HL7 Europe Imaging Report R4
1.0.0-alpha - qa-preview 150

This page is part of the HL7 Europe Imaging Report (v1.0.0-alpha: QA Preview) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 1.0.0-ballot. For a full list of available versions, see the Directory of published versions

Resource Profile: DiagnosticReport: Imaging Report Minimal Metadata

Official URL: http://hl7.eu/fhir/imaging/StructureDefinition/DiagnosticReportEuImagingMinimalMetadata Version: 1.0.0-alpha
Standards status: Draft Draft as of 2026-02-27 Maturity Level: 1 Computable Name: DiagnosticReportEuImagingMinimalMetadata

Copyright/Legal: Copyright HL7 Europe. Licensed under Creative Commons public domain (CC0 1.0).

DiagnosticReport profile for minimal metadata imaging report exchange. This profile shares all common imaging report modeling with DiagnosticReportEuImaging but does not require a matching Composition resource.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:artifactVersion 0..1 string Business version of the artifact
URL: http://hl7.org/fhir/StructureDefinition/artifact-version
.... extension:anatomical-region 0..* CodeableConcept The anatomical regions covered by the study this report reports on.
URL: http://hl7.eu/fhir/imaging/StructureDefinition/AnatomicalRegionExtension
Binding: ValueSet: Anatomical Region (required)
.... extension:note 0..* (Complex) Comments about the diagnostic report
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note
Constraints: ext-1
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note"
.... extension:comparison S 0..* Reference(ImagingStudy: General | Basic-ImagingSelection: General) Comparison studies
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRComparisonStudy
.... extension:patientHistory S 0..* Reference() Patient history items selected by radiologist
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRPatientHistory
.... extension:procedure S 0..* Reference(Procedure: Imaging Acquisition | AdverseEvent | Observation: Radiation Dose) Imaging procedure
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRImagingProcedure
.... extension:finding S 0..* Reference(Observation: Imaging Finding | Key images represented as an ImagingSelection for R4 | DocumentReference: Key Image | DocumentReference | Media) Key image findings
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRFinding
.... extension:impression S 0..* Reference(Observation: Imaging Finding | Condition | DocumentReference: Key Image | Key images represented as an ImagingSelection for R4) Impression
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRImpression
.... extension:recommendation S 0..* Reference(CarePlan | ServiceRequest) Recommendations
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRRecommendation
.... extension:communication S 0..* Reference() Communications with other care providers
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRCommunication
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for basedOn 0..* Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) What was requested
Slice: Unordered, Open by exists:identifier
.... basedOn:order-resource 0..* Reference(ServiceRequest: Imaging Order) What was requested
..... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... basedOn:order-identifier 0..* Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) What was requested
..... identifier Σ 1..1 AccessionNumberIdentifierEuImaging Logical reference, when literal reference is not known
... status ?!Σ 1..1 code Status of the Report
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... Slices for category Σ 2..* CodeableConcept Service category
Slice: Unordered, Open by value:$this
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
.... category:diagnostic-service Σ 0..1 CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (required)
.... category:imaging-report Σ 1..1 CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 85430-7
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
.... category:imaging Σ 1..1 CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.eu/fhir/eu-health-data-api/CodeSystem/eehrxf-document-priority-category-cs
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: Medical-Imaging
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... code Σ 1..1 CodeableConcept Type of Imaging Diagnostic Report
Binding: ValueSet: Radiology Report Types (preferred)
... subject Σ 0..1 Reference(Patient (EU core)) The subject of the report - usually, but not always, the patient
... Slices for performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Responsible Diagnostic Service
Slice: Unordered, Open by profile:$this
.... performer:organization Σ 0..* Reference(Organization (EU core)) The organization producer of this report
... Slices for resultsInterpreter Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
Slice: Unordered, Open by profile:resolve()
.... resultsInterpreter:author Σ 0..* Reference(Practitioner (EU core) | PractitionerRole (EU core)) Primary result interpreter
... result S 0..* Reference(Observation: Imaging Finding) Findings
... Slices for imagingStudy 0..* Reference(ImagingStudy: General) Study subject to this report
Slice: Unordered, Open by exists:identifier
.... imagingStudy:study-resource 0..* Reference(ImagingStudy) Reference to full details of imaging associated with the diagnostic report
..... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... imagingStudy:study-identifier 0..* Reference(ImagingStudy) Reference to full details of imaging associated with the diagnostic report
..... identifier Σ 1..1 StudyInstanceUidIdentifierEuImaging Logical reference, when literal reference is not known

