RetinaIntegration
0.1.3 - ci-build

RetinaIntegration - Local Development build (v0.1.3) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Retina DiagnosticReport ( Experimental )

Official URL: http://dips.no/fhir/RetinaIntegration/StructureDefinition/RetinaDiagnosticReport Version: 0.1.3
Draft as of 2025-11-11 Computable Name: DIPSRetinaIntegrationDiagnosticReport

This diagnostic report for the grading of a retina screening examination.

The purpose of RetinaIntegrationDiagnosticReport is for a client to examine the state of a retina screening examination grading. This includes documenting which observations were made (e.g., fundus photography, OCT), any laboratory results relevant to the examination (e.g., HbA1c), and the results of AI analysis or manual grading for diabetic retinopathy (DR) and diabetic macular edema (DME). Additionally, it captures metadata about the examination, such as identifiers, image quality, and recommended follow-up actions.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:retinaImageQualityExtension 0..1 CodeableConcept Image Quality
URL: http://dips.no/fhir/RetinaIntegration/StructureDefinition/retina-imagequality-extension
Binding: Image Quality (required)
.... extension:kiProductName 0..1 string AI Product Name
URL: http://dips.no/fhir/RetinaIntegration/StructureDefinition/ki-productname-extension
.... extension:kiVersionAlgoritme 0..1 string AI Algorithm Version
URL: http://dips.no/fhir/RetinaIntegration/StructureDefinition/ki-versjon-algoritme-extension
.... extension:kiFristNesteUndersokelse 0..1 integer Deadline Next Examination
URL: http://dips.no/fhir/RetinaIntegration/StructureDefinition/frist-nesteundersokelse-extension
.... extension:kiProtokoll 0..1 string AI Protocol
URL: http://dips.no/fhir/RetinaIntegration/StructureDefinition/ki-protokoll-extension
.... extension:videreForlop 0..1 CodeableConcept Next Step
URL: http://dips.no/fhir/RetinaIntegration/StructureDefinition/videre-forlop-extension
Binding: Next Step After Photography (required)
.... extension:forrigeUndersokelse 1..1 CodeableConcept Next Step Previous Examination
URL: http://dips.no/fhir/RetinaIntegration/StructureDefinition/tiltaksstatus-forrige-undersokelse-extension
Binding: Next Step After Grading (required)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... identifier:sectraStudyId Σ 0..* Identifier Sectra Study Identifier
..... 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
Required Pattern: http://sectra.no/identifiers
.... identifier:retinaExaminationId Σ 1..1 Identifier Retina Examination Identifier
..... 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
Required Pattern: http://dips.no/fhir/NamingSystem/retina-examination-id
... status ?!Σ 1..1 code registered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... code Σ 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... 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://ehelse.no/fhir/CodeSystem/no-kodeverk-8660
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: B
..... display 1..1 string Representation defined by the system
Fixed Value: Bildediagnostikk
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... Slices for result 0..* Reference(Observation) Observations
Slice: Unordered, Open by profile:resolve()
.... result:fundusFotografiObservation 0..1 Reference(Fundus Photography Observation) Optional Fundus Photography Observation.
.... result:octObservation 0..1 Reference(OCT Observation) Optional OCT Observation
.... result:hbA1cObservation 0..1 Reference(HbA1c Observation) Optional HbA1c Laboratory Result
.... result:drRightEyeObservation 0..1 Reference(Diabetic Retinopathy Right Eye Observation) Optional Diabetic Retinopathy Right Eye Observation
.... result:drLeftEyeObservation 0..1 Reference(Diabetic Retinopathy Left Eye Observation) Optional Diabetic Retinopathy Left Eye Observation
.... result:dmeRightEyeObservation 0..1 Reference(Diabetic Macular Edema Right Eye Observation) Optional Diabetic Macular Edema Right Eye Observation
.... result:dmeLeftEyeObservation 0..1 Reference(Diabetic Macular Edema Left Eye Observation) Optional Diabetic Macular Edema Left Eye Observation
... conclusionCode 0..* CodeableConcept Codes for the clinical conclusion of test results
Binding: Conclusion From External Client (required)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.identifier:sectraStudyId.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
DiagnosticReport.identifier:retinaExaminationId.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 FHIR Std.
DiagnosticReport.code Base preferred LOINC Diagnostic Report Codes 📍4.0.1 FHIR Std.
DiagnosticReport.conclusionCode Base required Conclusion From External Client 📦0.1.3 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error DiagnosticReport If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DiagnosticReport If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error DiagnosticReport If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error DiagnosticReport If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DiagnosticReport A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from DiagnosticReport

