KR Core Implementation Guide
2.0.0-ballot - STU2

KR Core Implementation Guide - Local Development build (v2.0.0-ballot) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Resource Profile: KRCore_DiagnosticReport_DiagnosticImaging - Detailed Descriptions

Page standards status: Trial-use

Definitions for the krcore-diagnosticreport-diagnostic-imaging resource profile.

- Differential Elements Table
- Key Elements Table
- Snapshot Elements Table

Guidance on how to interpret the contents of this table can be foundhere

0. DiagnosticReport
Short | KR Core DiagnosticReport Profile for Diagnostic Imaging
2. DiagnosticReport.status
Short | 진단영상검사 보고서 상태: registered | partial | preliminary | final +
Must Support | true
Alternate Names | KRCDI: 진단영상검사 상태
Example | <br/><b>Value (Preferred)</b>:final
4. DiagnosticReport.category
Short | 진단보고서 범주
Control | 1..?
Binding | Unless not suitable, these codes SHALL be taken from DiagnosticServiceSectionCodes (extensible to `http://hl7.org/fhir/ValueSet/diagnostic-service-sections` ) 진단 서비스 범주에 대한 코드.
Slicing | This element introduces a set of slices on `DiagnosticReport.category`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ $this
6. DiagnosticReport.category:Imaging
Slice Name | Imaging
Control | 1..1
Pattern Value | `{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0074", "code" : "IMG" }] }`
8. DiagnosticReport.code
Short | 진단영상검사 보고서 항목 정보
Binding | Unless not suitable, these codes SHALL be taken from KR Core Diagnostic Imaging Codes (extensible to `http://www.hl7korea.or.kr/fhir/krcore/ValueSet/krcore-diagnostic-imaging-codes` )
Must Support | true
Alternate Names | KRCDI: 진단영상검사명
10. DiagnosticReport.code.coding
12. DiagnosticReport.code.coding.system
Control | 1..?
Must Support | true
14. DiagnosticReport.code.coding.code
Control | 1..?
Must Support | true
16. DiagnosticReport.subject
Short | 진단영상검사 대상 환자
Type | Reference(KR Core Patient Profile)
18. DiagnosticReport.issued
Short | 진단영상검사 결과 보고서 발행 일시
20. DiagnosticReport.performer
Short | 진단영상검사 결과 보고 책임자
Type | Reference(KR Core Practitioner Profile, KR Core PractitionerRole Profile, KR Core Organization Profile, CareTeam)
22. DiagnosticReport.imagingStudy
Short | 진단영상 정보 참조
Type | Reference(KR Core ImagingStudy Profile)
Alternate Names | KRCDI: 진단영상
24. DiagnosticReport.conclusion
Short | 진단영상검사 결과 판독 소견
Must Support | true
Alternate Names | KRCDI: 진단영상검사 결과

Guidance on how to interpret the contents of this table can be foundhere

0. DiagnosticReport
Definition | The findings and interpretation of diagnostic tests performed on patients, groups of patients, devices, and locations, and/or specimens derived from these. The report includes clinical context such as requesting and provider information, and some mix of atomic results, images, textual and coded interpretations, and formatted representation of diagnostic reports.
Short | KR Core DiagnosticReport Profile for Diagnostic ImagingA Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
Comments | This is intended to capture a single report and is not suitable for use in displaying summary information that covers multiple reports. For example, this resource has not been designed for laboratory cumulative reporting formats nor detailed structured reports for sequencing.
Control | 0..*
Is Modifier | false
Summary | false
Alternate Names | Report, Test, Result, Results, Labs, Laboratory
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. DiagnosticReport.implicitRules
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Short | 이 콘텐츠 생성 시 따른 규칙들의 집합
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Control | 0..1
Type | uri
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. DiagnosticReport.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | 반드시 지원해야 하는 확장들
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summary | false
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
6. DiagnosticReport.status
Definition | 진단 보고서 상태.
Short | 진단영상검사 보고서 상태: registered | partial | preliminary | final +registered | partial | preliminary | final +
Control | 1..1
Binding | The codes SHALL be taken from DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 (required to `http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1` ) 진단 보고서 상태.
Type | code
Is Modifier | true because This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | Diagnostic services routinely issue provisional/incomplete reports, and sometimes withdraw previously released reports.
