Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	DiagnosticReport	Imaging Diagnostic Report DiagnosticReport
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language	O	1..1	code	Language of the resource content Binding: eHDSI Language (required) Obligations Actor SHALL:handle Imaging Handler
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:DiagnosticReportCompositionR5		1..1	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
value[x]		1..1	Reference(Composition: Imaging)	Value of extension
extension:artifactVersion		0..1	string	Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	OΣ	0..*	Identifier	Report identifier Obligations Actor SHALL:handle Imaging Handler
Slices for basedOn	O	0..*	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested Slice: Unordered, Open by type:$this Obligations Actor SHALL:handle Imaging Handler
basedOn:imorderaccession		0..1	Reference(ServiceRequest: Imaging)	What was requested
identifier	Σ	1..1	AccessionNumberIdentifierImgMyHealthEu	Logical reference, when literal reference is not known
status	?!OΣ	1..1	code	Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. Obligations Actor SHALL:handle Imaging Handler
Slices for category	Σ	1..*	CodeableConcept	Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
category:imaging	Σ	1..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18748-4
display		1..1	string	Representation defined by the system Fixed Value: Diagnostic imaging study
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
coding	Σ	1..1	Coding	Code defined by a terminology system
code	OΣ	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: eHDSI Imaging Diagnostic Report Types (required) Obligations Actor SHALL:handle Imaging Handler
subject	OΣ	0..1	Reference(Patient: Imaging Study Report)	The subject of the report - usually, but not always, the patient Obligations Actor SHALL:handle Imaging Handler
Slices for effective[x]	Σ	0..1		Clinically relevant time/time-period for report Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	OΣ	0..1	dateTime	Clinically relevant time/time-period for report Obligations Actor SHALL:handle Imaging Handler
Slices for performer	Σ	1..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service Slice: Unordered, Open by profile:$this
performer:author	Σ	1..*	Reference(PractitionerRole: Imaging)	Responsible Diagnostic Service
Slices for resultsInterpreter	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter Slice: Unordered, Open by profile:resolve()
resultsInterpreter:author	Σ	0..*	Reference(PractitionerRole: Imaging)	Primary result interpreter
specimen	O	0..*	Reference(Specimen)	Specimen Obligations Actor SHALL:handle Imaging Handler
Slices for result	O	1..*	Reference(Observation Results: IDR)	Observations Slice: Unordered, Open by profile:resolve() Obligations Actor SHALL:handle Imaging Handler
result:imgFinding		0..*	Reference(Observation)	Observations
media	OΣ	0..*	BackboneElement	Key images associated with this report Obligations Actor SHALL:handle Imaging Handler
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	1..1	Reference(Media)	Reference to the image source
conclusion	O	0..1	string	Clinical conclusion (interpretation) of test results Obligations Actor SHALL:handle Imaging Handler
presentedForm	O	1..*	Attachment	Entire report as issued (pdf) Obligations Actor SHALL:handle Imaging Handler
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.language	required	EHDSILanguage http://fhir.ehdsi.eu/imaging/ValueSet/eHDSILanguage From this IG
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 From the FHIR Standard
DiagnosticReport.category	example	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections From the FHIR Standard
DiagnosticReport.category:imaging	example	Pattern Value: LOINC Code 18748-4("Diagnostic imaging study") http://hl7.org/fhir/ValueSet/diagnostic-service-sections From the FHIR Standard
DiagnosticReport.code	required	EHDSILaboratoryReportTypes http://fhir.ehdsi.eu/imaging/ValueSet/eHDSILaboratoryReportTypes From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
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()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	DiagnosticReport	Imaging Diagnostic Report DiagnosticReport
language	O	1..1	code	Language of the resource content Binding: eHDSI Language (required) Obligations Actor SHALL:handle Imaging Handler
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:DiagnosticReportCompositionR5		1..1	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
value[x]		1..1	Reference(Composition: Imaging)	Value of extension
extension:artifactVersion		0..1	string	Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version
identifier	O	0..*	Identifier	Report identifier Obligations Actor SHALL:handle Imaging Handler
Slices for basedOn	O	0..*	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested Slice: Unordered, Open by type:$this Obligations Actor SHALL:handle Imaging Handler
basedOn:imorderaccession		0..1	Reference(ServiceRequest: Imaging)	What was requested
identifier		1..1	AccessionNumberIdentifierImgMyHealthEu	Logical reference, when literal reference is not known
status	O	1..1	code	Status of the Report Obligations Actor SHALL:handle Imaging Handler
Slices for category		1..*	CodeableConcept	Service category Slice: Unordered, Open by value:$this
category:imaging		1..1	CodeableConcept	Service category Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18748-4
display		1..1	string	Representation defined by the system Fixed Value: Diagnostic imaging study
coding		1..1	Coding	Code defined by a terminology system
code	O	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: eHDSI Imaging Diagnostic Report Types (required) Obligations Actor SHALL:handle Imaging Handler
subject	O	0..1	Reference(Patient: Imaging Study Report)	The subject of the report - usually, but not always, the patient Obligations Actor SHALL:handle Imaging Handler
Slices for effective[x]		0..1	dateTime, Period	Clinically relevant time/time-period for report Slice: Unordered, Open by type:$this