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:retinaImageQualityExtension 0..1 CodeableConcept Image Quality
URL: http://dips.no/fhir/RetinaIntegration/StructureDefinition/retina-imagequality-extension
Binding: Image Quality (required)
.... extension:kiProductName 0..1 string AI Product Name
URL: http://dips.no/fhir/RetinaIntegration/StructureDefinition/ki-productname-extension
.... extension:kiVersionAlgoritme 0..1 string AI Algorithm Version
URL: http://dips.no/fhir/RetinaIntegration/StructureDefinition/ki-versjon-algoritme-extension
.... extension:kiFristNesteUndersokelse 0..1 integer Deadline Next Examination
URL: http://dips.no/fhir/RetinaIntegration/StructureDefinition/frist-nesteundersokelse-extension
.... extension:kiProtokoll 0..1 string AI Protocol
URL: http://dips.no/fhir/RetinaIntegration/StructureDefinition/ki-protokoll-extension
.... extension:videreForlop 0..1 CodeableConcept Next Step
URL: http://dips.no/fhir/RetinaIntegration/StructureDefinition/videre-forlop-extension
Binding: Next Step After Photography (required)
.... extension:forrigeUndersokelse 1..1 CodeableConcept Next Step Previous Examination
URL: http://dips.no/fhir/RetinaIntegration/StructureDefinition/tiltaksstatus-forrige-undersokelse-extension
Binding: Next Step After Grading (required)
... Slices for identifier 1..* Identifier Business identifier for report
Slice: Unordered, Open by value:system
.... identifier:sectraStudyId 0..* Identifier Sectra Study Identifier
..... system 1..1 uri The namespace for the identifier value
Required Pattern: http://sectra.no/identifiers
.... identifier:retinaExaminationId 1..1 Identifier Retina Examination Identifier
..... system 1..1 uri The namespace for the identifier value
Required Pattern: http://dips.no/fhir/NamingSystem/retina-examination-id
... code 1..1 CodeableConcept Name/Code for this diagnostic report
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://ehelse.no/fhir/CodeSystem/no-kodeverk-8660
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: B
..... display 1..1 string Representation defined by the system
Fixed Value: Bildediagnostikk
.... result:fundusFotografiObservation 0..1 Reference(Fundus Photography Observation) Optional Fundus Photography Observation.
.... result:octObservation 0..1 Reference(OCT Observation) Optional OCT Observation
.... result:hbA1cObservation 0..1 Reference(HbA1c Observation) Optional HbA1c Laboratory Result
.... result:drRightEyeObservation 0..1 Reference(Diabetic Retinopathy Right Eye Observation) Optional Diabetic Retinopathy Right Eye Observation
.... result:drLeftEyeObservation 0..1 Reference(Diabetic Retinopathy Left Eye Observation) Optional Diabetic Retinopathy Left Eye Observation
.... result:dmeRightEyeObservation 0..1 Reference(Diabetic Macular Edema Right Eye Observation) Optional Diabetic Macular Edema Right Eye Observation
.... result:dmeLeftEyeObservation 0..1 Reference(Diabetic Macular Edema Left Eye Observation) Optional Diabetic Macular Edema Left Eye Observation
... conclusionCode 0..* CodeableConcept Codes for the clinical conclusion of test results
Binding: Conclusion From External Client (required)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DiagnosticReport.conclusionCode Base required Conclusion From External Client 📦0.1.3 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:retinaImageQualityExtension 0..1 CodeableConcept Image Quality
URL: http://dips.no/fhir/RetinaIntegration/StructureDefinition/retina-imagequality-extension
Binding: Image Quality (required)
.... extension:kiProductName 0..1 string AI Product Name
URL: http://dips.no/fhir/RetinaIntegration/StructureDefinition/ki-productname-extension
.... extension:kiVersionAlgoritme 0..1 string AI Algorithm Version
