AU Base Implementation Guide
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## Resource Profile: AU Base Diagnostic Imaging Report

Official URL: http://hl7.org.au/fhir/StructureDefinition/au-imagingreport | Version: 5.1.0-preview
Standards status: Trial-use | Maturity Level: 1 | Computable Name: AUBaseDiagnosticImagingReport
Copyright/Legal: HL7 Australia© 2018+; Licensed Under Creative Commons No Rights Reserved.

This profile defines a diagnostic report structure to represent a diagnostic imaging report issued by a diagnostic service provider in an Australian context.

### Usage Notes

Profile specific implementation guidance:

- Results that are free text or report form are represented in `DiagnosticReport.presentedForm`.
- Results that are structured in FHIR resources are referenced in `DiagnosticResult.result`. Each referenced Observation resource represents an individual imaging examination and result value or component result values, or a nested grouping of Observations such as a multi-modality procedure which references other Observations in `Observation.hasMember`.
- When constructing a report for a nested grouping of Observations:
  - the individual imaging examinations are referenced by that grouping Observation in `Observation.hasMember` and not directly referenced in `DiagnosticReport.result`
  - `DiagnosticReport.code` and the grouping Observation `Observation.code` should be the same concept if the report contains only the results of that group.
- See each Identifier profile page for guidance related to that identifier type.
- The radiology laboratory is sent as a reference to an Organization in `DiagnosticReport.performer`.
- Each radiologist is sent as a references to a PractitionerRole resource in `DiagnosticReport.performer`.

Usage:

- This Resource Profile is not used by any profiles in this Implementation Guide

Changes since version 5.0.0:

- No changes

### Formal Views of Profile Content

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

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
DiagnosticReport |  | 0..* | AUBaseDiagnosticReport | A diagnostic imaging report in an Australian healthcare context dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier | Σ | 0..* | Identifier, AULocalOrderIdentifier, AULocalReportIdentifier, AUAccessionNumber | Business identifier for report ele-1: All FHIR elements must have a @value or children
basedOn |  | 0..* | Reference(ServiceRequest | AU Base Service Request | CarePlan) | Diagnostic imaging order ele-1: All FHIR elements must have a @value or children
status | ?!Σ | 1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. ele-1: All FHIR elements must have a @value or children
category | Σ | 1..* | CodeableConcept | Relevant diagnostic imaging category: service, modality Binding: DiagnosticServiceSectionCodes (preferred) ele-1: All FHIR elements must have a @value or children
code | Σ | 1..1 | CodeableConcept | Diagnostic imaging examination or study Binding: Imaging Procedure (preferred) ele-1: All FHIR elements must have a @value or children
subject | Σ | 1..1 | Reference(Patient) | The subject of the report - usually, but not always, the patient ele-1: All FHIR elements must have a @value or children
effective[x] | Σ | 1..1 |  | Time of imaging examination ele-1: All FHIR elements must have a @value or children
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
result |  | 0..* | Reference(AU Base Diagnostic Result | AU Base Diagnostic Imaging Result) | Observations ele-1: All FHIR elements must have a @value or children
conclusionCode |  | 0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: Clinical Finding (preferred) ele-1: All FHIR elements must have a @value or children
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
DiagnosticReport.status | required | DiagnosticReportStatus `http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1` from the FHIR Standard
DiagnosticReport.category | preferred | DiagnosticServiceSectionCodes `http://hl7.org/fhir/ValueSet/diagnostic-service-sections` from the FHIR Standard
DiagnosticReport.code | preferred | ImagingProcedure `https://healthterminologies.gov.au/fhir/ValueSet/imaging-procedure-1` from https://tx.ontoserver.csiro.au/fhir
DiagnosticReport.conclusionCode | preferred | ClinicalFinding `https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1` from https://tx.ontoserver.csiro.au/fhir

