This page is part of the US Quality Core (v0.5.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
| Official URL: http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-diagnosticreport-note | Version: 0.5.0 | ||||
| Active as of 2026-06-05 | Computable Name: USQualityCoreDiagnosticReportNote | ||||
Profile of DiagnosticReport for Note exchange for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.
Systems are expected to support this profile as part of implementing USCDI+ Quality V1 in FHIR and meeting the conformance requirements of this guide.
The following elements are specifically relevant to USCDI+ Quality V1 data classes and elements. Systems are expected to support these elements as applicable to their role in US Quality Core data exchange. See the Must Support section of this guide for more information. These elements are tagged as (USCDI+ Quality) in the formal profile views.
USCDI+ Quality Elements:
Because this profile is derived from US Core, systems are also expected to support Must Support requirements and (USCDI) tagged elements inherited from US Core. The Formal Views section also provides the formal summary, definitions, terminology requirements, and mandatory element requirements.
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: ![]() ![]() |
|---|---|---|---|---|
![]() |
C | 0..* | USCoreDiagnosticReportProfileNoteExchange(6.1.0) | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: us-core-10 |
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() |
?!SΣC | 1..1 | code | (USCDI+ Quality) (USCDI) registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required) |
![]() ![]() |
SΣ | 1..* | CodeableConcept | (USCDI) Service Category Slice: Unordered, Open by pattern:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. |
![]() ![]() ![]() |
SΣ | 0..* | CodeableConcept | (USCDI+ Quality) (USCDI) Service category Binding: US Core Diagnostic Report Category Codes (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets |
![]() ![]() |
SΣ | 1..1 | CodeableConcept | (USCDI+ Quality) (USCDI) US Quality Core Report Code Binding: US Core Non Laboratory Codes (extensible): LOINC codes |
![]() ![]() |
SΣ | 1..1 | Reference(US Quality Core Patient) | (USCDI) The subject of the report - usually, but not always, the patient |
![]() ![]() |
SΣ | 0..1 | Reference(US Quality Core Encounter) | (USCDI) Health care event when test ordered |
![]() ![]() |
SΣC | 0..1 | (USCDI+ Quality) (USCDI) Diagnostically relevant time (typically the time of the procedure) | |
![]() ![]() ![]() |
dateTime S | |||
![]() ![]() ![]() |
Period | |||
![]() ![]() |
SΣ | 0..1 | instant | (USCDI) DateTime this version was made |
![]() ![]() |
SΣ | 0..* | Reference(US Quality Core Practitioner | US Quality Core Organization) | (USCDI) Responsible Diagnostic Service |
![]() ![]() |
S | 0..* | Reference(US Quality Core Laboratory Result Observation | US Quality Core Observation Clinical Result) | (USCDI+ Quality) (USCDI) Observations |
![]() ![]() |
0..* | Reference(US Quality Core ImagingStudy) | Reference to full details of imaging associated with the diagnostic report | |
![]() ![]() |
SΣ | 0..* | BackboneElement | (USCDI) Key images associated with this report |
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() |
SΣ | 1..1 | Reference(Media) | (USCDI) Reference to the image source |
![]() ![]() |
S | 0..* | Attachment | (USCDI) Entire report as issued |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📦4.0.1 | FHIR Std. |
| DiagnosticReport.category | Base | example | Diagnostic Service Section Codes | 📦4.0.1 | FHIR Std. |
| DiagnosticReport.category:us-core | Base | required | US Core Diagnostic Report Category Codes | 📦7.0.0 | US Core v7.0 |
| DiagnosticReport.code | Base | extensible | US Core Non Laboratory Codes | 📦7.0.0 | US Core v7.0 |
| 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 | **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()
|
| us-core-10 | error | DiagnosticReport | effective[x] SHALL be present if the status is 'partial', 'preliminary', 'final', 'amended', 'corrected' or 'appended' |
(status='partial' or status='preliminary' or status='final' or status='amended' or status='corrected' or status='appended' ) implies effective.exists()
|
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | USCoreDiagnosticReportProfileNoteExchange(6.1.0) | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
![]() ![]() |
1..1 | code | (USCDI+ Quality) (USCDI) registered | partial | preliminary | final + | |
![]() ![]() |
1..* | CodeableConcept | (USCDI) Service Category Slice: Unordered, Open by pattern:$this | |