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 FHIR Std.
DiagnosticReport.category Base example Diagnostic Service Section Codes 📍4.0.1 FHIR Std.
DiagnosticReport.category:diagnostic-service Base required Diagnostic Service Section Codes 📦4.0.1 FHIR Std.
DiagnosticReport.category:imaging-report Base example Diagnostic Service Section Codes 📍4.0.1 FHIR Std.
DiagnosticReport.category:imaging Base example Diagnostic Service Section Codes 📍4.0.1 FHIR Std.
DiagnosticReport.code Base preferred ValueSet: Radiology Report Types 📦1.0.0-alpha This IG

Constraints

Id Grade Path(s) Description Expression
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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(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()

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport DiagnosticReport
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:artifactVersion 0..1 string Business version of the artifact
URL: http://hl7.org/fhir/StructureDefinition/artifact-version
.... extension:anatomical-region 0..* CodeableConcept The anatomical regions covered by the study this report reports on.
URL: http://hl7.eu/fhir/imaging/StructureDefinition/AnatomicalRegionExtension
Binding: ValueSet: Anatomical Region (required)
.... extension:note 0..* (Complex) Comments about the diagnostic report
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note
..... extension 0..0 Extension
..... value[x]
...... Slices for extension Content/Rules for all slices
....... extension:annotation-type 0..* (Complex) The type of annotation
URL: http://hl7.org/fhir/StructureDefinition/annotationType
........ value[x] 1..1 CodeableConcept Value of extension
Binding: ValueSet: Section codes used to label annotations. (preferred)
.... extension:comparison S 0..* Reference(ImagingStudy: General | Basic-ImagingSelection: General) Comparison studies
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRComparisonStudy
.... extension:patientHistory S 0..* Reference() Patient history items selected by radiologist
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRPatientHistory
.... extension:procedure S 0..* Reference(Procedure: Imaging Acquisition | AdverseEvent | Observation: Radiation Dose) Imaging procedure
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRImagingProcedure
.... extension:finding S 0..* Reference(Observation: Imaging Finding | Key images represented as an ImagingSelection for R4 | DocumentReference: Key Image | DocumentReference | Media) Key image findings
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRFinding
.... extension:impression S 0..* Reference(Observation: Imaging Finding | Condition | DocumentReference: Key Image | Key images represented as an ImagingSelection for R4) Impression
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRImpression
.... extension:recommendation S 0..* Reference(CarePlan | ServiceRequest) Recommendations
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRRecommendation
.... extension:communication S 0..* Reference() Communications with other care providers
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRCommunication
... identifier 1..* Identifier Report identifier
... Slices for basedOn 0..* Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) What was requested
Slice: Unordered, Open by exists:identifier
.... basedOn:order-resource 0..* Reference(ServiceRequest: Imaging Order) What was requested
..... reference 1..1 string Literal reference, Relative, internal or absolute URL
..... identifier 0..0 Logical reference, when literal reference is not known
.... basedOn:order-identifier 0..* Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) What was requested
..... reference 0..0 Literal reference, Relative, internal or absolute URL
..... identifier 1..1 AccessionNumberIdentifierEuImaging Logical reference, when literal reference is not known
... Slices for category 2..* CodeableConcept Service category
Slice: Unordered, Open by value:$this
.... category:diagnostic-service 0..1 CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (required)
.... category:imaging-report 1..1 CodeableConcept Service category
Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 85430-7
.... category:imaging 1..1 CodeableConcept Service category
Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.eu/fhir/eu-health-data-api/CodeSystem/eehrxf-document-priority-category-cs
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: Medical-Imaging
... code 1..1 CodeableConcept Type of Imaging Diagnostic Report
Binding: ValueSet: Radiology Report Types (preferred)
... subject 0..1 Reference(Patient (EU core)) The subject of the report - usually, but not always, the patient
... Slices for performer 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Responsible Diagnostic Service
Slice: Unordered, Open by profile:$this
.... performer:organization 0..* Reference(Organization (EU core)) The organization producer of this report
... Slices for resultsInterpreter 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
Slice: Unordered, Open by profile:resolve()
.... resultsInterpreter:author 0..* Reference(Practitioner (EU core) | PractitionerRole (EU core)) Primary result interpreter
... result S 0..* Reference(Observation: Imaging Finding) Findings
... Slices for imagingStudy 0..* Reference(ImagingStudy: General) Study subject to this report
Slice: Unordered, Open by exists:identifier
.... imagingStudy:study-resource 0..* Reference(ImagingStudy) Reference to full details of imaging associated with the diagnostic report
..... reference 1..1 string Literal reference, Relative, internal or absolute URL
..... identifier 0..0 Logical reference, when literal reference is not known
.... imagingStudy:study-identifier 0..* Reference(ImagingStudy) Reference to full details of imaging associated with the diagnostic report
..... reference 0..0 Literal reference, Relative, internal or absolute URL
..... identifier 1..1 StudyInstanceUidIdentifierEuImaging Logical reference, when literal reference is not known

