ANS IG document core
0.1.0 - ci-build

ANS IG document core - version de développement local (v0.1.0) construite par les outils de publication FHIR (HL7® FHIR® Standard). Voir le répertoire des versions publiées

## Resource Profile: DiagnosticReport - FR Diagnostic Report Imaging Document

Official URL: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-diagnostic-report-imaging-document | Version: 0.1.0
Draft as of 2025-12-15 | Computable Name: FRDiagnosticReportImagingDocument

Le profil FRDiagnosticReportImagingDocument est dédié aux comptes rendus d’imagerie. Ce document représente le rapport d’un examen d’imagerie. Il constitue la ressource principale qui fait référence à l’ensemble des données produites lors de l’examen d’imagerie.

Utilisations:

- Référer à ce Profil: Procedure - FR Procedure Imaging Document

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.

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

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
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 pour extension |  | 0..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url
extension:comparaison | S | 0..* | Reference(ImagingStudy - FR Imaging study Document) | Comparaisons avec des résultats antérieurs URL: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-comparison-studies-extension
extension:historiqueMedical | S | 0..* | Reference(Observation - FR Observation Pregnancy Document | Observation - FR Observation Contra Indications Document | Condition - FR Condition Document | Observation | FR Device Document | MedicationAdministration - FR Medication Administration Document) | Historique médical du patient pertinent pour l'examen d'imagerie URL: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-patient-history-extension
extension:procedure | S | 0..* | Reference(Procedure - FR Procedure Imaging Document) | Technique d'imagerie URL: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-imaging-procedure-extension
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 1..* | Identifier | identifiant du compte-rendu d'imagerie
Slices pour basedOn | S | 0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested Slice: Non ordonné, Ouvert par pattern:$this
basedOn:serviceRequestAccessionNumber |  | 0..* | Reference(ServiceRequest - FR Service Request Document) | Référence à la demande d'examen contenant l'Accession Number
status | ?!Σ | 1..1 | code | Statut du compte-rendu d'imagerie Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
code | Σ | 1..1 | CodeableConcept | Type de document d'imagerie Binding: JDV Code Document Imagerie CISIS (required)
subject | Σ | 0..1 | Reference(FR Patient INS Document) | Patient concerné par le compte-rendu d'imagerie
Slices pour performer | S Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service Slice: Non ordonné, Ouvert par pattern:$this
performer:organization | Σ | 0..* | Reference(FR Organization Document) | Organization productrice du CR d'imagerie
resultsInterpreter | S Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter
Slices pour extension |  | 1..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url
extension:author |  | 1..* | (Complexe) | Auteur du compte-rendu d'imagerie (Médecin - Radiologue) URL: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-actor-extension
Slices pour extension |  | 2..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url
extension:type |  | 1..1 | Extension | Extension
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url
url |  | 1..1 | uri | "type"
value[x] |  | 0..1 | code | Value of extension Binding: ValueSet - FR ValueSet Actor Type Document (required) Motif requis: AUT
extension:typeCode |  | 0..1 | Extension | Type de participation
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url
url |  | 1..1 | uri | "typeCode"
extension:actor |  | 1..1 | Extension | Extension
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url
url |  | 1..1 | uri | "actor"
value[x] |  | 0..1 | Reference(FR PractitionerRole Document) | Value of extension
url |  | 1..1 | uri | "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-actor-extension"
Slices pour result | S | 0..* | Reference(Observation - FR Observation Result Document) | Résultats d'examen (actuels ou antérieurs) Slice: Non ordonné, Ouvert par pattern:reference
result:resultatActuel |  | 0..1 | Reference(Observation) | Résultats actuels de l'examen d'imagerie
result:resultatAnterieur |  | 0..1 | Reference(Observation) | Résultats antérieurs
imagingStudy |  | 0..* | Reference(ImagingStudy - FR Imaging study Document) | Acte d'imagerie associé au compte-rendu
conclusion | S | 0..1 | string | Conclusions cliniques et interprétations du rapport d’imagerie.
Documentation pour ce format

#### Bindings terminologiques

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | Std. FHIR
DiagnosticReport.code | Base | required | JDV Code Document Imagerie CISIS | 📦20251028115832 | Terminologies de Santé v1.4
DiagnosticReport.resultsInterpreter.​extension:author.extension:type.​value[x] | Base | required | ValueSet - FR ValueSet Actor Type Document | 📦0.1.0 | cet IG

#### Contraintes

Id | Grade | Chemin(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 | bonne pratique | DiagnosticReport | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **TOUS** les éléments | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **TOUTES** les extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from DiagnosticReport