effective[x]:effectiveDateTime	O	0..1	dateTime	Clinically relevant time/time-period for report Obligations Actor SHALL:handle Imaging Handler
Slices for performer		1..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service Slice: Unordered, Open by profile:$this
performer:author		1..*	Reference(PractitionerRole: Imaging)	Responsible Diagnostic Service
Slices for resultsInterpreter		0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter Slice: Unordered, Open by profile:resolve()
resultsInterpreter:author		0..*	Reference(PractitionerRole: Imaging)	Primary result interpreter
specimen	O	0..*	Reference(Specimen)	Specimen Obligations Actor SHALL:handle Imaging Handler
Slices for result	O	1..*	Reference(Observation Results: IDR)	Observations Slice: Unordered, Open by profile:resolve() Obligations Actor SHALL:handle Imaging Handler
result:imgFinding		0..*	Reference(Observation)	Observations
media	O	0..*	BackboneElement	Key images associated with this report Obligations Actor SHALL:handle Imaging Handler
conclusion	O	0..1	string	Clinical conclusion (interpretation) of test results Obligations Actor SHALL:handle Imaging Handler
presentedForm	O	1..*	Attachment	Entire report as issued (pdf) Obligations Actor SHALL:handle Imaging Handler
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
DiagnosticReport.language	required	EHDSILanguage http://fhir.ehdsi.eu/imaging/ValueSet/eHDSILanguage From this IG
DiagnosticReport.code	required	EHDSILaboratoryReportTypes http://fhir.ehdsi.eu/imaging/ValueSet/eHDSILaboratoryReportTypes From this IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	DiagnosticReport	Imaging Diagnostic Report DiagnosticReport
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	O	1..1	code	Language of the resource content Binding: eHDSI Language (required) Obligations Actor SHALL:handle Imaging Handler
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:DiagnosticReportCompositionR5		1..1	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
value[x]		1..1	Reference(Composition: Imaging)	Value of extension
extension:artifactVersion		0..1	string	Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	OΣ	0..*	Identifier	Report identifier Obligations Actor SHALL:handle Imaging Handler
Slices for basedOn	O	0..*	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested Slice: Unordered, Open by type:$this Obligations Actor SHALL:handle Imaging Handler
basedOn:imorderaccession		0..1	Reference(ServiceRequest: Imaging)	What was requested
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	1..1	AccessionNumberIdentifierImgMyHealthEu	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
status	?!OΣ	1..1	code	Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. Obligations Actor SHALL:handle Imaging Handler
Slices for category	Σ	1..*	CodeableConcept	Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
category:imaging	Σ	1..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18748-4
display		1..1	string	Representation defined by the system Fixed Value: Diagnostic imaging study
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
code	OΣ	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: eHDSI Imaging Diagnostic Report Types (required) Obligations Actor SHALL:handle Imaging Handler
subject	OΣ	0..1	Reference(Patient: Imaging Study Report)	The subject of the report - usually, but not always, the patient Obligations Actor SHALL:handle Imaging Handler
encounter	Σ	0..1	Reference(Encounter)	Health care event when test ordered
Slices for effective[x]	Σ	0..1		Clinically relevant time/time-period for report Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	OΣ	0..1	dateTime	Clinically relevant time/time-period for report Obligations Actor SHALL:handle Imaging Handler
issued	Σ	0..1	instant	DateTime this version was made
Slices for performer	Σ	1..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service Slice: Unordered, Open by profile:$this
performer:author	Σ	1..*	Reference(PractitionerRole: Imaging)	Responsible Diagnostic Service
Slices for resultsInterpreter	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter Slice: Unordered, Open by profile:resolve()
resultsInterpreter:author	Σ	0..*	Reference(PractitionerRole: Imaging)	Primary result interpreter
specimen	O	0..*	Reference(Specimen)	Specimen Obligations Actor SHALL:handle Imaging Handler
Slices for result	O	1..*	Reference(Observation Results: IDR)	Observations Slice: Unordered, Open by profile:resolve() Obligations Actor SHALL:handle Imaging Handler
result:imgFinding		0..*	Reference(Observation)	Observations
imagingStudy		0..*	Reference(ImagingStudy)	Reference to full details of imaging associated with the diagnostic report
media	OΣ	0..*	BackboneElement	Key images associated with this report Obligations Actor SHALL:handle Imaging Handler
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	O	0..1	string	Clinical conclusion (interpretation) of test results Obligations Actor SHALL:handle Imaging Handler
conclusionCode		0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
presentedForm	O	1..*	Attachment	Entire report as issued (pdf) Obligations Actor SHALL:handle Imaging Handler
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.language	required	EHDSILanguage http://fhir.ehdsi.eu/imaging/ValueSet/eHDSILanguage From this IG
DiagnosticReport.basedOn:imorderaccession.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 From the FHIR Standard
DiagnosticReport.category	example	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections From the FHIR Standard
DiagnosticReport.category:imaging	example	Pattern Value: LOINC Code 18748-4("Diagnostic imaging study") http://hl7.org/fhir/ValueSet/diagnostic-service-sections From the FHIR Standard
DiagnosticReport.code	required	EHDSILaboratoryReportTypes http://fhir.ehdsi.eu/imaging/ValueSet/eHDSILaboratoryReportTypes From this IG
DiagnosticReport.conclusionCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()