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DiagnosticReport.extension:note.​value[x].extension:annotation-type.​value[x] Base preferred ValueSet: Section codes used to label annotations. 📦1.0.0-alpha This IG
DiagnosticReport.category:diagnostic-service Base required Diagnostic Service Section Codes 📦4.0.1 FHIR Std.
DiagnosticReport.code Base preferred ValueSet: Radiology Report Types 📦1.0.0-alpha This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:artifactVersion 0..1 string Business version of the artifact
URL: http://hl7.org/fhir/StructureDefinition/artifact-version
.... extension:anatomical-region 0..* CodeableConcept The anatomical regions covered by the study this report reports on.
URL: http://hl7.eu/fhir/imaging/StructureDefinition/AnatomicalRegionExtension
Binding: ValueSet: Anatomical Region (required)
.... extension:note 0..* (Complex) Comments about the diagnostic report
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note
Constraints: ext-1
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note"
..... value[x] 0..1 Annotation Comments about the diagnostic report
...... id 0..1 string Unique id for inter-element referencing
...... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... extension:annotation-type 0..* (Complex) The type of annotation
URL: http://hl7.org/fhir/StructureDefinition/annotationType
........ id 0..1 id Unique id for inter-element referencing
........ extension 0..0 Extension
Slice: Unordered, Open by value:url
........ url 1..1 uri "http://hl7.org/fhir/StructureDefinition/annotationType"
........ value[x] 1..1 CodeableConcept Value of extension
Binding: ValueSet: Section codes used to label annotations. (preferred)
...... author[x] Σ 0..1 Individual responsible for the annotation
....... authorReference Reference(Practitioner | 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)
.... extension:comparison S 0..* Reference(ImagingStudy: General | Basic-ImagingSelection: General) Comparison studies
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRComparisonStudy
.... extension:patientHistory S 0..* Reference() Patient history items selected by radiologist
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRPatientHistory
.... extension:procedure S 0..* Reference(Procedure: Imaging Acquisition | AdverseEvent | Observation: Radiation Dose) Imaging procedure
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRImagingProcedure
.... extension:finding S 0..* Reference(Observation: Imaging Finding | Key images represented as an ImagingSelection for R4 | DocumentReference: Key Image | DocumentReference | Media) Key image findings
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRFinding
.... extension:impression S 0..* Reference(Observation: Imaging Finding | Condition | DocumentReference: Key Image | Key images represented as an ImagingSelection for R4) Impression
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRImpression
.... extension:recommendation S 0..* Reference(CarePlan | ServiceRequest) Recommendations
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRRecommendation
.... extension:communication S 0..* Reference() Communications with other care providers
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRCommunication
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 1..* Identifier Report identifier
... Slices for basedOn 0..* Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) What was requested
Slice: Unordered, Open by exists:identifier
.... basedOn:order-resource 0..* Reference(ServiceRequest: Imaging Order) What was requested
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
..... display Σ 0..1 string Text alternative for the resource
.... basedOn:order-identifier 0..* Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) What was requested
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
..... identifier Σ 1..1 AccessionNumberIdentifierEuImaging Logical reference, when literal reference is not known
..... display Σ 0..1 string Text alternative for the resource
... status ?!Σ 1..1 code Status of the Report
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... Slices for category Σ 2..* CodeableConcept Service category
Slice: Unordered, Open by value:$this
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
.... category:diagnostic-service Σ 0..1 CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (required)
.... category:imaging-report Σ 1..1 CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 85430-7
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
.... category:imaging Σ 1..1 CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.eu/fhir/eu-health-data-api/CodeSystem/eehrxf-document-priority-category-cs
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: Medical-Imaging
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... code Σ 1..1 CodeableConcept Type of Imaging Diagnostic Report
Binding: ValueSet: Radiology Report Types (preferred)
... subject Σ 0..1 Reference(Patient (EU core)) The subject of the report - usually, but not always, the patient
... encounter Σ 0..1 Reference(Encounter) Health care event when test ordered
... effective[x] Σ 0..1 Clinically relevant time/time-period for report
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued Σ 0..1 instant DateTime this version was made
... Slices for performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Responsible Diagnostic Service
Slice: Unordered, Open by profile:$this
.... performer:organization Σ 0..* Reference(Organization (EU core)) The organization producer of this report
... Slices for resultsInterpreter Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
Slice: Unordered, Open by profile:resolve()
.... resultsInterpreter:author Σ 0..* Reference(Practitioner (EU core) | PractitionerRole (EU core)) Primary result interpreter
... specimen 0..* Reference(Specimen) Specimens this report is based on
... result S 0..* Reference(Observation: Imaging Finding) Findings
... Slices for imagingStudy 0..* Reference(ImagingStudy: General) Study subject to this report
Slice: Unordered, Open by exists:identifier
.... imagingStudy:study-resource 0..* Reference(ImagingStudy) Reference to full details of imaging associated with the diagnostic report
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
..... display Σ 0..1 string Text alternative for the resource
.... imagingStudy:study-identifier 0..* Reference(ImagingStudy) Reference to full details of imaging associated with the diagnostic report
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
..... identifier Σ 1..1 StudyInstanceUidIdentifierEuImaging Logical reference, when literal reference is not known
..... display Σ 0..1 string Text alternative for the resource
... media Σ 0..* BackboneElement Key images associated with this report
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... comment 0..1 string Comment about the image (e.g. explanation)
.... link Σ 1..1 Reference(Media) Reference to the image source
... conclusion 0..1 string Clinical conclusion (interpretation) of test results
... conclusionCode 0..* CodeableConcept Codes for the clinical conclusion of test results
Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
... presentedForm 0..* Attachment Entire report as issued

