Atrius India Core FHIR Implementation Guide
0.1.0 - ci-build
Atrius India Core FHIR Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-diagnosticreport-note | Version: 0.1.0 | ||||
| Draft as of 2026-07-24 | Computable Name: AtriusInDiagnosticReportNote | ||||
| Other Identifiers: OID:1.3.6.1.4.1.66219.1.42.47 | |||||
Atrius India Core profile. Parent: FHIR R4. NDHM DiagnosticReportImaging parity. Legacy QI-Core projection: runtime-mapper.
Usages:
You can also check for usages in the FHIR IG Statistics
Description Differentials, Snapshots, and other representations.
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | DiagnosticReport(4.0.1) | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1 |
![]() ![]() |
S | 0..* | Reference(Atrius India Core CarePlan(0.1.0)) | What was requested |
![]() ![]() |
?!SΣ | 1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. |
![]() ![]() |
SΣ | 0..* | CodeableConcept | Service category Binding: AtriusInDiagnosticReportCategoryVS (0.1.0) (extensible) |
![]() ![]() ![]() |
SΣ | 0..* | Coding | Code defined by a terminology system |
![]() ![]() ![]() |
SΣ | 0..1 | string | Plain text representation of the concept |
![]() ![]() |
SΣ | 1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. |
![]() ![]() ![]() |
SΣ | 0..* | Coding | Code defined by a terminology system |
![]() ![]() ![]() |
SΣ | 0..1 | string | Plain text representation of the concept |
![]() ![]() |
SΣ | 1..1 | Reference(Atrius India Core Patient(0.1.0)) | The subject of the report - usually, but not always, the patient |
![]() ![]() |
SΣ | 0..1 | Reference(Atrius India Core Encounter(0.1.0)) | Health care event when test ordered |
![]() ![]() |
SΣ | 0..1 | Clinically relevant time/time-period for report | |
![]() ![]() ![]() |
dateTime | |||
![]() ![]() ![]() |
Period | |||
![]() ![]() |
SΣ | 0..1 | instant | DateTime this version was made |
![]() ![]() |
SΣ | 0..* | Reference(Atrius India Core Practitioner(0.1.0) | Atrius India Core PractitionerRole(0.1.0) | Atrius India Core Organization(0.1.0)) | Responsible Diagnostic Service |
![]() ![]() |
SΣ | 0..* | Reference(Atrius India Core Practitioner(0.1.0) | Atrius India Core PractitionerRole(0.1.0) | Atrius India Core Organization(0.1.0) | Atrius India Core CareTeam(0.1.0)) | Primary result interpreter |
![]() ![]() |
S | 0..* | Reference(Atrius India Core Observation(0.1.0) | Atrius India Core Observation Body Measurement(0.1.0) | Atrius India Core Observation General Assessment(0.1.0) | Atrius India Core Observation Lifestyle(0.1.0) | Atrius India Core Observation Physical Activity(0.1.0) | Atrius India Core Observation Vital Signs(0.1.0) | Atrius India Core Observation Women Health(0.1.0)) | Observations |
![]() ![]() |
S | 0..* | Reference(Atrius India Core ImagingStudy(0.1.0)) | Reference to full details of imaging associated with the diagnostic report |
![]() ![]() |
SΣ | 0..* | BackboneElement | Key images associated with this report |
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 |
![]() ![]() ![]() |
Σ | 1..1 | Reference(Media) | Reference to the image source |
![]() ![]() |
S | 0..1 | string | Clinical conclusion (interpretation) of test results |
![]() ![]() |
S | 0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. |
![]() ![]() ![]() |
SΣ | 0..* | Coding | Code defined by a terminology system |
![]() ![]() ![]() |
SΣ | 0..1 | string | Plain text representation of the concept |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.category | Base | extensible | Atrius India Core Diagnostic Report Category | 📍0.1.0 | This IG |
