhir/imaging-r5/ValueSet/valueset-diagnosticreport-report-support-info from this IG

Constraints

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 ImDiagnosticReport

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	ImDiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
meta
security	O	0..*	Coding	Security Labels applied to this resource Obligations Actor SHALL:handle Imaging study report provider
language	O	0..1	code	Language of the resource content Obligations Actor SHALL:handle Imaging study report provider
identifier	O	0..*	Identifier	Report identifier Obligations Actor SHALL:populate-if-known Imaging study report provider
basedOn	O	0..*	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested Obligations Actor SHALL:populate-if-known Imaging study report provider
status	O	1..1	code	Status of the Report Obligations Actor SHALL:handle Imaging study report provider
Slices for category				Content/Rules for all slices
category:imaging	O	1..1	CodeableConcept	Service category Obligations Actor SHALL:populate-if-known Imaging study report provider
code	O	1..1	CodeableConcept	Name/Code for this diagnostic report Obligations Actor SHALL:handle Imaging study report provider
subject	O	0..1	Reference(IM Imaging Patient)	The subject of the report - usually, but not always, the patient Obligations Actor SHALL:populate-if-known Imaging study report provider
Slices for effective[x]		0..1	dateTime, Period	Clinically relevant time/time-period for report Slice: Unordered, Open by type:$this
effective[x]:effectivePeriod	O	0..1	Period	Clinically relevant time/time-period for report Obligations Actor SHALL:populate-if-known Imaging study report provider
issued	O	0..1	instant	DateTime this version was made Obligations Actor SHALL:populate-if-known Imaging study report provider
Slices for performer				Content/Rules for all slices
performer:author	O	1..*	Reference(PractitionerRole (EU base))	Responsible Diagnostic Service Obligations Actor SHALL:populate-if-known Imaging study report provider
result	O	0..*	Reference(Observation)	Observations Obligations Actor SHALL:populate-if-known Imaging study report provider
media	O	0..*	BackboneElement	Key images or data associated with this report Obligations Actor SHALL:populate-if-known Imaging study report provider
composition	O	1..1	Reference(Imaging Composition)	Imaging Diagnostic Report Obligations Actor SHALL:populate-if-known Imaging study report provider
conclusion	O	0..1	markdown	Clinical conclusion (interpretation) of test results Obligations Actor SHALL:populate-if-known Imaging study report provider
presentedForm	O	0..*	Attachment	Entire report as issued Obligations Actor SHALL:populate-if-known Imaging study report provider
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport	C	0..*	ImDiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports dgr-1: 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`
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	OΣ	0..*	Coding	Security Labels applied to this resource Binding: AllSecurityLabels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. Obligations Actor SHALL:handle Imaging study report provider
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language	O	0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Obligations Actor SHALL:handle Imaging study report provider
text		0..1	Narrative	Text summary of the resource, for human interpretation
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
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	OΣ	0..*	Identifier	Report identifier Obligations Actor SHALL:populate-if-known Imaging study report provider
Slices for basedOn	O	0..*	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested Slice: Unordered, Open by type:$this Obligations Actor SHALL:populate-if-known Imaging study report provider
basedOn:imorderaccession		0..1	Reference(IM Imaging Order)	What was requested
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	1..1	ImAccessionNumberIdentifier	Logical reference, when literal reference is not known
display	ΣC	0..1	string	Text alternative for the resource
status	?!OΣ	1..1	code	Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. Obligations Actor SHALL:handle Imaging study report provider
Slices for category	Σ	1..*	CodeableConcept	Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074
category:imaging	OΣ	1..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074 Required Pattern: At least the following Obligations Actor SHALL:populate-if-known Imaging study report provider
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18748-4
display		1..1	string	Representation defined by the system Fixed Value: Diagnostic imaging study
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
code	OΣ	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): LOINC Codes for Diagnostic Reports Obligations Actor SHALL:handle Imaging study report provider
