FHIR Implementation Guide for NDHM CI Build v2.0
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NDHM (R4), Published and maintained by NRCeS for NHA.
This version is based on the NDHM Health Data Interchange Specifications 1.0 and updated periodically.

StructureDefinition-DiagnosticReportImaging

Test results are grouped and summarized using the DiagnosticReport resource which typically reference Observation resource(s). Each Observation resource represents an individual laboratory test and result value or component result values, or a “nested” panel (such as a microbial susceptibility panel) which references other observations. They can also be presented in report form or as free text. This profile sets minimum expectations for the DiagnosticReport resource to record, search, and fetch laboratory results associated with a patient. It identifies which core elements, extensions, vocabularies and value sets SHALL be present in the resource when using this profile.

Examples

Formal Views of Profile Content

Description of Profiles, Differentials, and Snapshots.

The official URL for this profile is: https://nrces.in/ndhm/fhir/r4/StructureDefinition/DiagnosticReportImaging

This profile builds on DiagnosticReport

NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport 0..*DiagnosticReportA Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... basedOn S0..*Reference(CarePlan | ImmunizationRecommendation | NutritionOrder | MedicationRequest | ServiceRequest)What was requested
... status S1..1coderegistered | partial | preliminary | final +
... category S0..*CodeableConceptService category
.... coding S0..*CodingCode defined by a terminology system
..... system 0..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... code 1..1codeSymbol in syntax defined by the system
..... display 1..1stringRepresentation defined by the system
.... text S0..1stringPlain text representation of the concept
... code S1..1CodeableConceptName/Code for this diagnostic report
.... coding S0..*CodingCode defined by a terminology system
..... system 0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... code 1..1codeSymbol in syntax defined by the system
..... display 1..1stringRepresentation defined by the system
.... text S0..1stringPlain text representation of the concept
... subject 0..1Reference(Group | Device | Location | Patient)The subject of the report - usually, but not always, the patient
... encounter 0..1Reference(Encounter)Health care event when test ordered
... performer S0..*Reference(CareTeam | Organization | Practitioner | PractitionerRole)Responsible Diagnostic Service
... resultsInterpreter S1..*Reference(CareTeam | Practitioner | Organization | PractitionerRole)Primary result interpreter
... specimen 0..*Reference(Specimen)Specimens this report is based on
... result 0..*Reference(Observation)Observations
... imagingStudy S0..*Reference(ImagingStudy)Reference to full details of imaging associated with the diagnostic report
... media S1..*BackboneElementKey images associated with this report
.... link 1..1Reference(Media)Reference to the image source
... conclusion S1..1stringClinical conclusion (interpretation) of test results
... conclusionCode S0..*CodeableConceptCodes for the clinical conclusion of test results
.... coding S0..*CodingCode defined by a terminology system
..... system 0..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... code 1..1codeSymbol in syntax defined by the system
..... display 1..1stringRepresentation defined by the system
.... text S0..1stringPlain text representation of the concept
... presentedForm
.... contentType 1..1codeMime type of the content, with charset etc.
.... data 1..1base64BinaryData inline, base64ed