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
DiagnosticReport |  | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
Slices pour extension |  | 0..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url
extension:comparaison | S | 0..* | Reference(ImagingStudy - FR Imaging study Document) | Comparaisons avec des résultats antérieurs URL: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-comparison-studies-extension
extension:historiqueMedical | S | 0..* | Reference(Observation - FR Observation Pregnancy Document | Observation - FR Observation Contra Indications Document | Condition - FR Condition Document | Observation | FR Device Document | MedicationAdministration - FR Medication Administration Document) | Historique médical du patient pertinent pour l'examen d'imagerie URL: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-patient-history-extension
extension:procedure | S | 0..* | Reference(Procedure - FR Procedure Imaging Document) | Technique d'imagerie URL: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-imaging-procedure-extension
identifier |  | 1..* | Identifier | identifiant du compte-rendu d'imagerie
Slices pour basedOn | S | 0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested Slice: Non ordonné, Ouvert par pattern:$this
basedOn:serviceRequestAccessionNumber |  | 0..* | Reference(ServiceRequest - FR Service Request Document) | Référence à la demande d'examen contenant l'Accession Number
status |  | 1..1 | code | Statut du compte-rendu d'imagerie
code |  | 1..1 | CodeableConcept | Type de document d'imagerie Binding: JDV Code Document Imagerie CISIS (required)
subject |  | 0..1 | Reference(FR Patient INS Document) | Patient concerné par le compte-rendu d'imagerie
Slices pour performer | S | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service Slice: Non ordonné, Ouvert par pattern:$this
performer:organization |  | 0..* | Reference(FR Organization Document) | Organization productrice du CR d'imagerie
resultsInterpreter | S | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter
extension |  | 1..* | Extension | Extension
Slices pour extension |  |  |  | Contenu/Règles pour toutes les slices
extension:author |  | 1..* | (Complexe) | Auteur du compte-rendu d'imagerie (Médecin - Radiologue) URL: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-actor-extension
Slices pour extension |  |  |  | Contenu/Règles pour toutes les slices
extension:type |  | 1..1 | Extension | Extension
value[x] |  | 0..1 | code | Value of extension Motif requis: AUT
extension:actor |  | 1..1 | Extension | Extension
value[x] |  | 0..1 | Reference(FR PractitionerRole Document) | Value of extension
Slices pour result | S | 0..* | Reference(Observation - FR Observation Result Document) | Résultats d'examen (actuels ou antérieurs) Slice: Non ordonné, Ouvert par pattern:reference
result:resultatActuel |  | 0..1 | Reference(Observation) | Résultats actuels de l'examen d'imagerie
result:resultatAnterieur |  | 0..1 | Reference(Observation) | Résultats antérieurs
imagingStudy |  | 0..* | Reference(ImagingStudy - FR Imaging study Document) | Acte d'imagerie associé au compte-rendu
conclusion | S | 0..1 | string | Conclusions cliniques et interprétations du rapport d’imagerie.
Documentation pour ce format

#### Bindings terminologiques (différentiel)

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
DiagnosticReport.code | Base | required | JDV Code Document Imagerie CISIS | 📦20251028115832 | Terminologies de Santé v1.4