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:eu-template	Σ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.eu/fhir/imaging-r5/CodeSystem/Hl7EuDocumentTypes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: imaging-report-v0-0-1
display		1..1	string	Representation defined by the system Fixed Value: Imaging Report V0.0.1
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	OΣ	0..1	Reference(IM Imaging Patient)	The subject of the report - usually, but not always, the patient Obligations Actor SHALL:populate-if-known Imaging study report provider
encounter	Σ	0..1	Reference(Encounter)	Health care event when test ordered
Slices for effective[x]	Σ	0..1		Clinically relevant time/time-period for report Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectivePeriod	OΣ	0..1	Period	Clinically relevant time/time-period for report Obligations Actor SHALL:populate-if-known Imaging study report provider
issued	OΣ	0..1	instant	DateTime this version was made Obligations Actor SHALL:populate-if-known Imaging study report provider
Slices for performer	Σ	1..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service Slice: Unordered, Open by profile:$this
performer:author	OΣ	1..*	Reference(PractitionerRole (EU base))	Responsible Diagnostic Service Obligations Actor SHALL:populate-if-known Imaging study report provider
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 base))	Primary result interpreter
specimen		0..*	Reference(Specimen)	Specimens this report is based on
result	OC	0..*	Reference(Observation)	Observations Obligations Actor SHALL:populate-if-known Imaging study report provider
note		0..*	Annotation	Comments about the diagnostic report
study		0..*	Reference(IM Imaging Study)	Reference to full details of an analysis associated with the diagnostic report
Slices for supportingInfo		0..*	BackboneElement	Additional information supporting the diagnostic report Slice: Unordered, Open by value:reference
supportingInfo:All Slices				Content/Rules for all slices
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: DiagnosticReport supportInfo codes (extensible)
reference		1..1	Reference(Procedure | Observation | DiagnosticReport | Citation)	Supporting information reference
supportingInfo:procedure		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: DiagnosticReport supportInfo codes (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.eu/fhir/imaging-r5/CodeSystem/codesystem-diagnostic-report-support-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: imaging-procedure
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
reference		1..1	Reference(IM Imaging Procedure)	Supporting information reference
media	OΣ	0..*	BackboneElement	Key images or data associated with this report Obligations Actor SHALL:populate-if-known Imaging study report provider
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
comment		0..1	string	Comment about the image or data (e.g. explanation)
link	Σ	1..1	Reference(DocumentReference)	Reference to the image or data source
composition	OC	1..1	Reference(Imaging Composition)	Imaging Diagnostic Report Obligations Actor SHALL:populate-if-known Imaging study report provider
conclusion	O	0..1	markdown	Clinical conclusion (interpretation) of test results Obligations Actor SHALL:populate-if-known Imaging study report provider
conclusionCode		0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): SNOMED CT Clinical Findings
presentedForm	O	0..*	Attachment	Entire report as issued Obligations Actor SHALL:populate-if-known Imaging study report provider
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.meta.security	extensible	AllSecurityLabels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
DiagnosticReport.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
DiagnosticReport.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
DiagnosticReport.basedOn:imorderaccession.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|5.0.0 from the FHIR Standard
DiagnosticReport.category	example	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard
DiagnosticReport.category:imaging	example	Pattern: LOINC Code 18748-4("Diagnostic imaging study") http://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard
DiagnosticReport.code	preferred	LOINCDiagnosticReportCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/report-codes from the FHIR Standard
DiagnosticReport.supportingInfo.type	extensible	DiagnosticReportSupportingInfoVCodes (a valid code from Diagnostic Report Support Info Code System) http://hl7.eu/fhir/imaging-r5/ValueSet/valueset-diagnosticreport-report-support-info from this IG
DiagnosticReport.supportingInfo:procedure.type	extensible	Pattern: imaging-procedure http://hl7.eu/fhir/imaging-r5/ValueSet/valueset-diagnosticreport-report-support-info from this IG
DiagnosticReport.conclusionCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard

Constraints

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 ImDiagnosticReport

Summary

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of DiagnosticReport.effective[x]

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport	C	0..*	ImDiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports dgr-1: 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` dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
language	O	0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:handle Imaging study report provider
contained		0..*	Resource	Contained, inline Resources
Slices for extension				Content/Rules for all slices
extension:artifactVersion		0..1	string	Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	OΣ	0..*	Identifier	Report identifier ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study report provider
Slices for basedOn	O	0..*	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study report provider
basedOn:imorderaccession		0..1	Reference(IM Imaging Order)	What was requested ele-1: All FHIR elements must have a @value or children
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
identifier	ΣC	1..1	ImAccessionNumberIdentifier	Logical reference, when literal reference is not known ele-1: All FHIR elements must have a @value or children
status	?!OΣ	1..1	code	Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:handle Imaging study report provider
Slices for category	Σ	1..*	CodeableConcept	Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074 ele-1: All FHIR elements must have a @value or children
category:imaging	OΣ	1..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074 ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following Obligations Actor SHALL:populate-if-known Imaging study report provider
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18748-4
display		1..1	string	Representation defined by the system Fixed Value: Diagnostic imaging study
coding	Σ	1..1	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
code	OΣ	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): LOINC Codes for Diagnostic Reports ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:handle Imaging study report provider
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this ele-1: All FHIR elements must have a @value or children
coding:eu-template	Σ	1..1	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.eu/fhir/imaging-r5/CodeSystem/Hl7EuDocumentTypes
code		1..1	code	Symbol in syntax defined by the system Fixed Value: imaging-report-v0-0-1
display		1..1	string	Representation defined by the system Fixed Value: Imaging Report V0.0.1
subject	OΣ	0..1	Reference(IM Imaging Patient)	The subject of the report - usually, but not always, the patient ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study report provider
Slices for effective[x]	Σ	0..1		Clinically relevant time/time-period for report Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectivePeriod	OΣ	0..1	Period	Clinically relevant time/time-period for report ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study report provider
issued	OΣ	0..1	instant	DateTime this version was made ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study report provider
Slices for performer	Σ	1..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service Slice: Unordered, Open by profile:$this ele-1: All FHIR elements must have a @value or children
performer:author	OΣ	1..*	Reference(PractitionerRole (EU base))	Responsible Diagnostic Service ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study report provider
Slices for resultsInterpreter	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children
resultsInterpreter:author	Σ	0..*	Reference(PractitionerRole (EU base))	Primary result interpreter ele-1: All FHIR elements must have a @value or children
result	OC	0..*	Reference(Observation)	Observations ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study report provider
Slices for supportingInfo		0..*	BackboneElement	Additional information supporting the diagnostic report Slice: Unordered, Open by value:reference ele-1: All FHIR elements must have a @value or children
supportingInfo:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
type		1..1	CodeableConcept	Supporting information role code Binding: DiagnosticReport supportInfo codes (extensible) ele-1: All FHIR elements must have a @value or children
reference		1..1	Reference(Procedure | Observation | DiagnosticReport | Citation)	Supporting information reference ele-1: All FHIR elements must have a @value or children
supportingInfo:procedure		0..*	BackboneElement	Additional information supporting the diagnostic report ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
type		1..1	CodeableConcept	Supporting information role code Binding: DiagnosticReport supportInfo codes (extensible) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.eu/fhir/imaging-r5/CodeSystem/codesystem-diagnostic-report-support-info
code		1..1	code	Symbol in syntax defined by the system Fixed Value: imaging-procedure
reference		1..1	Reference(IM Imaging Procedure)	Supporting information reference ele-1: All FHIR elements must have a @value or children
media	OΣ	0..*	BackboneElement	Key images or data associated with this report ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study report provider
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
link	Σ	1..1	Reference(DocumentReference)	Reference to the image or data source ele-1: All FHIR elements must have a @value or children
composition	OC	1..1	Reference(Imaging Composition)	Imaging Diagnostic Report ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study report provider
conclusion	O	0..1	markdown	Clinical conclusion (interpretation) of test results ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study report provider
presentedForm	O	0..*	Attachment	Entire report as issued ele-1: All FHIR elements must have a @value or children Obligations Actor SHALL:populate-if-known Imaging study report provider
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|5.0.0 from the FHIR Standard
DiagnosticReport.category	example	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard
DiagnosticReport.category:imaging	example	Pattern: LOINC Code 18748-4("Diagnostic imaging study") http://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard
DiagnosticReport.code	preferred	LOINCDiagnosticReportCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/report-codes from the FHIR Standard
DiagnosticReport.supportingInfo.type	extensible	DiagnosticReportSupportingInfoVCodes (a valid code from Diagnostic Report Support Info Code System) http://hl7.eu/fhir/imaging-r5/ValueSet/valueset-diagnosticreport-report-support-info from this IG
DiagnosticReport.supportingInfo:procedure.type	extensible	Pattern: imaging-procedure http://hl7.eu/fhir/imaging-r5/ValueSet/valueset-diagnosticreport-report-support-info from this IG

