Interactive Multimedia Report (IMR)
1.1.0 - Trial-Implementation International flag

This page is part of the IHE Interactive Multimedia Report (IMR) (v1.1.0: Publication) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Resource Profile: IMR DiagnosticReport

Official URL: https://profiles.ihe.net/RAD/IMR/StructureDefinition/imr-diagnosticreport Version: 1.1.0
Active as of 2024-06-20 Computable Name: IMRDiagnosticReport

IHE Interactive Multimedia Report (IMR) profile on DiagnosticReport

Usage:

Formal Views of Profile Content

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

This structure is derived from DiagnosticReport

NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... text S 0..1 Narrative Text summary of the resource, for human interpretation
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... associatedStudy S 0..* Reference(ImagingStudy | DiagnosticReport) IMR DiagnosticReport Associated Study
URL: https://profiles.ihe.net/RAD/IMR/StructureDefinition/associatedStudy
... 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
... subject 1..1 Reference(Patient) The subject of the report - usually, but not always, the patient
... issued 1..1 instant DateTime that this diagnostic report is signed-off and published.
... Slices for performer 1..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Responsible Diagnostic Service
Slice: Unordered, Open by type:resolve()
.... performer:organization 1..* Reference(Organization) Responsible Diagnostic Service
... resultsInterpreter 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
IMRAttachmentInvariant: Either data or url SHALL be present
.... presentedForm:All Slices Content/Rules for all slices
..... contentType S 1..1 code Mime type of the content, with charset etc.
..... size S 1..1 unsignedInt Number of bytes of content (if url provided)
..... hash S 1..1 base64Binary Hash of the data (sha-1, base64ed)
.... presentedForm:html 1..* Attachment Entire report as issued
..... contentType 0..1 code Mime type of the content, with charset etc.
Required Pattern: text/html
.... presentedForm:pdf 0..* Attachment Entire report as issued
..... contentType 0..1 code Mime type of the content, with charset etc.
Required Pattern: application/pdf

doco Documentation for this format

Constraints

IdGradePath(s)DetailsRequirements
IMRAttachmentInvarianterrorDiagnosticReport.presentedFormEither data or url SHALL be present
: data.exists() or url.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text S 0..1 Narrative Text summary of the resource, for human interpretation
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... associatedStudy S 0..* Reference(ImagingStudy | DiagnosticReport) IMR DiagnosticReport Associated Study
URL: https://profiles.ihe.net/RAD/IMR/StructureDefinition/associatedStudy
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... 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 ?!Σ 1..1 code registered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.

... code Σ 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.

... 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
... resultsInterpreter Σ 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
IMRAttachmentInvariant: Either data or url SHALL be present
.... 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

PathConformanceValueSet / CodeURI
DiagnosticReport.statusrequiredDiagnosticReportStatus
http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1
from the FHIR Standard
DiagnosticReport.codepreferredLOINCDiagnosticReportCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/report-codes
from the FHIR Standard
DiagnosticReport.presentedForm.contentTyperequiredMime Types (a valid code from urn:ietf:bcp:13)
http://hl7.org/fhir/ValueSet/mimetypes|4.0.1
from the FHIR Standard
DiagnosticReport.presentedForm:html.contentTyperequiredPattern: text/html
http://hl7.org/fhir/ValueSet/mimetypes|4.0.1
from the FHIR Standard
DiagnosticReport.presentedForm:pdf.contentTyperequiredPattern: application/pdf
http://hl7.org/fhir/ValueSet/mimetypes|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
IMRAttachmentInvarianterrorDiagnosticReport.presentedFormEither data or url SHALL be present
: data.exists() or url.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text S 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... associatedStudy S 0..* Reference(ImagingStudy | DiagnosticReport) IMR DiagnosticReport Associated Study
URL: https://profiles.ihe.net/RAD/IMR/StructureDefinition/associatedStudy
... 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 ?!Σ 1..1 code registered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.

... category Σ 0..* CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.


... code Σ 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.

... 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
... resultsInterpreter Σ 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
IMRAttachmentInvariant: Either data or url SHALL be present
.... 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

PathConformanceValueSet / CodeURI
DiagnosticReport.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
DiagnosticReport.statusrequiredDiagnosticReportStatus
http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1
from the FHIR Standard
DiagnosticReport.categoryexampleDiagnosticServiceSectionCodes
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
from the FHIR Standard
DiagnosticReport.codepreferredLOINCDiagnosticReportCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/report-codes
from the FHIR Standard
DiagnosticReport.conclusionCodeexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings
from the FHIR Standard
DiagnosticReport.presentedForm.contentTyperequiredMime Types (a valid code from urn:ietf:bcp:13)
http://hl7.org/fhir/ValueSet/mimetypes|4.0.1
from the FHIR Standard
DiagnosticReport.presentedForm.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
DiagnosticReport.presentedForm:html.contentTyperequiredPattern: text/html
http://hl7.org/fhir/ValueSet/mimetypes|4.0.1
from the FHIR Standard
DiagnosticReport.presentedForm:html.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
DiagnosticReport.presentedForm:pdf.contentTyperequiredPattern: application/pdf
http://hl7.org/fhir/ValueSet/mimetypes|4.0.1
from the FHIR Standard
DiagnosticReport.presentedForm:pdf.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
IMRAttachmentInvarianterrorDiagnosticReport.presentedFormEither data or url SHALL be present
: data.exists() or url.exists()

This structure is derived from DiagnosticReport

Summary

Mandatory: 11 elements
Must-Support: 8 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of DiagnosticReport.basedOn
  • The element 1 is sliced based on the value of DiagnosticReport.performer
  • The element 1 is sliced based on the value of DiagnosticReport.presentedForm

Differential View

This structure is derived from DiagnosticReport

NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... text S 0..1 Narrative Text summary of the resource, for human interpretation
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... associatedStudy S 0..* Reference(ImagingStudy | DiagnosticReport) IMR DiagnosticReport Associated Study
URL: https://profiles.ihe.net/RAD/IMR/StructureDefinition/associatedStudy
... 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
... subject 1..1 Reference(Patient) The subject of the report - usually, but not always, the patient
... issued 1..1 instant DateTime that this diagnostic report is signed-off and published.
... Slices for performer 1..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Responsible Diagnostic Service
Slice: Unordered, Open by type:resolve()
.... performer:organization 1..* Reference(Organization) Responsible Diagnostic Service
... resultsInterpreter 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
IMRAttachmentInvariant: Either data or url SHALL be present
.... presentedForm:All Slices Content/Rules for all slices
..... contentType S 1..1 code Mime type of the content, with charset etc.
..... size S 1..1 unsignedInt Number of bytes of content (if url provided)
..... hash S 1..1 base64Binary Hash of the data (sha-1, base64ed)
.... presentedForm:html 1..* Attachment Entire report as issued
..... contentType 0..1 code Mime type of the content, with charset etc.
Required Pattern: text/html
.... presentedForm:pdf 0..* Attachment Entire report as issued
..... contentType 0..1 code Mime type of the content, with charset etc.
Required Pattern: application/pdf

doco Documentation for this format

Constraints

IdGradePath(s)DetailsRequirements
IMRAttachmentInvarianterrorDiagnosticReport.presentedFormEither data or url SHALL be present
: data.exists() or url.exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text S 0..1 Narrative Text summary of the resource, for human interpretation
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... associatedStudy S 0..* Reference(ImagingStudy | DiagnosticReport) IMR DiagnosticReport Associated Study
URL: https://profiles.ihe.net/RAD/IMR/StructureDefinition/associatedStudy
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... 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 ?!Σ 1..1 code registered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.

... code Σ 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.

... 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
... resultsInterpreter Σ 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
IMRAttachmentInvariant: Either data or url SHALL be present
.... 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

PathConformanceValueSet / CodeURI
DiagnosticReport.statusrequiredDiagnosticReportStatus
http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1
from the FHIR Standard
DiagnosticReport.codepreferredLOINCDiagnosticReportCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/report-codes
from the FHIR Standard
DiagnosticReport.presentedForm.contentTyperequiredMime Types (a valid code from urn:ietf:bcp:13)
http://hl7.org/fhir/ValueSet/mimetypes|4.0.1
from the FHIR Standard
DiagnosticReport.presentedForm:html.contentTyperequiredPattern: text/html
http://hl7.org/fhir/ValueSet/mimetypes|4.0.1
from the FHIR Standard
DiagnosticReport.presentedForm:pdf.contentTyperequiredPattern: application/pdf
http://hl7.org/fhir/ValueSet/mimetypes|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
IMRAttachmentInvarianterrorDiagnosticReport.presentedFormEither data or url SHALL be present
: data.exists() or url.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text S 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... associatedStudy S 0..* Reference(ImagingStudy | DiagnosticReport) IMR DiagnosticReport Associated Study
URL: https://profiles.ihe.net/RAD/IMR/StructureDefinition/associatedStudy
... 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 ?!Σ 1..1 code registered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.

... category Σ 0..* CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.


... code Σ 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.

... 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
... resultsInterpreter Σ 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
IMRAttachmentInvariant: Either data or url SHALL be present
.... 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

PathConformanceValueSet / CodeURI
DiagnosticReport.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
DiagnosticReport.statusrequiredDiagnosticReportStatus
http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1
from the FHIR Standard
DiagnosticReport.categoryexampleDiagnosticServiceSectionCodes
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
from the FHIR Standard
DiagnosticReport.codepreferredLOINCDiagnosticReportCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/report-codes
from the FHIR Standard
DiagnosticReport.conclusionCodeexampleSNOMEDCTClinicalFindings
http://hl7.org/fhir/ValueSet/clinical-findings
from the FHIR Standard
DiagnosticReport.presentedForm.contentTyperequiredMime Types (a valid code from urn:ietf:bcp:13)
http://hl7.org/fhir/ValueSet/mimetypes|4.0.1
from the FHIR Standard
DiagnosticReport.presentedForm.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
DiagnosticReport.presentedForm:html.contentTyperequiredPattern: text/html
http://hl7.org/fhir/ValueSet/mimetypes|4.0.1
from the FHIR Standard
DiagnosticReport.presentedForm:html.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
DiagnosticReport.presentedForm:pdf.contentTyperequiredPattern: application/pdf
http://hl7.org/fhir/ValueSet/mimetypes|4.0.1
from the FHIR Standard
DiagnosticReport.presentedForm:pdf.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
IMRAttachmentInvarianterrorDiagnosticReport.presentedFormEither data or url SHALL be present
: data.exists() or url.exists()

This structure is derived from DiagnosticReport

Summary

Mandatory: 11 elements
Must-Support: 8 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of DiagnosticReport.basedOn
  • The element 1 is sliced based on the value of DiagnosticReport.performer
  • The element 1 is sliced based on the value of DiagnosticReport.presentedForm

 

Other representations of profile: CSV, Excel, Schematron