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DiagnosticReport.extension:note.​value[x].extension:annotation-type.​value[x] Base preferred ValueSet: Section codes used to label annotations. 📦1.0.0-alpha This IG
DiagnosticReport.basedOn:order-resource.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
DiagnosticReport.basedOn:order-identifier.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 FHIR Std.
DiagnosticReport.category Base example Diagnostic Service Section Codes 📍4.0.1 FHIR Std.
DiagnosticReport.category:diagnostic-service Base required Diagnostic Service Section Codes 📦4.0.1 FHIR Std.
DiagnosticReport.category:imaging-report Base example Diagnostic Service Section Codes 📍4.0.1 FHIR Std.
DiagnosticReport.category:imaging Base example Diagnostic Service Section Codes 📍4.0.1 FHIR Std.
DiagnosticReport.code Base preferred ValueSet: Radiology Report Types 📦1.0.0-alpha This IG
DiagnosticReport.imagingStudy:study-resource.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
DiagnosticReport.imagingStudy:study-identifier.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
DiagnosticReport.conclusionCode Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error DiagnosticReport If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error DiagnosticReport If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DiagnosticReport A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Summary

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

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of DiagnosticReport.basedOn
  • The element 1 is sliced based on the value of DiagnosticReport.category
  • The element 1 is sliced based on the value of DiagnosticReport.performer
  • The element 1 is sliced based on the value of DiagnosticReport.resultsInterpreter
  • The element 1 is sliced based on the value of DiagnosticReport.imagingStudy

Maturity: 1

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:artifactVersion 0..1 string Business version of the artifact
URL: http://hl7.org/fhir/StructureDefinition/artifact-version
.... extension:anatomical-region 0..* CodeableConcept The anatomical regions covered by the study this report reports on.
URL: http://hl7.eu/fhir/imaging/StructureDefinition/AnatomicalRegionExtension
Binding: ValueSet: Anatomical Region (required)
.... extension:note 0..* (Complex) Comments about the diagnostic report
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note
Constraints: ext-1
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note"
.... extension:comparison S 0..* Reference(ImagingStudy: General | Basic-ImagingSelection: General) Comparison studies
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRComparisonStudy
.... extension:patientHistory S 0..* Reference() Patient history items selected by radiologist
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRPatientHistory
.... extension:procedure S 0..* Reference(Procedure: Imaging Acquisition | AdverseEvent | Observation: Radiation Dose) Imaging procedure
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRImagingProcedure
.... extension:finding S 0..* Reference(Observation: Imaging Finding | Key images represented as an ImagingSelection for R4 | DocumentReference: Key Image | DocumentReference | Media) Key image findings
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRFinding
.... extension:impression S 0..* Reference(Observation: Imaging Finding | Condition | DocumentReference: Key Image | Key images represented as an ImagingSelection for R4) Impression
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRImpression
.... extension:recommendation S 0..* Reference(CarePlan | ServiceRequest) Recommendations
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRRecommendation
.... extension:communication S 0..* Reference() Communications with other care providers
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRCommunication
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for basedOn 0..* Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) What was requested
Slice: Unordered, Open by exists:identifier
.... basedOn:order-resource 0..* Reference(ServiceRequest: Imaging Order) What was requested
..... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... basedOn:order-identifier 0..* Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) What was requested
..... identifier Σ 1..1 AccessionNumberIdentifierEuImaging Logical reference, when literal reference is not known
... status ?!Σ 1..1 code Status of the Report
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... Slices for category Σ 2..* CodeableConcept Service category
Slice: Unordered, Open by value:$this
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
.... category:diagnostic-service Σ 0..1 CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (required)
.... category:imaging-report Σ 1..1 CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 85430-7
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
.... category:imaging Σ 1..1 CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.eu/fhir/eu-health-data-api/CodeSystem/eehrxf-document-priority-category-cs
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: Medical-Imaging
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... code Σ 1..1 CodeableConcept Type of Imaging Diagnostic Report
Binding: ValueSet: Radiology Report Types (preferred)
... subject Σ 0..1 Reference(Patient (EU core)) The subject of the report - usually, but not always, the patient
... Slices for performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Responsible Diagnostic Service
Slice: Unordered, Open by profile:$this
.... performer:organization Σ 0..* Reference(Organization (EU core)) The organization producer of this report
... Slices for resultsInterpreter Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
Slice: Unordered, Open by profile:resolve()
.... resultsInterpreter:author Σ 0..* Reference(Practitioner (EU core) | PractitionerRole (EU core)) Primary result interpreter
... result S 0..* Reference(Observation: Imaging Finding) Findings
... Slices for imagingStudy 0..* Reference(ImagingStudy: General) Study subject to this report
Slice: Unordered, Open by exists:identifier
.... imagingStudy:study-resource 0..* Reference(ImagingStudy) Reference to full details of imaging associated with the diagnostic report
..... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... imagingStudy:study-identifier 0..* Reference(ImagingStudy) Reference to full details of imaging associated with the diagnostic report
..... identifier Σ 1..1 StudyInstanceUidIdentifierEuImaging Logical reference, when literal reference is not known

