# AU Base Diagnostic Imaging Result - AU Base Implementation Guide v6.0.0-preview

* [**Table of Contents**](toc.md)
* [**FHIR Artefacts**](fhirartefacts.md)
* [**Artefacts Summary**](artifacts.md)
* **AU Base Diagnostic Imaging Result**

## Resource Profile: AU Base Diagnostic Imaging Result 

| | | |
| :--- | :--- | :--- |
| *Official URL*:http://hl7.org.au/fhir/StructureDefinition/au-imagingresult | *Version*:6.0.0-preview | |
| *Standards status:*[Trial-use](http://hl7.org/fhir/R4/versions.html#std-process) | [Maturity Level](generalguidance.md#maturity-levels): 1 | *Computable Name*:AUBaseDiagnosticImagingResult |
| **Copyright/Legal**: HL7 Australia© 2018+; Licensed Under Creative Commons No Rights Reserved. | | |

 
This profile defines an observation structure to represent a imaging examination result issued by a diagnostic service provider in an Australian context. The observation may represent the conclusions of a diagnostic procedure such as Left retina Foveal thickness by OCT, or it may group the set of results produced by a multi-test study or panel such as Biophysical profile panel. 

### Usage Notes

**Profile specific implementation guidance:**

* The [BodyStructure Reference](http://hl7.org/fhir/R4/extension-bodysite.html) extension may be suitable for use where 
* body site is not implicit in the code found in `Observation.code` and
* body site information cannot be adequately captured by a single inline coded element in `Observation.bodySite`.
 
* When sending an observation that represents a study series or panel: 
* the group / panel code is sent in `Observation.code`
* the overall comments are sent in `Observation.note`
* the global interpretation by the producer of the study is sent in `Observation.interpretation`
* individual results may be sent in `Observation.component` or by referencing individual observation results in `Observation.hasMember`
 
* When sending observations that group the set of results of a multi-modality procedure: 
* A multi-modality procedure observation is sent with individual component examinations in `Observation.hasMember`.
* An individual component examination observation is referenced by that multi-modality procedure observation (`Observation.hasMember`) rather than directly at the diagnostic report level (`DiagnosticReport.result`).
 

**Usages:**

* Refer to this Profile: [AU Base DiagnosticReport](StructureDefinition-au-diagnosticreport.md), [AU Base Diagnostic Result](StructureDefinition-au-diagnosticresult.md), [AU Base Diagnostic Imaging Report](StructureDefinition-au-imagingreport.md) and [AU Base Diagnostic Imaging Result](StructureDefinition-au-imagingresult.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/hl7.fhir.au.base|current/StructureDefinition/au-imagingresult)