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
DiagnosticReport |  | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Bindings Additionnels | But
AllLanguages | Binding Max
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 pour extension |  | 0..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url
extension:comparaison | S | 0..* | Reference(ImagingStudy - FR Imaging study Document) | Comparaisons avec des résultats antérieurs URL: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-comparison-studies-extension
extension:historiqueMedical | S | 0..* | Reference(Observation - FR Observation Pregnancy Document | Observation - FR Observation Contra Indications Document | Condition - FR Condition Document | Observation | FR Device Document | MedicationAdministration - FR Medication Administration Document) | Historique médical du patient pertinent pour l'examen d'imagerie URL: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-patient-history-extension
extension:procedure | S | 0..* | Reference(Procedure - FR Procedure Imaging Document) | Technique d'imagerie URL: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-imaging-procedure-extension
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 1..* | Identifier | identifiant du compte-rendu d'imagerie
Slices pour basedOn | S | 0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested Slice: Non ordonné, Ouvert par pattern:$this
basedOn:serviceRequestAccessionNumber |  | 0..* | Reference(ServiceRequest - FR Service Request Document) | Référence à la demande d'examen contenant l'Accession Number
status | ?!Σ | 1..1 | code | Statut du compte-rendu d'imagerie Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
category | Σ | 0..* | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
code | Σ | 1..1 | CodeableConcept | Type de document d'imagerie Binding: JDV Code Document Imagerie CISIS (required)
subject | Σ | 0..1 | Reference(FR Patient INS Document) | Patient concerné par le compte-rendu d'imagerie
encounter | Σ | 0..1 | Reference(Encounter) | Health care event when test ordered
effective[x] | Σ | 0..1 |  | Clinically relevant time/time-period for report
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
issued | Σ | 0..1 | instant | DateTime this version was made
Slices pour performer | S Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service Slice: Non ordonné, Ouvert par pattern:$this
performer:organization | Σ | 0..* | Reference(FR Organization Document) | Organization productrice du CR d'imagerie
resultsInterpreter | S Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter
id |  | 0..1 | string | Unique id for inter-element referencing
Slices pour extension |  | 1..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url
extension:author |  | 1..* | (Complexe) | Auteur du compte-rendu d'imagerie (Médecin - Radiologue) URL: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-actor-extension
id |  | 0..1 | string | Unique id for inter-element referencing
Slices pour extension |  | 2..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url
extension:type |  | 1..1 | Extension | Extension
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url
url |  | 1..1 | uri | "type"
value[x] |  | 0..1 | code | Value of extension Binding: ValueSet - FR ValueSet Actor Type Document (required) Motif requis: AUT
extension:typeCode |  | 0..1 | Extension | Type de participation
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url
url |  | 1..1 | uri | "typeCode"
value[x] |  | 0..1 | CodeableConcept | Value of extension
extension:actor |  | 1..1 | Extension | Extension
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url
url |  | 1..1 | uri | "actor"
value[x] |  | 0..1 | Reference(FR PractitionerRole Document) | Value of extension
url |  | 1..1 | uri | "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-actor-extension"
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
specimen |  | 0..* | Reference(Specimen) | Specimens this report is based on
Slices pour result | S | 0..* | Reference(Observation - FR Observation Result Document) | Résultats d'examen (actuels ou antérieurs) Slice: Non ordonné, Ouvert par pattern:reference
result:resultatActuel |  | 0..1 | Reference(Observation) | Résultats actuels de l'examen d'imagerie
result:resultatAnterieur |  | 0..1 | Reference(Observation) | Résultats antérieurs
imagingStudy |  | 0..* | Reference(ImagingStudy - FR Imaging study Document) | Acte d'imagerie associé au compte-rendu
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 | S | 0..1 | string | Conclusions cliniques et interprétations du rapport d’imagerie.
conclusionCode |  | 0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
presentedForm |  | 0..* | Attachment | Entire report as issued
Documentation pour ce format

#### Bindings terminologiques

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
DiagnosticReport.language | Base | preferred | Common Languages | 📍4.0.1 | Std. FHIR
DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | Std. FHIR
DiagnosticReport.category | Base | example | Diagnostic Service Section Codes | 📍4.0.1 | Std. FHIR
DiagnosticReport.code | Base | required | JDV Code Document Imagerie CISIS | 📦20251028115832 | Terminologies de Santé v1.4
DiagnosticReport.resultsInterpreter.​extension:author.extension:type.​value[x] | Base | required | ValueSet - FR ValueSet Actor Type Document | 📦0.1.0 | cet IG
DiagnosticReport.resultsInterpreter.​type | Base | extensible | ResourceType | 📍4.0.1 | Std. FHIR
DiagnosticReport.conclusionCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | Std. FHIR

#### Contraintes

Id | Grade | Chemin(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 | bonne pratique | DiagnosticReport | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **TOUS** les éléments | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **TOUTES** les extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from DiagnosticReport

Résumé

Obligatoire : 1 élément(2 éléments obligatoire(s) imbriqué(s))
Must-Support : 8 éléments

Structures

Cette structure fait référence à ces autres structures:

- ServiceRequest - FR Service Request Document (https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-service-request-document)
- FR Patient INS Document (https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-patient-ins-document)
- FR Organization Document (https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-organization-document)
- FR PractitionerRole Document (https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-practitionerRole-document)
- Observation - FR Observation Result Document (https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-observation-result-document)
- ImagingStudy - FR Imaging study Document (https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-imaging-study-document)

Extensions

Cette structure fait référence à ces extensions:

- https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-comparison-studies-extension
- https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-patient-history-extension
- https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-imaging-procedure-extension
- https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-actor-extension

Slices

Cette structure définit les slices suivantes:

- The element 1 is sliced based on the value of DiagnosticReport.basedOn
- The element 1 is sliced based on the value of DiagnosticReport.performer
- The element 1 is sliced based on the value of DiagnosticReport.result

Key Elements View

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
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 pour extension |  | 0..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url
extension:comparaison | S | 0..* | Reference(ImagingStudy - FR Imaging study Document) | Comparaisons avec des résultats antérieurs URL: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-comparison-studies-extension
extension:historiqueMedical | S | 0..* | Reference(Observation - FR Observation Pregnancy Document | Observation - FR Observation Contra Indications Document | Condition - FR Condition Document | Observation | FR Device Document | MedicationAdministration - FR Medication Administration Document) | Historique médical du patient pertinent pour l'examen d'imagerie URL: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-patient-history-extension
extension:procedure | S | 0..* | Reference(Procedure - FR Procedure Imaging Document) | Technique d'imagerie URL: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-imaging-procedure-extension
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 1..* | Identifier | identifiant du compte-rendu d'imagerie
Slices pour basedOn | S | 0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested Slice: Non ordonné, Ouvert par pattern:$this
basedOn:serviceRequestAccessionNumber |  | 0..* | Reference(ServiceRequest - FR Service Request Document) | Référence à la demande d'examen contenant l'Accession Number
status | ?!Σ | 1..1 | code | Statut du compte-rendu d'imagerie Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
code | Σ | 1..1 | CodeableConcept | Type de document d'imagerie Binding: JDV Code Document Imagerie CISIS (required)
subject | Σ | 0..1 | Reference(FR Patient INS Document) | Patient concerné par le compte-rendu d'imagerie
Slices pour performer | S Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service Slice: Non ordonné, Ouvert par pattern:$this
performer:organization | Σ | 0..* | Reference(FR Organization Document) | Organization productrice du CR d'imagerie
resultsInterpreter | S Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter
Slices pour extension |  | 1..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url
extension:author |  | 1..* | (Complexe) | Auteur du compte-rendu d'imagerie (Médecin - Radiologue) URL: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-actor-extension
Slices pour extension |  | 2..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url
extension:type |  | 1..1 | Extension | Extension
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url
url |  | 1..1 | uri | "type"
value[x] |  | 0..1 | code | Value of extension Binding: ValueSet - FR ValueSet Actor Type Document (required) Motif requis: AUT
extension:typeCode |  | 0..1 | Extension | Type de participation
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url
url |  | 1..1 | uri | "typeCode"
extension:actor |  | 1..1 | Extension | Extension
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url
url |  | 1..1 | uri | "actor"
value[x] |  | 0..1 | Reference(FR PractitionerRole Document) | Value of extension
url |  | 1..1 | uri | "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-actor-extension"
Slices pour result | S | 0..* | Reference(Observation - FR Observation Result Document) | Résultats d'examen (actuels ou antérieurs) Slice: Non ordonné, Ouvert par pattern:reference
result:resultatActuel |  | 0..1 | Reference(Observation) | Résultats actuels de l'examen d'imagerie
result:resultatAnterieur |  | 0..1 | Reference(Observation) | Résultats antérieurs
imagingStudy |  | 0..* | Reference(ImagingStudy - FR Imaging study Document) | Acte d'imagerie associé au compte-rendu
conclusion | S | 0..1 | string | Conclusions cliniques et interprétations du rapport d’imagerie.
Documentation pour ce format

#### Bindings terminologiques

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | Std. FHIR
DiagnosticReport.code | Base | required | JDV Code Document Imagerie CISIS | 📦20251028115832 | Terminologies de Santé v1.4
DiagnosticReport.resultsInterpreter.​extension:author.extension:type.​value[x] | Base | required | ValueSet - FR ValueSet Actor Type Document | 📦0.1.0 | cet IG

#### Contraintes

Id | Grade | Chemin(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 | bonne pratique | DiagnosticReport | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **TOUS** les éléments | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **TOUTES** les extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

