Requirement Specification

This is for collaboration and discussion purposes and is subject to change.

This is not an Implementation Guide

Radiology (Sandbox) - Local Development build (v0.0.1-current) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

• Content
• Detailed Descriptions
• XML
• JSON

Resource Profile: Imaging Report (FHIR DiagnosticReport)

DiagnosticReport based on

• Royal College of Radiologists - Understanding the Technical Options HL7 v2 ORU
• UK Core DiagnosticReport

Users should also review this analysis in conjunction with IHE Interactive Multimedia Report (IMR) - IMR DiagnosticReport

Usage:

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

Formal Views of Profile Content

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

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

This structure is derived from DiagnosticReport

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
identifier	S	1..*	Identifier	Business identifier for report
Slices for basedOn		0..*	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested Slice: Unordered, Open by pattern:type
basedOn:accessionNumber	S	0..1	Reference(Radiology ServiceRequest)	Created by Imaging Test Order Workflow
type	S	1..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: ServiceRequest
identifier		1..1	AccessionNumber	An identifier intended for computation
category		0..*	CodeableConcept	Service category Binding: Modality (preferred)
code		1..1	CodeableConcept	Name/Code for this diagnostic report Binding: ImagingCodeNICIP (preferred)
subject		1..1	Reference(Patient)	The subject of the report - usually, but not always, the patient
identifier		1..1	NHSNumber	An identifier intended for computation
Slices for performer		1..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service Slice: Unordered, Open by pattern:type
performer:All Slices				Content/Rules for all slices
Slices for extension				Content/Rules for all slices
performerFunction		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
type		1..1	uri	Type the reference refers to (e.g. "Patient")
identifier		1..1	Identifier	Logical reference, when literal reference is not known
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
performer:organisation		1..1	Reference(Organization)	Responsible Diagnostic Service
Slices for extension				Content/Rules for all slices
performerFunction		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
identifier		0..1	OrganisationCode	An identifier intended for computation
performer:operator		0..*	Reference(Practitioner)	Responsible Diagnostic Service
Slices for extension				Content/Rules for all slices
performerFunction		0..1	(Complex)	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
value[x]
coding		0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SPRF
identifier		0..1	GeneralMedicalPractitionerCode, GeneralMedicalCouncilReferenceNumber	An identifier intended for computation
Slices for resultsInterpreter		0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter Slice: Unordered, Open by pattern:extension[performerFunction].valueCodeableConcept.coding.code
resultsInterpreter:All Slices				Content/Rules for all slices
Slices for extension				Content/Rules for all slices
performerFunction		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
type		1..1	uri	Type the reference refers to (e.g. "Patient")
identifier		1..1	Identifier	Logical reference, when literal reference is not known
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
resultsInterpreter:primaryReporter		0..*	Reference(Practitioner)	Primary result interpreter
Slices for extension				Content/Rules for all slices
performerFunction		0..1	(Complex)	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
value[x]
coding		0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PPRF
identifier		0..1	GeneralMedicalPractitionerCode, GeneralMedicalCouncilReferenceNumber	An identifier intended for computation
resultsInterpreter:secondaryReporter		0..*	Reference(Practitioner)	Primary result interpreter
Slices for extension				Content/Rules for all slices
performerFunction		0..1	(Complex)	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
value[x]
coding		0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SPRF
identifier		0..1	GeneralMedicalPractitionerCode, GeneralMedicalCouncilReferenceNumber	An identifier intended for computation
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
DiagnosticReport.category	preferred	Modality https://fhir.nhs.uk/England/RAD/ValueSet/modality from this IG
DiagnosticReport.code	preferred	ImagingCodeNICIP https://fhir.nhs.uk/England/RAD/ValueSet/imaging-code-nicip from this IG

