MyHealth@Eu Medical Imaging Report
9.1.1 - ci-build 150

MyHealth@Eu Medical Imaging Report - Local Development build (v9.1.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Resource Profile: DiagnosticReport MyHealthEu Imaging

Official URL: http://fhir.ehdsi.eu/imaging/StructureDefinition/diagnosticreport-myhealtheu-img | Version: 9.1.1
Standards status: Draft | Maturity Level: 1 | Computable Name: DiagnosticReportImgMyHealthEu

Derived DiagnosticReport for MyHealthEu Imaging

Usages:

- Use this Profile: Bundle: Imaging
- Refer to this Profile: Composition Imaging MyHealth@EU
- Examples for this Profile: DiagnosticReport/ExampleDiagnosticReportImg

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
DiagnosticReport |  | 0..* | DiagnosticReportMyHealthCore | Diagnostic Report EU core This profile also imposes the profile DiagnosticReport: Imaging Report
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:DiagnosticReportCompositionR5 |  | 0..1 | (Complex) | R5: Reference to a Composition resource for the DiagnosticReport structure (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition 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.composition"
value[x] |  | 1..1 | Reference(Composition (Core)) | Reference to a Composition resource for the DiagnosticReport structure
extension:note |  | 0..* | (Complex) | R5: Comments about the diagnostic report (new) 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: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:comparison | S | 0..* | Reference(Medical Imaging Report Imaging Study | Basic-ImagingSelection: General) | Comparison studies URL: http://fhir.ehdsi.eu/imaging/StructureDefinition/HL7IDRComparisonStudy
extension:patientHistory | S | 0..* | Reference() | Patient history items selected by radiologist URL: http://fhir.ehdsi.eu/imaging/StructureDefinition/HL7IDRPatientHistory
extension:procedure | S | 0..* | Reference(Procedure MyHealthEu Imaging | AdverseEvent | Observation: Radiation Dose) | Imaging procedure URL: http://fhir.ehdsi.eu/imaging/StructureDefinition/HL7IDRImagingProcedure
extension:finding | S | 0..* | Reference(Observation Results: IDR | Key images represented as an ImagingSelection | Imaging Key Image Document Reference | DocumentReference | Media) | Key image findings URL: http://fhir.ehdsi.eu/imaging/StructureDefinition/HL7IDRFinding
extension:impression | S | 0..* | Reference(Observation Results: IDR | Condition (Core) | Imaging Key Image Document Reference | Key images represented as an ImagingSelection) | Impression URL: http://fhir.ehdsi.eu/imaging/StructureDefinition/HL7IDRImpression
extension:recommendation | S | 0..* | Reference(CarePlan | ServiceRequest) | Recommendations URL: http://fhir.ehdsi.eu/imaging/StructureDefinition/HL7IDRRecommendation
extension:communication | S | 0..* | Reference() | Communications with other care providers URL: http://fhir.ehdsi.eu/imaging/StructureDefinition/HL7IDRCommunication
extension:composition |  | 1..1 | (Complex) | Imaging Diagnostic Report URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
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.composition"
value[x] |  | 0..1 | Reference(Composition Imaging MyHealth@EU) | Reference to a Composition resource for the DiagnosticReport structure
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 1..* | Identifier | Report identifier
Slices for basedOn |  | 0..* | Reference(ServiceRequest) | What was requested Slice: Unordered, Open by type:$this
basedOn:ServiceRequestOrderEuImagingaccession |  | 0..* | Reference(ServiceRequest: Imaging) | What was requested
identifier | Σ | 1..1 | AccessionNumberIdentifierEuImaging | Logical reference, when literal reference is not known
status | ?!Σ | 1..1 | code | Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
Slices for category | Σ | 2..* | CodeableConcept | Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
category: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 Diagnostic Report Binding: eHDSI Diagnostic Report Code With Exceptions (required)
subject | Σ | 1..1 | Reference(Patient (Core)) | Who and/or what this report is about
Slices for effective[x] | Σ | 0..1 |  | Clinically relevant time/time-period for report. Slice: Unordered, Open by type:$this
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effective[x]:effectivePeriod | Σ | 0..1 | Period | Effective period of the report
Slices for performer | Σ | 0..* | Reference(PractitionerRole (EU core) | Practitioner (EU core) | Organization (EU core) | CareTeam) | Responsible Diagnostic Service. Slice: Unordered, Open by profile:$this
performer:organization | Σ | 0..* | Reference(Organization (Core)) | The organization producer of this report
Slices for resultsInterpreter | Σ | 0..* | Reference(PractitionerRole (EU core) | Practitioner (EU core) | Organization (EU core) | CareTeam) | Primary result interpreter Slice: Unordered, Open by profile:resolve()
resultsInterpreter:author | Σ | 0..* | Reference(PractitionerRole (Core)) | Primary result interpreter
result | S | 0..* | Reference(Observation Results: IDR) | Findings
imagingStudy |  | 0..* | Reference(Medical Imaging Report Imaging Study) | Study subject to this report
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: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 | required | eHDSI Diagnostic Report Code With Exceptions | 📦1.0.0 | MyHealth@EU Core v1.0