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 FHIR Std.
DiagnosticReport.category Base example Diagnostic Service Section Codes 📍4.0.1 FHIR Std.
DiagnosticReport.category:diagnostic-service Base required Diagnostic Service Section Codes 📦4.0.1 FHIR Std.
DiagnosticReport.category:imaging-report Base example Diagnostic Service Section Codes 📍4.0.1 FHIR Std.
DiagnosticReport.category:imaging Base example Diagnostic Service Section Codes 📍4.0.1 FHIR Std.
DiagnosticReport.code Base preferred ValueSet: Radiology Report Types 📦1.0.0-alpha This IG

Constraints

Id Grade Path(s) Description Expression
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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport DiagnosticReport
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:artifactVersion 0..1 string Business version of the artifact
URL: http://hl7.org/fhir/StructureDefinition/artifact-version
.... extension:anatomical-region 0..* CodeableConcept The anatomical regions covered by the study this report reports on.
URL: http://hl7.eu/fhir/imaging/StructureDefinition/AnatomicalRegionExtension
Binding: ValueSet: Anatomical Region (required)
.... extension:note 0..* (Complex) Comments about the diagnostic report
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note
..... extension 0..0 Extension
..... value[x]
...... Slices for extension Content/Rules for all slices
....... extension:annotation-type 0..* (Complex) The type of annotation
URL: http://hl7.org/fhir/StructureDefinition/annotationType
........ value[x] 1..1 CodeableConcept Value of extension
Binding: ValueSet: Section codes used to label annotations. (preferred)
.... extension:comparison S 0..* Reference(ImagingStudy: General | Basic-ImagingSelection: General) Comparison studies
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRComparisonStudy
.... extension:patientHistory S 0..* Reference() Patient history items selected by radiologist
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRPatientHistory
.... extension:procedure S 0..* Reference(Procedure: Imaging Acquisition | AdverseEvent | Observation: Radiation Dose) Imaging procedure
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRImagingProcedure
.... extension:finding S 0..* Reference(Observation: Imaging Finding | Key images represented as an ImagingSelection for R4 | DocumentReference: Key Image | DocumentReference | Media) Key image findings
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRFinding
.... extension:impression S 0..* Reference(Observation: Imaging Finding | Condition | DocumentReference: Key Image | Key images represented as an ImagingSelection for R4) Impression
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRImpression
.... extension:recommendation S 0..* Reference(CarePlan | ServiceRequest) Recommendations
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRRecommendation
.... extension:communication S 0..* Reference() Communications with other care providers
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRCommunication
... identifier 1..* Identifier Report identifier
... Slices for basedOn 0..* Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) What was requested
Slice: Unordered, Open by exists:identifier
.... basedOn:order-resource 0..* Reference(ServiceRequest: Imaging Order) What was requested
..... reference 1..1 string Literal reference, Relative, internal or absolute URL
..... identifier 0..0 Logical reference, when literal reference is not known
.... basedOn:order-identifier 0..* Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) What was requested
..... reference 0..0 Literal reference, Relative, internal or absolute URL
..... identifier 1..1 AccessionNumberIdentifierEuImaging Logical reference, when literal reference is not known
... Slices for category 2..* CodeableConcept Service category
Slice: Unordered, Open by value:$this
.... category:diagnostic-service 0..1 CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (required)
.... category:imaging-report 1..1 CodeableConcept Service category
Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 85430-7
.... category:imaging 1..1 CodeableConcept Service category
Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.eu/fhir/eu-health-data-api/CodeSystem/eehrxf-document-priority-category-cs
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: Medical-Imaging
... code 1..1 CodeableConcept Type of Imaging Diagnostic Report
Binding: ValueSet: Radiology Report Types (preferred)
... subject 0..1 Reference(Patient (EU core)) The subject of the report - usually, but not always, the patient
... Slices for performer 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Responsible Diagnostic Service
Slice: Unordered, Open by profile:$this
.... performer:organization 0..* Reference(Organization (EU core)) The organization producer of this report
... Slices for resultsInterpreter 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
Slice: Unordered, Open by profile:resolve()
.... resultsInterpreter:author 0..* Reference(Practitioner (EU core) | PractitionerRole (EU core)) Primary result interpreter
... result S 0..* Reference(Observation: Imaging Finding) Findings
... Slices for imagingStudy 0..* Reference(ImagingStudy: General) Study subject to this report
Slice: Unordered, Open by exists:identifier
.... imagingStudy:study-resource 0..* Reference(ImagingStudy) Reference to full details of imaging associated with the diagnostic report
..... reference 1..1 string Literal reference, Relative, internal or absolute URL
..... identifier 0..0 Logical reference, when literal reference is not known
.... imagingStudy:study-identifier 0..* Reference(ImagingStudy) Reference to full details of imaging associated with the diagnostic report
..... reference 0..0 Literal reference, Relative, internal or absolute URL
..... identifier 1..1 StudyInstanceUidIdentifierEuImaging Logical reference, when literal reference is not known