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport I0..*DiagnosticReportA Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... id Σ0..1stringLogical id of this artifact
... meta ΣI0..1MetaMetadata about the resource
... implicitRules ?!ΣI0..1uriA set of rules under which this content was created
... language I0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension I0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!I0..*ExtensionExtensions that cannot be ignored
... identifier ΣI0..*IdentifierBusiness identifier for report
... basedOn SI0..*Reference(CarePlan | ImmunizationRecommendation | NutritionOrder | MedicationRequest | ServiceRequest)What was requested
... status ?!SΣI1..1coderegistered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required)
... category SΣI0..*CodeableConceptService category
Binding: DiagnosticServiceSectionCodes (example)
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣI0..*CodingCode defined by a terminology system
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... system ΣI0..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... version ΣI0..1stringVersion of the system - if relevant
..... code ΣI1..1codeSymbol in syntax defined by the system
..... display ΣI1..1stringRepresentation defined by the system
..... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
.... text SΣI0..1stringPlain text representation of the concept
... code SΣI1..1CodeableConceptName/Code for this diagnostic report
Binding: LOINCDiagnosticReportCodes (preferred)
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣI0..*CodingCode defined by a terminology system
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... system ΣI0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... version ΣI0..1stringVersion of the system - if relevant
..... code ΣI1..1codeSymbol in syntax defined by the system
..... display ΣI1..1stringRepresentation defined by the system
..... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
.... text SΣI0..1stringPlain text representation of the concept
... subject ΣI0..1Reference(Group | Device | Location | Patient)The subject of the report - usually, but not always, the patient
... encounter ΣI0..1Reference(Encounter)Health care event when test ordered
... effective[x] ΣI0..1Clinically relevant time/time-period for report
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... issued ΣI0..1instantDateTime this version was made
... performer SΣI0..*Reference(CareTeam | Organization | Practitioner | PractitionerRole)Responsible Diagnostic Service
... resultsInterpreter SΣI1..*Reference(CareTeam | Practitioner | Organization | PractitionerRole)Primary result interpreter
... specimen I0..*Reference(Specimen)Specimens this report is based on
... result I0..*Reference(Observation)Observations
... imagingStudy SI0..*Reference(ImagingStudy)Reference to full details of imaging associated with the diagnostic report
... media SΣI1..*BackboneElementKey images associated with this report
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... comment I0..1stringComment about the image (e.g. explanation)
.... link ΣI1..1Reference(Media)Reference to the image source
... conclusion SI1..1stringClinical conclusion (interpretation) of test results
... conclusionCode SI0..*CodeableConceptCodes for the clinical conclusion of test results
Binding: SNOMEDCTClinicalFindings (example)
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣI0..*CodingCode defined by a terminology system
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... system ΣI0..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... version ΣI0..1stringVersion of the system - if relevant
..... code ΣI1..1codeSymbol in syntax defined by the system
..... display ΣI1..1stringRepresentation defined by the system
..... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
.... text SΣI0..1stringPlain text representation of the concept
... presentedForm I0..*AttachmentEntire report as issued
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... contentType ΣI1..1codeMime type of the content, with charset etc.
Binding: Mime Types (required)
Example General: text/plain; charset=UTF-8, image/png
.... language ΣI0..1codeHuman language of the content (BCP-47)
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
Example General: en-AU
.... data I1..1base64BinaryData inline, base64ed
.... url ΣI0..1urlUri where the data can be found
Example General: http://www.acme.com/logo-small.png
.... size ΣI0..1unsignedIntNumber of bytes of content (if url provided)
.... hash ΣI0..1base64BinaryHash of the data (sha-1, base64ed)
.... title ΣI0..1stringLabel to display in place of the data
Example General: Official Corporate Logo
.... creation ΣI0..1dateTimeDate attachment was first created

doco Documentation for this format

Differential View

NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport 0..*DiagnosticReportA Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... basedOn S0..*Reference(CarePlan | ImmunizationRecommendation | NutritionOrder | MedicationRequest | ServiceRequest)What was requested
... status S1..1coderegistered | partial | preliminary | final +
... category S0..*CodeableConceptService category
.... coding S0..*CodingCode defined by a terminology system
..... system 0..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... code 1..1codeSymbol in syntax defined by the system
..... display 1..1stringRepresentation defined by the system
.... text S0..1stringPlain text representation of the concept
... code S1..1CodeableConceptName/Code for this diagnostic report
.... coding S0..*CodingCode defined by a terminology system
..... system 0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... code 1..1codeSymbol in syntax defined by the system
..... display 1..1stringRepresentation defined by the system
.... text S0..1stringPlain text representation of the concept
... subject 0..1Reference(Group | Device | Location | Patient)The subject of the report - usually, but not always, the patient
... encounter 0..1Reference(Encounter)Health care event when test ordered
... performer S0..*Reference(CareTeam | Organization | Practitioner | PractitionerRole)Responsible Diagnostic Service
... resultsInterpreter S1..*Reference(CareTeam | Practitioner | Organization | PractitionerRole)Primary result interpreter
... specimen 0..*Reference(Specimen)Specimens this report is based on
... result 0..*Reference(Observation)Observations
... imagingStudy S0..*Reference(ImagingStudy)Reference to full details of imaging associated with the diagnostic report
... media S1..*BackboneElementKey images associated with this report
.... link 1..1Reference(Media)Reference to the image source
... conclusion S1..1stringClinical conclusion (interpretation) of test results
... conclusionCode S0..*CodeableConceptCodes for the clinical conclusion of test results
.... coding S0..*CodingCode defined by a terminology system
..... system 0..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... code 1..1codeSymbol in syntax defined by the system
..... display 1..1stringRepresentation defined by the system
.... text S0..1stringPlain text representation of the concept
... presentedForm
.... contentType 1..1codeMime type of the content, with charset etc.
.... data 1..1base64BinaryData inline, base64ed