Differential View

This structure is derived from DiagnosticReport

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
DiagnosticReport |  | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
Slices pour extension |  | 0..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url
extension:comparaison | S | 0..* | Reference(ImagingStudy - FR Imaging study Document) | Comparaisons avec des résultats antérieurs URL: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-comparison-studies-extension
extension:historiqueMedical | S | 0..* | Reference(Observation - FR Observation Pregnancy Document | Observation - FR Observation Contra Indications Document | Condition - FR Condition Document | Observation | FR Device Document | MedicationAdministration - FR Medication Administration Document) | Historique médical du patient pertinent pour l'examen d'imagerie URL: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-patient-history-extension
extension:procedure | S | 0..* | Reference(Procedure - FR Procedure Imaging Document) | Technique d'imagerie URL: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-imaging-procedure-extension
identifier |  | 1..* | Identifier | identifiant du compte-rendu d'imagerie
Slices pour basedOn | S | 0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested Slice: Non ordonné, Ouvert par pattern:$this
basedOn:serviceRequestAccessionNumber |  | 0..* | Reference(ServiceRequest - FR Service Request Document) | Référence à la demande d'examen contenant l'Accession Number
status |  | 1..1 | code | Statut du compte-rendu d'imagerie
code |  | 1..1 | CodeableConcept | Type de document d'imagerie Binding: JDV Code Document Imagerie CISIS (required)
subject |  | 0..1 | Reference(FR Patient INS Document) | Patient concerné par le compte-rendu d'imagerie
Slices pour performer | S | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service Slice: Non ordonné, Ouvert par pattern:$this
performer:organization |  | 0..* | Reference(FR Organization Document) | Organization productrice du CR d'imagerie
resultsInterpreter | S | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter
extension |  | 1..* | Extension | Extension
Slices pour extension |  |  |  | Contenu/Règles pour toutes les slices
extension:author |  | 1..* | (Complexe) | Auteur du compte-rendu d'imagerie (Médecin - Radiologue) URL: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-actor-extension
Slices pour extension |  |  |  | Contenu/Règles pour toutes les slices
extension:type |  | 1..1 | Extension | Extension
value[x] |  | 0..1 | code | Value of extension Motif requis: AUT
extension:actor |  | 1..1 | Extension | Extension
value[x] |  | 0..1 | Reference(FR PractitionerRole Document) | Value of extension
Slices pour result | S | 0..* | Reference(Observation - FR Observation Result Document) | Résultats d'examen (actuels ou antérieurs) Slice: Non ordonné, Ouvert par pattern:reference
result:resultatActuel |  | 0..1 | Reference(Observation) | Résultats actuels de l'examen d'imagerie
result:resultatAnterieur |  | 0..1 | Reference(Observation) | Résultats antérieurs
imagingStudy |  | 0..* | Reference(ImagingStudy - FR Imaging study Document) | Acte d'imagerie associé au compte-rendu
conclusion | S | 0..1 | string | Conclusions cliniques et interprétations du rapport d’imagerie.
Documentation pour ce format

#### Bindings terminologiques (différentiel)

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
DiagnosticReport.code | Base | required | JDV Code Document Imagerie CISIS | 📦20251028115832 | Terminologies de Santé v1.4