#### 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()`

This structure is derived from DiagnosticReportMyHealthCore

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
DiagnosticReport |  |  | DiagnosticReportMyHealthCore | This profile also imposes the profile DiagnosticReport: Imaging Report
extension |  | 1..* | Extension | Extension
Slices for extension |  |  |  | Content/Rules for all slices
extension:note |  | 0..* | 0.1.0 | R5: Comments about the diagnostic report (new)
value[x] |  |  |  |
Slices for extension |  |  |  | Content/Rules for all slices
extension:annotation-type |  | 0..* | AnnotationType | The type of annotation
value[x] |  | 1..1 | CodeableConcept | Type of note Binding: ValueSet: Section codes used to label annotations. (preferred)
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:comparison | S | 0..* | Reference(Medical Imaging Report Imaging Study | Basic-ImagingSelection: General) | Comparison studies URL: http://fhir.ehdsi.eu/imaging/StructureDefinition/HL7IDRComparisonStudy
extension:patientHistory | S | 0..* | Reference() | Patient history items selected by radiologist URL: http://fhir.ehdsi.eu/imaging/StructureDefinition/HL7IDRPatientHistory
extension:procedure | S | 0..* | Reference(Procedure MyHealthEu Imaging | AdverseEvent | Observation: Radiation Dose) | Imaging procedure URL: http://fhir.ehdsi.eu/imaging/StructureDefinition/HL7IDRImagingProcedure
extension:finding | S | 0..* | Reference(Observation Results: IDR | Key images represented as an ImagingSelection | Imaging Key Image Document Reference | DocumentReference | Media) | Key image findings URL: http://fhir.ehdsi.eu/imaging/StructureDefinition/HL7IDRFinding
extension:impression | S | 0..* | Reference(Observation Results: IDR | Condition (Core) | Imaging Key Image Document Reference | Key images represented as an ImagingSelection) | Impression URL: http://fhir.ehdsi.eu/imaging/StructureDefinition/HL7IDRImpression
extension:recommendation | S | 0..* | Reference(CarePlan | ServiceRequest) | Recommendations URL: http://fhir.ehdsi.eu/imaging/StructureDefinition/HL7IDRRecommendation
extension:communication | S | 0..* | Reference() | Communications with other care providers URL: http://fhir.ehdsi.eu/imaging/StructureDefinition/HL7IDRCommunication
extension:composition |  | 1..1 | (Complex) | Imaging Diagnostic Report URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
extension |  | 0..0 |  | Extension
value[x] |  | 0..1 | Reference(Composition Imaging MyHealth@EU) | Reference to a Composition resource for the DiagnosticReport structure
identifier |  | 1..* | Identifier | Report identifier
Slices for basedOn |  | 0..* | Reference(ServiceRequest) | What was requested Slice: Unordered, Open by type:$this
basedOn:ServiceRequestOrderEuImagingaccession |  | 0..* | Reference(ServiceRequest: Imaging) | What was requested
identifier |  | 1..1 | AccessionNumberIdentifierEuImaging | Logical reference, when literal reference is not known
category |  | 2..* | CodeableConcept | Service category
Slices for category |  |  |  | Content/Rules for all slices
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
subject |  | 1..1 | Reference(Patient (Core)) | Who and/or what this report is about
result | S | 0..* | Reference(Observation Results: IDR) | Findings
imagingStudy |  | 0..* | Reference(Medical Imaging Report Imaging Study) | Study subject to this report
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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
DiagnosticReport |  | 0..* | DiagnosticReportMyHealthCore | Diagnostic Report EU core This profile also imposes the profile DiagnosticReport: Imaging Report
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the diagnostic report content Binding: eHDSI Language (required)
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 |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:DiagnosticReportCompositionR5 |  | 0..1 | (Complex) | R5: Reference to a Composition resource for the DiagnosticReport structure (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition 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.composition"
value[x] |  | 1..1 | Reference(Composition (Core)) | Reference to a Composition resource for the DiagnosticReport structure
extension:note |  | 0..* | (Complex) | R5: Comments about the diagnostic report (new) 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 | Type of note 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: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:comparison | S | 0..* | Reference(Medical Imaging Report Imaging Study | Basic-ImagingSelection: General) | Comparison studies URL: http://fhir.ehdsi.eu/imaging/StructureDefinition/HL7IDRComparisonStudy
extension:patientHistory | S | 0..* | Reference() | Patient history items selected by radiologist URL: http://fhir.ehdsi.eu/imaging/StructureDefinition/HL7IDRPatientHistory
extension:procedure | S | 0..* | Reference(Procedure MyHealthEu Imaging | AdverseEvent | Observation: Radiation Dose) | Imaging procedure URL: http://fhir.ehdsi.eu/imaging/StructureDefinition/HL7IDRImagingProcedure
extension:finding | S | 0..* | Reference(Observation Results: IDR | Key images represented as an ImagingSelection | Imaging Key Image Document Reference | DocumentReference | Media) | Key image findings URL: http://fhir.ehdsi.eu/imaging/StructureDefinition/HL7IDRFinding
extension:impression | S | 0..* | Reference(Observation Results: IDR | Condition (Core) | Imaging Key Image Document Reference | Key images represented as an ImagingSelection) | Impression URL: http://fhir.ehdsi.eu/imaging/StructureDefinition/HL7IDRImpression
extension:recommendation | S | 0..* | Reference(CarePlan | ServiceRequest) | Recommendations URL: http://fhir.ehdsi.eu/imaging/StructureDefinition/HL7IDRRecommendation
extension:communication | S | 0..* | Reference() | Communications with other care providers URL: http://fhir.ehdsi.eu/imaging/StructureDefinition/HL7IDRCommunication
extension:composition |  | 1..1 | (Complex) | Imaging Diagnostic Report URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
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.composition"
value[x] |  | 0..1 | Reference(Composition Imaging MyHealth@EU) | Reference to a Composition resource for the DiagnosticReport structure
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 1..* | Identifier | Report identifier
Slices for basedOn |  | 0..* | Reference(ServiceRequest) | What was requested Slice: Unordered, Open by type:$this
basedOn:ServiceRequestOrderEuImagingaccession |  | 0..* | Reference(ServiceRequest: Imaging) | What was requested
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 1..1 | AccessionNumberIdentifierEuImaging | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
status | ?!Σ | 1..1 | code | Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
Slices for category | Σ | 2..* | CodeableConcept | Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
category: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 Diagnostic Report Binding: eHDSI Diagnostic Report Code With Exceptions (required)
subject | Σ | 1..1 | Reference(Patient (Core)) | Who and/or what this report is about
encounter | Σ | 0..1 | Reference(Encounter) | The healthcare event which this Diagnostic Report is about (when test ordered).
Slices for effective[x] | Σ | 0..1 |  | Clinically relevant time/time-period for report. Slice: Unordered, Open by type:$this
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effective[x]:effectivePeriod | Σ | 0..1 | Period | Effective period of the report
issued | Σ | 0..1 | instant | Date and time this report was issued
Slices for performer | Σ | 0..* | Reference(PractitionerRole (EU core) | Practitioner (EU core) | Organization (EU core) | CareTeam) | Responsible Diagnostic Service. Slice: Unordered, Open by profile:$this
performer:organization | Σ | 0..* | Reference(Organization (Core)) | The organization producer of this report
Slices for resultsInterpreter | Σ | 0..* | Reference(PractitionerRole (EU core) | Practitioner (EU core) | Organization (EU core) | CareTeam) | Primary result interpreter Slice: Unordered, Open by profile:resolve()
resultsInterpreter:author | Σ | 0..* | Reference(PractitionerRole (Core)) | Primary result interpreter
specimen |  | 0..* | Reference(Specimen) | Specimens this report is based on.
result | S | 0..* | Reference(Observation Results: IDR) | Findings
imagingStudy |  | 0..* | Reference(Medical Imaging Report Imaging Study) | Study subject to this report
media | Σ | 0..* | BackboneElement | Additional data (like images, diagrams or documents) associated with this report
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
comment |  | 0..1 | string | Comment about the image or data (e.g. explanation)
link | Σ | 1..1 | Reference(Media) | Reference to the image or data
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 (pdf recommended)
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
DiagnosticReport.language | Base | required | eHDSI Language | 📦9.1.0 | This IG
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:ServiceRequestOrderEuImagingaccession.​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: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 | required | eHDSI Diagnostic Report Code With Exceptions | 📦1.0.0 | MyHealth@EU Core v1.0
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()`

This structure is derived from DiagnosticReportMyHealthCore

Summary

Mandatory: 5 elements(1 nested mandatory element)
Must-Support: 8 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

- Composition Imaging MyHealth@EU (http://fhir.ehdsi.eu/imaging/StructureDefinition/composition-img-myhealtheu)
- ServiceRequest: Imaging (http://fhir.ehdsi.eu/imaging/StructureDefinition/serviceRequest-img-myhealtheu)
- Identifier: Accession Number (http://hl7.eu/fhir/imaging/StructureDefinition/AccessionNumberIdentifierEuImaging)
- Patient (Core) (http://fhir.ehdsi.eu/core/StructureDefinition/patient-myhealtheu-core)
- Observation Results: IDR (http://fhir.ehdsi.eu/imaging/StructureDefinition/observationResults-img-myhealtheu)
- Medical Imaging Report Imaging Study (http://fhir.ehdsi.eu/imaging/StructureDefinition/imagingStudy-img-myhealtheu)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/StructureDefinition/artifact-version|5.2.0
- http://hl7.eu/fhir/imaging/StructureDefinition/AnatomicalRegionExtension
- http://fhir.ehdsi.eu/imaging/StructureDefinition/HL7IDRComparisonStudy
- http://fhir.ehdsi.eu/imaging/StructureDefinition/HL7IDRPatientHistory
- http://fhir.ehdsi.eu/imaging/StructureDefinition/HL7IDRImagingProcedure
- http://fhir.ehdsi.eu/imaging/StructureDefinition/HL7IDRFinding
- http://fhir.ehdsi.eu/imaging/StructureDefinition/HL7IDRImpression
- http://fhir.ehdsi.eu/imaging/StructureDefinition/HL7IDRRecommendation
- http://fhir.ehdsi.eu/imaging/StructureDefinition/HL7IDRCommunication
- http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition|0.1.0

Slices

This structure defines the following Slices:

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

Maturity: 1

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
DiagnosticReport |  | 0..* | DiagnosticReportMyHealthCore | Diagnostic Report EU core This profile also imposes the profile DiagnosticReport: Imaging Report
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:DiagnosticReportCompositionR5 |  | 0..1 | (Complex) | R5: Reference to a Composition resource for the DiagnosticReport structure (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition 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.composition"
value[x] |  | 1..1 | Reference(Composition (Core)) | Reference to a Composition resource for the DiagnosticReport structure
extension:note |  | 0..* | (Complex) | R5: Comments about the diagnostic report (new) 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: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:comparison | S | 0..* | Reference(Medical Imaging Report Imaging Study | Basic-ImagingSelection: General) | Comparison studies URL: http://fhir.ehdsi.eu/imaging/StructureDefinition/HL7IDRComparisonStudy
extension:patientHistory | S | 0..* | Reference() | Patient history items selected by radiologist URL: http://fhir.ehdsi.eu/imaging/StructureDefinition/HL7IDRPatientHistory
extension:procedure | S | 0..* | Reference(Procedure MyHealthEu Imaging | AdverseEvent | Observation: Radiation Dose) | Imaging procedure URL: http://fhir.ehdsi.eu/imaging/StructureDefinition/HL7IDRImagingProcedure
extension:finding | S | 0..* | Reference(Observation Results: IDR | Key images represented as an ImagingSelection | Imaging Key Image Document Reference | DocumentReference | Media) | Key image findings URL: http://fhir.ehdsi.eu/imaging/StructureDefinition/HL7IDRFinding
extension:impression | S | 0..* | Reference(Observation Results: IDR | Condition (Core) | Imaging Key Image Document Reference | Key images represented as an ImagingSelection) | Impression URL: http://fhir.ehdsi.eu/imaging/StructureDefinition/HL7IDRImpression
extension:recommendation | S | 0..* | Reference(CarePlan | ServiceRequest) | Recommendations URL: http://fhir.ehdsi.eu/imaging/StructureDefinition/HL7IDRRecommendation
extension:communication | S | 0..* | Reference() | Communications with other care providers URL: http://fhir.ehdsi.eu/imaging/StructureDefinition/HL7IDRCommunication
extension:composition |  | 1..1 | (Complex) | Imaging Diagnostic Report URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
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.composition"
value[x] |  | 0..1 | Reference(Composition Imaging MyHealth@EU) | Reference to a Composition resource for the DiagnosticReport structure
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 1..* | Identifier | Report identifier
Slices for basedOn |  | 0..* | Reference(ServiceRequest) | What was requested Slice: Unordered, Open by type:$this
basedOn:ServiceRequestOrderEuImagingaccession |  | 0..* | Reference(ServiceRequest: Imaging) | What was requested
identifier | Σ | 1..1 | AccessionNumberIdentifierEuImaging | Logical reference, when literal reference is not known
status | ?!Σ | 1..1 | code | Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
Slices for category | Σ | 2..* | CodeableConcept | Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
category: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 Diagnostic Report Binding: eHDSI Diagnostic Report Code With Exceptions (required)
subject | Σ | 1..1 | Reference(Patient (Core)) | Who and/or what this report is about
Slices for effective[x] | Σ | 0..1 |  | Clinically relevant time/time-period for report. Slice: Unordered, Open by type:$this
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effective[x]:effectivePeriod | Σ | 0..1 | Period | Effective period of the report
Slices for performer | Σ | 0..* | Reference(PractitionerRole (EU core) | Practitioner (EU core) | Organization (EU core) | CareTeam) | Responsible Diagnostic Service. Slice: Unordered, Open by profile:$this
performer:organization | Σ | 0..* | Reference(Organization (Core)) | The organization producer of this report
Slices for resultsInterpreter | Σ | 0..* | Reference(PractitionerRole (EU core) | Practitioner (EU core) | Organization (EU core) | CareTeam) | Primary result interpreter Slice: Unordered, Open by profile:resolve()
resultsInterpreter:author | Σ | 0..* | Reference(PractitionerRole (Core)) | Primary result interpreter
result | S | 0..* | Reference(Observation Results: IDR) | Findings
imagingStudy |  | 0..* | Reference(Medical Imaging Report Imaging Study) | Study subject to this report
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: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 | required | eHDSI Diagnostic Report Code With Exceptions | 📦1.0.0 | MyHealth@EU Core v1.0

#### 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

This structure is derived from DiagnosticReportMyHealthCore

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
DiagnosticReport |  |  | DiagnosticReportMyHealthCore | This profile also imposes the profile DiagnosticReport: Imaging Report
extension |  | 1..* | Extension | Extension
Slices for extension |  |  |  | Content/Rules for all slices
extension:note |  | 0..* | 0.1.0 | R5: Comments about the diagnostic report (new)
value[x] |  |  |  |
Slices for extension |  |  |  | Content/Rules for all slices
extension:annotation-type |  | 0..* | AnnotationType | The type of annotation
value[x] |  | 1..1 | CodeableConcept | Type of note Binding: ValueSet: Section codes used to label annotations. (preferred)
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:comparison | S | 0..* | Reference(Medical Imaging Report Imaging Study | Basic-ImagingSelection: General) | Comparison studies URL: http://fhir.ehdsi.eu/imaging/StructureDefinition/HL7IDRComparisonStudy
extension:patientHistory | S | 0..* | Reference() | Patient history items selected by radiologist URL: http://fhir.ehdsi.eu/imaging/StructureDefinition/HL7IDRPatientHistory
extension:procedure | S | 0..* | Reference(Procedure MyHealthEu Imaging | AdverseEvent | Observation: Radiation Dose) | Imaging procedure URL: http://fhir.ehdsi.eu/imaging/StructureDefinition/HL7IDRImagingProcedure
extension:finding | S | 0..* | Reference(Observation Results: IDR | Key images represented as an ImagingSelection | Imaging Key Image Document Reference | DocumentReference | Media) | Key image findings URL: http://fhir.ehdsi.eu/imaging/StructureDefinition/HL7IDRFinding
extension:impression | S | 0..* | Reference(Observation Results: IDR | Condition (Core) | Imaging Key Image Document Reference | Key images represented as an ImagingSelection) | Impression URL: http://fhir.ehdsi.eu/imaging/StructureDefinition/HL7IDRImpression
extension:recommendation | S | 0..* | Reference(CarePlan | ServiceRequest) | Recommendations URL: http://fhir.ehdsi.eu/imaging/StructureDefinition/HL7IDRRecommendation
extension:communication | S | 0..* | Reference() | Communications with other care providers URL: http://fhir.ehdsi.eu/imaging/StructureDefinition/HL7IDRCommunication
extension:composition |  | 1..1 | (Complex) | Imaging Diagnostic Report URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
extension |  | 0..0 |  | Extension
value[x] |  | 0..1 | Reference(Composition Imaging MyHealth@EU) | Reference to a Composition resource for the DiagnosticReport structure
identifier |  | 1..* | Identifier | Report identifier
Slices for basedOn |  | 0..* | Reference(ServiceRequest) | What was requested Slice: Unordered, Open by type:$this
basedOn:ServiceRequestOrderEuImagingaccession |  | 0..* | Reference(ServiceRequest: Imaging) | What was requested
identifier |  | 1..1 | AccessionNumberIdentifierEuImaging | Logical reference, when literal reference is not known
category |  | 2..* | CodeableConcept | Service category
Slices for category |  |  |  | Content/Rules for all slices
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
subject |  | 1..1 | Reference(Patient (Core)) | Who and/or what this report is about
result | S | 0..* | Reference(Observation Results: IDR) | Findings
imagingStudy |  | 0..* | Reference(Medical Imaging Report Imaging Study) | Study subject to this report
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