Alternate Names | KRCDI: 진단영상검사 상태
Example | <br/><b>Value (Preferred)</b>:final
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. DiagnosticReport.category
Definition | A code that classifies the clinical discipline, department or diagnostic service that created the report (e.g. cardiology, biochemistry, hematology, MRI). This is used for searching, sorting and display purposes.
Short | 진단보고서 범주서비스 범주
Comments | Multiple categories are allowed using various categorization schemes. The level of granularity is defined by the category concepts in the value set. More fine-grained filtering can be performed using the metadata and/or terminology hierarchy in DiagnosticReport.code.
Control | 10..*
Binding | Unless not suitable, these codes SHALL be taken from For example codes, see DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections (extensible to `http://hl7.org/fhir/ValueSet/diagnostic-service-sections` ) 진단 서비스 범주에 대한 코드.
Type | CodeableConcept
Is Modifier | false
Summary | true
Alternate Names | Department, Sub-department, Service, Discipline
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
Slicing | This element introduces a set of slices on `DiagnosticReport.category`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ $this
10. DiagnosticReport.category:Imaging
Slice Name | Imaging
Definition | A code that classifies the clinical discipline, department or diagnostic service that created the report (e.g. cardiology, biochemistry, hematology, MRI). This is used for searching, sorting and display purposes.
Short | 서비스 범주
Comments | Multiple categories are allowed using various categorization schemes. The level of granularity is defined by the category concepts in the value set. More fine-grained filtering can be performed using the metadata and/or terminology hierarchy in DiagnosticReport.code.
Control | 10..1*
Binding | For example codes, see DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections (example to `http://hl7.org/fhir/ValueSet/diagnostic-service-sections` ) 진단 서비스 범주에 대한 코드.
Type | CodeableConcept
Is Modifier | false
Summary | true
Alternate Names | Department, Sub-department, Service, Discipline
Pattern Value | `{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0074", "code" : "IMG" }] }`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. DiagnosticReport.code
Definition | A code or name that describes this diagnostic report.
Short | 진단영상검사 보고서 항목 정보Name/Code for this diagnostic report
Control | 1..1
Binding | Unless not suitable, these codes SHALL be taken from The codes SHOULD be taken from KR Core Diagnostic Imaging Codes http://hl7.org/fhir/ValueSet/report-codes (extensible to `http://www.hl7korea.or.kr/fhir/krcore/ValueSet/krcore-diagnostic-imaging-codes` )
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | true
Alternate Names | Type, KRCDI: 진단영상검사명
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
14. DiagnosticReport.code.coding
Definition | A reference to a code defined by a terminology system.
Short | 코드체계에 의해 정의된 코드
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..*
Type | Coding
Is Modifier | false
Summary | true
Requirements | Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
16. DiagnosticReport.code.coding.system
Definition | The identification of the code system that defines the meaning of the symbol in the code.
Short | 코드체계 식별자
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Control | 10..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | Need to be unambiguous about the source of the definition of the symbol.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
18. DiagnosticReport.code.coding.code
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Short | 코드
Control | 10..1
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | Need to refer to a particular code in the system.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. DiagnosticReport.subject
Definition | The subject of the report. Usually, but not always, this is a patient. However, diagnostic services also perform analyses on specimens collected from a variety of other sources.
Short | 진단영상검사 대상 환자The subject of the report - usually, but not always, the patient
Control | 0..1
Type | Reference(KR Core Patient Profile, Patient, Group, Device, Location)
Is Modifier | false
Summary | true
Requirements | SHALL know the subject context.
Alternate Names | Patient
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. DiagnosticReport.issued
Definition | The date and time that this version of the report was made available to providers, typically after the report was reviewed and verified.
Short | 진단영상검사 결과 보고서 발행 일시DateTime this version was made
Comments | May be different from the update time of the resource itself, because that is the status of the record (potentially a secondary copy), not the actual release time of the report.
Control | 0..1
Type | instant
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Clinicians need to be able to check the date that the report was released.
Alternate Names | Date published, Date Issued, Date Verified
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. DiagnosticReport.performer
Definition | The diagnostic service that is responsible for issuing the report.
Short | 진단영상검사 결과 보고 책임자Responsible Diagnostic Service
Comments | This is not necessarily the source of the atomic data items or the entity that interpreted the results. It is the entity that takes responsibility for the clinical report.
