German Practice Management FHIR Profiles (R4)
0.49.0 - STU1
German Practice Management FHIR Profiles (R4) - Local Development build (v0.49.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: https://fhir.cognovis.de/praxis/StructureDefinition/imaging-diagnostic-report-praxis-de | Version: 0.49.0 | |||
| Active as of 2026-05-04 | Computable Name: ImagingDiagnosticReportPraxisDe | |||
| Other Identifiers: OID:2.16.840.1.113883.3.7985.42.105 | ||||
Radiologiebefund-Profil fuer die deutsche ambulante Praxis. Erbt von IHE IMR DiagnosticReport (IHE.IMR.DiagnosticReport). Erweitert um KDL-Category-Slicing, LOINC-Code-Binding, Distribution-Tracking und Sub-Status-Extension.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
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0..* | IMRDiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
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?!Σ | 0..1 | uri | A set of rules under which this content was created |
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S | 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 |
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Content/Rules for all slices | |||
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S | 0..* | Reference(ImagingStudy | DiagnosticReport) | IMR DiagnosticReport Associated Study URL: https://profiles.ihe.net/RAD/IMR/StructureDefinition/associatedStudy |
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S | 0..1 | Coding | Report Sub-Status URL: https://fhir.cognovis.de/praxis/StructureDefinition/report-substatus Binding: Report Substatus (required) |
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S | 0..* | (Complex) | Report Distribution Event URL: https://fhir.cognovis.de/praxis/StructureDefinition/report-distribution |
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?! | 0..* | Extension | Extensions that cannot be ignored |
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S | 0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested Slice: Unordered, Open by type:resolve() |
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0..* | Reference(IMR ServiceRequest) | What was requested | |
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?!SΣ | 1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. |
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Σ | 0..* | CodeableConcept | Service category Slice: Unordered, Open by pattern:$this Binding: KDL Radiologie-Kategorien (extensible) |
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SΣ | 0..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://dvmd.de/fhir/CodeSystem/kdl | |
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0..1 | string | Version of the system - if relevant | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: DG020110 | |
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1..1 | string | Representation defined by the system Fixed Value: Roentgenbefund | |
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0..1 | boolean | If this coding was chosen directly by the user | |
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0..1 | string | Plain text representation of the concept | |
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SΣ | 0..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://dvmd.de/fhir/CodeSystem/kdl | |
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0..1 | string | Version of the system - if relevant | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: DG020103 | |
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1..1 | string | Representation defined by the system Fixed Value: CT-Befund | |
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0..1 | boolean | If this coding was chosen directly by the user | |
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0..1 | string | Plain text representation of the concept | |
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SΣ | 0..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://dvmd.de/fhir/CodeSystem/kdl | |
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0..1 | string | Version of the system - if relevant | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: DG020107 | |
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1..1 | string | Representation defined by the system Fixed Value: MRT-Befund | |
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0..1 | boolean | If this coding was chosen directly by the user | |
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0..1 | string | Plain text representation of the concept | |
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SΣ | 0..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://dvmd.de/fhir/CodeSystem/kdl | |
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0..1 | string | Version of the system - if relevant | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: DG020111 | |
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1..1 | string | Representation defined by the system Fixed Value: Sonographiebefund | |
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0..1 | boolean | If this coding was chosen directly by the user | |
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0..1 | string | Plain text representation of the concept | |
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Σ | 1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: Radiology Report Code (preferred) |
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Σ | 1..1 | Reference(Patient) | The subject of the report - usually, but not always, the patient |
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Σ | 1..1 | instant | DateTime that this diagnostic report is signed-off and published. |
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Σ | 1..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service Slice: Unordered, Open by type:resolve() |
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Σ | 1..* | Reference(Organization) | Responsible Diagnostic Service |
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SΣ | 0..* | Reference(PractitionerRole) | Radiologin/Radiologe (PractitionerRole.code: ReadingRadiologist | SupervisingRadiologist aus RadiologyRoleCS) |
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SΣ | 1..* | Reference(Practitioner | PractitionerRole) | Primary intepreter of results |
