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.'
package_name: hl7.fhir.us.ccda
derivation: constraint
name: DiagnosticImagingReport
type: Composition
elements:
  type:
    label: Diagnostic Imaging Report
    short: Diagnostic Imaging Report
    binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/us/ccda/ValueSet/1.3.6.1.4.1.12009.10.2.5'}
    mustSupport: true
    index: 0
  section:
    index: 1
    slicing:
      rules: open
      discriminator:
      - {path: code, type: value}
      min: null
      slices:
        conclusions_section:
          match:
            code:
              coding:
              - {code: '121076', system: 'http://dicom.nema.org/resources/ontology/DCM'}
          schema:
            isModifier: false
            short: Conclusions Section
            index: 42
            type: BackboneElement
            mustSupport: true
            elements:
              title: {short: title, mustSupport: true, index: 43}
              code:
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '121076', system: 'http://dicom.nema.org/resources/ontology/DCM'}
                index: 44
              text: {mustSupport: true, index: 45}
            base: {max: '*', min: 0, path: Composition.section}
            required: [text, code]
            isSummary: false
        dicom_object_catalog_section:
          match:
            code:
              coding:
              - {code: '121181', system: 'http://dicom.nema.org/resources/ontology/DCM'}
          schema:
            label: DICOM Object Catalog Section
            short: DICOM Object Catalog Section
            mustSupport: true
            index: 8
            elements:
              title: {short: title, mustSupport: true, index: 9}
              code:
                label: Dicom Object Catalog
                short: Dicom Object Catalog
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '121181', system: 'http://dicom.nema.org/resources/ontology/DCM'}
                index: 10
              text: {short: text, mustSupport: true, index: 11}
              entry:
                short: entry
                index: 12
                slicing:
                  rules: open
                  discriminator:
                  - {path: resolve(), type: profile}
                  min: null
                  slices:
                    dicom_object_catalog_entry:
                      match: {}
                      schema:
                        type: Reference
                        short: This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc.
                        mustSupport: true
                        refers: ['http://hl7.org/fhir/StructureDefinition/ImagingStudy']
                        index: 13
            required: [text, title, code]
        findings_section:
          match:
            code:
              coding:
              - {code: '121070', system: 'http://dicom.nema.org/resources/ontology/DCM'}
          schema:
            label: Findings Section
            short: Findings Section
            mustSupport: true
            _required: true
            index: 2
            elements:
              title: {short: title, mustSupport: true, index: 3}
              code:
                label: Functional Status
                short: Functional Status
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '121070', system: 'http://dicom.nema.org/resources/ontology/DCM'}
                index: 4
              text: {short: text, mustSupport: true, index: 5}
              entry:
                short: entry
                index: 6
                slicing:
                  rules: open
                  discriminator:
                  - {path: resolve(), type: profile}
                  min: null
                  slices:
                    findings_entry:
                      match: {}
                      schema:
                        type: Reference
                        short: This section contains unprofiled resources not covered by US Core. Please refer to C-CDA R2.1 for guidance on terminology, etc.
                        mustSupport: true
                        refers: ['http://hl7.org/fhir/StructureDefinition/Observation']
                        index: 7
            required: [text, title, code]
        recommendations_section:
          match:
            code:
              coding:
              - {code: '121074', system: 'http://dicom.nema.org/resources/ontology/DCM'}
          schema:
            isModifier: false
            short: Impressions Section
            index: 38
            type: BackboneElement
            mustSupport: true
            elements:
              title: {short: title, mustSupport: true, index: 39}
              code:
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '121074', system: 'http://dicom.nema.org/resources/ontology/DCM'}
                index: 40
              text: {mustSupport: true, index: 41}
            base: {max: '*', min: 0, path: Composition.section}
            required: [text, code]
            isSummary: false
        history_section:
          match:
            code:
              coding:
              - {code: '121060', system: 'http://dicom.nema.org/resources/ontology/DCM'}
          schema:
            isModifier: false
            short: History Section
            index: 14
            type: BackboneElement
            mustSupport: true
            elements:
              title: {short: title, mustSupport: true, index: 15}
              code:
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '121060', system: 'http://dicom.nema.org/resources/ontology/DCM'}
                index: 16
              text: {mustSupport: true, index: 17}
            base: {max: '*', min: 0, path: Composition.section}
            required: [text, code]
            isSummary: false
        current_procedure_descriptions_section:
          match:
            code:
              coding:
              - {code: '121064', system: 'http://dicom.nema.org/resources/ontology/DCM'}
          schema:
            isModifier: false
            short: Current Procedure Descriptions Section
            index: 22
            type: BackboneElement
            mustSupport: true
            elements:
              title: {short: title, mustSupport: true, index: 23}
              code:
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '121064', system: 'http://dicom.nema.org/resources/ontology/DCM'}
                index: 24
              text: {mustSupport: true, index: 25}
            base: {max: '*', min: 0, path: Composition.section}
            required: [text, code]
            isSummary: false
        impressions_section:
          match:
            code:
              coding:
              - {code: '121072', system: 'http://dicom.nema.org/resources/ontology/DCM'}
          schema:
            isModifier: false
            short: Impressions Section
            index: 34
            type: BackboneElement
            mustSupport: true
            elements:
              title: {short: title, mustSupport: true, index: 35}
              code:
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '121072', system: 'http://dicom.nema.org/resources/ontology/DCM'}
                index: 36
              text: {mustSupport: true, index: 37}
            base: {max: '*', min: 0, path: Composition.section}
            required: [text, code]
            isSummary: false
        prior_procedure_descriptions_section:
          match:
            code:
              coding:
              - {code: '121066', system: 'http://dicom.nema.org/resources/ontology/DCM'}
          schema:
            isModifier: false
            short: Prior Procedure Descriptions Section
            index: 26
            type: BackboneElement
            mustSupport: true
            elements:
              title: {short: title, mustSupport: true, index: 27}
              code:
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '121066', system: 'http://dicom.nema.org/resources/ontology/DCM'}
                index: 28
              text: {mustSupport: true, index: 29}
            base: {max: '*', min: 0, path: Composition.section}
            required: [text, code]
            isSummary: false
        request_section:
          match:
            code:
              coding:
              - {code: '121062', system: 'http://dicom.nema.org/resources/ontology/DCM'}
          schema:
            isModifier: false
            short: Request Section
            index: 18
            type: BackboneElement
            mustSupport: true
            elements:
              title: {short: title, mustSupport: true, index: 19}
              code:
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '121062', system: 'http://dicom.nema.org/resources/ontology/DCM'}
                index: 20
              text: {mustSupport: true, index: 21}
            base: {max: '*', min: 0, path: Composition.section}
            required: [text, code]
            isSummary: false
        previous_findings_section:
          match:
            code:
              coding:
              - {code: '121068', system: 'http://dicom.nema.org/resources/ontology/DCM'}
          schema:
            isModifier: false
            short: Previous Findings Section
            index: 30
            type: BackboneElement
            mustSupport: true
            elements:
              title: {short: title, mustSupport: true, index: 31}
              code:
                mustSupport: true
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: '121068', system: 'http://dicom.nema.org/resources/ontology/DCM'}
                index: 32
              text: {mustSupport: true, index: 33}
            base: {max: '*', min: 0, path: Composition.section}
            required: [text, code]
            isSummary: false
package_version: 1.2.0
class: profile
kind: resource
url: http://hl7.org/fhir/us/ccda/StructureDefinition/Diagnostic-Imaging-Report
base: http://hl7.org/fhir/us/ccda/StructureDefinition/US-Realm-Header
version: 1.2.0