Control | 0..*
Type | Reference(KR Core Practitioner Profile, KR Core PractitionerRole Profile, KR Core Organization Profile, CareTeam, Practitioner, PractitionerRole, Organization)
Is Modifier | false
Summary | true
Requirements | Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis.
Alternate Names | Laboratory, Service, Practitioner, Department, Company, Authorized by, Director
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. DiagnosticReport.imagingStudy
Definition | One or more links to full details of any imaging performed during the diagnostic investigation. Typically, this is imaging performed by DICOM enabled modalities, but this is not required. A fully enabled PACS viewer can use this information to provide views of the source images.
Short | 진단영상 정보 참조진단 보고서와 관련된 영상의 전체 세부 정보에 대한 참조
Comments | ImagingStudy and the image element are somewhat overlapping - typically, the list of image references in the image element will also be found in one of the imaging study resources. However, each caters to different types of displays for different types of purposes. Neither, either, or both may be provided.
Control | 0..*
Type | Reference(KR Core ImagingStudy Profile, ImagingStudy)
Is Modifier | false
Summary | false
Alternate Names | KRCDI: 진단영상
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. DiagnosticReport.conclusion
Definition | Concise and clinically contextualized summary conclusion (interpretation/impression) of the diagnostic report.
Short | 진단영상검사 결과 판독 소견Clinical conclusion (interpretation) of test results
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | false
Requirements | Need to be able to provide a conclusion that is not lost among the basic result data.
Alternate Names | Report, KRCDI: 진단영상검사 결과
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

Guidance on how to interpret the contents of this table can be foundhere

0. DiagnosticReport
Definition | The findings and interpretation of diagnostic tests performed on patients, groups of patients, devices, and locations, and/or specimens derived from these. The report includes clinical context such as requesting and provider information, and some mix of atomic results, images, textual and coded interpretations, and formatted representation of diagnostic reports.
Short | KR Core DiagnosticReport Profile for Diagnostic Imaging
Comments | This is intended to capture a single report and is not suitable for use in displaying summary information that covers multiple reports. For example, this resource has not been designed for laboratory cumulative reporting formats nor detailed structured reports for sequencing.
Control | 0..*
Is Modifier | false
Summary | false
Alternate Names | Report, Test, Result, Results, Labs, Laboratory
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (`contained.contained.empty()`) dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (`contained.meta.security.empty()`) dom-6: A resource should have narrative for robust management (`text.`div`.exists()`)
2. DiagnosticReport.id
Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Short | 본 리소스 인스턴스의 논리적 ID
Comments | The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
Control | 0..1
Type | id
Is Modifier | false
Summary | true
4. DiagnosticReport.meta
Definition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
Short | 리소스에 대한 메타데이터
Control | 0..1
Type | Meta
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
6. DiagnosticReport.implicitRules
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Short | 이 콘텐츠 생성 시 따른 규칙들의 집합
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Control | 0..1
Type | uri
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
8. DiagnosticReport.language
Definition | The base language in which the resource is written.
Short | 리소스 콘텐츠의 언어
Comments | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
Control | 0..1
Binding | The codes SHOULD be taken from CommonLanguages (preferred to `http://hl7.org/fhir/ValueSet/languages` ) 국가별 언어.
추가 바인딩 | 목적
AllLanguages | Max Binding
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
10. DiagnosticReport.text
Definition | A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
Short | 사람이 이해할 수 있도록 작성된 리소스 인스턴스의 요약 텍스트
Comments | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
Control | 0..1
Type | Narrative
Is Modifier | false
Summary | false
Alternate Names | narrative, html, xhtml, display
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
12. DiagnosticReport.contained
Definition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
Short | 포함된 리소스
Comments | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
Control | 0..*
Type | Resource
Is Modifier | false
Summary | false
Alternate Names | inline resources, anonymous resources, contained resources
14. DiagnosticReport.extension
Definition | May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | 구현 주체에 의해 정의된 추가 정보
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
16. DiagnosticReport.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | 반드시 지원해야 하는 확장들
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summary | false
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
18. DiagnosticReport.identifier
Definition | Identifiers assigned to this report by the performer or other systems.
Short | 보고서의 비즈니스 식별자
Comments | Usually assigned by the Information System of the diagnostic service provider (filler id).
