German Practice Management FHIR Profiles (R4)
0.49.0 - STU1 Germany flag

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

Resource Profile: Imaging DiagnosticReport (Praxis DE)

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

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* IMRDiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 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
... Slices for extension Content/Rules for all slices
.... extension:associatedStudy S 0..* Reference(ImagingStudy | DiagnosticReport) IMR DiagnosticReport Associated Study
URL: https://profiles.ihe.net/RAD/IMR/StructureDefinition/associatedStudy
.... extension:reportSubstatus S 0..1 Coding Report Sub-Status
URL: https://fhir.cognovis.de/praxis/StructureDefinition/report-substatus
Binding: Report Substatus (required)
.... extension:reportDistribution S 0..* (Complex) Report Distribution Event
URL: https://fhir.cognovis.de/praxis/StructureDefinition/report-distribution
... Slices for basedOn S 0..* Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) What was requested
Slice: Unordered, Open by type:resolve()
.... basedOn:serviceRequest 0..* Reference(IMR ServiceRequest) What was requested
... status ?!SΣ 1..1 code registered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... Slices for category Σ 0..* CodeableConcept Service category
Slice: Unordered, Open by pattern:$this
Binding: KDL Radiologie-Kategorien (extensible)
.... category:roentgen SΣ 0..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://dvmd.de/fhir/CodeSystem/kdl
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DG020110
...... display 1..1 string Representation defined by the system
Fixed Value: Roentgenbefund
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
.... category:ct SΣ 0..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://dvmd.de/fhir/CodeSystem/kdl
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DG020103
...... display 1..1 string Representation defined by the system
Fixed Value: CT-Befund
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
.... category:mrt SΣ 0..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://dvmd.de/fhir/CodeSystem/kdl
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DG020107
...... display 1..1 string Representation defined by the system
Fixed Value: MRT-Befund
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
.... category:sono SΣ 0..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://dvmd.de/fhir/CodeSystem/kdl
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DG020111
...... display 1..1 string Representation defined by the system
Fixed Value: Sonographiebefund
...... 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 Name/Code for this diagnostic report
Binding: Radiology Report Code (preferred)
... subject Σ 1..1 Reference(Patient) The subject of the report - usually, but not always, the patient
... issued Σ 1..1 instant DateTime that this diagnostic report is signed-off and published.
... Slices for performer Σ 1..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Responsible Diagnostic Service
Slice: Unordered, Open by type:resolve()
.... performer:organization Σ 1..* Reference(Organization) Responsible Diagnostic Service
.... performer:practitionerRole SΣ 0..* Reference(PractitionerRole) Radiologin/Radiologe (PractitionerRole.code: ReadingRadiologist | SupervisingRadiologist aus RadiologyRoleCS)
... resultsInterpreter SΣ 1..* Reference(Practitioner | PractitionerRole) Primary intepreter of results
... imagingStudy S 1..* Reference(ImagingStudy) Study subject to this report
... Slices for presentedForm SC 1..* Attachment Entire report as issued
Slice: Unordered, Open by pattern:contentType
Constraints: IMRAttachmentInvariant
.... presentedForm:All Slices Content/Rules for all slices
..... contentType 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
..... size SΣ 1..1 unsignedInt Number of bytes of content (if url provided)
..... hash SΣ 1..1 base64Binary Hash of the data (sha-1, base64ed)
.... presentedForm:html 1..* Attachment Entire report as issued
..... contentType 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
.... presentedForm:pdf 0..* Attachment Entire report as issued
..... contentType 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 FHIR Std.
DiagnosticReport.category Base 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.