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DiagnosticReport.extension:note.​value[x].extension:annotation-type.​value[x] Base preferred ValueSet: Section codes used to label annotations. 📦1.0.0-alpha This IG
DiagnosticReport.category:diagnostic-service Base required Diagnostic Service Section Codes 📦4.0.1 FHIR Std.
DiagnosticReport.code Base preferred ValueSet: Radiology Report Types 📦1.0.0-alpha This IG

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:artifactVersion 0..1 string Business version of the artifact
URL: http://hl7.org/fhir/StructureDefinition/artifact-version
.... extension:anatomical-region 0..* CodeableConcept The anatomical regions covered by the study this report reports on.
URL: http://hl7.eu/fhir/imaging/StructureDefinition/AnatomicalRegionExtension
Binding: ValueSet: Anatomical Region (required)
.... extension:note 0..* (Complex) Comments about the diagnostic report
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note
Constraints: ext-1
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1
..... url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note"
..... value[x] 0..1 Annotation Comments about the diagnostic report
...... id 0..1 string Unique id for inter-element referencing
...... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... extension:annotation-type 0..* (Complex) The type of annotation
URL: http://hl7.org/fhir/StructureDefinition/annotationType
........ id 0..1 id Unique id for inter-element referencing
........ extension 0..0 Extension
Slice: Unordered, Open by value:url
........ url 1..1 uri "http://hl7.org/fhir/StructureDefinition/annotationType"
........ value[x] 1..1 CodeableConcept Value of extension
Binding: ValueSet: Section codes used to label annotations. (preferred)
...... author[x] Σ 0..1 Individual responsible for the annotation
....... authorReference Reference(Practitioner | 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)
.... extension:comparison S 0..* Reference(ImagingStudy: General | Basic-ImagingSelection: General) Comparison studies
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRComparisonStudy
.... extension:patientHistory S 0..* Reference() Patient history items selected by radiologist
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRPatientHistory
.... extension:procedure S 0..* Reference(Procedure: Imaging Acquisition | AdverseEvent | Observation: Radiation Dose) Imaging procedure
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRImagingProcedure
.... extension:finding S 0..* Reference(Observation: Imaging Finding | Key images represented as an ImagingSelection for R4 | DocumentReference: Key Image | DocumentReference | Media) Key image findings
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRFinding
.... extension:impression S 0..* Reference(Observation: Imaging Finding | Condition | DocumentReference: Key Image | Key images represented as an ImagingSelection for R4) Impression
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRImpression
.... extension:recommendation S 0..* Reference(CarePlan | ServiceRequest) Recommendations
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRRecommendation
.... extension:communication S 0..* Reference() Communications with other care providers
URL: http://hl7.eu/fhir/imaging/StructureDefinition/HL7IDRCommunication
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 1..* Identifier Report identifier
... Slices for basedOn 0..* Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) What was requested
Slice: Unordered, Open by exists:identifier
.... basedOn:order-resource 0..* Reference(ServiceRequest: Imaging Order) What was requested