Summary

Mandatory: 10 elements(1 nested mandatory element)

Structures

This structure refers to these other structures:

• Composition: Imaging (http://fhir.ehdsi.eu/imaging/StructureDefinition/composition-img-myhealtheu)
• ServiceRequest: Imaging (http://fhir.ehdsi.eu/imaging/StructureDefinition/serviceRequest-img-myhealtheu)
• Imaging Accession Number Identifier (http://fhir.ehdsi.eu/imaging/StructureDefinition/accession-number-identifier-img)
• Patient: Imaging Study Report (http://fhir.ehdsi.eu/imaging/StructureDefinition/patient-img-myhealtheu)
• PractitionerRole: Imaging (http://fhir.ehdsi.eu/imaging/StructureDefinition/practitionerRole-img-myhealtheu)
• Observation Results: IDR (http://fhir.ehdsi.eu/imaging/StructureDefinition/observationResults-img-myhealtheu)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
• http://hl7.org/fhir/StructureDefinition/artifact-version|5.2.0

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.category
• The element 1 is sliced based on the value of DiagnosticReport.effective[x]
• The element 1 is sliced based on the value of DiagnosticReport.performer
• The element 1 is sliced based on the value of DiagnosticReport.resultsInterpreter
• The element 1 is sliced based on the value of DiagnosticReport.result