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..*
Type | Identifier
Is Modifier | false
Summary | true
Requirements | Need to know what identifier to use when making queries about this report from the source laboratory, and for linking to the report outside FHIR context.
Alternate Names | ReportID, Filler ID, Placer ID
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
20. DiagnosticReport.basedOn
Definition | Details concerning a service requested.
Short | What was requested
Comments | Note: Usually there is one test request for each result, however in some circumstances multiple test requests may be represented using a single test result resource. Note that there are also cases where one request leads to multiple reports.
Control | 0..*
Type | Reference(CarePlan, ImmunizationRecommendation, MedicationRequest, NutritionOrder, ServiceRequest)
Is Modifier | false
Summary | false
Requirements | This allows tracing of authorization for the report and tracking whether proposals/recommendations were acted upon.
Alternate Names | Request
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
22. DiagnosticReport.status
Definition | 진단 보고서 상태.
Short | 진단영상검사 보고서 상태: registered | partial | preliminary | final +
Control | 1..1
Binding | The codes SHALL be taken from DiagnosticReportStatus (required to `http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1` ) 진단 보고서 상태.
Type | code
Is Modifier | true because This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | Diagnostic services routinely issue provisional/incomplete reports, and sometimes withdraw previously released reports.
Alternate Names | KRCDI: 진단영상검사 상태
Example | <br/><b>Value (Preferred)</b>:final
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
24. DiagnosticReport.category
Definition | A code that classifies the clinical discipline, department or diagnostic service that created the report (e.g. cardiology, biochemistry, hematology, MRI). This is used for searching, sorting and display purposes.
Short | 진단보고서 범주
Comments | Multiple categories are allowed using various categorization schemes. The level of granularity is defined by the category concepts in the value set. More fine-grained filtering can be performed using the metadata and/or terminology hierarchy in DiagnosticReport.code.
Control | 1..*
Binding | Unless not suitable, these codes SHALL be taken from DiagnosticServiceSectionCodes (extensible to `http://hl7.org/fhir/ValueSet/diagnostic-service-sections` ) 진단 서비스 범주에 대한 코드.
Type | CodeableConcept
Is Modifier | false
Summary | true
Alternate Names | Department, Sub-department, Service, Discipline
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
Slicing | This element introduces a set of slices on `DiagnosticReport.category`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ $this
26. DiagnosticReport.category:Imaging
Slice Name | Imaging
Definition | A code that classifies the clinical discipline, department or diagnostic service that created the report (e.g. cardiology, biochemistry, hematology, MRI). This is used for searching, sorting and display purposes.
Short | 서비스 범주
Comments | Multiple categories are allowed using various categorization schemes. The level of granularity is defined by the category concepts in the value set. More fine-grained filtering can be performed using the metadata and/or terminology hierarchy in DiagnosticReport.code.
Control | 1..1
Binding | For example codes, see DiagnosticServiceSectionCodes (example to `http://hl7.org/fhir/ValueSet/diagnostic-service-sections` ) 진단 서비스 범주에 대한 코드.
Type | CodeableConcept
Is Modifier | false
Summary | true
Alternate Names | Department, Sub-department, Service, Discipline
Pattern Value | `{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0074", "code" : "IMG" }] }`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
28. DiagnosticReport.code
Definition | A code or name that describes this diagnostic report.
Short | 진단영상검사 보고서 항목 정보
Control | 1..1
Binding | Unless not suitable, these codes SHALL be taken from KR Core Diagnostic Imaging Codes (extensible to `http://www.hl7korea.or.kr/fhir/krcore/ValueSet/krcore-diagnostic-imaging-codes` )
Type | CodeableConcept
Is Modifier | false
Must Support | true
Summary | true
Alternate Names | Type, KRCDI: 진단영상검사명
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
30. DiagnosticReport.code.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | 요소 간 참조를 위한 고유 ID
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
32. DiagnosticReport.code.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | 구현 주체에 의해 정의된 추가 정보
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `DiagnosticReport.code.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
34. DiagnosticReport.code.coding
Definition | A reference to a code defined by a terminology system.