Constraints

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* IMRDiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... Slices for extension Content/Rules for all slices
.... extension:reportSubstatus S 0..1 Coding Report Sub-Status
URL: https://fhir.cognovis.de/praxis/StructureDefinition/report-substatus
Binding: Report Substatus (required)
.... extension:reportDistribution S 0..* (Complex) Report Distribution Event
URL: https://fhir.cognovis.de/praxis/StructureDefinition/report-distribution
... status S 1..1 code registered | partial | preliminary | final +
... Slices for category 0..* CodeableConcept Service category
Slice: Unordered, Open by pattern:$this
Binding: KDL Radiologie-Kategorien (extensible)
.... category:roentgen S 0..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://dvmd.de/fhir/CodeSystem/kdl
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DG020110
...... display 1..1 string Representation defined by the system
Fixed Value: Roentgenbefund
.... category:ct S 0..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://dvmd.de/fhir/CodeSystem/kdl
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DG020103
...... display 1..1 string Representation defined by the system
Fixed Value: CT-Befund
.... category:mrt S 0..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://dvmd.de/fhir/CodeSystem/kdl
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DG020107
...... display 1..1 string Representation defined by the system
Fixed Value: MRT-Befund
.... category:sono S 0..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://dvmd.de/fhir/CodeSystem/kdl
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DG020111
...... display 1..1 string Representation defined by the system
Fixed Value: Sonographiebefund
... Slices for performer Content/Rules for all slices
.... performer:practitionerRole S 0..* Reference(PractitionerRole) Radiologin/Radiologe (PractitionerRole.code: ReadingRadiologist | SupervisingRadiologist aus RadiologyRoleCS)
... resultsInterpreter S 1..* Reference(Practitioner | PractitionerRole) Primary intepreter of results

doco Documentation for this format

Terminology Bindings (Differential)

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
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* IMRDiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 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
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:associatedStudy S 0..* Reference(ImagingStudy | DiagnosticReport) IMR DiagnosticReport Associated Study
URL: https://profiles.ihe.net/RAD/IMR/StructureDefinition/associatedStudy
.... extension:reportSubstatus S 0..1 Coding Report Sub-Status
URL: https://fhir.cognovis.de/praxis/StructureDefinition/report-substatus
Binding: Report Substatus (required)
.... extension:reportDistribution S 0..* (Complex) Report Distribution Event
URL: https://fhir.cognovis.de/praxis/StructureDefinition/report-distribution
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business identifier for report
... Slices for basedOn S 0..* Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) What was requested
Slice: Unordered, Open by type:resolve()
.... basedOn:serviceRequest 0..* Reference(IMR ServiceRequest) What was requested
... status ?!SΣ 1..1 code registered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... Slices for category Σ 0..* CodeableConcept Service category
Slice: Unordered, Open by pattern:$this
Binding: KDL Radiologie-Kategorien (extensible)
.... category:roentgen SΣ 0..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://dvmd.de/fhir/CodeSystem/kdl
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DG020110
...... display 1..1 string Representation defined by the system
Fixed Value: Roentgenbefund
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
.... category:ct SΣ 0..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://dvmd.de/fhir/CodeSystem/kdl
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DG020103
...... display 1..1 string Representation defined by the system
Fixed Value: CT-Befund
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
.... category:mrt SΣ 0..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://dvmd.de/fhir/CodeSystem/kdl
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DG020107
...... display 1..1 string Representation defined by the system
Fixed Value: MRT-Befund
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
.... category:sono SΣ 0..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://dvmd.de/fhir/CodeSystem/kdl
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DG020111
...... display 1..1 string Representation defined by the system
Fixed Value: Sonographiebefund
...... 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 Name/Code for this diagnostic report
Binding: Radiology Report Code (preferred)
... subject Σ 1..1 Reference(Patient) The subject of the report - usually, but not always, the patient
... encounter Σ 0..1 Reference(Encounter) Health care event when test ordered
... effective[x] Σ 0..1 Clinically relevant time/time-period for report
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued Σ 1..1 instant DateTime that this diagnostic report is signed-off and published.
... Slices for performer Σ 1..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Responsible Diagnostic Service
Slice: Unordered, Open by type:resolve()
.... performer:organization Σ 1..* Reference(Organization) Responsible Diagnostic Service
.... performer:practitionerRole SΣ 0..* Reference(PractitionerRole) Radiologin/Radiologe (PractitionerRole.code: ReadingRadiologist | SupervisingRadiologist aus RadiologyRoleCS)
... resultsInterpreter SΣ 1..* Reference(Practitioner | PractitionerRole) Primary intepreter of results
... specimen 0..* Reference(Specimen) Specimens this report is based on
... result 0..* Reference(Observation) Observations
... imagingStudy S 1..* Reference(ImagingStudy) Study subject to this report
... media Σ 0..* BackboneElement Key images associated with this report
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... comment 0..1 string Comment about the image (e.g. explanation)
.... link Σ 1..1 Reference(Media) Reference to the image source
... conclusion 0..1 string Clinical conclusion (interpretation) of test results
... conclusionCode 0..* CodeableConcept Codes for the clinical conclusion of test results
Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
... Slices for presentedForm SC 1..* Attachment Entire report as issued
Slice: Unordered, Open by pattern:contentType
Constraints: IMRAttachmentInvariant
.... presentedForm:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... contentType 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
..... language Σ 0..1 code Human language of the content (BCP-47)
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding

Example General: en-AU
..... data 0..1 base64Binary Data inline, base64ed
..... url Σ 0..1 url Uri where the data can be found
Example General: http://www.acme.com/logo-small.png
..... size SΣ 1..1 unsignedInt Number of bytes of content (if url provided)
..... hash SΣ 1..1 base64Binary Hash of the data (sha-1, base64ed)
..... title Σ 0..1 string Label to display in place of the data
Example General: Official Corporate Logo
..... creation Σ 0..1 dateTime Date attachment was first created
.... presentedForm:html 1..* Attachment Entire report as issued
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... contentType 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
..... language Σ 0..1 code Human language of the content (BCP-47)
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding

Example General: en-AU
..... data 0..1 base64Binary Data inline, base64ed
..... url Σ 0..1 url Uri where the data can be found
Example General: http://www.acme.com/logo-small.png
..... size Σ 0..1 unsignedInt Number of bytes of content (if url provided)
..... hash Σ 0..1 base64Binary Hash of the data (sha-1, base64ed)
..... title Σ 0..1 string Label to display in place of the data
Example General: Official Corporate Logo
..... creation Σ 0..1 dateTime Date attachment was first created
.... presentedForm:pdf 0..* Attachment Entire report as issued
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... contentType 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
..... language Σ 0..1 code Human language of the content (BCP-47)
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding

Example General: en-AU
..... data 0..1 base64Binary Data inline, base64ed
..... url Σ 0..1 url Uri where the data can be found
Example General: http://www.acme.com/logo-small.png
..... size Σ 0..1 unsignedInt Number of bytes of content (if url provided)
..... hash Σ 0..1 base64Binary Hash of the data (sha-1, base64ed)
..... title Σ 0..1 string Label to display in place of the data
Example General: Official Corporate Logo
..... creation Σ 0..1 dateTime Date attachment was first created

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.language Base preferred Common Languages 📦4.0.1 FHIR Std.
DiagnosticReport.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.

Constraints

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:

  • The element 1 is sliced based on the value of DiagnosticReport.category

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* IMRDiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 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
... Slices for extension Content/Rules for all slices
.... extension:associatedStudy S 0..* Reference(ImagingStudy | DiagnosticReport) IMR DiagnosticReport Associated Study
URL: https://profiles.ihe.net/RAD/IMR/StructureDefinition/associatedStudy
.... extension:reportSubstatus S 0..1 Coding Report Sub-Status
URL: https://fhir.cognovis.de/praxis/StructureDefinition/report-substatus
Binding: Report Substatus (required)
.... extension:reportDistribution S 0..* (Complex) Report Distribution Event
URL: https://fhir.cognovis.de/praxis/StructureDefinition/report-distribution
... Slices for basedOn S 0..* Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) What was requested
Slice: Unordered, Open by type:resolve()
.... basedOn:serviceRequest 0..* Reference(IMR ServiceRequest) What was requested
... status ?!SΣ 1..1 code registered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... Slices for category Σ 0..* CodeableConcept Service category
Slice: Unordered, Open by pattern:$this
Binding: KDL Radiologie-Kategorien (extensible)
.... category:roentgen SΣ 0..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://dvmd.de/fhir/CodeSystem/kdl
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DG020110
...... display 1..1 string Representation defined by the system
Fixed Value: Roentgenbefund
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
.... category:ct SΣ 0..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://dvmd.de/fhir/CodeSystem/kdl
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DG020103
...... display 1..1 string Representation defined by the system
Fixed Value: CT-Befund
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
.... category:mrt SΣ 0..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://dvmd.de/fhir/CodeSystem/kdl
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DG020107
...... display 1..1 string Representation defined by the system
Fixed Value: MRT-Befund
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
.... category:sono SΣ 0..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://dvmd.de/fhir/CodeSystem/kdl
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DG020111
...... display 1..1 string Representation defined by the system
Fixed Value: Sonographiebefund
...... 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 Name/Code for this diagnostic report
Binding: Radiology Report Code (preferred)
... subject Σ 1..1 Reference(Patient) The subject of the report - usually, but not always, the patient
... issued Σ 1..1 instant DateTime that this diagnostic report is signed-off and published.
... Slices for performer Σ 1..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Responsible Diagnostic Service
Slice: Unordered, Open by type:resolve()
.... performer:organization Σ 1..* Reference(Organization) Responsible Diagnostic Service
.... performer:practitionerRole SΣ 0..* Reference(PractitionerRole) Radiologin/Radiologe (PractitionerRole.code: ReadingRadiologist | SupervisingRadiologist aus RadiologyRoleCS)
... resultsInterpreter SΣ 1..* Reference(Practitioner | PractitionerRole) Primary intepreter of results
... imagingStudy S 1..* Reference(ImagingStudy) Study subject to this report
... Slices for presentedForm SC 1..* Attachment Entire report as issued
Slice: Unordered, Open by pattern:contentType
Constraints: IMRAttachmentInvariant
.... presentedForm:All Slices Content/Rules for all slices
..... contentType 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
..... size SΣ 1..1 unsignedInt Number of bytes of content (if url provided)
..... hash SΣ 1..1 base64Binary Hash of the data (sha-1, base64ed)
.... presentedForm:html 1..* Attachment Entire report as issued
..... contentType 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
.... presentedForm:pdf 0..* Attachment Entire report as issued
..... contentType 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 FHIR Std.
DiagnosticReport.category Base 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.