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport I0..*DiagnosticReportA Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... id Σ0..1stringLogical id of this artifact
... meta ΣI0..1MetaMetadata about the resource
... implicitRules ?!ΣI0..1uriA set of rules under which this content was created
... language I0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension I0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!I0..*ExtensionExtensions that cannot be ignored
... identifier ΣI0..*IdentifierBusiness identifier for report
... basedOn SI0..*Reference(CarePlan | ImmunizationRecommendation | NutritionOrder | MedicationRequest | ServiceRequest)What was requested
... status ?!SΣI1..1coderegistered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required)
... category SΣI0..*CodeableConceptService category
Binding: DiagnosticServiceSectionCodes (example)
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣI0..*CodingCode defined by a terminology system
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... system ΣI0..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... version ΣI0..1stringVersion of the system - if relevant
..... code ΣI1..1codeSymbol in syntax defined by the system
..... display ΣI1..1stringRepresentation defined by the system
..... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
.... text SΣI0..1stringPlain text representation of the concept
... code SΣI1..1CodeableConceptName/Code for this diagnostic report
Binding: LOINCDiagnosticReportCodes (preferred)
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣI0..*CodingCode defined by a terminology system
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... system ΣI0..1uriIdentity of the terminology system
Fixed Value: http://loinc.org
..... version ΣI0..1stringVersion of the system - if relevant
..... code ΣI1..1codeSymbol in syntax defined by the system
..... display ΣI1..1stringRepresentation defined by the system
..... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
.... text SΣI0..1stringPlain text representation of the concept
... subject ΣI0..1Reference(Group | Device | Location | Patient)The subject of the report - usually, but not always, the patient
... encounter ΣI0..1Reference(Encounter)Health care event when test ordered
... effective[x] ΣI0..1Clinically relevant time/time-period for report
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... issued ΣI0..1instantDateTime this version was made
... performer SΣI0..*Reference(CareTeam | Organization | Practitioner | PractitionerRole)Responsible Diagnostic Service
... resultsInterpreter SΣI1..*Reference(CareTeam | Practitioner | Organization | PractitionerRole)Primary result interpreter
... specimen I0..*Reference(Specimen)Specimens this report is based on
... result I0..*Reference(Observation)Observations
... imagingStudy SI0..*Reference(ImagingStudy)Reference to full details of imaging associated with the diagnostic report
... media SΣI1..*BackboneElementKey images associated with this report
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... comment I0..1stringComment about the image (e.g. explanation)
.... link ΣI1..1Reference(Media)Reference to the image source
... conclusion SI1..1stringClinical conclusion (interpretation) of test results
... conclusionCode SI0..*CodeableConceptCodes for the clinical conclusion of test results
Binding: SNOMEDCTClinicalFindings (example)
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣI0..*CodingCode defined by a terminology system
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... system ΣI0..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... version ΣI0..1stringVersion of the system - if relevant
..... code ΣI1..1codeSymbol in syntax defined by the system
..... display ΣI1..1stringRepresentation defined by the system
..... userSelected ΣI0..1booleanIf this coding was chosen directly by the user
.... text SΣI0..1stringPlain text representation of the concept
... presentedForm I0..*AttachmentEntire report as issued
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... contentType ΣI1..1codeMime type of the content, with charset etc.
Binding: Mime Types (required)
Example General: text/plain; charset=UTF-8, image/png
.... language ΣI0..1codeHuman language of the content (BCP-47)
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
Example General: en-AU
.... data I1..1base64BinaryData inline, base64ed
.... url ΣI0..1urlUri where the data can be found
Example General: http://www.acme.com/logo-small.png
.... size ΣI0..1unsignedIntNumber of bytes of content (if url provided)
.... hash ΣI0..1base64BinaryHash of the data (sha-1, base64ed)
.... title ΣI0..1stringLabel to display in place of the data
Example General: Official Corporate Logo
.... creation ΣI0..1dateTimeDate attachment was first created

doco Documentation for this format

Downloads: StructureDefinition: (XML, JSON), Schema: XML Schematron