#### 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() |

This structure is derived from AUBaseDiagnosticReport

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
DiagnosticReport |  | 0..* | AUBaseDiagnosticReport | A diagnostic imaging report in an Australian healthcare context
identifier |  | 0..* | Identifier, AULocalOrderIdentifier, AULocalReportIdentifier, AUAccessionNumber | Business identifier for report
basedOn |  | 0..* | Reference(ServiceRequest | AU Base Service Request | CarePlan) | Diagnostic imaging order
category |  | 1..* | CodeableConcept | Relevant diagnostic imaging category: service, modality
code |  | 1..1 | CodeableConcept | Diagnostic imaging examination or study Binding: Imaging Procedure (preferred)
subject |  | 1..1 | Reference(Patient) | The subject of the report - usually, but not always, the patient
effective[x] |  | 1..1 | dateTime, Period | Time of imaging examination
result |  | 0..* | Reference(AU Base Diagnostic Result | AU Base Diagnostic Imaging Result) | Observations
conclusionCode |  | 0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: Clinical Finding (preferred)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
DiagnosticReport.code | preferred | ImagingProcedure `https://healthterminologies.gov.au/fhir/ValueSet/imaging-procedure-1` from https://tx.ontoserver.csiro.au/fhir
DiagnosticReport.conclusionCode | preferred | ClinicalFinding `https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1` from https://tx.ontoserver.csiro.au/fhir

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
DiagnosticReport |  | 0..* | AUBaseDiagnosticReport | A diagnostic imaging report in an Australian healthcare context
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
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 | Σ | 0..* | Identifier, AULocalOrderIdentifier, AULocalReportIdentifier, AUAccessionNumber | Business identifier for report
basedOn |  | 0..* | Reference(ServiceRequest | AU Base Service 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: service, modality Binding: DiagnosticServiceSectionCodes (preferred)
code | Σ | 1..1 | CodeableConcept | Diagnostic imaging examination or study Binding: Imaging Procedure (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(AU Base Specimen) | Specimens this report is based on
result |  | 0..* | Reference(AU Base Diagnostic Result | AU Base 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: Clinical Finding (preferred)
presentedForm |  | 0..* | Attachment | Entire report as issued
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
DiagnosticReport.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
DiagnosticReport.status | required | DiagnosticReportStatus `http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1` from the FHIR Standard
DiagnosticReport.category | preferred | DiagnosticServiceSectionCodes `http://hl7.org/fhir/ValueSet/diagnostic-service-sections` from the FHIR Standard
DiagnosticReport.code | preferred | ImagingProcedure `https://healthterminologies.gov.au/fhir/ValueSet/imaging-procedure-1` from https://tx.ontoserver.csiro.au/fhir
DiagnosticReport.conclusionCode | preferred | ClinicalFinding `https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1` from https://tx.ontoserver.csiro.au/fhir

#### 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() |

This structure is derived from AUBaseDiagnosticReport

Summary

Mandatory: 3 elements

Structures

This structure refers to these other structures:

- AU Base Service Request (http://hl7.org.au/fhir/StructureDefinition/au-servicerequest)
- AU Base Diagnostic Result (http://hl7.org.au/fhir/StructureDefinition/au-diagnosticresult)
- AU Base Diagnostic Imaging Result (http://hl7.org.au/fhir/StructureDefinition/au-imagingresult)

Maturity: 1

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
DiagnosticReport |  | 0..* | AUBaseDiagnosticReport | A diagnostic imaging report in an Australian healthcare context dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier | Σ | 0..* | Identifier, AULocalOrderIdentifier, AULocalReportIdentifier, AUAccessionNumber | Business identifier for report ele-1: All FHIR elements must have a @value or children
basedOn |  | 0..* | Reference(ServiceRequest | AU Base Service Request | CarePlan) | Diagnostic imaging order ele-1: All FHIR elements must have a @value or children
status | ?!Σ | 1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. ele-1: All FHIR elements must have a @value or children
category | Σ | 1..* | CodeableConcept | Relevant diagnostic imaging category: service, modality Binding: DiagnosticServiceSectionCodes (preferred) ele-1: All FHIR elements must have a @value or children
code | Σ | 1..1 | CodeableConcept | Diagnostic imaging examination or study Binding: Imaging Procedure (preferred) ele-1: All FHIR elements must have a @value or children
subject | Σ | 1..1 | Reference(Patient) | The subject of the report - usually, but not always, the patient ele-1: All FHIR elements must have a @value or children
effective[x] | Σ | 1..1 |  | Time of imaging examination ele-1: All FHIR elements must have a @value or children
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
result |  | 0..* | Reference(AU Base Diagnostic Result | AU Base Diagnostic Imaging Result) | Observations ele-1: All FHIR elements must have a @value or children
conclusionCode |  | 0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: Clinical Finding (preferred) ele-1: All FHIR elements must have a @value or children
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
DiagnosticReport.status | required | DiagnosticReportStatus `http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1` from the FHIR Standard
DiagnosticReport.category | preferred | DiagnosticServiceSectionCodes `http://hl7.org/fhir/ValueSet/diagnostic-service-sections` from the FHIR Standard
DiagnosticReport.code | preferred | ImagingProcedure `https://healthterminologies.gov.au/fhir/ValueSet/imaging-procedure-1` from https://tx.ontoserver.csiro.au/fhir
DiagnosticReport.conclusionCode | preferred | ClinicalFinding `https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1` from https://tx.ontoserver.csiro.au/fhir