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S | 1..* | Reference(ImagingStudy) | Study subject to this report |
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SC | 1..* | Attachment | Entire report as issued Slice: Unordered, Open by pattern:contentType Constraints: IMRAttachmentInvariant |
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Content/Rules for all slices | |||
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SΣ | 1..1 | code | Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Example General: text/plain; charset=UTF-8, image/png |
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SΣ | 1..1 | unsignedInt | Number of bytes of content (if url provided) |
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SΣ | 1..1 | base64Binary | Hash of the data (sha-1, base64ed) |
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1..* | Attachment | Entire report as issued | |
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Σ | 0..1 | code | Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Required Pattern: text/html |
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0..* | Attachment | Entire report as issued | |
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Σ | 0..1 | code | Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Required Pattern: application/pdf |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.category | Base | extensible | KDL Radiologie-Kategorien | 📦0.49.0 | This IG |
| DiagnosticReport.category:roentgen | Base | example | Diagnostic Service Section Codes | 📦4.0.1 | FHIR Std. |
| DiagnosticReport.category:ct | Base | example | Diagnostic Service Section Codes | 📦4.0.1 | FHIR Std. |
| DiagnosticReport.category:mrt | Base | example | Diagnostic Service Section Codes | 📦4.0.1 | FHIR Std. |
| DiagnosticReport.category:sono | Base | example | Diagnostic Service Section Codes | 📦4.0.1 | FHIR Std. |
| DiagnosticReport.code | Base | preferred | Radiology Report Code | 📦0.49.0 | This IG |
| DiagnosticReport.presentedForm.contentType | Base | required | MimeType | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.presentedForm:html.contentType | Base | required | MimeType | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.presentedForm:pdf.contentType | Base | required | MimeType | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| IMRAttachmentInvariant | error | DiagnosticReport.presentedForm | Either data or url SHALL be present |
data.exists() or url.exists()
|
| 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 IMRDiagnosticReport
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
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0..* | IMRDiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
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Content/Rules for all slices | |||
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S | 0..1 | Coding | Report Sub-Status URL: https://fhir.cognovis.de/praxis/StructureDefinition/report-substatus Binding: Report Substatus (required) |
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S | 0..* | (Complex) | Report Distribution Event URL: https://fhir.cognovis.de/praxis/StructureDefinition/report-distribution |
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S | 1..1 | code | registered | partial | preliminary | final + |
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0..* | CodeableConcept | Service category Slice: Unordered, Open by pattern:$this Binding: KDL Radiologie-Kategorien (extensible) | |
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S | 0..1 | CodeableConcept | Service category Required Pattern: At least the following |
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://dvmd.de/fhir/CodeSystem/kdl | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: DG020110 | |
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1..1 | string | Representation defined by the system Fixed Value: Roentgenbefund | |
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S | 0..1 | CodeableConcept | Service category Required Pattern: At least the following |
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://dvmd.de/fhir/CodeSystem/kdl | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: DG020103 | |
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1..1 | string | Representation defined by the system Fixed Value: CT-Befund | |
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S | 0..1 | CodeableConcept | Service category Required Pattern: At least the following |
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://dvmd.de/fhir/CodeSystem/kdl | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: DG020107 | |
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1..1 | string | Representation defined by the system Fixed Value: MRT-Befund | |
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S | 0..1 | CodeableConcept | Service category Required Pattern: At least the following |
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://dvmd.de/fhir/CodeSystem/kdl | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: DG020111 | |
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1..1 | string | Representation defined by the system Fixed Value: Sonographiebefund | |
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1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: Radiology Report Code (preferred) | |
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Content/Rules for all slices | |||
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S | 0..* | Reference(PractitionerRole) | Radiologin/Radiologe (PractitionerRole.code: ReadingRadiologist | SupervisingRadiologist aus RadiologyRoleCS) |
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S | 1..* | Reference(Practitioner | PractitionerRole) | Primary intepreter of results |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.category | Base | extensible | KDL Radiologie-Kategorien | 📦0.49.0 | This IG |
| DiagnosticReport.code | Base | preferred | Radiology Report Code | 📦0.49.0 | This IG |
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
|---|---|---|---|---|---|---|---|---|
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0..* | IMRDiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |||||
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Σ | 0..1 | id | Logical id of this artifact | ||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