| DiagnosticReport.code | Base | preferred | LOINC Diagnostic Report Codes | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.conclusionCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| 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 | DiagnosticReport.implicitRules, DiagnosticReport.modifierExtension, DiagnosticReport.basedOn, DiagnosticReport.status, DiagnosticReport.category, DiagnosticReport.category.coding, DiagnosticReport.category.text, DiagnosticReport.code, DiagnosticReport.code.coding, DiagnosticReport.code.text, DiagnosticReport.subject, DiagnosticReport.encounter, DiagnosticReport.effective[x], DiagnosticReport.issued, DiagnosticReport.performer, DiagnosticReport.resultsInterpreter, DiagnosticReport.result, DiagnosticReport.imagingStudy, DiagnosticReport.media, DiagnosticReport.media.modifierExtension, DiagnosticReport.media.link, DiagnosticReport.conclusion, DiagnosticReport.conclusionCode, DiagnosticReport.conclusionCode.coding, DiagnosticReport.conclusionCode.text | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | DiagnosticReport.modifierExtension, DiagnosticReport.media.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.category | Base | extensible | Atrius India Core Diagnostic Report Category | 📍0.1.0 | This IG |
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
|---|---|---|---|---|---|---|---|---|
![]() |
0..* | DiagnosticReport(4.0.1) | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |||||
![]() ![]() |
Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() |
Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() |
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 | |||||
![]() ![]() |
0..* | Resource | Contained, inline Resources | |||||
![]() ![]() |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1 | ||||
![]() ![]() |
Σ | 0..* | Identifier | Business identifier for report | ||||
![]() ![]() |
S | 0..* | Reference(Atrius India Core CarePlan(0.1.0)) | What was requested | ||||
![]() ![]() |
?!SΣ | 1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. | ||||
![]() ![]() |
SΣ | 0..* | CodeableConcept | Service category Binding: AtriusInDiagnosticReportCategoryVS (0.1.0) (extensible) | ||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
![]() ![]() ![]() |
SΣ | 0..* | Coding | Code defined by a terminology system | ||||
![]() ![]() ![]() |
SΣ | 0..1 | string | Plain text representation of the concept | ||||
![]() ![]() |
SΣ | 1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. | ||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
![]() ![]() ![]() |
SΣ | 0..* | Coding | Code defined by a terminology system | ||||
![]() ![]() ![]() |
SΣ | 0..1 | string | Plain text representation of the concept | ||||
![]() ![]() |
SΣ | 1..1 | Reference(Atrius India Core Patient(0.1.0)) | The subject of the report - usually, but not always, the patient | ||||
![]() ![]() |
SΣ | 0..1 | Reference(Atrius India Core Encounter(0.1.0)) | Health care event when test ordered | ||||
![]() ![]() |
SΣ | 0..1 | Clinically relevant time/time-period for report | |||||
![]() ![]() ![]() |
dateTime | |||||||
![]() ![]() ![]() |
Period | |||||||
![]() ![]() |
SΣ | 0..1 | instant | DateTime this version was made | ||||
![]() ![]() |
SΣ | 0..* | Reference(Atrius India Core Practitioner(0.1.0) | Atrius India Core PractitionerRole(0.1.0) | Atrius India Core Organization(0.1.0)) | Responsible Diagnostic Service | ||||
![]() ![]() |
SΣ | 0..* | Reference(Atrius India Core Practitioner(0.1.0) | Atrius India Core PractitionerRole(0.1.0) | Atrius India Core Organization(0.1.0) | Atrius India Core CareTeam(0.1.0)) | Primary result interpreter | ||||
![]() ![]() |
0..* | Reference(Specimen) | Specimens this report is based on | |||||
![]() ![]() |
S | 0..* | Reference(Atrius India Core Observation(0.1.0) | Atrius India Core Observation Body Measurement(0.1.0) | Atrius India Core Observation General Assessment(0.1.0) | Atrius India Core Observation Lifestyle(0.1.0) | Atrius India Core Observation Physical Activity(0.1.0) | Atrius India Core Observation Vital Signs(0.1.0) | Atrius India Core Observation Women Health(0.1.0)) | Observations | ||||
![]() ![]() |
S | 0..* | Reference(Atrius India Core ImagingStudy(0.1.0)) | Reference to full details of imaging associated with the diagnostic report | ||||
![]() ![]() |
SΣ | 0..* | BackboneElement | Key images associated with this report | ||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
![]() ![]() ![]() |
0..1 | string | Comment about the image (e.g. explanation) | |||||
![]() ![]() ![]() |
Σ | 1..1 | Reference(Media) | Reference to the image source | ||||
![]() ![]() |
S | 0..1 | string | Clinical conclusion (interpretation) of test results | ||||
![]() ![]() |