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..*	Identifier	Business identifier for report
Slices for basedOn		0..*	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested Slice: Unordered, Open by pattern:type
basedOn:accessionNumber	S	0..1	Reference(Radiology ServiceRequest)	Created by Imaging Test Order Workflow
type	SΣ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Required Pattern: ServiceRequest
identifier		1..1	AccessionNumber	An identifier intended for computation
status	?!Σ	1..1	code	registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
category	Σ	0..*	CodeableConcept	Service category Binding: Modality (preferred)
code	Σ	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: ImagingCodeNICIP (preferred)
subject	Σ	1..1	Reference(Patient)	The subject of the report - usually, but not always, the patient
identifier		1..1	NHSNumber	An identifier intended for computation
Slices for performer	Σ	1..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service Slice: Unordered, Open by pattern:type
performer:All Slices				Content/Rules for all slices
Slices for extension				Content/Rules for all slices
performerFunction		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
performer:organisation	Σ	1..1	Reference(Organization)	Responsible Diagnostic Service
Slices for extension				Content/Rules for all slices
performerFunction		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
identifier		0..1	OrganisationCode	An identifier intended for computation
performer:operator	Σ	0..*	Reference(Practitioner)	Responsible Diagnostic Service
Slices for extension				Content/Rules for all slices
performerFunction		0..1	(Complex)	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/event-performerFunction"
value[x]		1..1	CodeableConcept	Value of extension Binding: Performer Function Codes (extensible)
coding	Σ	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SPRF
identifier		0..1	GeneralMedicalPractitionerCode, GeneralMedicalCouncilReferenceNumber	An identifier intended for computation
Slices for resultsInterpreter	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter Slice: Unordered, Open by pattern:extension[performerFunction].valueCodeableConcept.coding.code
resultsInterpreter:All Slices				Content/Rules for all slices
Slices for extension				Content/Rules for all slices
performerFunction		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
resultsInterpreter:primaryReporter	Σ	0..*	Reference(Practitioner)	Primary result interpreter
Slices for extension				Content/Rules for all slices
performerFunction		0..1	(Complex)	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/event-performerFunction"
value[x]		1..1	CodeableConcept	Value of extension Binding: Performer Function Codes (extensible)
coding	Σ	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PPRF
identifier		0..1	GeneralMedicalPractitionerCode, GeneralMedicalCouncilReferenceNumber	An identifier intended for computation
resultsInterpreter:secondaryReporter	Σ	0..*	Reference(Practitioner)	Primary result interpreter
Slices for extension				Content/Rules for all slices
performerFunction		0..1	(Complex)	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/event-performerFunction"
value[x]		1..1	CodeableConcept	Value of extension Binding: Performer Function Codes (extensible)
coding	Σ	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SPRF
identifier		0..1	GeneralMedicalPractitionerCode, GeneralMedicalCouncilReferenceNumber	An identifier intended for computation
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.basedOn:accessionNumber.type	extensible	Pattern: ServiceRequest http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 from the FHIR Standard
DiagnosticReport.category	preferred	Modality https://fhir.nhs.uk/England/RAD/ValueSet/modality from this IG
DiagnosticReport.code	preferred	ImagingCodeNICIP https://fhir.nhs.uk/England/RAD/ValueSet/imaging-code-nicip from this IG
DiagnosticReport.performer.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.performer.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
DiagnosticReport.performer:operator.extension:performerFunction.value[x]	extensible	Performer Function Codes http://hl7.org/fhir/ValueSet/performer-function from the FHIR Standard
DiagnosticReport.resultsInterpreter.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.resultsInterpreter.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
DiagnosticReport.resultsInterpreter:primaryReporter.extension:performerFunction.value[x]	extensible	Performer Function Codes http://hl7.org/fhir/ValueSet/performer-function from the FHIR Standard
DiagnosticReport.resultsInterpreter:secondaryReporter.extension:performerFunction.value[x]	extensible	Performer Function Codes http://hl7.org/fhir/ValueSet/performer-function from the FHIR Standard

