Source | hl7.fhir.us.ccda#current:C-CDA on FHIR (v4.0.1) |
resourceType | StructureDefinition |
id | Diagnostic-Imaging-Report |
canonical | http://hl7.org/fhir/us/ccda/StructureDefinition/Diagnostic-Imaging-Report |
version | 1.2.0-ballot |
status | active |
publisher | HL7 Structured Documents Working Group |
name | DiagnosticImagingReport |
title | Diagnostic Imaging Report |
date | 2023-03-27T20:25:00+00:00 |
description | A Diagnostic Imaging Report (DIR) is a document that contains a consulting specialist's interpretation of image data. It conveys the interpretation to the referring (ordering) physician and becomes part of the patient's medical record. It is for use in Radiology, Endoscopy, Cardiology, and other imaging specialties. Note: this document type overlaps with the FHIR DiagnosticReport resource. Most use cases will want to use the specific resource type, but this document type is still useful for CDA to FHIR conversion and other such use cases. |
jurisdictions | us |
fhirVersion | 4.0.1 |
kind | resource |
abstract | false |
sdTtype | Composition |
derivation | constraint |
base | http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header |
Usages |
|
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Composition | USRealmHeader | |||
type | S |
Diagnostic Imaging Report Binding: LOINC Imaging Document Codes ( preferred ) |
||
Slices for section | Slice: Unordered, Open by value:code | |||
section:findings_section | S | 1..1 | Findings Section | |
title | S | 1.. | title | |
code | S | 1.. |
Functional Status Required Pattern: At least the following |
|
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 121070 |
|
text | S | 1.. | text | |
Slices for entry |
entry
Slice: Unordered, Open by profile:resolve() |
|||
entry:findings_entry | S | Reference ( Observation ) | This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc. | |
section:dicom_object_catalog_section | S | ..1 | DICOM Object Catalog Section | |
title | S | 1.. | title | |
code | S | 1.. |
Dicom Object Catalog Required Pattern: At least the following |
|
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 121181 |
|
text | S | 1.. | text | |
Slices for entry |
entry
Slice: Unordered, Open by profile:resolve() |
|||
entry:dicom_object_catalog_entry | S | Reference ( ImagingStudy ) | This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc. | |
section:history_section | S | 0..1 | BackboneElement |
History Section |
title | S | title | ||
code | S | 1.. | Required Pattern: At least the following | |
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 121060 |
|
text | S | 1.. | ||
section:request_section | S | 0..1 | BackboneElement |
Request Section |
title | S | title | ||
code | S | 1.. | Required Pattern: At least the following | |
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 121062 |
|
text | S | 1.. | ||
section:current_procedure_descriptions_section | S | 0..1 | BackboneElement |
Current Procedure Descriptions Section |
title | S | title | ||
code | S | 1.. | Required Pattern: At least the following | |
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 121064 |
|
text | S | 1.. | ||
section:prior_procedure_descriptions_section | S | 0..1 | BackboneElement |
Prior Procedure Descriptions Section |
title | S | title | ||
code | S | 1.. | Required Pattern: At least the following | |
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 121066 |
|
text | S | 1.. | ||
section:previous_findings_section | S | 0..1 | BackboneElement |
Previous Findings Section |
title | S | title | ||
code | S | 1.. | Required Pattern: At least the following | |
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 121068 |
|
text | S | 1.. | ||
section:impressions_section | S | 0..1 | BackboneElement |
Impressions Section |
title | S | title | ||
code | S | 1.. | Required Pattern: At least the following | |
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 121072 |
|
text | S | 1.. | ||
section:recommendations_section | S | 0..1 | BackboneElement |
Impressions Section |
title | S | title | ||
code | S | 1.. | Required Pattern: At least the following | |
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 121074 |
|
text | S | 1.. | ||
section:conclusions_section | S | 0..1 | BackboneElement |
Conclusions Section |
title | S | title | ||
code | S | 1.. | Required Pattern: At least the following | |
coding | 1..* | Coding |
Code defined by a terminology system Fixed Value: (complex) |
|
system | 1..1 | uri |
Identity of the terminology system Fixed Value: http://dicom.nema.org/resources/ontology/DCM |
|
code | 1..1 | code |
Symbol in syntax defined by the system Fixed Value: 121076 |
|
text | S | 1.. | ||
Documentation for this format |
Produced 06 Apr 2023