S | 0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. | ||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
![]() ![]() ![]() |
SΣ | 0..* | Coding | Code defined by a terminology system | ||||
![]() ![]() ![]() |
SΣ | 0..1 | string | Plain text representation of the concept | ||||
![]() ![]() |
0..* | Attachment | Entire report as issued | |||||
Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.category | Base | extensible | Atrius India Core Diagnostic Report Category | 📍0.1.0 | This IG |
| DiagnosticReport.code | Base | preferred | LOINC Diagnostic Report Codes | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.conclusionCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| 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 | DiagnosticReport.meta, DiagnosticReport.implicitRules, DiagnosticReport.language, DiagnosticReport.text, DiagnosticReport.extension, DiagnosticReport.modifierExtension, DiagnosticReport.identifier, DiagnosticReport.basedOn, DiagnosticReport.status, DiagnosticReport.category, DiagnosticReport.category.extension, DiagnosticReport.category.coding, DiagnosticReport.category.text, DiagnosticReport.code, DiagnosticReport.code.extension, DiagnosticReport.code.coding, DiagnosticReport.code.text, DiagnosticReport.subject, DiagnosticReport.encounter, DiagnosticReport.effective[x], DiagnosticReport.issued, DiagnosticReport.performer, DiagnosticReport.resultsInterpreter, DiagnosticReport.specimen, DiagnosticReport.result, DiagnosticReport.imagingStudy, DiagnosticReport.media, DiagnosticReport.media.extension, DiagnosticReport.media.modifierExtension, DiagnosticReport.media.comment, DiagnosticReport.media.link, DiagnosticReport.conclusion, DiagnosticReport.conclusionCode, DiagnosticReport.conclusionCode.extension, DiagnosticReport.conclusionCode.coding, DiagnosticReport.conclusionCode.text, DiagnosticReport.presentedForm | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | DiagnosticReport.extension, DiagnosticReport.modifierExtension, DiagnosticReport.category.extension, DiagnosticReport.code.extension, DiagnosticReport.media.extension, DiagnosticReport.media.modifierExtension, DiagnosticReport.conclusionCode.extension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Summary
Mandatory: 1 element
Must-Support: 21 elements
Structures
This structure refers to these other structures:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | DiagnosticReport(4.0.1) | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1 |
![]() ![]() |
S | 0..* | Reference(Atrius India Core CarePlan(0.1.0)) | What was requested |
![]() ![]() |
?!SΣ | 1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. |
![]() ![]() |
SΣ | 0..* | CodeableConcept | Service category Binding: AtriusInDiagnosticReportCategoryVS (0.1.0) (extensible) |
![]() ![]() ![]() |
SΣ | 0..* | Coding | Code defined by a terminology system |
![]() ![]() ![]() |
SΣ | 0..1 | string | Plain text representation of the concept |
![]() ![]() |
SΣ | 1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. |
![]() ![]() ![]() |
SΣ | 0..* | Coding | Code defined by a terminology system |
![]() ![]() ![]() |
SΣ | 0..1 | string | Plain text representation of the concept |
![]() ![]() |
SΣ | 1..1 | Reference(Atrius India Core Patient(0.1.0)) | The subject of the report - usually, but not always, the patient |
![]() ![]() |
SΣ | 0..1 | Reference(Atrius India Core Encounter(0.1.0)) | Health care event when test ordered |
![]() ![]() |
SΣ | 0..1 | Clinically relevant time/time-period for report | |
![]() ![]() ![]() |
dateTime | |||
![]() ![]() ![]() |
Period | |||
![]() ![]() |
SΣ | 0..1 | instant | DateTime this version was made |
![]() ![]() |
SΣ | 0..* | Reference(Atrius India Core Practitioner(0.1.0) | Atrius India Core PractitionerRole(0.1.0) | Atrius India Core Organization(0.1.0)) | Responsible Diagnostic Service |
![]() ![]() |
SΣ | 0..* | Reference(Atrius India Core Practitioner(0.1.0) | Atrius India Core PractitionerRole(0.1.0) | Atrius India Core Organization(0.1.0) | Atrius India Core CareTeam(0.1.0)) | Primary result interpreter |
![]() ![]() |