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
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	SΣ	1..*	Identifier	Business identifier for report
Slices for basedOn		0..*	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested Slice: Unordered, Open by pattern:type
basedOn:accessionNumber	S	0..1	Reference(Radiology ServiceRequest)	Created by Imaging Test Order Workflow
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	SΣ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Required Pattern: ServiceRequest
identifier		1..1	AccessionNumber	An identifier intended for computation
display	Σ	0..1	string	Text alternative for the resource
status	?!Σ	1..1	code	registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
category	Σ	0..*	CodeableConcept	Service category Binding: Modality (preferred)
code	Σ	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: ImagingCodeNICIP (preferred)
subject	Σ	1..1	Reference(Patient)	The subject of the report - usually, but not always, the patient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier		1..1	NHSNumber	An identifier intended for computation
display	Σ	0..1	string	Text alternative for the resource
encounter	Σ	0..1	Reference(Encounter)	Health care event when test ordered
effective[x]	Σ	0..1		Clinically relevant time/time-period for report
effectiveDateTime			dateTime
effectivePeriod			Period
issued	Σ	0..1	instant	DateTime this version was made
Slices for performer	Σ	1..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service Slice: Unordered, Open by pattern:type
performer:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
performerFunction		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
performer:organisation	Σ	1..1	Reference(Organization)	Responsible Diagnostic Service
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
performerFunction		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier		0..1	OrganisationCode	An identifier intended for computation
display	Σ	0..1	string	Text alternative for the resource
performer:operator	Σ	0..*	Reference(Practitioner)	Responsible Diagnostic Service
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
performerFunction		0..1	(Complex)	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
id		0..1	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/event-performerFunction"
value[x]		1..1	CodeableConcept	Value of extension Binding: Performer Function Codes (extensible)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SPRF
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier		0..1	GeneralMedicalPractitionerCode, GeneralMedicalCouncilReferenceNumber	An identifier intended for computation
display	Σ	0..1	string	Text alternative for the resource
Slices for resultsInterpreter	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter Slice: Unordered, Open by pattern:extension[performerFunction].valueCodeableConcept.coding.code
resultsInterpreter:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
performerFunction		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
resultsInterpreter:primaryReporter	Σ	0..*	Reference(Practitioner)	Primary result interpreter
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
performerFunction		0..1	(Complex)	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
id		0..1	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/event-performerFunction"
value[x]		1..1	CodeableConcept	Value of extension Binding: Performer Function Codes (extensible)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PPRF
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier		0..1	GeneralMedicalPractitionerCode, GeneralMedicalCouncilReferenceNumber	An identifier intended for computation
display	Σ	0..1	string	Text alternative for the resource
resultsInterpreter:secondaryReporter	Σ	0..*	Reference(Practitioner)	Primary result interpreter
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
performerFunction		0..1	(Complex)	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
id		0..1	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/event-performerFunction"
value[x]		1..1	CodeableConcept	Value of extension Binding: Performer Function Codes (extensible)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SPRF
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier		0..1	GeneralMedicalPractitionerCode, GeneralMedicalCouncilReferenceNumber	An identifier intended for computation
display	Σ	0..1	string	Text alternative for the resource
specimen		0..*	Reference(Specimen)	Specimens this report is based on
result		0..*	Reference(Observation)	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: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
presentedForm		0..*	Attachment	Entire report as issued
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
DiagnosticReport.basedOn:accessionNumber.type	extensible	Pattern: ServiceRequest http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 from the FHIR Standard
DiagnosticReport.category	preferred	Modality https://fhir.nhs.uk/England/RAD/ValueSet/modality from this IG
DiagnosticReport.code	preferred	ImagingCodeNICIP https://fhir.nhs.uk/England/RAD/ValueSet/imaging-code-nicip from this IG
DiagnosticReport.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.performer.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.performer.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
DiagnosticReport.performer.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
DiagnosticReport.performer:organisation.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.performer:operator.extension:performerFunction.value[x]	extensible	Performer Function Codes http://hl7.org/fhir/ValueSet/performer-function from the FHIR Standard
DiagnosticReport.performer:operator.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.resultsInterpreter.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.resultsInterpreter.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
DiagnosticReport.resultsInterpreter.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
DiagnosticReport.resultsInterpreter:primaryReporter.extension:performerFunction.value[x]	extensible	Performer Function Codes http://hl7.org/fhir/ValueSet/performer-function from the FHIR Standard
DiagnosticReport.resultsInterpreter:primaryReporter.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.resultsInterpreter:secondaryReporter.extension:performerFunction.value[x]	extensible	Performer Function Codes http://hl7.org/fhir/ValueSet/performer-function from the FHIR Standard
DiagnosticReport.resultsInterpreter:secondaryReporter.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.conclusionCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard

This structure is derived from DiagnosticReport

Summary

Mandatory: 9 elements(6 nested mandatory elements)
Must-Support: 3 elements

Structures

This structure refers to these other structures:

• Radiology ServiceRequest (https://fhir.nhs.uk/England/RAD/StructureDefinition/ServiceRequest-Radiology)
• Radiological Accession Number (https://fhir.nhs.uk/England/RAD/StructureDefinition/accession-number)
• NHS Number (https://fhir.nhs.uk/England/RAD/StructureDefinition/nhs-number)
• Organisation Code (https://fhir.nhs.uk/England/RAD/StructureDefinition/organisation-code)
• General Medical Practitioner PPD Code (https://fhir.nhs.uk/England/RAD/StructureDefinition/gmp-code)
• General Medical Council Reference Number (https://fhir.nhs.uk/England/RAD/StructureDefinition/gmc-number)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/event-performerFunction