URL: http://dips.no/fhir/RetinaIntegration/StructureDefinition/ki-versjon-algoritme-extension
.... extension:kiFristNesteUndersokelse 0..1 integer Deadline Next Examination
URL: http://dips.no/fhir/RetinaIntegration/StructureDefinition/frist-nesteundersokelse-extension
.... extension:kiProtokoll 0..1 string AI Protocol
URL: http://dips.no/fhir/RetinaIntegration/StructureDefinition/ki-protokoll-extension
.... extension:videreForlop 0..1 CodeableConcept Next Step
URL: http://dips.no/fhir/RetinaIntegration/StructureDefinition/videre-forlop-extension
Binding: Next Step After Photography (required)
.... extension:forrigeUndersokelse 1..1 CodeableConcept Next Step Previous Examination
URL: http://dips.no/fhir/RetinaIntegration/StructureDefinition/tiltaksstatus-forrige-undersokelse-extension
Binding: Next Step After Grading (required)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier Σ 1..* Identifier Business identifier for report
Slice: Unordered, Open by value:system
.... identifier:sectraStudyId Σ 0..* Identifier Sectra Study Identifier
..... 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
Required Pattern: http://sectra.no/identifiers
..... value Σ 0..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)
.... identifier:retinaExaminationId Σ 1..1 Identifier Retina Examination Identifier
..... 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
Required Pattern: http://dips.no/fhir/NamingSystem/retina-examination-id
..... value Σ 0..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)
... basedOn 0..* Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) What was requested
... 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: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
... code Σ 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... 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://ehelse.no/fhir/CodeSystem/no-kodeverk-8660
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: B
..... display 1..1 string Representation defined by the system
Fixed Value: Bildediagnostikk
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject Σ 0..1 Reference(Patient | Group | Device | Location) The subject of the report - usually, but not always, the patient
... 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
... performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Responsible Diagnostic Service
... resultsInterpreter Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
... specimen 0..* Reference(Specimen) Specimens this report is based on
... Slices for result 0..* Reference(Observation) Observations
Slice: Unordered, Open by profile:resolve()
.... result:fundusFotografiObservation 0..1 Reference(Fundus Photography Observation) Optional Fundus Photography Observation.
.... result:octObservation 0..1 Reference(OCT Observation) Optional OCT Observation
.... result:hbA1cObservation 0..1 Reference(HbA1c Observation) Optional HbA1c Laboratory Result
.... result:drRightEyeObservation 0..1 Reference(Diabetic Retinopathy Right Eye Observation) Optional Diabetic Retinopathy Right Eye Observation
.... result:drLeftEyeObservation 0..1 Reference(Diabetic Retinopathy Left Eye Observation) Optional Diabetic Retinopathy Left Eye Observation
.... result:dmeRightEyeObservation 0..1 Reference(Diabetic Macular Edema Right Eye Observation) Optional Diabetic Macular Edema Right Eye Observation
.... result:dmeLeftEyeObservation 0..1 Reference(Diabetic Macular Edema Left Eye Observation) Optional Diabetic Macular Edema Left Eye Observation
... 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: Conclusion From External Client (required)
... presentedForm 0..* Attachment Entire report as issued