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	DiagnosticReport	Imaging Diagnostic Report DiagnosticReport
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language	O	1..1	code	Language of the resource content Binding: eHDSI Language (required) Obligations Actor SHALL:handle Imaging Handler
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:DiagnosticReportCompositionR5		1..1	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
value[x]		1..1	Reference(Composition: Imaging)	Value of extension
extension:artifactVersion		0..1	string	Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	OΣ	0..*	Identifier	Report identifier Obligations Actor SHALL:handle Imaging Handler
Slices for basedOn	O	0..*	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested Slice: Unordered, Open by type:$this Obligations Actor SHALL:handle Imaging Handler
basedOn:imorderaccession		0..1	Reference(ServiceRequest: Imaging)	What was requested
identifier	Σ	1..1	AccessionNumberIdentifierImgMyHealthEu	Logical reference, when literal reference is not known
status	?!OΣ	1..1	code	Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. Obligations Actor SHALL:handle Imaging Handler
Slices for category	Σ	1..*	CodeableConcept	Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
category:imaging	Σ	1..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18748-4
display		1..1	string	Representation defined by the system Fixed Value: Diagnostic imaging study
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
coding	Σ	1..1	Coding	Code defined by a terminology system
code	OΣ	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: eHDSI Imaging Diagnostic Report Types (required) Obligations Actor SHALL:handle Imaging Handler
subject	OΣ	0..1	Reference(Patient: Imaging Study Report)	The subject of the report - usually, but not always, the patient Obligations Actor SHALL:handle Imaging Handler
Slices for effective[x]	Σ	0..1		Clinically relevant time/time-period for report Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	OΣ	0..1	dateTime	Clinically relevant time/time-period for report Obligations Actor SHALL:handle Imaging Handler
Slices for performer	Σ	1..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service Slice: Unordered, Open by profile:$this
performer:author	Σ	1..*	Reference(PractitionerRole: Imaging)	Responsible Diagnostic Service
Slices for resultsInterpreter	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter Slice: Unordered, Open by profile:resolve()
resultsInterpreter:author	Σ	0..*	Reference(PractitionerRole: Imaging)	Primary result interpreter
specimen	O	0..*	Reference(Specimen)	Specimen Obligations Actor SHALL:handle Imaging Handler
Slices for result	O	1..*	Reference(Observation Results: IDR)	Observations Slice: Unordered, Open by profile:resolve() Obligations Actor SHALL:handle Imaging Handler
result:imgFinding		0..*	Reference(Observation)	Observations
media	OΣ	0..*	BackboneElement	Key images associated with this report Obligations Actor SHALL:handle Imaging Handler
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
link	Σ	1..1	Reference(Media)	Reference to the image source
conclusion	O	0..1	string	Clinical conclusion (interpretation) of test results Obligations Actor SHALL:handle Imaging Handler
presentedForm	O	1..*	Attachment	Entire report as issued (pdf) Obligations Actor SHALL:handle Imaging Handler
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.language	required	EHDSILanguage http://fhir.ehdsi.eu/imaging/ValueSet/eHDSILanguage From this IG
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 From the FHIR Standard
DiagnosticReport.category	example	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections From the FHIR Standard
DiagnosticReport.category:imaging	example	Pattern Value: LOINC Code 18748-4("Diagnostic imaging study") http://hl7.org/fhir/ValueSet/diagnostic-service-sections From the FHIR Standard
DiagnosticReport.code	required	EHDSILaboratoryReportTypes http://fhir.ehdsi.eu/imaging/ValueSet/eHDSILaboratoryReportTypes From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
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()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	DiagnosticReport	Imaging Diagnostic Report DiagnosticReport
language	O	1..1	code	Language of the resource content Binding: eHDSI Language (required) Obligations Actor SHALL:handle Imaging Handler
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:DiagnosticReportCompositionR5		1..1	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
value[x]		1..1	Reference(Composition: Imaging)	Value of extension
extension:artifactVersion		0..1	string	Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version
identifier	O	0..*	Identifier	Report identifier Obligations Actor SHALL:handle Imaging Handler
Slices for basedOn	O	0..*	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested Slice: Unordered, Open by type:$this Obligations Actor SHALL:handle Imaging Handler
basedOn:imorderaccession		0..1	Reference(ServiceRequest: Imaging)	What was requested
identifier		1..1	AccessionNumberIdentifierImgMyHealthEu	Logical reference, when literal reference is not known
status	O	1..1	code	Status of the Report Obligations Actor SHALL:handle Imaging Handler
Slices for category		1..*	CodeableConcept	Service category Slice: Unordered, Open by value:$this
category:imaging		1..1	CodeableConcept	Service category Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18748-4
display		1..1	string	Representation defined by the system Fixed Value: Diagnostic imaging study
coding		1..1	Coding	Code defined by a terminology system
code	O	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: eHDSI Imaging Diagnostic Report Types (required) Obligations Actor SHALL:handle Imaging Handler
subject	O	0..1	Reference(Patient: Imaging Study Report)	The subject of the report - usually, but not always, the patient Obligations Actor SHALL:handle Imaging Handler
Slices for effective[x]		0..1	dateTime, Period	Clinically relevant time/time-period for report Slice: Unordered, Open by type:$this