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of DiagnosticReport.basedOn
• The element 1 is sliced based on the value of DiagnosticReport.performer
• The element 1 is sliced based on the value of DiagnosticReport.resultsInterpreter

Differential View

This structure is derived from DiagnosticReport

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
identifier	S	1..*	Identifier	Business identifier for report
Slices for basedOn		0..*	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested Slice: Unordered, Open by pattern:type
basedOn:accessionNumber	S	0..1	Reference(Radiology ServiceRequest)	Created by Imaging Test Order Workflow
type	S	1..1	uri	Type the reference refers to (e.g. "Patient") Required Pattern: ServiceRequest
identifier		1..1	AccessionNumber	An identifier intended for computation
category		0..*	CodeableConcept	Service category Binding: Modality (preferred)
code		1..1	CodeableConcept	Name/Code for this diagnostic report Binding: ImagingCodeNICIP (preferred)
subject		1..1	Reference(Patient)	The subject of the report - usually, but not always, the patient
identifier		1..1	NHSNumber	An identifier intended for computation
Slices for performer		1..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service Slice: Unordered, Open by pattern:type
performer:All Slices				Content/Rules for all slices
Slices for extension				Content/Rules for all slices
performerFunction		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
type		1..1	uri	Type the reference refers to (e.g. "Patient")
identifier		1..1	Identifier	Logical reference, when literal reference is not known
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
performer:organisation		1..1	Reference(Organization)	Responsible Diagnostic Service
Slices for extension				Content/Rules for all slices
performerFunction		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
identifier		0..1	OrganisationCode	An identifier intended for computation
performer:operator		0..*	Reference(Practitioner)	Responsible Diagnostic Service
Slices for extension				Content/Rules for all slices
performerFunction		0..1	(Complex)	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
value[x]
coding		0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SPRF
identifier		0..1	GeneralMedicalPractitionerCode, GeneralMedicalCouncilReferenceNumber	An identifier intended for computation
Slices for resultsInterpreter		0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter Slice: Unordered, Open by pattern:extension[performerFunction].valueCodeableConcept.coding.code
resultsInterpreter:All Slices				Content/Rules for all slices
Slices for extension				Content/Rules for all slices
performerFunction		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
type		1..1	uri	Type the reference refers to (e.g. "Patient")
identifier		1..1	Identifier	Logical reference, when literal reference is not known
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
resultsInterpreter:primaryReporter		0..*	Reference(Practitioner)	Primary result interpreter
Slices for extension				Content/Rules for all slices
performerFunction		0..1	(Complex)	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
value[x]
coding		0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PPRF
identifier		0..1	GeneralMedicalPractitionerCode, GeneralMedicalCouncilReferenceNumber	An identifier intended for computation
resultsInterpreter:secondaryReporter		0..*	Reference(Practitioner)	Primary result interpreter
Slices for extension				Content/Rules for all slices
performerFunction		0..1	(Complex)	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
value[x]
coding		0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SPRF
identifier		0..1	GeneralMedicalPractitionerCode, GeneralMedicalCouncilReferenceNumber	An identifier intended for computation
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
DiagnosticReport.category	preferred	Modality https://fhir.nhs.uk/England/RAD/ValueSet/modality from this IG
DiagnosticReport.code	preferred	ImagingCodeNICIP https://fhir.nhs.uk/England/RAD/ValueSet/imaging-code-nicip from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..*	Identifier	Business identifier for report
Slices for basedOn		0..*	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested Slice: Unordered, Open by pattern:type
basedOn:accessionNumber	S	0..1	Reference(Radiology ServiceRequest)	Created by Imaging Test Order Workflow