Short | 코드체계에 의해 정의된 코드
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..*
Type | Coding
Is Modifier | false
Summary | true
Requirements | Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
36. DiagnosticReport.code.coding.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | 요소 간 참조를 위한 고유 ID
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
38. DiagnosticReport.code.coding.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | 구현 주체에 의해 정의된 추가 정보
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `DiagnosticReport.code.coding.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
40. DiagnosticReport.code.coding.system
Definition | The identification of the code system that defines the meaning of the symbol in the code.
Short | 코드체계 식별자
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Control | 1..1
Type | uri
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | Need to be unambiguous about the source of the definition of the symbol.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
42. DiagnosticReport.code.coding.version
Definition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Short | 시스템의 버전 - 필요한 경우에 제공
Comments | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
Note | This is a business version Id, not a resource version Id (see discussion)
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
44. DiagnosticReport.code.coding.code
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Short | 코드
Control | 1..1
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | true
Requirements | Need to refer to a particular code in the system.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
46. DiagnosticReport.code.coding.display
Definition | A representation of the meaning of the code in the system, following the rules of the system.
Short | 시스템에서 정의한 표현
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
48. DiagnosticReport.code.coding.userSelected
Definition | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Short | 이 coding을 사용자가 직접 선택한 경우
Comments | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
Control | 0..1
Type | boolean
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
50. DiagnosticReport.code.text
Definition | 국가별 언어.representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Short | 개념의 일반 텍스트 표현
Comments | Very often the text is the same as a displayName of one of the codings.
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
52. DiagnosticReport.subject
Definition | The subject of the report. Usually, but not always, this is a patient. However, diagnostic services also perform analyses on specimens collected from a variety of other sources.
Short | 진단영상검사 대상 환자
Control | 0..1
Type | Reference(KR Core Patient Profile)
Is Modifier | false
Summary | true
Requirements | SHALL know the subject context.
Alternate Names | Patient
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
54. DiagnosticReport.encounter
Definition | The healthcare event (e.g. a patient and healthcare provider interaction) which this DiagnosticReport is about.
Short | 검사 지시 시 수진 및 내원 참조
Comments | This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission laboratory tests).
Control | 0..1
Type | Reference(Encounter)
Is Modifier | false
Summary | true
Requirements | Links the request to the Encounter context.
Alternate Names | Context
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
56. DiagnosticReport.effective[x]
Definition | The time or time-period the observed values are related to. When the subject of the report is a patient, this is usually either the time of the procedure or of specimen collection(s), but very often the source of the date/time is not known, only the date/time itself.
Short | 보고서에 대한 임상 관련 일시/기간
Comments | If the diagnostic procedure was performed on the patient, this is the time it was performed. If there are specimens, the diagnostically relevant time can be derived from the specimen collection times, but the specimen information is not always available, and the exact relationship between the specimens and the diagnostically relevant time is not always automatic.
Control | 0..1
Type | Choice of: dateTime, Period
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Need to know where in the patient history to file/present this report.
Alternate Names | Observation time, Effective Time, Occurrence
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
58. DiagnosticReport.issued
Definition | The date and time that this version of the report was made available to providers, typically after the report was reviewed and verified.
Short | 진단영상검사 결과 보고서 발행 일시
Comments | May be different from the update time of the resource itself, because that is the status of the record (potentially a secondary copy), not the actual release time of the report.
Control | 0..1
Type | instant
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | Clinicians need to be able to check the date that the report was released.
Alternate Names | Date published, Date Issued, Date Verified
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
60. DiagnosticReport.performer
Definition | The diagnostic service that is responsible for issuing the report.
Short | 진단영상검사 결과 보고 책임자
Comments | This is not necessarily the source of the atomic data items or the entity that interpreted the results. It is the entity that takes responsibility for the clinical report.
Control | 0..*
Type | Reference(KR Core Practitioner Profile, KR Core PractitionerRole Profile, KR Core Organization Profile, CareTeam)
Is Modifier | false
Summary | true
Requirements | Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis.
Alternate Names | Laboratory, Service, Practitioner, Department, Company, Authorized by, Director
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
62. DiagnosticReport.resultsInterpreter
Definition | The practitioner or organization that is responsible for the report's conclusions and interpretations.
Short | 보고서의 결론 및 해석을 담당하는 실무자 또는 조직
Comments | Might not be the same entity that takes responsibility for the clinical report.
Control | 0..*
Type | Reference(Practitioner, PractitionerRole, Organization, CareTeam)
Is Modifier | false
Summary | true
Requirements | Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis.