Constraints

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* IMRDiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... Slices for extension Content/Rules for all slices
.... extension:reportSubstatus S 0..1 Coding Report Sub-Status
URL: https://fhir.cognovis.de/praxis/StructureDefinition/report-substatus
Binding: Report Substatus (required)
.... extension:reportDistribution S 0..* (Complex) Report Distribution Event
URL: https://fhir.cognovis.de/praxis/StructureDefinition/report-distribution
... status S 1..1 code registered | partial | preliminary | final +
... Slices for category 0..* CodeableConcept Service category
Slice: Unordered, Open by pattern:$this
Binding: KDL Radiologie-Kategorien (extensible)
.... category:roentgen S 0..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://dvmd.de/fhir/CodeSystem/kdl
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DG020110
...... display 1..1 string Representation defined by the system
Fixed Value: Roentgenbefund
.... category:ct S 0..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://dvmd.de/fhir/CodeSystem/kdl
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DG020103
...... display 1..1 string Representation defined by the system
Fixed Value: CT-Befund
.... category:mrt S 0..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://dvmd.de/fhir/CodeSystem/kdl
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DG020107
...... display 1..1 string Representation defined by the system
Fixed Value: MRT-Befund
.... category:sono S 0..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://dvmd.de/fhir/CodeSystem/kdl
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DG020111
...... display 1..1 string Representation defined by the system
Fixed Value: Sonographiebefund
... Slices for performer Content/Rules for all slices
.... performer:practitionerRole S 0..* Reference(PractitionerRole) Radiologin/Radiologe (PractitionerRole.code: ReadingRadiologist | SupervisingRadiologist aus RadiologyRoleCS)
... resultsInterpreter S 1..* Reference(Practitioner | PractitionerRole) Primary intepreter of results

doco Documentation for this format

Terminology Bindings (Differential)