**Changes since version 5.0.0:**

* The data elements list has changed

### Formal Views of Profile Content

 [Description of Profiles, Differentials, Snapshots and how the different presentations work](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-au-imagingresult.csv), [Excel](StructureDefinition-au-imagingresult.xlsx), [Schematron](StructureDefinition-au-imagingresult.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "au-imagingresult",
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger" : 1
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode" : "trial-use",
      "_valueCode" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org.au/fhir/ImplementationGuide/hl7.fhir.au.base"
          }
        ]
      }
    }
  ],
  "url" : "http://hl7.org.au/fhir/StructureDefinition/au-imagingresult",
  "version" : "6.0.0-preview",
  "name" : "AUBaseDiagnosticImagingResult",
  "title" : "AU Base Diagnostic Imaging Result",
  "status" : "active",
  "date" : "2025-11-26T07:22:59+00:00",
  "publisher" : "HL7 Australia",
  "contact" : [
    {
      "name" : "HL7 Australia FHIR Working Group",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://confluence.hl7.org/display/HAFWG",
          "use" : "work"
        }
      ]
    }
  ],
  "description" : "This profile defines an observation structure to represent a imaging examination result issued by a diagnostic service provider in an Australian context. The observation may represent the conclusions of a diagnostic procedure such as Left retina Foveal thickness by OCT, or it may group the set of results produced by a multi-test study or panel such as Biophysical profile panel.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "AU"
        }
      ]
    }
  ],
  "copyright" : "HL7 Australia© 2018+; Licensed Under Creative Commons No Rights Reserved.",
  "fhirVersion" : "4.0.1",
  "mapping" : [
    {
      "identity" : "workflow",
      "uri" : "http://hl7.org/fhir/workflow",
      "name" : "Workflow Pattern"
    },
    {
      "identity" : "sct-concept",
      "uri" : "http://snomed.info/conceptdomain",
      "name" : "SNOMED CT Concept Domain Binding"
    },
    {
      "identity" : "v2",
      "uri" : "http://hl7.org/v2",
      "name" : "HL7 v2 Mapping"
    },
    {
      "identity" : "rim",
      "uri" : "http://hl7.org/v3",
      "name" : "RIM Mapping"
    },
    {
      "identity" : "w5",
      "uri" : "http://hl7.org/fhir/fivews",
      "name" : "FiveWs Pattern Mapping"
    },
    {
      "identity" : "sct-attr",
      "uri" : "http://snomed.org/attributebinding",
      "name" : "SNOMED CT Attribute Binding"
    }
  ],
  "kind" : "resource",
  "abstract" : false,
  "type" : "Observation",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Observation",
  "derivation" : "constraint",
  "differential" : {
    "element" : [
      {
        "id" : "Observation",
        "path" : "Observation",
        "short" : "A imaging examination result in an Australian healthcare context",
        "definition" : "A diagnostic imaging examination result for a patient. This observation may be a simple examination or a study series.",
        "constraint" : [
          {
            "key" : "inv-obs-0",
            "severity" : "error",
            "human" : "An imaging result shall at least have value or data absent reason or a child observation with a value or data absent reason",
            "expression" : "value.exists() or dataAbsentReason.exists() or hasMember.exists() or component.value.exists() or component.dataAbsentReason.exists()"
          },
          {
            "key" : "inv-obs-1",
            "severity" : "error",
            "human" : "BodyStructure Reference extension shall only be present if the body site is not present",
            "expression" : "bodySite.exists() implies extension('http://hl7.org/fhir/StructureDefinition/bodySite').empty()"
          }
        ]
      },
      {
        "id" : "Observation.extension",
        "path" : "Observation.extension",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "url"
            }
          ],
          "rules" : "open"
        }
      },
      {
        "id" : "Observation.extension:bodyStructure",
        "path" : "Observation.extension",
        "sliceName" : "bodyStructure",
        "type" : [
          {
            "code" : "Extension",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/bodySite"]
          }
        ],
        "condition" : ["inv-obs-1"]
      },
      {
        "id" : "Observation.category",
        "path" : "Observation.category",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "coding.system"
            },
            {
              "type" : "value",
              "path" : "coding.code"
            }
          ],
          "rules" : "open"
        },
        "short" : "Relevant diagnostic imaging category: service, modality and anatomic region",
        "comment" : "A category denoting diagnostic imaging service identifies the type of report and supports macro handling of requests is required. A second category to provide the modality should be provided where possible; a value set to support this categorisation is not yet available. A third category to provide the anatomic region of interest should be provided where possible.",
        "min" : 1
      },
      {
        "id" : "Observation.category:diagImg",
        "path" : "Observation.category",
        "sliceName" : "diagImg",
        "short" : "Observation generated by imaging",
        "min" : 1,
        "max" : "1"
      },
      {
        "id" : "Observation.category:diagImg.coding",
        "path" : "Observation.category.coding",
        "min" : 1
      },
      {
        "id" : "Observation.category:diagImg.coding.system",
        "path" : "Observation.category.coding.system",
        "min" : 1,
        "fixedUri" : "http://terminology.hl7.org/CodeSystem/observation-category"
      },
      {
        "id" : "Observation.category:diagImg.coding.code",
        "path" : "Observation.category.coding.code",
        "min" : 1,
        "fixedCode" : "imaging"
      },
      {
        "id" : "Observation.category:anatomicRegionOfInterest",
        "path" : "Observation.category",
        "sliceName" : "anatomicRegionOfInterest",
        "short" : "Anatomic Region Of Interest",
        "binding" : {
          "strength" : "extensible",
          "valueSet" : "https://healthterminologies.gov.au/fhir/ValueSet/imaging-anatomic-region-of-interest-1"
        }
      },
      {
        "id" : "Observation.category:anatomicRegionOfInterest.coding.system",
        "path" : "Observation.category.coding.system",
        "min" : 1,
        "fixedUri" : "http://snomed.info/sct"
      },
      {
        "id" : "Observation.code",
        "path" : "Observation.code",
        "short" : "Diagnostic imaging examination or study",
        "binding" : {
          "strength" : "preferred",
          "valueSet" : "https://healthterminologies.gov.au/fhir/ValueSet/imaging-procedure-1"
        }
      },
      {
        "id" : "Observation.subject",
        "path" : "Observation.subject",
        "min" : 1,
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
          }
        ]
      },
      {
        "id" : "Observation.effective[x]",
        "path" : "Observation.effective[x]",
        "short" : "Time of diagnostic imaging examination",
        "min" : 1
      },
      {
        "id" : "Observation.value[x]",
        "path" : "Observation.value[x]",
        "condition" : ["inv-obs-0"]
      },
      {
        "id" : "Observation.dataAbsentReason",
        "path" : "Observation.dataAbsentReason",
        "condition" : ["inv-obs-0"]
      },
      {
        "id" : "Observation.bodySite",
        "path" : "Observation.bodySite",
        "condition" : ["inv-obs-1"],
        "binding" : {
          "strength" : "preferred",
          "valueSet" : "https://healthterminologies.gov.au/fhir/ValueSet/body-site-1"
        }
      },
      {
        "id" : "Observation.hasMember",
        "path" : "Observation.hasMember",
        "short" : "Individual examinations in a group or study series",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "http://hl7.org.au/fhir/StructureDefinition/au-diagnosticresult",
              "http://hl7.org.au/fhir/StructureDefinition/au-imagingresult"
            ]
          }
        ],
        "condition" : ["inv-obs-0"]
      },
      {
        "id" : "Observation.component",
        "path" : "Observation.component",
        "short" : "Individual examinations in a group or study series"
      },
      {
        "id" : "Observation.component.code",
        "path" : "Observation.component.code",
        "short" : "Diagnostic imaging examination or study",
        "binding" : {
          "strength" : "preferred",
          "valueSet" : "https://healthterminologies.gov.au/fhir/ValueSet/imaging-procedure-1"
        }
      },
      {
        "id" : "Observation.component.value[x]",
        "path" : "Observation.component.value[x]",
        "condition" : ["inv-obs-0"]
      },
      {
        "id" : "Observation.component.dataAbsentReason",
        "path" : "Observation.component.dataAbsentReason",
        "condition" : ["inv-obs-0"]
      }
    ]
  }
}

```