type	SΣ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Required Pattern: ServiceRequest
identifier		1..1	AccessionNumber	An identifier intended for computation
status	?!Σ	1..1	code	registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
category	Σ	0..*	CodeableConcept	Service category Binding: Modality (preferred)
code	Σ	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: ImagingCodeNICIP (preferred)
subject	Σ	1..1	Reference(Patient)	The subject of the report - usually, but not always, the patient
identifier		1..1	NHSNumber	An identifier intended for computation
Slices for performer	Σ	1..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service Slice: Unordered, Open by pattern:type
performer:All Slices				Content/Rules for all slices
Slices for extension				Content/Rules for all slices
performerFunction		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
performer:organisation	Σ	1..1	Reference(Organization)	Responsible Diagnostic Service
Slices for extension				Content/Rules for all slices
performerFunction		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
identifier		0..1	OrganisationCode	An identifier intended for computation
performer:operator	Σ	0..*	Reference(Practitioner)	Responsible Diagnostic Service
Slices for extension				Content/Rules for all slices
performerFunction		0..1	(Complex)	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/event-performerFunction"
value[x]		1..1	CodeableConcept	Value of extension Binding: Performer Function Codes (extensible)
coding	Σ	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SPRF
identifier		0..1	GeneralMedicalPractitionerCode, GeneralMedicalCouncilReferenceNumber	An identifier intended for computation
Slices for resultsInterpreter	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter Slice: Unordered, Open by pattern:extension[performerFunction].valueCodeableConcept.coding.code
resultsInterpreter:All Slices				Content/Rules for all slices
Slices for extension				Content/Rules for all slices
performerFunction		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
resultsInterpreter:primaryReporter	Σ	0..*	Reference(Practitioner)	Primary result interpreter
Slices for extension				Content/Rules for all slices
performerFunction		0..1	(Complex)	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/event-performerFunction"
value[x]		1..1	CodeableConcept	Value of extension Binding: Performer Function Codes (extensible)
coding	Σ	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PPRF
identifier		0..1	GeneralMedicalPractitionerCode, GeneralMedicalCouncilReferenceNumber	An identifier intended for computation
resultsInterpreter:secondaryReporter	Σ	0..*	Reference(Practitioner)	Primary result interpreter
Slices for extension				Content/Rules for all slices
performerFunction		0..1	(Complex)	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/event-performerFunction"
value[x]		1..1	CodeableConcept	Value of extension Binding: Performer Function Codes (extensible)
coding	Σ	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SPRF
identifier		0..1	GeneralMedicalPractitionerCode, GeneralMedicalCouncilReferenceNumber	An identifier intended for computation
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.basedOn:accessionNumber.type	extensible	Pattern: ServiceRequest http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 from the FHIR Standard
DiagnosticReport.category	preferred	Modality https://fhir.nhs.uk/England/RAD/ValueSet/modality from this IG
DiagnosticReport.code	preferred	ImagingCodeNICIP https://fhir.nhs.uk/England/RAD/ValueSet/imaging-code-nicip from this IG
DiagnosticReport.performer.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.performer.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
DiagnosticReport.performer:operator.extension:performerFunction.value[x]	extensible	Performer Function Codes http://hl7.org/fhir/ValueSet/performer-function from the FHIR Standard
DiagnosticReport.resultsInterpreter.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.resultsInterpreter.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
DiagnosticReport.resultsInterpreter:primaryReporter.extension:performerFunction.value[x]	extensible	Performer Function Codes http://hl7.org/fhir/ValueSet/performer-function from the FHIR Standard
DiagnosticReport.resultsInterpreter:secondaryReporter.extension:performerFunction.value[x]	extensible	Performer Function Codes http://hl7.org/fhir/ValueSet/performer-function from the FHIR Standard