Snapshot View

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Contraintes Obligations
--- | --- | --- | --- | ---
DiagnosticReport |  | 0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Bindings Additionnels | But
AllLanguages | Binding Max
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 pour extension |  | 0..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url
extension:comparaison | S | 0..* | Reference(ImagingStudy - FR Imaging study Document) | Comparaisons avec des résultats antérieurs URL: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-comparison-studies-extension
extension:historiqueMedical | S | 0..* | Reference(Observation - FR Observation Pregnancy Document | Observation - FR Observation Contra Indications Document | Condition - FR Condition Document | Observation | FR Device Document | MedicationAdministration - FR Medication Administration Document) | Historique médical du patient pertinent pour l'examen d'imagerie URL: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-patient-history-extension
extension:procedure | S | 0..* | Reference(Procedure - FR Procedure Imaging Document) | Technique d'imagerie URL: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-imaging-procedure-extension
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 1..* | Identifier | identifiant du compte-rendu d'imagerie
Slices pour basedOn | S | 0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested Slice: Non ordonné, Ouvert par pattern:$this
basedOn:serviceRequestAccessionNumber |  | 0..* | Reference(ServiceRequest - FR Service Request Document) | Référence à la demande d'examen contenant l'Accession Number
status | ?!Σ | 1..1 | code | Statut du compte-rendu d'imagerie Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
category | Σ | 0..* | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
code | Σ | 1..1 | CodeableConcept | Type de document d'imagerie Binding: JDV Code Document Imagerie CISIS (required)
subject | Σ | 0..1 | Reference(FR Patient INS Document) | Patient concerné par le compte-rendu d'imagerie
encounter | Σ | 0..1 | Reference(Encounter) | Health care event when test ordered
effective[x] | Σ | 0..1 |  | Clinically relevant time/time-period for report
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
issued | Σ | 0..1 | instant | DateTime this version was made
Slices pour performer | S Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service Slice: Non ordonné, Ouvert par pattern:$this
performer:organization | Σ | 0..* | Reference(FR Organization Document) | Organization productrice du CR d'imagerie
resultsInterpreter | S Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter
id |  | 0..1 | string | Unique id for inter-element referencing
Slices pour extension |  | 1..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url
extension:author |  | 1..* | (Complexe) | Auteur du compte-rendu d'imagerie (Médecin - Radiologue) URL: https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-actor-extension
id |  | 0..1 | string | Unique id for inter-element referencing
Slices pour extension |  | 2..* | Extension | Extension Slice: Non ordonné, Ouvert par value:url
extension:type |  | 1..1 | Extension | Extension
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url
url |  | 1..1 | uri | "type"
value[x] |  | 0..1 | code | Value of extension Binding: ValueSet - FR ValueSet Actor Type Document (required) Motif requis: AUT
extension:typeCode |  | 0..1 | Extension | Type de participation
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url
url |  | 1..1 | uri | "typeCode"
value[x] |  | 0..1 | CodeableConcept | Value of extension
extension:actor |  | 1..1 | Extension | Extension
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Non ordonné, Ouvert par value:url
url |  | 1..1 | uri | "actor"
value[x] |  | 0..1 | Reference(FR PractitionerRole Document) | Value of extension
url |  | 1..1 | uri | "https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-actor-extension"
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
specimen |  | 0..* | Reference(Specimen) | Specimens this report is based on
Slices pour result | S | 0..* | Reference(Observation - FR Observation Result Document) | Résultats d'examen (actuels ou antérieurs) Slice: Non ordonné, Ouvert par pattern:reference
result:resultatActuel |  | 0..1 | Reference(Observation) | Résultats actuels de l'examen d'imagerie
result:resultatAnterieur |  | 0..1 | Reference(Observation) | Résultats antérieurs
imagingStudy |  | 0..* | Reference(ImagingStudy - FR Imaging study Document) | Acte d'imagerie associé au compte-rendu
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 | S | 0..1 | string | Conclusions cliniques et interprétations du rapport d’imagerie.
conclusionCode |  | 0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
presentedForm |  | 0..* | Attachment | Entire report as issued
Documentation pour ce format

#### Bindings terminologiques

Chemin | Statut | Usage | Jeu de valeurs (ValueSet) | Version | Source
DiagnosticReport.language | Base | preferred | Common Languages | 📍4.0.1 | Std. FHIR
DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | Std. FHIR
DiagnosticReport.category | Base | example | Diagnostic Service Section Codes | 📍4.0.1 | Std. FHIR
DiagnosticReport.code | Base | required | JDV Code Document Imagerie CISIS | 📦20251028115832 | Terminologies de Santé v1.4
DiagnosticReport.resultsInterpreter.​extension:author.extension:type.​value[x] | Base | required | ValueSet - FR ValueSet Actor Type Document | 📦0.1.0 | cet IG
DiagnosticReport.resultsInterpreter.​type | Base | extensible | ResourceType | 📍4.0.1 | Std. FHIR
DiagnosticReport.conclusionCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | Std. FHIR

#### Contraintes

Id | Grade | Chemin(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 | bonne pratique | DiagnosticReport | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **TOUS** les éléments | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **TOUTES** les extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from DiagnosticReport

Résumé

Obligatoire : 1 élément(2 éléments obligatoire(s) imbriqué(s))
Must-Support : 8 éléments

Structures

Cette structure fait référence à ces autres structures:

- ServiceRequest - FR Service Request Document (https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-service-request-document)
- FR Patient INS Document (https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-patient-ins-document)
- FR Organization Document (https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-organization-document)
- FR PractitionerRole Document (https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-practitionerRole-document)
- Observation - FR Observation Result Document (https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-observation-result-document)
- ImagingStudy - FR Imaging study Document (https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-imaging-study-document)

Extensions

Cette structure fait référence à ces extensions:

- https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-comparison-studies-extension
- https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-patient-history-extension
- https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-imaging-procedure-extension
- https://interop.esante.gouv.fr/ig/document/core/StructureDefinition/fr-actor-extension

Slices

Cette structure définit les slices suivantes:

- The element 1 is sliced based on the value of DiagnosticReport.basedOn
- The element 1 is sliced based on the value of DiagnosticReport.performer
- The element 1 is sliced based on the value of DiagnosticReport.result

Other representations of profile: CSV, Excel, Schematron