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
..... display Σ 0..1 string Text alternative for the resource
.... basedOn:order-identifier 0..* Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) What was requested
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
..... identifier Σ 1..1 AccessionNumberIdentifierEuImaging Logical reference, when literal reference is not known
..... display Σ 0..1 string Text alternative for the resource
... status ?!Σ 1..1 code Status of the Report
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... Slices for category Σ 2..* CodeableConcept Service category
Slice: Unordered, Open by value:$this
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
.... category:diagnostic-service Σ 0..1 CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (required)
.... category:imaging-report Σ 1..1 CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 85430-7
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
.... category:imaging Σ 1..1 CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.eu/fhir/eu-health-data-api/CodeSystem/eehrxf-document-priority-category-cs
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: Medical-Imaging
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... code Σ 1..1 CodeableConcept Type of Imaging Diagnostic Report
Binding: ValueSet: Radiology Report Types (preferred)
... subject Σ 0..1 Reference(Patient (EU core)) The subject of the report - usually, but not always, the patient
... encounter Σ 0..1 Reference(Encounter) Health care event when test ordered
... effective[x] Σ 0..1 Clinically relevant time/time-period for report
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued Σ 0..1 instant DateTime this version was made
... Slices for performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Responsible Diagnostic Service
Slice: Unordered, Open by profile:$this
.... performer:organization Σ 0..* Reference(Organization (EU core)) The organization producer of this report
... Slices for resultsInterpreter Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
Slice: Unordered, Open by profile:resolve()
.... resultsInterpreter:author Σ 0..* Reference(Practitioner (EU core) | PractitionerRole (EU core)) Primary result interpreter
... specimen 0..* Reference(Specimen) Specimens this report is based on
... result S 0..* Reference(Observation: Imaging Finding) Findings
... Slices for imagingStudy 0..* Reference(ImagingStudy: General) Study subject to this report
Slice: Unordered, Open by exists:identifier
.... imagingStudy:study-resource 0..* Reference(ImagingStudy) Reference to full details of imaging associated with the diagnostic report
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
..... display Σ 0..1 string Text alternative for the resource
.... imagingStudy:study-identifier 0..* Reference(ImagingStudy) Reference to full details of imaging associated with the diagnostic report
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
..... identifier Σ 1..1 StudyInstanceUidIdentifierEuImaging Logical reference, when literal reference is not known
..... display Σ 0..1 string Text alternative for the resource
... media Σ 0..* BackboneElement Key images associated with this report
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... comment 0..1 string Comment about the image (e.g. explanation)
.... link Σ 1..1 Reference(Media) Reference to the image source
... conclusion 0..1 string Clinical conclusion (interpretation) of test results
... conclusionCode 0..* CodeableConcept Codes for the clinical conclusion of test results
Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
... presentedForm 0..* Attachment Entire report as issued