effective[x]:effectiveDateTime	O	0..1	dateTime	Clinically relevant time/time-period for report Obligations Actor SHALL:handle Imaging Handler
Slices for performer		1..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service Slice: Unordered, Open by profile:$this
performer:author		1..*	Reference(PractitionerRole: Imaging)	Responsible Diagnostic Service
Slices for resultsInterpreter		0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter Slice: Unordered, Open by profile:resolve()
resultsInterpreter:author		0..*	Reference(PractitionerRole: Imaging)	Primary result interpreter
specimen	O	0..*	Reference(Specimen)	Specimen Obligations Actor SHALL:handle Imaging Handler
Slices for result	O	1..*	Reference(Observation Results: IDR)	Observations Slice: Unordered, Open by profile:resolve() Obligations Actor SHALL:handle Imaging Handler
result:imgFinding		0..*	Reference(Observation)	Observations
media	O	0..*	BackboneElement	Key images associated with this report Obligations Actor SHALL:handle Imaging Handler
conclusion	O	0..1	string	Clinical conclusion (interpretation) of test results Obligations Actor SHALL:handle Imaging Handler
presentedForm	O	1..*	Attachment	Entire report as issued (pdf) Obligations Actor SHALL:handle Imaging Handler
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
DiagnosticReport.language	required	EHDSILanguage http://fhir.ehdsi.eu/imaging/ValueSet/eHDSILanguage From this IG
DiagnosticReport.code	required	EHDSILaboratoryReportTypes http://fhir.ehdsi.eu/imaging/ValueSet/eHDSILaboratoryReportTypes From this IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	DiagnosticReport	Imaging Diagnostic Report DiagnosticReport
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	O	1..1	code	Language of the resource content Binding: eHDSI Language (required) Obligations Actor SHALL:handle Imaging Handler
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:DiagnosticReportCompositionR5		1..1	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition"
value[x]		1..1	Reference(Composition: Imaging)	Value of extension
extension:artifactVersion		0..1	string	Business version of the artifact URL: http://hl7.org/fhir/StructureDefinition/artifact-version
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	OΣ	0..*	Identifier	Report identifier Obligations Actor SHALL:handle Imaging Handler
Slices for basedOn	O	0..*	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested Slice: Unordered, Open by type:$this Obligations Actor SHALL:handle Imaging Handler
basedOn:imorderaccession		0..1	Reference(ServiceRequest: Imaging)	What was requested
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	1..1	AccessionNumberIdentifierImgMyHealthEu	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
status	?!OΣ	1..1	code	Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. Obligations Actor SHALL:handle Imaging Handler
Slices for category	Σ	1..*	CodeableConcept	Service category Slice: Unordered, Open by value:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
category:imaging	Σ	1..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18748-4
display		1..1	string	Representation defined by the system Fixed Value: Diagnostic imaging study
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
code	OΣ	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: eHDSI Imaging Diagnostic Report Types (required) Obligations Actor SHALL:handle Imaging Handler
subject	OΣ	0..1	Reference(Patient: Imaging Study Report)	The subject of the report - usually, but not always, the patient Obligations Actor SHALL:handle Imaging Handler
encounter	Σ	0..1	Reference(Encounter)	Health care event when test ordered
Slices for effective[x]	Σ	0..1		Clinically relevant time/time-period for report Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	OΣ	0..1	dateTime	Clinically relevant time/time-period for report Obligations Actor SHALL:handle Imaging Handler
issued	Σ	0..1	instant	DateTime this version was made
Slices for performer	Σ	1..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service Slice: Unordered, Open by profile:$this
performer:author	Σ	1..*	Reference(PractitionerRole: Imaging)	Responsible Diagnostic Service
Slices for resultsInterpreter	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter Slice: Unordered, Open by profile:resolve()
resultsInterpreter:author	Σ	0..*	Reference(PractitionerRole: Imaging)	Primary result interpreter
specimen	O	0..*	Reference(Specimen)	Specimen Obligations Actor SHALL:handle Imaging Handler
Slices for result	O	1..*	Reference(Observation Results: IDR)	Observations Slice: Unordered, Open by profile:resolve() Obligations Actor SHALL:handle Imaging Handler
result:imgFinding		0..*	Reference(Observation)	Observations
imagingStudy		0..*	Reference(ImagingStudy)	Reference to full details of imaging associated with the diagnostic report
media	OΣ	0..*	BackboneElement	Key images associated with this report Obligations Actor SHALL:handle Imaging Handler
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	O	0..1	string	Clinical conclusion (interpretation) of test results Obligations Actor SHALL:handle Imaging Handler
conclusionCode		0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
presentedForm	O	1..*	Attachment	Entire report as issued (pdf) Obligations Actor SHALL:handle Imaging Handler
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.language	required	EHDSILanguage http://fhir.ehdsi.eu/imaging/ValueSet/eHDSILanguage From this IG
DiagnosticReport.basedOn:imorderaccession.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 From the FHIR Standard
DiagnosticReport.category	example	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections From the FHIR Standard
DiagnosticReport.category:imaging	example	Pattern Value: LOINC Code 18748-4("Diagnostic imaging study") http://hl7.org/fhir/ValueSet/diagnostic-service-sections From the FHIR Standard
DiagnosticReport.code	required	EHDSILaboratoryReportTypes http://fhir.ehdsi.eu/imaging/ValueSet/eHDSILaboratoryReportTypes From this IG
DiagnosticReport.conclusionCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()