Alternate Names | Analyzed by, Reported by
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
64. DiagnosticReport.specimen
Definition | Details about the specimens on which this diagnostic report is based.
Short | 본 보고서가 기반으로 하는 표본
Comments | If the specimen is sufficiently specified with a code in the test result name, then this additional data may be redundant. If there are multiple specimens, these may be represented per observation or group.
Control | 0..*
Type | Reference(Specimen)
Is Modifier | false
Summary | false
Requirements | Need to be able to report information about the collected specimens on which the report is based.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
66. DiagnosticReport.result
Definition | Observations that are part of this diagnostic report.
Short | Observations
Comments | Observations can contain observations.
Control | 0..*
Type | Reference(Observation)
Is Modifier | false
Summary | false
Requirements | Need to support individual results, or groups of results, where the result grouping is arbitrary, but meaningful.
Alternate Names | Data, Atomic Value, Result, Atomic result, Data, Test, Analyte, Battery, Organizer
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
68. DiagnosticReport.imagingStudy
Definition | One or more links to full details of any imaging performed during the diagnostic investigation. Typically, this is imaging performed by DICOM enabled modalities, but this is not required. A fully enabled PACS viewer can use this information to provide views of the source images.
Short | 진단영상 정보 참조
Comments | ImagingStudy and the image element are somewhat overlapping - typically, the list of image references in the image element will also be found in one of the imaging study resources. However, each caters to different types of displays for different types of purposes. Neither, either, or both may be provided.
Control | 0..*
Type | Reference(KR Core ImagingStudy Profile)
Is Modifier | false
Summary | false
Alternate Names | KRCDI: 진단영상
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
70. DiagnosticReport.media
Definition | A list of key images associated with this report. The images are generally created during the diagnostic process, and may be directly of the patient, or of treated specimens (i.e. slides of interest).
Short | 본 보고서와 관련된 주요 영상들
Control | 0..*
Type | BackboneElement
Is Modifier | false
Summary | true
Requirements | Many diagnostic services include images in the report as part of their service.
Alternate Names | DICOM, Slides, Scans
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
72. DiagnosticReport.media.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | 요소 간 참조를 위한 고유 ID
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
74. DiagnosticReport.media.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | 구현 주체에 의해 정의된 추가 정보
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
76. DiagnosticReport.media.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | 인식할 수 없는 상황에서도 반드시 지원해야 하는 확장들
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
78. DiagnosticReport.media.comment
Definition | A comment about the image. Typically, this is used to provide an explanation for why the image is included, or to draw the viewer's attention to important features.
Short | 영상에 대한 견해 (예: 설명)
Comments | The comment should be displayed with the image. It would be common for the report to include additional discussion of the image contents in other sections such as the conclusion.
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Requirements | The provider of the report should make a comment about each image included in the report.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
80. DiagnosticReport.media.link
Definition | 영상 출처에 대한 참조.
Short | 영상 출처에 대한 참조
Control | 1..1
Type | Reference(Media)
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
82. DiagnosticReport.conclusion
Definition | Concise and clinically contextualized summary conclusion (interpretation/impression) of the diagnostic report.
Short | 진단영상검사 결과 판독 소견
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Must Support | true
Summary | false
Requirements | Need to be able to provide a conclusion that is not lost among the basic result data.
Alternate Names | Report, KRCDI: 진단영상검사 결과
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
84. DiagnosticReport.conclusionCode
Definition | One or more codes that represent the summary conclusion (interpretation/impression) of the diagnostic report.
Short | 검사 결과의 임상적 결론을 위한 코드
Control | 0..*
Binding | For example codes, see SNOMEDCTClinicalFindings (example to `http://hl7.org/fhir/ValueSet/clinical-findings` ) 보고서에 부가적으로 제공되는 진단 코드.
Type | CodeableConcept
Is Modifier | false
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
86. DiagnosticReport.presentedForm
Definition | Rich text representation of the entire result as issued by the diagnostic service. Multiple formats are allowed but they SHALL be semantically equivalent.
Short | 발행된 전체 보고서
Comments | "application/pdf" is recommended as the most reliable and interoperable in this context.
Control | 0..*
Type | Attachment
Is Modifier | false
Summary | false
Requirements | Gives laboratory the ability to provide its own fully formatted report for clinical fidelity.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)