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* IMRDiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 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
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:associatedStudy S 0..* Reference(ImagingStudy | DiagnosticReport) IMR DiagnosticReport Associated Study
URL: https://profiles.ihe.net/RAD/IMR/StructureDefinition/associatedStudy
.... extension:reportSubstatus S 0..1 Coding Report Sub-Status
URL: https://fhir.cognovis.de/praxis/StructureDefinition/report-substatus
Binding: Report Substatus (required)
.... extension:reportDistribution S 0..* (Complex) Report Distribution Event
URL: https://fhir.cognovis.de/praxis/StructureDefinition/report-distribution
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business identifier for report
... Slices for basedOn S 0..* Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) What was requested
Slice: Unordered, Open by type:resolve()
.... basedOn:serviceRequest 0..* Reference(IMR ServiceRequest) What was requested
... status ?!SΣ 1..1 code registered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... Slices for category Σ 0..* CodeableConcept Service category
Slice: Unordered, Open by pattern:$this
Binding: KDL Radiologie-Kategorien (extensible)
.... category:roentgen SΣ 0..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://dvmd.de/fhir/CodeSystem/kdl
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DG020110
...... display 1..1 string Representation defined by the system
Fixed Value: Roentgenbefund
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
.... category:ct SΣ 0..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://dvmd.de/fhir/CodeSystem/kdl
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DG020103
...... display 1..1 string Representation defined by the system
Fixed Value: CT-Befund
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
.... category:mrt SΣ 0..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://dvmd.de/fhir/CodeSystem/kdl
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DG020107
...... display 1..1 string Representation defined by the system
Fixed Value: MRT-Befund
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
.... category:sono SΣ 0..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://dvmd.de/fhir/CodeSystem/kdl
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: DG020111
...... display 1..1 string Representation defined by the system
Fixed Value: Sonographiebefund
...... 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 Name/Code for this diagnostic report
Binding: Radiology Report Code (preferred)
... subject Σ 1..1 Reference(Patient) The subject of the report - usually, but not always, the patient
... encounter Σ 0..1 Reference(Encounter) Health care event when test ordered
... effective[x] Σ 0..1 Clinically relevant time/time-period for report
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued Σ 1..1 instant DateTime that this diagnostic report is signed-off and published.
... Slices for performer Σ 1..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Responsible Diagnostic Service
Slice: Unordered, Open by type:resolve()
.... performer:organization Σ 1..* Reference(Organization) Responsible Diagnostic Service
.... performer:practitionerRole SΣ 0..* Reference(PractitionerRole) Radiologin/Radiologe (PractitionerRole.code: ReadingRadiologist | SupervisingRadiologist aus RadiologyRoleCS)
... resultsInterpreter SΣ 1..* Reference(Practitioner | PractitionerRole) Primary intepreter of results
... specimen 0..* Reference(Specimen) Specimens this report is based on
... result 0..* Reference(Observation) Observations
... imagingStudy S 1..* Reference(ImagingStudy) Study subject to this report
... media Σ 0..* BackboneElement Key images associated with this report
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... comment 0..1 string Comment about the image (e.g. explanation)
.... link Σ 1..1 Reference(Media) Reference to the image source
... conclusion 0..1 string Clinical conclusion (interpretation) of test results
... conclusionCode 0..* CodeableConcept Codes for the clinical conclusion of test results
Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
... Slices for presentedForm SC 1..* Attachment Entire report as issued
Slice: Unordered, Open by pattern:contentType
Constraints: IMRAttachmentInvariant
.... presentedForm:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... contentType 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
..... language Σ 0..1 code Human language of the content (BCP-47)
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding

Example General: en-AU
..... data 0..1 base64Binary Data inline, base64ed
..... url Σ 0..1 url Uri where the data can be found
Example General: http://www.acme.com/logo-small.png
..... size SΣ 1..1 unsignedInt Number of bytes of content (if url provided)
..... hash SΣ 1..1 base64Binary Hash of the data (sha-1, base64ed)
..... title Σ 0..1 string Label to display in place of the data
Example General: Official Corporate Logo
..... creation Σ 0..1 dateTime Date attachment was first created
.... presentedForm:html 1..* Attachment Entire report as issued
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... contentType 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
..... language Σ 0..1 code Human language of the content (BCP-47)
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding

Example General: en-AU
..... data 0..1 base64Binary Data inline, base64ed
..... url Σ 0..1 url Uri where the data can be found
Example General: http://www.acme.com/logo-small.png
..... size Σ 0..1 unsignedInt Number of bytes of content (if url provided)
..... hash Σ 0..1 base64Binary Hash of the data (sha-1, base64ed)
..... title Σ 0..1 string Label to display in place of the data
Example General: Official Corporate Logo
..... creation Σ 0..1 dateTime Date attachment was first created
.... presentedForm:pdf 0..* Attachment Entire report as issued
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... contentType 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
..... language Σ 0..1 code Human language of the content (BCP-47)
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding

Example General: en-AU
..... data 0..1 base64Binary Data inline, base64ed
..... url Σ 0..1 url Uri where the data can be found
Example General: http://www.acme.com/logo-small.png
..... size Σ 0..1 unsignedInt Number of bytes of content (if url provided)
..... hash Σ 0..1 base64Binary Hash of the data (sha-1, base64ed)
..... title Σ 0..1 string Label to display in place of the data
Example General: Official Corporate Logo
..... creation Σ 0..1 dateTime Date attachment was first created

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.language Base preferred Common Languages 📦4.0.1 FHIR Std.
DiagnosticReport.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.

Constraints

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:

  • The element 1 is sliced based on the value of DiagnosticReport.category

 

Other representations of profile: CSV, Excel, Schematron