Summary

Mandatory: 10 elements(1 nested mandatory element)

Structures

This structure refers to these other structures:

• Composition: Imaging (http://fhir.ehdsi.eu/imaging/StructureDefinition/composition-img-myhealtheu)
• ServiceRequest: Imaging (http://fhir.ehdsi.eu/imaging/StructureDefinition/serviceRequest-img-myhealtheu)
• Imaging Accession Number Identifier (http://fhir.ehdsi.eu/imaging/StructureDefinition/accession-number-identifier-img)
• Patient: Imaging Study Report (http://fhir.ehdsi.eu/imaging/StructureDefinition/patient-img-myhealtheu)
• PractitionerRole: Imaging (http://fhir.ehdsi.eu/imaging/StructureDefinition/practitionerRole-img-myhealtheu)
• Observation Results: IDR (http://fhir.ehdsi.eu/imaging/StructureDefinition/observationResults-img-myhealtheu)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition
• http://hl7.org/fhir/StructureDefinition/artifact-version|5.2.0

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.category
• The element 1 is sliced based on the value of DiagnosticReport.effective[x]
• The element 1 is sliced based on the value of DiagnosticReport.performer
• The element 1 is sliced based on the value of DiagnosticReport.resultsInterpreter
• The element 1 is sliced based on the value of DiagnosticReport.result