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
DiagnosticReport |  | 0..* | DiagnosticReportMyHealthCore | Diagnostic Report EU core This profile also imposes the profile DiagnosticReport: Imaging Report
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the diagnostic report content Binding: eHDSI Language (required)
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 |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:DiagnosticReportCompositionR5 |  | 0..1 | (Complex) | R5: Reference to a Composition resource for the DiagnosticReport structure (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition 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.composition"
value[x] |  | 1..1 | Reference(Composition (Core)) | Reference to a Composition resource for the DiagnosticReport structure
extension:note |  | 0..* | (Complex) | R5: Comments about the diagnostic report (new) 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 | Type of note 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: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:comparison | S | 0..* | Reference(Medical Imaging Report Imaging Study | Basic-ImagingSelection: General) | Comparison studies URL: http://fhir.ehdsi.eu/imaging/StructureDefinition/HL7IDRComparisonStudy
extension:patientHistory | S | 0..* | Reference() | Patient history items selected by radiologist URL: http://fhir.ehdsi.eu/imaging/StructureDefinition/HL7IDRPatientHistory
extension:procedure | S | 0..* | Reference(Procedure MyHealthEu Imaging | AdverseEvent | Observation: Radiation Dose) | Imaging procedure URL: http://fhir.ehdsi.eu/imaging/StructureDefinition/HL7IDRImagingProcedure
extension:finding | S | 0..* | Reference(Observation Results: IDR | Key images represented as an ImagingSelection | Imaging Key Image Document Reference | DocumentReference | Media) | Key image findings URL: http://fhir.ehdsi.eu/imaging/StructureDefinition/HL7IDRFinding
extension:impression | S | 0..* | Reference(Observation Results: IDR | Condition (Core) | Imaging Key Image Document Reference | Key images represented as an ImagingSelection) | Impression URL: http://fhir.ehdsi.eu/imaging/StructureDefinition/HL7IDRImpression
extension:recommendation | S | 0..* | Reference(CarePlan | ServiceRequest) | Recommendations URL: http://fhir.ehdsi.eu/imaging/StructureDefinition/HL7IDRRecommendation
extension:communication | S | 0..* | Reference() | Communications with other care providers URL: http://fhir.ehdsi.eu/imaging/StructureDefinition/HL7IDRCommunication
extension:composition |  | 1..1 | (Complex) | Imaging Diagnostic Report URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
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.composition"
value[x] |  | 0..1 | Reference(Composition Imaging MyHealth@EU) | Reference to a Composition resource for the DiagnosticReport structure
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 1..* | Identifier | Report identifier
Slices for basedOn |  | 0..* | Reference(ServiceRequest) | What was requested Slice: Unordered, Open by type:$this
basedOn:ServiceRequestOrderEuImagingaccession |  | 0..* | Reference(ServiceRequest: Imaging) | What was requested
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 1..1 | AccessionNumberIdentifierEuImaging | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
status | ?!Σ | 1..1 | code | Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
Slices for category | Σ | 2..* | CodeableConcept | Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
category: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 Diagnostic Report Binding: eHDSI Diagnostic Report Code With Exceptions (required)
subject | Σ | 1..1 | Reference(Patient (Core)) | Who and/or what this report is about
encounter | Σ | 0..1 | Reference(Encounter) | The healthcare event which this Diagnostic Report is about (when test ordered).
Slices for effective[x] | Σ | 0..1 |  | Clinically relevant time/time-period for report. Slice: Unordered, Open by type:$this
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
effective[x]:effectivePeriod | Σ | 0..1 | Period | Effective period of the report
issued | Σ | 0..1 | instant | Date and time this report was issued
Slices for performer | Σ | 0..* | Reference(PractitionerRole (EU core) | Practitioner (EU core) | Organization (EU core) | CareTeam) | Responsible Diagnostic Service. Slice: Unordered, Open by profile:$this
performer:organization | Σ | 0..* | Reference(Organization (Core)) | The organization producer of this report
Slices for resultsInterpreter | Σ | 0..* | Reference(PractitionerRole (EU core) | Practitioner (EU core) | Organization (EU core) | CareTeam) | Primary result interpreter Slice: Unordered, Open by profile:resolve()
resultsInterpreter:author | Σ | 0..* | Reference(PractitionerRole (Core)) | Primary result interpreter
specimen |  | 0..* | Reference(Specimen) | Specimens this report is based on.
result | S | 0..* | Reference(Observation Results: IDR) | Findings
imagingStudy |  | 0..* | Reference(Medical Imaging Report Imaging Study) | Study subject to this report
media | Σ | 0..* | BackboneElement | Additional data (like images, diagrams or documents) associated with this report
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
comment |  | 0..1 | string | Comment about the image or data (e.g. explanation)
link | Σ | 1..1 | Reference(Media) | Reference to the image or data
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 (pdf recommended)
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
DiagnosticReport.language | Base | required | eHDSI Language | 📦9.1.0 | This IG
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:ServiceRequestOrderEuImagingaccession.​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: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 | required | eHDSI Diagnostic Report Code With Exceptions | 📦1.0.0 | MyHealth@EU Core v1.0
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()`

This structure is derived from DiagnosticReportMyHealthCore

Summary

Mandatory: 5 elements(1 nested mandatory element)
Must-Support: 8 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

- Composition Imaging MyHealth@EU (http://fhir.ehdsi.eu/imaging/StructureDefinition/composition-img-myhealtheu)
- ServiceRequest: Imaging (http://fhir.ehdsi.eu/imaging/StructureDefinition/serviceRequest-img-myhealtheu)
- Identifier: Accession Number (http://hl7.eu/fhir/imaging/StructureDefinition/AccessionNumberIdentifierEuImaging)
- Patient (Core) (http://fhir.ehdsi.eu/core/StructureDefinition/patient-myhealtheu-core)
- Observation Results: IDR (http://fhir.ehdsi.eu/imaging/StructureDefinition/observationResults-img-myhealtheu)
- Medical Imaging Report Imaging Study (http://fhir.ehdsi.eu/imaging/StructureDefinition/imagingStudy-img-myhealtheu)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/StructureDefinition/artifact-version|5.2.0
- http://hl7.eu/fhir/imaging/StructureDefinition/AnatomicalRegionExtension
- http://fhir.ehdsi.eu/imaging/StructureDefinition/HL7IDRComparisonStudy
- http://fhir.ehdsi.eu/imaging/StructureDefinition/HL7IDRPatientHistory
- http://fhir.ehdsi.eu/imaging/StructureDefinition/HL7IDRImagingProcedure
- http://fhir.ehdsi.eu/imaging/StructureDefinition/HL7IDRFinding
- http://fhir.ehdsi.eu/imaging/StructureDefinition/HL7IDRImpression
- http://fhir.ehdsi.eu/imaging/StructureDefinition/HL7IDRRecommendation
- http://fhir.ehdsi.eu/imaging/StructureDefinition/HL7IDRCommunication
- http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition|0.1.0

Slices

This structure defines the following Slices:

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

Maturity: 1

Other representations of profile: CSV, Excel, Schematron