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DiagnosticReport.identifier:sectraStudyId.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
DiagnosticReport.identifier:sectraStudyId.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
DiagnosticReport.identifier:retinaExaminationId.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
DiagnosticReport.identifier:retinaExaminationId.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 FHIR Std.
DiagnosticReport.category Base example Diagnostic Service Section Codes 📍4.0.1 FHIR Std.
DiagnosticReport.code Base preferred LOINC Diagnostic Report Codes 📍4.0.1 FHIR Std.
DiagnosticReport.conclusionCode Base required Conclusion From External Client 📦0.1.3 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error DiagnosticReport If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DiagnosticReport If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error DiagnosticReport If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error DiagnosticReport If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DiagnosticReport A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from DiagnosticReport

Summary

Mandatory: 5 elements(1 nested mandatory element)

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of DiagnosticReport.identifier
  • The element 1 is sliced based on the value of DiagnosticReport.result

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:retinaImageQualityExtension 0..1 CodeableConcept Image Quality
URL: http://dips.no/fhir/RetinaIntegration/StructureDefinition/retina-imagequality-extension
Binding: Image Quality (required)
.... extension:kiProductName 0..1 string AI Product Name
URL: http://dips.no/fhir/RetinaIntegration/StructureDefinition/ki-productname-extension
.... extension:kiVersionAlgoritme 0..1 string AI Algorithm Version
URL: http://dips.no/fhir/RetinaIntegration/StructureDefinition/ki-versjon-algoritme-extension
.... extension:kiFristNesteUndersokelse 0..1 integer Deadline Next Examination
URL: http://dips.no/fhir/RetinaIntegration/StructureDefinition/frist-nesteundersokelse-extension
.... extension:kiProtokoll 0..1 string AI Protocol
URL: http://dips.no/fhir/RetinaIntegration/StructureDefinition/ki-protokoll-extension
.... extension:videreForlop 0..1 CodeableConcept Next Step
URL: http://dips.no/fhir/RetinaIntegration/StructureDefinition/videre-forlop-extension
Binding: Next Step After Photography (required)
.... extension:forrigeUndersokelse 1..1 CodeableConcept Next Step Previous Examination
URL: http://dips.no/fhir/RetinaIntegration/StructureDefinition/tiltaksstatus-forrige-undersokelse-extension
Binding: Next Step After Grading (required)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... identifier:sectraStudyId Σ 0..* Identifier Sectra Study Identifier
..... 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
Required Pattern: http://sectra.no/identifiers
.... identifier:retinaExaminationId Σ 1..1 Identifier Retina Examination Identifier
..... 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
Required Pattern: http://dips.no/fhir/NamingSystem/retina-examination-id
... status ?!Σ 1..1 code registered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... code Σ 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... 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://ehelse.no/fhir/CodeSystem/no-kodeverk-8660
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: B
..... display 1..1 string Representation defined by the system
Fixed Value: Bildediagnostikk
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... Slices for result 0..* Reference(Observation) Observations
Slice: Unordered, Open by profile:resolve()
.... result:fundusFotografiObservation 0..1 Reference(Fundus Photography Observation) Optional Fundus Photography Observation.
.... result:octObservation 0..1 Reference(OCT Observation) Optional OCT Observation
.... result:hbA1cObservation 0..1 Reference(HbA1c Observation) Optional HbA1c Laboratory Result
.... result:drRightEyeObservation 0..1 Reference(Diabetic Retinopathy Right Eye Observation) Optional Diabetic Retinopathy Right Eye Observation
.... result:drLeftEyeObservation 0..1 Reference(Diabetic Retinopathy Left Eye Observation) Optional Diabetic Retinopathy Left Eye Observation
.... result:dmeRightEyeObservation 0..1 Reference(Diabetic Macular Edema Right Eye Observation) Optional Diabetic Macular Edema Right Eye Observation
.... result:dmeLeftEyeObservation 0..1 Reference(Diabetic Macular Edema Left Eye Observation) Optional Diabetic Macular Edema Left Eye Observation
... conclusionCode 0..* CodeableConcept Codes for the clinical conclusion of test results
Binding: Conclusion From External Client (required)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.identifier:sectraStudyId.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
DiagnosticReport.identifier:retinaExaminationId.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 FHIR Std.
DiagnosticReport.code Base preferred LOINC Diagnostic Report Codes 📍4.0.1 FHIR Std.
DiagnosticReport.conclusionCode Base required Conclusion From External Client 📦0.1.3 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error DiagnosticReport If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DiagnosticReport If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error DiagnosticReport If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error DiagnosticReport If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DiagnosticReport A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