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
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	SΣ	1..*	Identifier	Business identifier for report
Slices for basedOn		0..*	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested Slice: Unordered, Open by pattern:type
basedOn:accessionNumber	S	0..1	Reference(Radiology ServiceRequest)	Created by Imaging Test Order Workflow
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	SΣ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Required Pattern: ServiceRequest
identifier		1..1	AccessionNumber	An identifier intended for computation
display	Σ	0..1	string	Text alternative for the resource
status	?!Σ	1..1	code	registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
category	Σ	0..*	CodeableConcept	Service category Binding: Modality (preferred)
code	Σ	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: ImagingCodeNICIP (preferred)
subject	Σ	1..1	Reference(Patient)	The subject of the report - usually, but not always, the patient
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier		1..1	NHSNumber	An identifier intended for computation
display	Σ	0..1	string	Text alternative for the resource
encounter	Σ	0..1	Reference(Encounter)	Health care event when test ordered
effective[x]	Σ	0..1		Clinically relevant time/time-period for report
effectiveDateTime			dateTime
effectivePeriod			Period
issued	Σ	0..1	instant	DateTime this version was made
Slices for performer	Σ	1..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service Slice: Unordered, Open by pattern:type
performer:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
performerFunction		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
performer:organisation	Σ	1..1	Reference(Organization)	Responsible Diagnostic Service
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
performerFunction		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier		0..1	OrganisationCode	An identifier intended for computation
display	Σ	0..1	string	Text alternative for the resource
performer:operator	Σ	0..*	Reference(Practitioner)	Responsible Diagnostic Service
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
performerFunction		0..1	(Complex)	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
id		0..1	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/event-performerFunction"
value[x]		1..1	CodeableConcept	Value of extension Binding: Performer Function Codes (extensible)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SPRF
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier		0..1	GeneralMedicalPractitionerCode, GeneralMedicalCouncilReferenceNumber	An identifier intended for computation
display	Σ	0..1	string	Text alternative for the resource
Slices for resultsInterpreter	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter Slice: Unordered, Open by pattern:extension[performerFunction].valueCodeableConcept.coding.code
resultsInterpreter:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
performerFunction		0..1	CodeableConcept	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible)
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	1..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
resultsInterpreter:primaryReporter	Σ	0..*	Reference(Practitioner)	Primary result interpreter
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
performerFunction		0..1	(Complex)	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
id		0..1	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/event-performerFunction"
value[x]		1..1	CodeableConcept	Value of extension Binding: Performer Function Codes (extensible)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PPRF
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier		0..1	GeneralMedicalPractitionerCode, GeneralMedicalCouncilReferenceNumber	An identifier intended for computation
display	Σ	0..1	string	Text alternative for the resource
resultsInterpreter:secondaryReporter	Σ	0..*	Reference(Practitioner)	Primary result interpreter
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
performerFunction		0..1	(Complex)	Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction
id		0..1	id	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/event-performerFunction"
value[x]		1..1	CodeableConcept	Value of extension Binding: Performer Function Codes (extensible)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: SPRF
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier		0..1	GeneralMedicalPractitionerCode, GeneralMedicalCouncilReferenceNumber	An identifier intended for computation
display	Σ	0..1	string	Text alternative for the resource
specimen		0..*	Reference(Specimen)	Specimens this report is based on
result		0..*	Reference(Observation)	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: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
presentedForm		0..*	Attachment	Entire report as issued
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
DiagnosticReport.basedOn:accessionNumber.type	extensible	Pattern: ServiceRequest http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 from the FHIR Standard
DiagnosticReport.category	preferred	Modality https://fhir.nhs.uk/England/RAD/ValueSet/modality from this IG
DiagnosticReport.code	preferred	ImagingCodeNICIP https://fhir.nhs.uk/England/RAD/ValueSet/imaging-code-nicip from this IG
DiagnosticReport.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.performer.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.performer.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
DiagnosticReport.performer.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
DiagnosticReport.performer:organisation.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.performer:operator.extension:performerFunction.value[x]	extensible	Performer Function Codes http://hl7.org/fhir/ValueSet/performer-function from the FHIR Standard
DiagnosticReport.performer:operator.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.resultsInterpreter.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.resultsInterpreter.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
DiagnosticReport.resultsInterpreter.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
DiagnosticReport.resultsInterpreter:primaryReporter.extension:performerFunction.value[x]	extensible	Performer Function Codes http://hl7.org/fhir/ValueSet/performer-function from the FHIR Standard
DiagnosticReport.resultsInterpreter:primaryReporter.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.resultsInterpreter:secondaryReporter.extension:performerFunction.value[x]	extensible	Performer Function Codes http://hl7.org/fhir/ValueSet/performer-function from the FHIR Standard
DiagnosticReport.resultsInterpreter:secondaryReporter.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
DiagnosticReport.conclusionCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard

This structure is derived from DiagnosticReport

Summary

Mandatory: 9 elements(6 nested mandatory elements)
Must-Support: 3 elements

Structures

This structure refers to these other structures:

• Radiology ServiceRequest (https://fhir.nhs.uk/England/RAD/StructureDefinition/ServiceRequest-Radiology)
• Radiological Accession Number (https://fhir.nhs.uk/England/RAD/StructureDefinition/accession-number)
• NHS Number (https://fhir.nhs.uk/England/RAD/StructureDefinition/nhs-number)
• Organisation Code (https://fhir.nhs.uk/England/RAD/StructureDefinition/organisation-code)
• General Medical Practitioner PPD Code (https://fhir.nhs.uk/England/RAD/StructureDefinition/gmp-code)
• General Medical Council Reference Number (https://fhir.nhs.uk/England/RAD/StructureDefinition/gmc-number)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/event-performerFunction

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of DiagnosticReport.basedOn
• The element 1 is sliced based on the value of DiagnosticReport.performer
• The element 1 is sliced based on the value of DiagnosticReport.resultsInterpreter