S | 0..* | Reference(Atrius India Core Observation(0.1.0) | Atrius India Core Observation Body Measurement(0.1.0) | Atrius India Core Observation General Assessment(0.1.0) | Atrius India Core Observation Lifestyle(0.1.0) | Atrius India Core Observation Physical Activity(0.1.0) | Atrius India Core Observation Vital Signs(0.1.0) | Atrius India Core Observation Women Health(0.1.0)) | Observations |
![]() ![]() |
S | 0..* | Reference(Atrius India Core ImagingStudy(0.1.0)) | Reference to full details of imaging associated with the diagnostic report |
![]() ![]() |
SΣ | 0..* | BackboneElement | Key images associated with this report |
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 |
![]() ![]() ![]() |
Σ | 1..1 | Reference(Media) | Reference to the image source |
![]() ![]() |
S | 0..1 | string | Clinical conclusion (interpretation) of test results |
![]() ![]() |
S | 0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. |
![]() ![]() ![]() |
SΣ | 0..* | Coding | Code defined by a terminology system |
![]() ![]() ![]() |
SΣ | 0..1 | string | Plain text representation of the concept |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.category | Base | extensible | Atrius India Core Diagnostic Report Category | 📍0.1.0 | This IG |
| DiagnosticReport.code | Base | preferred | LOINC Diagnostic Report Codes | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.conclusionCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| 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 | DiagnosticReport.implicitRules, DiagnosticReport.modifierExtension, DiagnosticReport.basedOn, DiagnosticReport.status, DiagnosticReport.category, DiagnosticReport.category.coding, DiagnosticReport.category.text, DiagnosticReport.code, DiagnosticReport.code.coding, DiagnosticReport.code.text, DiagnosticReport.subject, DiagnosticReport.encounter, DiagnosticReport.effective[x], DiagnosticReport.issued, DiagnosticReport.performer, DiagnosticReport.resultsInterpreter, DiagnosticReport.result, DiagnosticReport.imagingStudy, DiagnosticReport.media, DiagnosticReport.media.modifierExtension, DiagnosticReport.media.link, DiagnosticReport.conclusion, DiagnosticReport.conclusionCode, DiagnosticReport.conclusionCode.coding, DiagnosticReport.conclusionCode.text | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | DiagnosticReport.modifierExtension, DiagnosticReport.media.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Differential View
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.category | Base | extensible | Atrius India Core Diagnostic Report Category | 📍0.1.0 | This IG |
Snapshot ViewView
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
|---|---|---|---|---|---|---|---|---|
![]() |
0..* | DiagnosticReport(4.0.1) | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |||||
![]() ![]() |
Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() |
Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() |
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 | |||||
![]() ![]() |
0..* | Resource | Contained, inline Resources | |||||
![]() ![]() |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1 | ||||
![]() ![]() |
Σ | 0..* | Identifier | Business identifier for report | ||||
![]() ![]() |
S | 0..* | Reference(Atrius India Core CarePlan(0.1.0)) | What was requested | ||||
![]() ![]() |
?!SΣ | 1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. | ||||
![]() ![]() |
SΣ | 0..* | CodeableConcept | Service category Binding: AtriusInDiagnosticReportCategoryVS (0.1.0) (extensible) | ||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
![]() ![]() ![]() |
SΣ | 0..* | Coding | Code defined by a terminology system | ||||
![]() ![]() ![]() |
SΣ | 0..1 | string | Plain text representation of the concept | ||||
![]() ![]() |
SΣ | 1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. | ||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
![]() ![]() ![]() |
SΣ | 0..* | Coding | Code defined by a terminology system | ||||
![]() ![]() ![]() |
SΣ | 0..1 | string | Plain text representation of the concept | ||||
![]() ![]() |
SΣ | 1..1 | Reference(Atrius India Core Patient(0.1.0)) | The subject of the report - usually, but not always, the patient | ||||
![]() ![]() |
SΣ | 0..1 | Reference(Atrius India Core Encounter(0.1.0)) | Health care event when test ordered | ||||
