This page is part of the Australian Base IG (v2.2.0: AU Base 2 on R4) based on FHIR R4. For a full list of available versions, see the Directory of published versions
DRAFT
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AU Diagnostic Imaging Report [FMM Level 0]
This profile defines a diagnostic report structure to represent a diagnostic imaging report issued by a diagnostic service provider in an Australian context.
These definitions, defined as profiles of Identifier, represent common data held in the DiagnosticReport.identifier element:
No extensions are used in this profile.
When constructing the report:
For a report of a multi-modality procedure:
There are no examples available for this profile.
The official URL for this profile is:
http://hl7.org.au/fhir/StructureDefinition/au-imagingreport
This profile defines a diagnostic report structure to represent a diagnostic imaging report issued by a diagnostic service provider in an Australian context.
This profile builds on DiagnosticReport.
This profile was published on Mon Jul 19 00:00:00 AEST 2021 as a draft by Health Level Seven Australia (Orders and Observations WG).
Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
DiagnosticReport | 0..* | DiagnosticReport | A diagnostic imaging report in an Australian healthcare context | |
id | Σ | 0..1 | string | 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) Max Binding: AllLanguages: A human language. | |
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
contained | 0..* | Resource | Contained, inline Resources | |
extension | 0..* | Extension | Additional content defined by implementations | |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | 0..* | Identifier, AULocalOrderIdentifier, AULocalReportIdentifier, AUAccessionNumber | Business identifier for report | |
basedOn | 0..* | Reference(ServiceRequest | AU Diagnostic Request | CarePlan) | Diagnostic imaging order | |
status | ?!Σ | 1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. |
category | Σ | 1..* | CodeableConcept | Relevant diagnostic imaging category: modality and anatomic region of interest Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. |
code | Σ | 1..1 | CodeableConcept | Diagnostic imaging exmaination or study Binding: https://healthterminologies.gov.au/fhir/ValueSet/imaging-procedure-1 (preferred) |
subject | Σ | 1..1 | Reference(Patient) | The subject of the report - usually, but not always, the patient |
encounter | Σ | 0..1 | Reference(Encounter) | Health care event when test ordered |
effective[x] | Σ | 1..1 | Time of imaging examination | |
effectiveDateTime | dateTime | |||
effectivePeriod | Period | |||
issued | Σ | 0..1 | instant | DateTime this version was made |
performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service |
resultsInterpreter | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter |
specimen | 0..* | Reference(Specimen) | Specimens this report is based on | |
result | 0..* | Reference(AU Diagnostic Result | AU Diagnostic Imaging Result) | Observations | |
imagingStudy | 0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic 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: https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1 (preferred) | |
presentedForm | 0..* | Attachment | Entire report as issued | |
Documentation for this format |
Differential View
Snapshot View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
DiagnosticReport | 0..* | DiagnosticReport | A diagnostic imaging report in an Australian healthcare context | |
id | Σ | 0..1 | string | 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) Max Binding: AllLanguages: A human language. | |
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
contained | 0..* | Resource | Contained, inline Resources | |
extension | 0..* | Extension | Additional content defined by implementations | |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | 0..* | Identifier, AULocalOrderIdentifier, AULocalReportIdentifier, AUAccessionNumber | Business identifier for report | |
basedOn | 0..* | Reference(ServiceRequest | AU Diagnostic Request | CarePlan) | Diagnostic imaging order | |
status | ?!Σ | 1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. |
category | Σ | 1..* | CodeableConcept | Relevant diagnostic imaging category: modality and anatomic region of interest Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. |
code | Σ | 1..1 | CodeableConcept | Diagnostic imaging exmaination or study Binding: https://healthterminologies.gov.au/fhir/ValueSet/imaging-procedure-1 (preferred) |
subject | Σ | 1..1 | Reference(Patient) | The subject of the report - usually, but not always, the patient |
encounter | Σ | 0..1 | Reference(Encounter) | Health care event when test ordered |
effective[x] | Σ | 1..1 | Time of imaging examination | |
effectiveDateTime | dateTime | |||
effectivePeriod | Period | |||
issued | Σ | 0..1 | instant | DateTime this version was made |
performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service |
resultsInterpreter | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter |
specimen | 0..* | Reference(Specimen) | Specimens this report is based on | |
result | 0..* | Reference(AU Diagnostic Result | AU Diagnostic Imaging Result) | Observations | |
imagingStudy | 0..* | Reference(ImagingStudy) | Reference to full details of imaging associated with the diagnostic 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: https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1 (preferred) | |
presentedForm | 0..* | Attachment | Entire report as issued | |
Documentation for this format |
Downloads: StructureDefinition: (XML, JSON), Schema: XML Schematron
Below is an overview of the required search and read operations.
Summary of Search Criteria for StructureDefinition-au-imagingreport
none defined