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S | 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 | ||||
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0..* | Resource | Contained, inline Resources | |||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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S | 0..* | Reference(ImagingStudy | DiagnosticReport) | IMR DiagnosticReport Associated Study URL: https://profiles.ihe.net/RAD/IMR/StructureDefinition/associatedStudy | ||||
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S | 0..1 | Coding | Report Sub-Status URL: https://fhir.cognovis.de/praxis/StructureDefinition/report-substatus Binding: Report Substatus (required) | ||||
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S | 0..* | (Complex) | Report Distribution Event URL: https://fhir.cognovis.de/praxis/StructureDefinition/report-distribution | ||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||
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Σ | 0..* | Identifier | Business identifier for report | ||||
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S | 0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested Slice: Unordered, Open by type:resolve() | ||||
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0..* | Reference(IMR ServiceRequest) | What was requested | |||||
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?!SΣ | 1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. | ||||
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Σ | 0..* | CodeableConcept | Service category Slice: Unordered, Open by pattern:$this Binding: KDL Radiologie-Kategorien (extensible) | ||||
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SΣ | 0..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://dvmd.de/fhir/CodeSystem/kdl | |||||
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0..1 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: DG020110 | |||||
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1..1 | string | Representation defined by the system Fixed Value: Roentgenbefund | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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SΣ | 0..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://dvmd.de/fhir/CodeSystem/kdl | |||||
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0..1 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: DG020103 | |||||
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1..1 | string | Representation defined by the system Fixed Value: CT-Befund | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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SΣ | 0..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://dvmd.de/fhir/CodeSystem/kdl | |||||
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0..1 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: DG020107 | |||||
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1..1 | string | Representation defined by the system Fixed Value: MRT-Befund | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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SΣ | 0..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://dvmd.de/fhir/CodeSystem/kdl | |||||
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0..1 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: DG020111 | |||||
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1..1 | string | Representation defined by the system Fixed Value: Sonographiebefund | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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Σ | 1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: Radiology Report Code (preferred) | ||||
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Σ | 1..1 | Reference(Patient) | The subject of the report - usually, but not always, the patient | ||||
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Σ | 0..1 | Reference(Encounter) | Health care event when test ordered | ||||
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Σ | 0..1 | Clinically relevant time/time-period for report | |||||
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dateTime | |||||||
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Period | |||||||
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Σ | 1..1 | instant | DateTime that this diagnostic report is signed-off and published. | ||||
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Σ | 1..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service Slice: Unordered, Open by type:resolve() | ||||
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Σ | 1..* | Reference(Organization) | Responsible Diagnostic Service | ||||
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SΣ | 0..* | Reference(PractitionerRole) | Radiologin/Radiologe (PractitionerRole.code: ReadingRadiologist | SupervisingRadiologist aus RadiologyRoleCS) | ||||
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SΣ | 1..* | Reference(Practitioner | PractitionerRole) | Primary intepreter of results | ||||
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0..* | Reference(Specimen) | Specimens this report is based on | |||||
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0..* | Reference(Observation) | Observations | |||||
![]() ![]() |
S | 1..* | Reference(ImagingStudy) | Study subject to this report | ||||
![]() ![]() |
Σ | 0..* | BackboneElement | Key images associated with this report | ||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() |
0..1 | string | Comment about the image (e.g. explanation) | |||||
![]() ![]() ![]() |
Σ | 1..1 | Reference(Media) | Reference to the image source | ||||
![]() ![]() |
0..1 | string | Clinical conclusion (interpretation) of test results | |||||
![]() ![]() |
0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. | |||||
![]() ![]() |
SC | 1..* | Attachment | Entire report as issued Slice: Unordered, Open by pattern:contentType Constraints: IMRAttachmentInvariant | ||||
![]() ![]() ![]() |
Content/Rules for all slices | |||||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() |
SΣ | 1..1 | code | Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Example General: text/plain; charset=UTF-8, image/png | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | code | Human language of the content (BCP-47) Binding: CommonLanguages (preferred): A human language.