#### 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() |

Differential View

This structure is derived from AUBaseDiagnosticReport

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
DiagnosticReport |  | 0..* | AUBaseDiagnosticReport | A diagnostic imaging report in an Australian healthcare context
identifier |  | 0..* | Identifier, AULocalOrderIdentifier, AULocalReportIdentifier, AUAccessionNumber | Business identifier for report
basedOn |  | 0..* | Reference(ServiceRequest | AU Base Service Request | CarePlan) | Diagnostic imaging order
category |  | 1..* | CodeableConcept | Relevant diagnostic imaging category: service, modality
code |  | 1..1 | CodeableConcept | Diagnostic imaging examination or study Binding: Imaging Procedure (preferred)
subject |  | 1..1 | Reference(Patient) | The subject of the report - usually, but not always, the patient
effective[x] |  | 1..1 | dateTime, Period | Time of imaging examination
result |  | 0..* | Reference(AU Base Diagnostic Result | AU Base Diagnostic Imaging Result) | Observations
conclusionCode |  | 0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: Clinical Finding (preferred)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
DiagnosticReport.code | preferred | ImagingProcedure `https://healthterminologies.gov.au/fhir/ValueSet/imaging-procedure-1` from https://tx.ontoserver.csiro.au/fhir
DiagnosticReport.conclusionCode | preferred | ClinicalFinding `https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1` from https://tx.ontoserver.csiro.au/fhir

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
DiagnosticReport |  | 0..* | AUBaseDiagnosticReport | A diagnostic imaging report in an Australian healthcare context
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
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 | Σ | 0..* | Identifier, AULocalOrderIdentifier, AULocalReportIdentifier, AUAccessionNumber | Business identifier for report
basedOn |  | 0..* | Reference(ServiceRequest | AU Base Service 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: service, modality Binding: DiagnosticServiceSectionCodes (preferred)
code | Σ | 1..1 | CodeableConcept | Diagnostic imaging examination or study Binding: Imaging Procedure (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(AU Base Specimen) | Specimens this report is based on
result |  | 0..* | Reference(AU Base Diagnostic Result | AU Base 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: Clinical Finding (preferred)
presentedForm |  | 0..* | Attachment | Entire report as issued
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
DiagnosticReport.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
DiagnosticReport.status | required | DiagnosticReportStatus `http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1` from the FHIR Standard
DiagnosticReport.category | preferred | DiagnosticServiceSectionCodes `http://hl7.org/fhir/ValueSet/diagnostic-service-sections` from the FHIR Standard
DiagnosticReport.code | preferred | ImagingProcedure `https://healthterminologies.gov.au/fhir/ValueSet/imaging-procedure-1` from https://tx.ontoserver.csiro.au/fhir
DiagnosticReport.conclusionCode | preferred | ClinicalFinding `https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1` from https://tx.ontoserver.csiro.au/fhir

#### 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() |

This structure is derived from AUBaseDiagnosticReport

Summary

Mandatory: 3 elements

Structures

This structure refers to these other structures:

- AU Base Service Request (http://hl7.org.au/fhir/StructureDefinition/au-servicerequest)
- AU Base Diagnostic Result (http://hl7.org.au/fhir/StructureDefinition/au-diagnosticresult)
- AU Base Diagnostic Imaging Result (http://hl7.org.au/fhir/StructureDefinition/au-imagingresult)

Maturity: 1

Other representations of profile: CSV, Excel, Schematron