This structure is derived from DiagnosticReport

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:retinaImageQualityExtension 0..1 CodeableConcept Image Quality
URL: http://dips.no/fhir/RetinaIntegration/StructureDefinition/retina-imagequality-extension
Binding: Image Quality (required)
.... extension:kiProductName 0..1 string AI Product Name
URL: http://dips.no/fhir/RetinaIntegration/StructureDefinition/ki-productname-extension
.... extension:kiVersionAlgoritme 0..1 string AI Algorithm Version
URL: http://dips.no/fhir/RetinaIntegration/StructureDefinition/ki-versjon-algoritme-extension
.... extension:kiFristNesteUndersokelse 0..1 integer Deadline Next Examination
URL: http://dips.no/fhir/RetinaIntegration/StructureDefinition/frist-nesteundersokelse-extension
.... extension:kiProtokoll 0..1 string AI Protocol
URL: http://dips.no/fhir/RetinaIntegration/StructureDefinition/ki-protokoll-extension
.... extension:videreForlop 0..1 CodeableConcept Next Step
URL: http://dips.no/fhir/RetinaIntegration/StructureDefinition/videre-forlop-extension
Binding: Next Step After Photography (required)
.... extension:forrigeUndersokelse 1..1 CodeableConcept Next Step Previous Examination
URL: http://dips.no/fhir/RetinaIntegration/StructureDefinition/tiltaksstatus-forrige-undersokelse-extension
Binding: Next Step After Grading (required)
... Slices for identifier 1..* Identifier Business identifier for report
Slice: Unordered, Open by value:system
.... identifier:sectraStudyId 0..* Identifier Sectra Study Identifier
..... system 1..1 uri The namespace for the identifier value
Required Pattern: http://sectra.no/identifiers
.... identifier:retinaExaminationId 1..1 Identifier Retina Examination Identifier
..... system 1..1 uri The namespace for the identifier value
Required Pattern: http://dips.no/fhir/NamingSystem/retina-examination-id
... code 1..1 CodeableConcept Name/Code for this diagnostic report
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://ehelse.no/fhir/CodeSystem/no-kodeverk-8660
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: B
..... display 1..1 string Representation defined by the system
Fixed Value: Bildediagnostikk
.... result:fundusFotografiObservation 0..1 Reference(Fundus Photography Observation) Optional Fundus Photography Observation.
.... result:octObservation 0..1 Reference(OCT Observation) Optional OCT Observation
.... result:hbA1cObservation 0..1 Reference(HbA1c Observation) Optional HbA1c Laboratory Result
.... result:drRightEyeObservation 0..1 Reference(Diabetic Retinopathy Right Eye Observation) Optional Diabetic Retinopathy Right Eye Observation
.... result:drLeftEyeObservation 0..1 Reference(Diabetic Retinopathy Left Eye Observation) Optional Diabetic Retinopathy Left Eye Observation
.... result:dmeRightEyeObservation 0..1 Reference(Diabetic Macular Edema Right Eye Observation) Optional Diabetic Macular Edema Right Eye Observation
.... result:dmeLeftEyeObservation 0..1 Reference(Diabetic Macular Edema Left Eye Observation) Optional Diabetic Macular Edema Left Eye Observation
... conclusionCode 0..* CodeableConcept Codes for the clinical conclusion of test results
Binding: Conclusion From External Client (required)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DiagnosticReport.conclusionCode Base required Conclusion From External Client 📦0.1.3 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:retinaImageQualityExtension 0..1 CodeableConcept Image Quality
URL: http://dips.no/fhir/RetinaIntegration/StructureDefinition/retina-imagequality-extension
Binding: Image Quality (required)
.... extension:kiProductName 0..1 string AI Product Name
URL: http://dips.no/fhir/RetinaIntegration/StructureDefinition/ki-productname-extension
.... extension:kiVersionAlgoritme 0..1 string AI Algorithm Version
URL: http://dips.no/fhir/RetinaIntegration/StructureDefinition/ki-versjon-algoritme-extension
.... extension:kiFristNesteUndersokelse 0..1 integer Deadline Next Examination
URL: http://dips.no/fhir/RetinaIntegration/StructureDefinition/frist-nesteundersokelse-extension
.... extension:kiProtokoll 0..1 string AI Protocol
URL: http://dips.no/fhir/RetinaIntegration/StructureDefinition/ki-protokoll-extension
.... extension:videreForlop 0..1 CodeableConcept Next Step
URL: http://dips.no/fhir/RetinaIntegration/StructureDefinition/videre-forlop-extension
Binding: Next Step After Photography (required)
.... extension:forrigeUndersokelse 1..1 CodeableConcept Next Step Previous Examination
URL: http://dips.no/fhir/RetinaIntegration/StructureDefinition/tiltaksstatus-forrige-undersokelse-extension
Binding: Next Step After Grading (required)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier Σ 1..* Identifier Business identifier for report
Slice: Unordered, Open by value:system
.... identifier:sectraStudyId Σ 0..* Identifier Sectra Study Identifier
..... 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
Required Pattern: http://sectra.no/identifiers
..... value Σ 0..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)
.... identifier:retinaExaminationId Σ 1..1 Identifier Retina Examination Identifier
..... 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
Required Pattern: http://dips.no/fhir/NamingSystem/retina-examination-id
..... value Σ 0..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)
... basedOn 0..* Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) What was requested
... 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: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
... code Σ 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports.
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... 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://ehelse.no/fhir/CodeSystem/no-kodeverk-8660
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: B
..... display 1..1 string Representation defined by the system
Fixed Value: Bildediagnostikk
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject Σ 0..1 Reference(Patient | Group | Device | Location) The subject of the report - usually, but not always, the patient
... 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
... performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Responsible Diagnostic Service
... resultsInterpreter Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
... specimen 0..* Reference(Specimen) Specimens this report is based on
... Slices for result 0..* Reference(Observation) Observations
Slice: Unordered, Open by profile:resolve()
.... result:fundusFotografiObservation 0..1 Reference(Fundus Photography Observation) Optional Fundus Photography Observation.
.... result:octObservation 0..1 Reference(OCT Observation) Optional OCT Observation
.... result:hbA1cObservation 0..1 Reference(HbA1c Observation) Optional HbA1c Laboratory Result
.... result:drRightEyeObservation 0..1 Reference(Diabetic Retinopathy Right Eye Observation) Optional Diabetic Retinopathy Right Eye Observation
.... result:drLeftEyeObservation 0..1 Reference(Diabetic Retinopathy Left Eye Observation) Optional Diabetic Retinopathy Left Eye Observation
.... result:dmeRightEyeObservation 0..1 Reference(Diabetic Macular Edema Right Eye Observation) Optional Diabetic Macular Edema Right Eye Observation
.... result:dmeLeftEyeObservation 0..1 Reference(Diabetic Macular Edema Left Eye Observation) Optional Diabetic Macular Edema Left Eye Observation
... 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: Conclusion From External Client (required)
... presentedForm 0..* Attachment Entire report as issued

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.language Base preferred Common Languages 📍4.0.1 FHIR Std.
DiagnosticReport.identifier:sectraStudyId.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
DiagnosticReport.identifier:sectraStudyId.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
DiagnosticReport.identifier:retinaExaminationId.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
DiagnosticReport.identifier:retinaExaminationId.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 FHIR Std.
DiagnosticReport.category Base example Diagnostic Service Section Codes 📍4.0.1 FHIR Std.
DiagnosticReport.code Base preferred LOINC Diagnostic Report Codes 📍4.0.1 FHIR Std.
DiagnosticReport.conclusionCode Base required Conclusion From External Client 📦0.1.3 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error DiagnosticReport If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DiagnosticReport If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error DiagnosticReport If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error DiagnosticReport If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DiagnosticReport A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from DiagnosticReport

Summary

Mandatory: 5 elements(1 nested mandatory element)

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of DiagnosticReport.identifier
  • The element 1 is sliced based on the value of DiagnosticReport.result

 

Other representations of profile: CSV, Excel, Schematron