Example General: en-AU | ||||
![]() ![]() ![]() ![]() |
0..1 | base64Binary | Data inline, base64ed | |||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | url | Uri where the data can be found Example General: http://www.acme.com/logo-small.png | ||||
![]() ![]() ![]() ![]() |
SΣ | 1..1 | unsignedInt | Number of bytes of content (if url provided) | ||||
![]() ![]() ![]() ![]() |
SΣ | 1..1 | base64Binary | Hash of the data (sha-1, base64ed) | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Label to display in place of the data Example General: Official Corporate Logo | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | dateTime | Date attachment was first created | ||||
![]() ![]() ![]() |
1..* | Attachment | Entire report as issued | |||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | code | Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Required Pattern: text/html | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | code | Human language of the content (BCP-47) Binding: CommonLanguages (preferred): A human language.
Example General: en-AU | ||||
![]() ![]() ![]() ![]() |
0..1 | base64Binary | Data inline, base64ed | |||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | url | Uri where the data can be found Example General: http://www.acme.com/logo-small.png | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | unsignedInt | Number of bytes of content (if url provided) | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | base64Binary | Hash of the data (sha-1, base64ed) | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Label to display in place of the data Example General: Official Corporate Logo | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | dateTime | Date attachment was first created | ||||
![]() ![]() ![]() |
0..* | Attachment | Entire report as issued | |||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | code | Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Required Pattern: application/pdf | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | code | Human language of the content (BCP-47) Binding: CommonLanguages (preferred): A human language.
Example General: en-AU | ||||
![]() ![]() ![]() ![]() |
0..1 | base64Binary | Data inline, base64ed | |||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | url | Uri where the data can be found Example General: http://www.acme.com/logo-small.png | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | unsignedInt | Number of bytes of content (if url provided) | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | base64Binary | Hash of the data (sha-1, base64ed) | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | string | Label to display in place of the data Example General: Official Corporate Logo | ||||
![]() ![]() ![]() ![]() |
Σ | 0..1 | dateTime | Date attachment was first created | ||||
Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std. |
| DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.category | Base | extensible | KDL Radiologie-Kategorien | 📦0.49.0 | This IG |
| DiagnosticReport.category:roentgen | Base | example | Diagnostic Service Section Codes | 📦4.0.1 | FHIR Std. |
| DiagnosticReport.category:ct | Base | example | Diagnostic Service Section Codes | 📦4.0.1 | FHIR Std. |
| DiagnosticReport.category:mrt | Base | example | Diagnostic Service Section Codes | 📦4.0.1 | FHIR Std. |
| DiagnosticReport.category:sono | Base | example | Diagnostic Service Section Codes | 📦4.0.1 | FHIR Std. |
| DiagnosticReport.code | Base | preferred | Radiology Report Code | 📦0.49.0 | This IG |
| DiagnosticReport.conclusionCode | Base | example | SNOMED CT Clinical Findings | 📦4.0.1 | FHIR Std. |
| DiagnosticReport.presentedForm.contentType | Base | required | MimeType | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.presentedForm.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std. |
| DiagnosticReport.presentedForm:html.contentType | Base | required | MimeType | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.presentedForm:html.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std. |
| DiagnosticReport.presentedForm:pdf.contentType | Base | required | MimeType | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.presentedForm:pdf.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| IMRAttachmentInvariant | error | DiagnosticReport.presentedForm | Either data or url SHALL be present |
data.exists() or url.exists()
|
| 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 IMRDiagnosticReport
Summary
Must-Support: 9 elements
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | IMRDiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() |
S | 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 |
![]() ![]() |
Content/Rules for all slices | |||
![]() ![]() ![]() |
S | 0..* | Reference(ImagingStudy | DiagnosticReport) | IMR DiagnosticReport Associated Study URL: https://profiles.ihe.net/RAD/IMR/StructureDefinition/associatedStudy |
![]() ![]() ![]() |
S | 0..1 | Coding | Report Sub-Status URL: https://fhir.cognovis.de/praxis/StructureDefinition/report-substatus Binding: Report Substatus (required) |
![]() ![]() ![]() |
S | 0..* | (Complex) | Report Distribution Event URL: https://fhir.cognovis.de/praxis/StructureDefinition/report-distribution |
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() |
S | 0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested Slice: Unordered, Open by type:resolve() |
![]() ![]() ![]() |
