Interactive Multimedia Report (IMR)
1.1.0 - Trial-Implementation
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
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:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from DiagnosticReport
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
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 | |
Documentation for this format |
Id | Grade | Path(s) | Details | Requirements |
IMRAttachmentInvariant | error | DiagnosticReport.presentedForm | Either data or url SHALL be present : data.exists() or url.exists() |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
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 |
Documentation for this format |
Path | Conformance | ValueSet / Code | URI |
DiagnosticReport.status | required | DiagnosticReportStatushttp://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 from the FHIR Standard | |
DiagnosticReport.code | preferred | LOINCDiagnosticReportCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/report-codes from the FHIR Standard | |
DiagnosticReport.presentedForm.contentType | required | Mime 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.contentType | required | Pattern: text/htmlhttp://hl7.org/fhir/ValueSet/mimetypes|4.0.1 from the FHIR Standard | |
DiagnosticReport.presentedForm:pdf.contentType | required | Pattern: application/pdfhttp://hl7.org/fhir/ValueSet/mimetypes|4.0.1 from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
IMRAttachmentInvariant | error | DiagnosticReport.presentedForm | Either data or url SHALL be present : data.exists() or url.exists() |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
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.
| |||||
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.
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.
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.
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 | ||||
Documentation for this format |
Path | Conformance | ValueSet / Code | URI | |||
DiagnosticReport.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
DiagnosticReport.status | required | DiagnosticReportStatushttp://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 from the FHIR Standard | ||||
DiagnosticReport.category | example | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard | ||||
DiagnosticReport.code | preferred | LOINCDiagnosticReportCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/report-codes from the FHIR Standard | ||||
DiagnosticReport.conclusionCode | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard | ||||
DiagnosticReport.presentedForm.contentType | required | Mime Types (a valid code from urn:ietf:bcp:13 )http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 from the FHIR Standard | ||||
DiagnosticReport.presentedForm.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
DiagnosticReport.presentedForm:html.contentType | required | Pattern: text/htmlhttp://hl7.org/fhir/ValueSet/mimetypes|4.0.1 from the FHIR Standard | ||||
DiagnosticReport.presentedForm:html.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
DiagnosticReport.presentedForm:pdf.contentType | required | Pattern: application/pdfhttp://hl7.org/fhir/ValueSet/mimetypes|4.0.1 from the FHIR Standard | ||||
DiagnosticReport.presentedForm:pdf.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
IMRAttachmentInvariant | error | DiagnosticReport.presentedForm | Either 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:
Differential View
This structure is derived from DiagnosticReport
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
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 | |
Documentation for this format |
Id | Grade | Path(s) | Details | Requirements |
IMRAttachmentInvariant | error | DiagnosticReport.presentedForm | Either data or url SHALL be present : data.exists() or url.exists() |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
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 |
Documentation for this format |
Path | Conformance | ValueSet / Code | URI |
DiagnosticReport.status | required | DiagnosticReportStatushttp://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 from the FHIR Standard | |
DiagnosticReport.code | preferred | LOINCDiagnosticReportCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/report-codes from the FHIR Standard | |
DiagnosticReport.presentedForm.contentType | required | Mime 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.contentType | required | Pattern: text/htmlhttp://hl7.org/fhir/ValueSet/mimetypes|4.0.1 from the FHIR Standard | |
DiagnosticReport.presentedForm:pdf.contentType | required | Pattern: application/pdfhttp://hl7.org/fhir/ValueSet/mimetypes|4.0.1 from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
IMRAttachmentInvariant | error | DiagnosticReport.presentedForm | Either data or url SHALL be present : data.exists() or url.exists() |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
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.
| |||||
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.
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.
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.
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 | ||||
Documentation for this format |
Path | Conformance | ValueSet / Code | URI | |||
DiagnosticReport.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
DiagnosticReport.status | required | DiagnosticReportStatushttp://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 from the FHIR Standard | ||||
DiagnosticReport.category | example | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sections from the FHIR Standard | ||||
DiagnosticReport.code | preferred | LOINCDiagnosticReportCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/report-codes from the FHIR Standard | ||||
DiagnosticReport.conclusionCode | example | SNOMEDCTClinicalFindingshttp://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard | ||||
DiagnosticReport.presentedForm.contentType | required | Mime Types (a valid code from urn:ietf:bcp:13 )http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 from the FHIR Standard | ||||
DiagnosticReport.presentedForm.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
DiagnosticReport.presentedForm:html.contentType | required | Pattern: text/htmlhttp://hl7.org/fhir/ValueSet/mimetypes|4.0.1 from the FHIR Standard | ||||
DiagnosticReport.presentedForm:html.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
DiagnosticReport.presentedForm:pdf.contentType | required | Pattern: application/pdfhttp://hl7.org/fhir/ValueSet/mimetypes|4.0.1 from the FHIR Standard | ||||
DiagnosticReport.presentedForm:pdf.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
IMRAttachmentInvariant | error | DiagnosticReport.presentedForm | Either 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:
Other representations of profile: CSV, Excel, Schematron