![]() ![]() ![]() |
0..* | CodeableConcept | (USCDI+ Quality) (USCDI) Service category | |
![]() ![]() |
Σ | 1..1 | CodeableConcept | (USCDI+ Quality) (USCDI) US Quality Core Report Code Binding: US Core Non Laboratory Codes (extensible): LOINC codes |
![]() ![]() |
1..1 | Reference(US Quality Core Patient) | (USCDI) The subject of the report - usually, but not always, the patient | |
![]() ![]() |
0..1 | Reference(US Quality Core Encounter) | (USCDI) Health care event when test ordered | |
![]() ![]() |
Σ | 0..1 | (USCDI+ Quality) (USCDI) Diagnostically relevant time (typically the time of the procedure) | |
![]() ![]() ![]() |
dateTime | |||
![]() ![]() ![]() |
Period | |||
![]() ![]() |
0..1 | instant | (USCDI) DateTime this version was made | |
![]() ![]() |
0..* | Reference(US Quality Core Practitioner | US Quality Core Organization) | (USCDI) Responsible Diagnostic Service | |
![]() ![]() |
0..* | Reference(US Quality Core Laboratory Result Observation | US Quality Core Observation Clinical Result) | (USCDI+ Quality) (USCDI) Observations | |
![]() ![]() |
0..* | Reference(US Quality Core ImagingStudy) | Reference to full details of imaging associated with the diagnostic report | |
![]() ![]() |
0..* | BackboneElement | (USCDI) Key images associated with this report | |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.code | Base | extensible | US Core Non Laboratory Codes | 📦7.0.0 | US Core v7.0 |
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
|---|---|---|---|---|---|---|---|---|
![]() |
C | 0..* | USCoreDiagnosticReportProfileNoteExchange(6.1.0) | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: us-core-10 | ||||
![]() ![]() |
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 | |||||
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() |
Σ | 0..* | Identifier | Business identifier for report | ||||
![]() ![]() |
0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested | |||||
![]() ![]() |
?!SΣC | 1..1 | code | (USCDI+ Quality) (USCDI) registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required) | ||||
![]() ![]() |
SΣ | 1..* | CodeableConcept | (USCDI) Service Category Slice: Unordered, Open by pattern:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. | ||||
![]() ![]() ![]() |
SΣ | 0..* | CodeableConcept | (USCDI+ Quality) (USCDI) Service category Binding: US Core Diagnostic Report Category Codes (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets | ||||
![]() ![]() |
SΣ | 1..1 | CodeableConcept | (USCDI+ Quality) (USCDI) US Quality Core Report Code Binding: US Core Non Laboratory Codes (extensible): LOINC codes | ||||
![]() ![]() |
SΣ | 1..1 | Reference(US Quality Core Patient) | (USCDI) The subject of the report - usually, but not always, the patient | ||||
![]() ![]() |
SΣ | 0..1 | Reference(US Quality Core Encounter) | (USCDI) Health care event when test ordered | ||||
![]() ![]() |
SΣC | 0..1 | (USCDI+ Quality) (USCDI) Diagnostically relevant time (typically the time of the procedure) | |||||
![]() ![]() ![]() |
dateTime S | |||||||
![]() ![]() ![]() |
Period | |||||||
![]() ![]() |
SΣ | 0..1 | instant | (USCDI) DateTime this version was made | ||||
![]() ![]() |
SΣ | 0..* | Reference(US Quality Core Practitioner | US Quality Core Organization) | (USCDI) Responsible Diagnostic Service | ||||
![]() ![]() |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter | ||||
![]() ![]() |
0..* | Reference(Specimen) | Specimens this report is based on | |||||
![]() ![]() |
S | 0..* | Reference(US Quality Core Laboratory Result Observation | US Quality Core Observation Clinical Result) | (USCDI+ Quality) (USCDI) Observations | ||||
![]() ![]() |
0..* | Reference(US Quality Core ImagingStudy) | Reference to full details of imaging associated with the diagnostic report | |||||
![]() ![]() |
SΣ | 0..* | BackboneElement | (USCDI) Key images associated with this report | ||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() |
0..1 | string | Comment about the image (e.g. explanation) | |||||
![]() ![]() ![]() |
SΣ | 1..1 | Reference(Media) | (USCDI) Reference to the image source | ||||
![]() ![]() |
0..1 | string | Clinical conclusion (interpretation) of test results | |||||
![]() ![]() |
0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. | |||||
![]() ![]() |
S | 0..* | Attachment | (USCDI) 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 | example | Diagnostic Service Section Codes | 📦4.0.1 | FHIR Std. |
| DiagnosticReport.category:us-core | Base | required | US Core Diagnostic Report Category Codes | 📦7.0.0 | US Core v7.0 |