0..* | Reference(IMR ServiceRequest) | What was requested | |
![]() ![]() |
?!SΣ | 1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. |
![]() ![]() |
Σ | 0..* | CodeableConcept | Service category Slice: Unordered, Open by pattern:$this Binding: KDL Radiologie-Kategorien (extensible) |
![]() ![]() ![]() |
SΣ | 0..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following |
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |
![]() ![]() ![]() ![]() |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |
![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://dvmd.de/fhir/CodeSystem/kdl | |
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Version of the system - if relevant | |
![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: DG020110 | |
![]() ![]() ![]() ![]() ![]() |
1..1 | string | Representation defined by the system Fixed Value: Roentgenbefund | |
![]() ![]() ![]() ![]() ![]() |
0..1 | boolean | If this coding was chosen directly by the user | |
![]() ![]() ![]() ![]() |
0..1 | string | Plain text representation of the concept | |
![]() ![]() ![]() |
SΣ | 0..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following |
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |
![]() ![]() ![]() ![]() |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |
![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://dvmd.de/fhir/CodeSystem/kdl | |
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Version of the system - if relevant | |
![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: DG020103 | |
![]() ![]() ![]() ![]() ![]() |
1..1 | string | Representation defined by the system Fixed Value: CT-Befund | |
![]() ![]() ![]() ![]() ![]() |
0..1 | boolean | If this coding was chosen directly by the user | |
![]() ![]() ![]() ![]() |
0..1 | string | Plain text representation of the concept | |
![]() ![]() ![]() |
SΣ | 0..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following |
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |
![]() ![]() ![]() ![]() |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |
![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://dvmd.de/fhir/CodeSystem/kdl | |
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Version of the system - if relevant | |
![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: DG020107 | |
![]() ![]() ![]() ![]() ![]() |
1..1 | string | Representation defined by the system Fixed Value: MRT-Befund | |
![]() ![]() ![]() ![]() ![]() |
0..1 | boolean | If this coding was chosen directly by the user | |
![]() ![]() ![]() ![]() |
0..1 | string | Plain text representation of the concept | |
![]() ![]() ![]() |
SΣ | 0..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following |
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |
![]() ![]() ![]() ![]() |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |
![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://dvmd.de/fhir/CodeSystem/kdl | |
![]() ![]() ![]() ![]() ![]() |
0..1 | string | Version of the system - if relevant | |
![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: DG020111 | |
![]() ![]() ![]() ![]() ![]() |
1..1 | string | Representation defined by the system Fixed Value: Sonographiebefund | |
![]() ![]() ![]() ![]() ![]() |
0..1 | boolean | If this coding was chosen directly by the user | |
![]() ![]() ![]() ![]() |
0..1 | string | Plain text representation of the concept | |
![]() ![]() |
Σ | 1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: Radiology Report Code (preferred) |
![]() ![]() |
Σ | 1..1 | Reference(Patient) | The subject of the report - usually, but not always, the patient |
![]() ![]() |
Σ | 1..1 | instant | DateTime that this diagnostic report is signed-off and published. |
![]() ![]() |
Σ | 1..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service Slice: Unordered, Open by type:resolve() |
![]() ![]() ![]() |
Σ | 1..* | Reference(Organization) | Responsible Diagnostic Service |
![]() ![]() ![]() |
SΣ | 0..* | Reference(PractitionerRole) | Radiologin/Radiologe (PractitionerRole.code: ReadingRadiologist | SupervisingRadiologist aus RadiologyRoleCS) |
![]() ![]() |
SΣ | 1..* | Reference(Practitioner | PractitionerRole) | Primary intepreter of results |
![]() ![]() |
S | 1..* | Reference(ImagingStudy) | Study subject to this report |
![]() ![]() |
SC | 1..* | Attachment | Entire report as issued Slice: Unordered, Open by pattern:contentType Constraints: IMRAttachmentInvariant |
![]() ![]() ![]() |
Content/Rules for all slices | |||
![]() ![]() ![]() ![]() |
SΣ | 1..1 | code | Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Example General: text/plain; charset=UTF-8, image/png |
![]() ![]() ![]() ![]() |
SΣ | 1..1 | unsignedInt | Number of bytes of content (if url provided) |
![]() ![]() ![]() ![]() |
SΣ | 1..1 | base64Binary | Hash of the data (sha-1, base64ed) |
![]() ![]() ![]() |
1..* | Attachment | Entire report as issued | |
![]() ![]() ![]() ![]() |
Σ | 0..1 | code | Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Required Pattern: text/html |
![]() ![]() ![]() |
0..* | Attachment | Entire report as issued | |
![]() ![]() ![]() ![]() |
Σ | 0..1 | code | Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Required Pattern: application/pdf |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.category | Base | extensible | KDL Radiologie-Kategorien | 📦0.49.0 | This IG |
| DiagnosticReport.category:roentgen | Base | example | Diagnostic Service Section Codes | 📦4.0.1 | FHIR Std. |