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DiagnosticReport.extension:note.​value[x].extension:annotation-type.​value[x] Base preferred ValueSet: Section codes used to label annotations. 📦1.0.0-alpha This IG
DiagnosticReport.basedOn:order-resource.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
DiagnosticReport.basedOn:order-identifier.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 FHIR Std.
DiagnosticReport.category Base example Diagnostic Service Section Codes 📍4.0.1 FHIR Std.
DiagnosticReport.category:diagnostic-service Base required Diagnostic Service Section Codes 📦4.0.1 FHIR Std.
DiagnosticReport.category:imaging-report Base example Diagnostic Service Section Codes 📍4.0.1 FHIR Std.
DiagnosticReport.category:imaging Base example Diagnostic Service Section Codes 📍4.0.1 FHIR Std.
DiagnosticReport.code Base preferred ValueSet: Radiology Report Types 📦1.0.0-alpha This IG
DiagnosticReport.imagingStudy:study-resource.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
DiagnosticReport.imagingStudy:study-identifier.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
DiagnosticReport.conclusionCode Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error DiagnosticReport If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error DiagnosticReport If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DiagnosticReport A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Summary

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

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of DiagnosticReport.basedOn
  • The element 1 is sliced based on the value of DiagnosticReport.category
  • The element 1 is sliced based on the value of DiagnosticReport.performer
  • The element 1 is sliced based on the value of DiagnosticReport.resultsInterpreter
  • The element 1 is sliced based on the value of DiagnosticReport.imagingStudy

Maturity: 1

 

Other representations of profile: CSV, Excel, Schematron