| DiagnosticReport.code | Base | extensible | US Core Non Laboratory Codes | 📦7.0.0 | US Core v7.0 |
| 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 | **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()
|
| us-core-10 | error | DiagnosticReport | effective[x] SHALL be present if the status is 'partial', 'preliminary', 'final', 'amended', 'corrected' or 'appended' |
(status='partial' or status='preliminary' or status='final' or status='amended' or status='corrected' or status='appended' ) implies effective.exists()
|
Summary
Mandatory: 2 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
C | 0..* | USCoreDiagnosticReportProfileNoteExchange(6.1.0) | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: us-core-10 |
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() |
?!SΣC | 1..1 | code | (USCDI+ Quality) (USCDI) registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required) |
![]() ![]() |
SΣ | 1..* | CodeableConcept | (USCDI) Service Category Slice: Unordered, Open by pattern:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. |
![]() ![]() ![]() |
SΣ | 0..* | CodeableConcept | (USCDI+ Quality) (USCDI) Service category Binding: US Core Diagnostic Report Category Codes (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets |
![]() ![]() |
SΣ | 1..1 | CodeableConcept | (USCDI+ Quality) (USCDI) US Quality Core Report Code Binding: US Core Non Laboratory Codes (extensible): LOINC codes |
![]() ![]() |
SΣ | 1..1 | Reference(US Quality Core Patient) | (USCDI) The subject of the report - usually, but not always, the patient |
![]() ![]() |
SΣ | 0..1 | Reference(US Quality Core Encounter) | (USCDI) Health care event when test ordered |
![]() ![]() |
SΣC | 0..1 | (USCDI+ Quality) (USCDI) Diagnostically relevant time (typically the time of the procedure) | |
![]() ![]() ![]() |
dateTime S | |||
![]() ![]() ![]() |
Period | |||
![]() ![]() |
SΣ | 0..1 | instant | (USCDI) DateTime this version was made |
![]() ![]() |
SΣ | 0..* | Reference(US Quality Core Practitioner | US Quality Core Organization) | (USCDI) Responsible Diagnostic Service |
![]() ![]() |
S | 0..* | Reference(US Quality Core Laboratory Result Observation | US Quality Core Observation Clinical Result) | (USCDI+ Quality) (USCDI) Observations |
![]() ![]() |
0..* | Reference(US Quality Core ImagingStudy) | Reference to full details of imaging associated with the diagnostic report | |
![]() ![]() |
SΣ | 0..* | BackboneElement | (USCDI) Key images associated with this report |
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() |
SΣ | 1..1 | Reference(Media) | (USCDI) Reference to the image source |
![]() ![]() |
S | 0..* | Attachment | (USCDI) Entire report as issued |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📦4.0.1 | FHIR Std. |
| DiagnosticReport.category | Base | example | Diagnostic Service Section Codes | 📦4.0.1 | FHIR Std. |
| DiagnosticReport.category:us-core | Base | required | US Core Diagnostic Report Category Codes | 📦7.0.0 | US Core v7.0 |
| DiagnosticReport.code | Base | extensible | US Core Non Laboratory Codes | 📦7.0.0 | US Core v7.0 |
| 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 | **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()
|
| us-core-10 | error | DiagnosticReport | effective[x] SHALL be present if the status is 'partial', 'preliminary', 'final', 'amended', 'corrected' or 'appended' |
(status='partial' or status='preliminary' or status='final' or status='amended' or status='corrected' or status='appended' ) implies effective.exists()
|
Differential View
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | USCoreDiagnosticReportProfileNoteExchange(6.1.0) | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
![]() ![]() |
1..1 | code | (USCDI+ Quality) (USCDI) registered | partial | preliminary | final + | |
![]() ![]() |
1..* | CodeableConcept | (USCDI) Service Category Slice: Unordered, Open by pattern:$this | |
![]() ![]() ![]() |
0..* | CodeableConcept | (USCDI+ Quality) (USCDI) Service category | |
![]() ![]() |
Σ | 1..1 | CodeableConcept | (USCDI+ Quality) (USCDI) US Quality Core Report Code Binding: US Core Non Laboratory Codes (extensible): LOINC codes |
![]() ![]() |
1..1 | Reference(US Quality Core Patient) | (USCDI) The subject of the report - usually, but not always, the patient | |
![]() ![]() |
0..1 | Reference(US Quality Core Encounter) | (USCDI) Health care event when test ordered | |
![]() ![]() |
Σ | 0..1 | (USCDI+ Quality) (USCDI) Diagnostically relevant time (typically the time of the procedure) | |
![]() ![]() ![]() |