| DiagnosticReport.category:ct | Base | example | Diagnostic Service Section Codes | 📦4.0.1 | FHIR Std. |
| DiagnosticReport.category:mrt | Base | example | Diagnostic Service Section Codes | 📦4.0.1 | FHIR Std. |
| DiagnosticReport.category:sono | Base | example | Diagnostic Service Section Codes | 📦4.0.1 | FHIR Std. |
| DiagnosticReport.code | Base | preferred | Radiology Report Code | 📦0.49.0 | This IG |
| DiagnosticReport.presentedForm.contentType | Base | required | MimeType | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.presentedForm:html.contentType | Base | required | MimeType | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.presentedForm:pdf.contentType | Base | required | MimeType | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| IMRAttachmentInvariant | error | DiagnosticReport.presentedForm | Either data or url SHALL be present |
data.exists() or url.exists()
|
| 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 IMRDiagnosticReport
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | IMRDiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
![]() ![]() |
Content/Rules for all slices | |||
![]() ![]() ![]() |
S | 0..1 | Coding | Report Sub-Status URL: https://fhir.cognovis.de/praxis/StructureDefinition/report-substatus Binding: Report Substatus (required) |
![]() ![]() ![]() |
S | 0..* | (Complex) | Report Distribution Event URL: https://fhir.cognovis.de/praxis/StructureDefinition/report-distribution |
![]() ![]() |
S | 1..1 | code | registered | partial | preliminary | final + |
![]() ![]() |
0..* | CodeableConcept | Service category Slice: Unordered, Open by pattern:$this Binding: KDL Radiologie-Kategorien (extensible) | |
![]() ![]() ![]() |
S | 0..1 | CodeableConcept | Service category Required Pattern: At least the following |
![]() ![]() ![]() ![]() |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://dvmd.de/fhir/CodeSystem/kdl | |
![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: DG020110 | |
![]() ![]() ![]() ![]() ![]() |
1..1 | string | Representation defined by the system Fixed Value: Roentgenbefund | |
![]() ![]() ![]() |
S | 0..1 | CodeableConcept | Service category Required Pattern: At least the following |
![]() ![]() ![]() ![]() |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://dvmd.de/fhir/CodeSystem/kdl | |
![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: DG020103 | |
![]() ![]() ![]() ![]() ![]() |
1..1 | string | Representation defined by the system Fixed Value: CT-Befund | |
![]() ![]() ![]() |
S | 0..1 | CodeableConcept | Service category Required Pattern: At least the following |
![]() ![]() ![]() ![]() |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://dvmd.de/fhir/CodeSystem/kdl | |
![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: DG020107 | |
![]() ![]() ![]() ![]() ![]() |
1..1 | string | Representation defined by the system Fixed Value: MRT-Befund | |
![]() ![]() ![]() |
S | 0..1 | CodeableConcept | Service category Required Pattern: At least the following |
![]() ![]() ![]() ![]() |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://dvmd.de/fhir/CodeSystem/kdl | |
![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: DG020111 | |
![]() ![]() ![]() ![]() ![]() |
1..1 | string | Representation defined by the system Fixed Value: Sonographiebefund | |
![]() ![]() |
1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: Radiology Report Code (preferred) | |
![]() ![]() |
Content/Rules for all slices | |||
![]() ![]() ![]() |
S | 0..* | Reference(PractitionerRole) | Radiologin/Radiologe (PractitionerRole.code: ReadingRadiologist | SupervisingRadiologist aus RadiologyRoleCS) |
![]() ![]() |
S | 1..* | Reference(Practitioner | PractitionerRole) | Primary intepreter of results |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.category | Base | extensible | KDL Radiologie-Kategorien | 📦0.49.0 | This IG |
| DiagnosticReport.code | Base | preferred | Radiology Report Code | 📦0.49.0 | This IG |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
|---|---|---|---|---|---|---|---|---|
![]() |
0..* | IMRDiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |||||
![]() ![]() |
Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() |
Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() |
S | 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 | ||||
![]() ![]() |
0..* | Resource | Contained, inline Resources | |||||
![]() ![]() |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() |
S | 0..* | Reference(ImagingStudy | DiagnosticReport) | IMR DiagnosticReport Associated Study URL: https://profiles.ihe.net/RAD/IMR/StructureDefinition/associatedStudy | ||||
![]() ![]() ![]() |
S | 0..1 | Coding | Report Sub-Status URL: https://fhir.cognovis.de/praxis/StructureDefinition/report-substatus Binding: Report Substatus (required) | ||||
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S | 0..* | (Complex) | Report Distribution Event URL: https://fhir.cognovis.de/praxis/StructureDefinition/report-distribution | ||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||
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Σ | 0..* | Identifier | Business identifier for report | ||||
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S | 0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested Slice: Unordered, Open by type:resolve() | ||||
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0..* | Reference(IMR ServiceRequest) | What was requested | |||||