Constraints

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 ImDiagnosticReport

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	ImDiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
meta
security	O	0..*	Coding	Security Labels applied to this resource Obligations Actor SHALL:handle Imaging study report provider
language	O	0..1	code	Language of the resource content Obligations Actor SHALL:handle Imaging study report provider
identifier	O	0..*	Identifier	Report identifier Obligations Actor SHALL:populate-if-known Imaging study report provider
basedOn	O	0..*	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested Obligations Actor SHALL:populate-if-known Imaging study report provider
status	O	1..1	code	Status of the Report Obligations Actor SHALL:handle Imaging study report provider
Slices for category				Content/Rules for all slices
category:imaging	O	1..1	CodeableConcept	Service category Obligations Actor SHALL:populate-if-known Imaging study report provider
code	O	1..1	CodeableConcept	Name/Code for this diagnostic report Obligations Actor SHALL:handle Imaging study report provider
subject	O	0..1	Reference(IM Imaging Patient)	The subject of the report - usually, but not always, the patient Obligations Actor SHALL:populate-if-known Imaging study report provider
Slices for effective[x]		0..1	dateTime, Period	Clinically relevant time/time-period for report Slice: Unordered, Open by type:$this
effective[x]:effectivePeriod	O	0..1	Period	Clinically relevant time/time-period for report Obligations Actor SHALL:populate-if-known Imaging study report provider
issued	O	0..1	instant	DateTime this version was made Obligations Actor SHALL:populate-if-known Imaging study report provider
Slices for performer				Content/Rules for all slices
performer:author	O	1..*	Reference(PractitionerRole (EU base))	Responsible Diagnostic Service Obligations Actor SHALL:populate-if-known Imaging study report provider
result	O	0..*	Reference(Observation)	Observations Obligations Actor SHALL:populate-if-known Imaging study report provider
media	O	0..*	BackboneElement	Key images or data associated with this report Obligations Actor SHALL:populate-if-known Imaging study report provider
composition	O	1..1	Reference(Imaging Composition)	Imaging Diagnostic Report Obligations Actor SHALL:populate-if-known Imaging study report provider
conclusion	O	0..1	markdown	Clinical conclusion (interpretation) of test results Obligations Actor SHALL:populate-if-known Imaging study report provider
presentedForm	O	0..*	Attachment	Entire report as issued Obligations Actor SHALL:populate-if-known Imaging study report provider
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport	C	0..*	ImDiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports dgr-1: 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`
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	OΣ	0..*	Coding	Security Labels applied to this resource Binding: AllSecurityLabels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. Obligations Actor SHALL:handle Imaging study report provider
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language	O	0..1	code	Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Obligations Actor SHALL:handle Imaging study report provider
text		0..1	Narrative	Text summary of the resource, for human interpretation
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
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	OΣ	0..*	Identifier	Report identifier Obligations Actor SHALL:populate-if-known Imaging study report provider
Slices for basedOn	O	0..*	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested Slice: Unordered, Open by type:$this Obligations Actor SHALL:populate-if-known Imaging study report provider
basedOn:imorderaccession		0..1	Reference(IM Imaging Order)	What was requested
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	1..1	ImAccessionNumberIdentifier	Logical reference, when literal reference is not known
display	ΣC	0..1	string	Text alternative for the resource
status	?!OΣ	1..1	code	Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. Obligations Actor SHALL:handle Imaging study report provider
Slices for category	Σ	1..*	CodeableConcept	Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074
category:imaging	OΣ	1..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074 Required Pattern: At least the following Obligations Actor SHALL:populate-if-known Imaging study report provider
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18748-4
display		1..1	string	Representation defined by the system Fixed Value: Diagnostic imaging study
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
code	OΣ	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): LOINC Codes for Diagnostic Reports Obligations Actor SHALL:handle Imaging study report provider
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:eu-template	Σ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.eu/fhir/imaging-r5/CodeSystem/Hl7EuDocumentTypes
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: imaging-report-v0-0-1
display		1..1	string	Representation defined by the system Fixed Value: Imaging Report V0.0.1
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	OΣ	0..1	Reference(IM Imaging Patient)	The subject of the report - usually, but not always, the patient Obligations Actor SHALL:populate-if-known Imaging study report provider
encounter	Σ	0..1	Reference(Encounter)	Health care event when test ordered
Slices for effective[x]	Σ	0..1		Clinically relevant time/time-period for report Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectivePeriod	OΣ	0..1	Period	Clinically relevant time/time-period for report Obligations Actor SHALL:populate-if-known Imaging study report provider
issued	OΣ	0..1	instant	DateTime this version was made Obligations Actor SHALL:populate-if-known Imaging study report provider
Slices for performer	Σ	1..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service Slice: Unordered, Open by profile:$this
performer:author	OΣ	1..*	Reference(PractitionerRole (EU base))	Responsible Diagnostic Service Obligations Actor SHALL:populate-if-known Imaging study report provider
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 base))	Primary result interpreter
specimen		0..*	Reference(Specimen)	Specimens this report is based on
result	OC	0..*	Reference(Observation)	Observations Obligations Actor SHALL:populate-if-known Imaging study report provider
note		0..*	Annotation	Comments about the diagnostic report
study		0..*	Reference(IM Imaging Study)	Reference to full details of an analysis associated with the diagnostic report
Slices for supportingInfo		0..*	BackboneElement	Additional information supporting the diagnostic report Slice: Unordered, Open by value:reference
supportingInfo:All Slices				Content/Rules for all slices
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: DiagnosticReport supportInfo codes (extensible)
reference		1..1	Reference(Procedure | Observation | DiagnosticReport | Citation)	Supporting information reference
supportingInfo:procedure		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: DiagnosticReport supportInfo codes (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.eu/fhir/imaging-r5/CodeSystem/codesystem-diagnostic-report-support-info
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: imaging-procedure
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
reference		1..1	Reference(IM Imaging Procedure)	Supporting information reference
media	OΣ	0..*	BackboneElement	Key images or data associated with this report Obligations Actor SHALL:populate-if-known Imaging study report provider
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
comment		0..1	string	Comment about the image or data (e.g. explanation)
link	Σ	1..1	Reference(DocumentReference)	Reference to the image or data source
composition	OC	1..1	Reference(Imaging Composition)	Imaging Diagnostic Report Obligations Actor SHALL:populate-if-known Imaging study report provider
conclusion	O	0..1	markdown	Clinical conclusion (interpretation) of test results Obligations Actor SHALL:populate-if-known Imaging study report provider
conclusionCode		0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): SNOMED CT Clinical Findings
presentedForm	O	0..*	Attachment	Entire report as issued Obligations Actor SHALL:populate-if-known Imaging study report provider
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.meta.security	extensible	AllSecurityLabels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
DiagnosticReport.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
DiagnosticReport.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
DiagnosticReport.basedOn:imorderaccession.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|5.0.0 from the FHIR Standard
DiagnosticReport.category	example	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard
DiagnosticReport.category:imaging	example	Pattern: LOINC Code 18748-4("Diagnostic imaging study") http://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard
DiagnosticReport.code	preferred	LOINCDiagnosticReportCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/report-codes from the FHIR Standard
DiagnosticReport.supportingInfo.type	extensible	DiagnosticReportSupportingInfoVCodes (a valid code from Diagnostic Report Support Info Code System) http://hl7.eu/fhir/imaging-r5/ValueSet/valueset-diagnosticreport-report-support-info from this IG
DiagnosticReport.supportingInfo:procedure.type	extensible	Pattern: imaging-procedure http://hl7.eu/fhir/imaging-r5/ValueSet/valueset-diagnosticreport-report-support-info from this IG
DiagnosticReport.conclusionCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard

Constraints

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 ImDiagnosticReport

Summary

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of DiagnosticReport.effective[x]