![]() ![]() |
SΣ | 0..1 | Clinically relevant time/time-period for report | |||||
![]() ![]() ![]() |
dateTime | |||||||
![]() ![]() ![]() |
Period | |||||||
![]() ![]() |
SΣ | 0..1 | instant | DateTime this version was made | ||||
![]() ![]() |
SΣ | 0..* | Reference(Atrius India Core Practitioner(0.1.0) | Atrius India Core PractitionerRole(0.1.0) | Atrius India Core Organization(0.1.0)) | Responsible Diagnostic Service | ||||
![]() ![]() |
SΣ | 0..* | Reference(Atrius India Core Practitioner(0.1.0) | Atrius India Core PractitionerRole(0.1.0) | Atrius India Core Organization(0.1.0) | Atrius India Core CareTeam(0.1.0)) | Primary result interpreter | ||||
![]() ![]() |
0..* | Reference(Specimen) | Specimens this report is based on | |||||
![]() ![]() |
S | 0..* | Reference(Atrius India Core Observation(0.1.0) | Atrius India Core Observation Body Measurement(0.1.0) | Atrius India Core Observation General Assessment(0.1.0) | Atrius India Core Observation Lifestyle(0.1.0) | Atrius India Core Observation Physical Activity(0.1.0) | Atrius India Core Observation Vital Signs(0.1.0) | Atrius India Core Observation Women Health(0.1.0)) | Observations | ||||
![]() ![]() |
S | 0..* | Reference(Atrius India Core ImagingStudy(0.1.0)) | Reference to full details of imaging associated with the diagnostic report | ||||
![]() ![]() |
SΣ | 0..* | BackboneElement | Key images associated with this report | ||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
![]() ![]() ![]() |
0..1 | string | Comment about the image (e.g. explanation) | |||||
![]() ![]() ![]() |
Σ | 1..1 | Reference(Media) | Reference to the image source | ||||
![]() ![]() |
S | 0..1 | string | Clinical conclusion (interpretation) of test results | ||||
![]() ![]() |
S | 0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. | ||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
![]() ![]() ![]() |
SΣ | 0..* | Coding | Code defined by a terminology system | ||||
![]() ![]() ![]() |
SΣ | 0..1 | string | Plain text representation of the concept | ||||
![]() ![]() |
0..* | Attachment | Entire report as issued | |||||
Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.category | Base | extensible | Atrius India Core Diagnostic Report Category | 📍0.1.0 | This IG |
| DiagnosticReport.code | Base | preferred | LOINC Diagnostic Report Codes | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.conclusionCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| 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 | DiagnosticReport.meta, DiagnosticReport.implicitRules, DiagnosticReport.language, DiagnosticReport.text, DiagnosticReport.extension, DiagnosticReport.modifierExtension, DiagnosticReport.identifier, DiagnosticReport.basedOn, DiagnosticReport.status, DiagnosticReport.category, DiagnosticReport.category.extension, DiagnosticReport.category.coding, DiagnosticReport.category.text, DiagnosticReport.code, DiagnosticReport.code.extension, DiagnosticReport.code.coding, DiagnosticReport.code.text, DiagnosticReport.subject, DiagnosticReport.encounter, DiagnosticReport.effective[x], DiagnosticReport.issued, DiagnosticReport.performer, DiagnosticReport.resultsInterpreter, DiagnosticReport.specimen, DiagnosticReport.result, DiagnosticReport.imagingStudy, DiagnosticReport.media, DiagnosticReport.media.extension, DiagnosticReport.media.modifierExtension, DiagnosticReport.media.comment, DiagnosticReport.media.link, DiagnosticReport.conclusion, DiagnosticReport.conclusionCode, DiagnosticReport.conclusionCode.extension, DiagnosticReport.conclusionCode.coding, DiagnosticReport.conclusionCode.text, DiagnosticReport.presentedForm | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | DiagnosticReport.extension, DiagnosticReport.modifierExtension, DiagnosticReport.category.extension, DiagnosticReport.code.extension, DiagnosticReport.media.extension, DiagnosticReport.media.modifierExtension, DiagnosticReport.conclusionCode.extension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Summary
Mandatory: 1 element
Must-Support: 21 elements
Structures
This structure refers to these other structures:
Other representations of profile: CSV, Excel, Schematron