dateTime | |||
![]() ![]() ![]() |
Period | |||
![]() ![]() |
0..1 | instant | (USCDI) DateTime this version was made | |
![]() ![]() |
0..* | Reference(US Quality Core Practitioner | US Quality Core Organization) | (USCDI) Responsible Diagnostic Service | |
![]() ![]() |
0..* | Reference(US Quality Core Laboratory Result Observation | US Quality Core Observation Clinical Result) | (USCDI+ Quality) (USCDI) Observations | |
![]() ![]() |
0..* | Reference(US Quality Core ImagingStudy) | Reference to full details of imaging associated with the diagnostic report | |
![]() ![]() |
0..* | BackboneElement | (USCDI) Key images associated with this report | |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.code | Base | extensible | US Core Non Laboratory Codes | 📦7.0.0 | US Core v7.0 |
Snapshot ViewView
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
|---|---|---|---|---|---|---|---|---|
![]() |
C | 0..* | USCoreDiagnosticReportProfileNoteExchange(6.1.0) | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports Constraints: us-core-10 | ||||
![]() ![]() |
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 | |||||
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() |
Σ | 0..* | Identifier | Business identifier for report | ||||
![]() ![]() |
0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested | |||||
![]() ![]() |
?!SΣC | 1..1 | code | (USCDI+ Quality) (USCDI) registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required) | ||||
![]() ![]() |
SΣ | 1..* | CodeableConcept | (USCDI) Service Category Slice: Unordered, Open by pattern:$this Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. | ||||
![]() ![]() ![]() |
SΣ | 0..* | CodeableConcept | (USCDI+ Quality) (USCDI) Service category Binding: US Core Diagnostic Report Category Codes (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets | ||||
![]() ![]() |
SΣ | 1..1 | CodeableConcept | (USCDI+ Quality) (USCDI) US Quality Core Report Code Binding: US Core Non Laboratory Codes (extensible): LOINC codes | ||||
![]() ![]() |
SΣ | 1..1 | Reference(US Quality Core Patient) | (USCDI) The subject of the report - usually, but not always, the patient | ||||
![]() ![]() |
SΣ | 0..1 | Reference(US Quality Core Encounter) | (USCDI) Health care event when test ordered | ||||
![]() ![]() |
SΣC | 0..1 | (USCDI+ Quality) (USCDI) Diagnostically relevant time (typically the time of the procedure) | |||||
![]() ![]() ![]() |
dateTime S | |||||||
![]() ![]() ![]() |
Period | |||||||
![]() ![]() |
SΣ | 0..1 | instant | (USCDI) DateTime this version was made | ||||
![]() ![]() |
SΣ | 0..* | Reference(US Quality Core Practitioner | US Quality Core Organization) | (USCDI) Responsible Diagnostic Service | ||||
![]() ![]() |
Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter | ||||
![]() ![]() |
0..* | Reference(Specimen) | Specimens this report is based on | |||||
![]() ![]() |
S | 0..* | Reference(US Quality Core Laboratory Result Observation | US Quality Core Observation Clinical Result) | (USCDI+ Quality) (USCDI) Observations | ||||
![]() ![]() |
0..* | Reference(US Quality Core ImagingStudy) | Reference to full details of imaging associated with the diagnostic report | |||||
![]() ![]() |
SΣ | 0..* | BackboneElement | (USCDI) Key images associated with this report | ||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() |
0..1 | string | Comment about the image (e.g. explanation) | |||||
![]() ![]() ![]() |
SΣ | 1..1 | Reference(Media) | (USCDI) Reference to the image source | ||||
![]() ![]() |
0..1 | string | Clinical conclusion (interpretation) of test results | |||||
![]() ![]() |
0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. | |||||
![]() ![]() |
S | 0..* | Attachment | (USCDI) 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 | example | Diagnostic Service Section Codes | 📦4.0.1 | FHIR Std. |
| DiagnosticReport.category:us-core | Base | required | US Core Diagnostic Report Category Codes | 📦7.0.0 | US Core v7.0 |
| DiagnosticReport.code | Base | extensible | US Core Non Laboratory Codes | 📦7.0.0 | US Core v7.0 |
| 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 | **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()
|
| us-core-10 | error | DiagnosticReport | effective[x] SHALL be present if the status is 'partial', 'preliminary', 'final', 'amended', 'corrected' or 'appended' |
(status='partial' or status='preliminary' or status='final' or status='amended' or status='corrected' or status='appended' ) implies effective.exists()
|
Summary
Mandatory: 2 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron