Diagnostic Imaging Report

A Diagnostic Imaging Report (DIR) is a document that contains a consulting specialist's interpretation of image data. It conveys the interpretation to the referring (ordering) physician and becomes part of the patient's medical record. It is for use in Radiology, Endoscopy, Cardiology, and other imaging specialties. Note: this document type overlaps with the FHIR DiagnosticReport resource. Most use cases will want to use the specific resource type, but this document type is still useful for CDA to FHIR conversion and other such use cases.

resourceCompositionactiveView in C-CDA on FHIR IG
Profile Name
DiagnosticImagingReport
Base Definition
Derivation
constraint

Differential Elements (47)

Constraints and modifications from the base definition

PathCardinalityType(s)Must SupportDetails
Composition----
Composition.type--Yes-
Composition.section----
Composition.section
Slice: findings_section
1..1-Yes-
Composition.section.title1..*-Yes-
Composition.section.code1..*-Yes-
Composition.section.text1..*-Yes-
Composition.section.entry----
Composition.section.entry
Slice: findings_entry
-
Reference
Yes
Target: Observation
Composition.section
Slice: dicom_object_catalog_section
*..1-Yes-
Composition.section.title1..*-Yes-
Composition.section.code1..*-Yes-
Composition.section.text1..*-Yes-
Composition.section.entry----
Composition.section.entry
Slice: dicom_object_catalog_entry
-
Reference
Yes
Target: ImagingStudy
Composition.section
Slice: history_section
0..1
BackboneElement
Yes-
Composition.section.title--Yes-
Composition.section.code1..*-Yes-
Composition.section.text1..*-Yes-
Composition.section
Slice: request_section
0..1
BackboneElement
Yes-
Composition.section.title--Yes-
Composition.section.code1..*-Yes-
Composition.section.text1..*-Yes-
Composition.section
Slice: current_procedure_descriptions_section
0..1
BackboneElement
Yes-
Composition.section.title--Yes-
Composition.section.code1..*-Yes-
Composition.section.text1..*-Yes-
Composition.section
Slice: prior_procedure_descriptions_section
0..1
BackboneElement
Yes-
Composition.section.title--Yes-
Composition.section.code1..*-Yes-
Composition.section.text1..*-Yes-
Composition.section
Slice: previous_findings_section
0..1
BackboneElement
Yes-
Composition.section.title--Yes-
Composition.section.code1..*-Yes-
Composition.section.text1..*-Yes-
Composition.section
Slice: impressions_section
0..1
BackboneElement
Yes-
Composition.section.title--Yes-
Composition.section.code1..*-Yes-
Composition.section.text1..*-Yes-
Composition.section
Slice: recommendations_section
0..1
BackboneElement
Yes-
Composition.section.title--Yes-
Composition.section.code1..*-Yes-
Composition.section.text1..*-Yes-
Composition.section
Slice: conclusions_section
0..1
BackboneElement
Yes-
Composition.section.title--Yes-
Composition.section.code1..*-Yes-
Composition.section.text1..*-Yes-