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?!SΣ | 1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. | ||||
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Σ | 0..* | CodeableConcept | Service category Slice: Unordered, Open by pattern:$this Binding: KDL Radiologie-Kategorien (extensible) | ||||
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SΣ | 0..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://dvmd.de/fhir/CodeSystem/kdl | |||||
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0..1 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: DG020110 | |||||
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1..1 | string | Representation defined by the system Fixed Value: Roentgenbefund | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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SΣ | 0..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://dvmd.de/fhir/CodeSystem/kdl | |||||
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0..1 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: DG020103 | |||||
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1..1 | string | Representation defined by the system Fixed Value: CT-Befund | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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SΣ | 0..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://dvmd.de/fhir/CodeSystem/kdl | |||||
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0..1 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: DG020107 | |||||
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1..1 | string | Representation defined by the system Fixed Value: MRT-Befund | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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SΣ | 0..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://dvmd.de/fhir/CodeSystem/kdl | |||||
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0..1 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: DG020111 | |||||
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1..1 | string | Representation defined by the system Fixed Value: Sonographiebefund | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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Σ | 1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: Radiology Report Code (preferred) | ||||
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Σ | 1..1 | Reference(Patient) | The subject of the report - usually, but not always, the patient | ||||
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Σ | 0..1 | Reference(Encounter) | Health care event when test ordered | ||||
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Σ | 0..1 | Clinically relevant time/time-period for report | |||||
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dateTime | |||||||
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Period | |||||||
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Σ | 1..1 | instant | DateTime that this diagnostic report is signed-off and published. | ||||
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Σ | 1..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service Slice: Unordered, Open by type:resolve() | ||||
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Σ | 1..* | Reference(Organization) | Responsible Diagnostic Service | ||||
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SΣ | 0..* | Reference(PractitionerRole) | Radiologin/Radiologe (PractitionerRole.code: ReadingRadiologist | SupervisingRadiologist aus RadiologyRoleCS) | ||||
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SΣ | 1..* | Reference(Practitioner | PractitionerRole) | Primary intepreter of results | ||||
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0..* | Reference(Specimen) | Specimens this report is based on | |||||
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0..* | Reference(Observation) | Observations | |||||
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S | 1..* | Reference(ImagingStudy) | Study subject to this report | ||||
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Σ | 0..* | BackboneElement | Key images associated with this report | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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0..1 | string | Comment about the image (e.g. explanation) | |||||
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Σ | 1..1 | Reference(Media) | Reference to the image source | ||||
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0..1 | string | Clinical conclusion (interpretation) of test results | |||||
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0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. | |||||
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SC | 1..* | Attachment | Entire report as issued Slice: Unordered, Open by pattern:contentType Constraints: IMRAttachmentInvariant | ||||
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Content/Rules for all slices | |||||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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SΣ | 1..1 | code | Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Example General: text/plain; charset=UTF-8, image/png | ||||
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Σ | 0..1 | code | Human language of the content (BCP-47) Binding: CommonLanguages (preferred): A human language.
Example General: en-AU | ||||
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0..1 | base64Binary | Data inline, base64ed | |||||
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Σ | 0..1 | url | Uri where the data can be found Example General: http://www.acme.com/logo-small.png | ||||
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SΣ | 1..1 | unsignedInt | Number of bytes of content (if url provided) | ||||
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SΣ | 1..1 | base64Binary | Hash of the data (sha-1, base64ed) | ||||
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Σ | 0..1 | string | Label to display in place of the data Example General: Official Corporate Logo | ||||
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Σ | 0..1 | dateTime | Date attachment was first created | ||||
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1..* | Attachment | Entire report as issued | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 0..1 | code | Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Required Pattern: text/html | ||||
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Σ | 0..1 | code | Human language of the content (BCP-47) Binding: CommonLanguages (preferred): A human language.
Example General: en-AU | ||||
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0..1 | base64Binary | Data inline, base64ed | |||||
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Σ | 0..1 | url | Uri where the data can be found Example General: http://www.acme.com/logo-small.png | ||||
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Σ | 0..1 | unsignedInt | Number of bytes of content (if url provided) | ||||
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Σ | 0..1 | base64Binary | Hash of the data (sha-1, base64ed) | ||||
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Σ | 0..1 | string | Label to display in place of the data Example General: Official Corporate Logo | ||||
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Σ | 0..1 | dateTime | Date attachment was first created | ||||
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0..* | Attachment | Entire report as issued | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 0..1 | code | Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Required Pattern: application/pdf | ||||
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Σ | 0..1 | code | Human language of the content (BCP-47) Binding: CommonLanguages (preferred): A human language.
Example General: en-AU | ||||
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0..1 | base64Binary | Data inline, base64ed | |||||
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Σ | 0..1 | url | Uri where the data can be found Example General: http://www.acme.com/logo-small.png | ||||
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Σ | 0..1 | unsignedInt | Number of bytes of content (if url provided) | ||||
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Σ | 0..1 | base64Binary | Hash of the data (sha-1, base64ed) | ||||
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Σ | 0..1 | string | Label to display in place of the data Example General: Official Corporate Logo | ||||
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Σ | 0..1 | dateTime | Date attachment was first created | ||||
Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std. |
| DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.category | Base | extensible | KDL Radiologie-Kategorien | 📦0.49.0 | This IG |
| DiagnosticReport.category:roentgen | Base | example | Diagnostic Service Section Codes | 📦4.0.1 | FHIR Std. |
| DiagnosticReport.category:ct | Base | example | Diagnostic Service Section Codes | 📦4.0.1 | FHIR Std. |
| DiagnosticReport.category:mrt | Base | example | Diagnostic Service Section Codes | 📦4.0.1 | FHIR Std. |
| DiagnosticReport.category:sono | Base | example | Diagnostic Service Section Codes | 📦4.0.1 | FHIR Std. |
| DiagnosticReport.code | Base | preferred | Radiology Report Code | 📦0.49.0 | This IG |
| DiagnosticReport.conclusionCode | Base | example | SNOMED CT Clinical Findings | 📦4.0.1 | FHIR Std. |
| DiagnosticReport.presentedForm.contentType | Base | required | MimeType | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.presentedForm.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std. |
| DiagnosticReport.presentedForm:html.contentType | Base | required | MimeType | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.presentedForm:html.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std. |
| DiagnosticReport.presentedForm:pdf.contentType | Base | required | MimeType | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.presentedForm:pdf.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| IMRAttachmentInvariant | error | DiagnosticReport.presentedForm | Either data or url SHALL be present |
data.exists() or url.exists()
|
| 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 IMRDiagnosticReport
Summary
Must-Support: 9 elements
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron