This page is part of the C-CDA on FHIR Implementation Guide (v1.2.0: STU 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

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Resource Profile: DiagnosticImagingReport - Mappings

Active as of 2024-03-12

Mappings for the Diagnostic-Imaging-Report resource profile.

Mappings for Workflow Pattern (http://hl7.org/fhir/workflow)

DiagnosticImagingReport
Composition	Event
identifier	Event.identifier
status	Event.status
type	Event.code
category	Event.subject
encounter	Event.context
date	Event.occurrence[x]
author	Event.performer

Mappings for RIM Mapping (http://hl7.org/v3)

DiagnosticImagingReport
Composition	Entity. Role, or Act, Document[classCode="DOC" and moodCode="EVN" and isNormalAct()]
text	Act.text?
contained	N/A
modifierExtension	N/A
identifier	Document.id / Document.setId
status	interim: .completionCode="IN" & ./statusCode[isNormalDatatype()]="active"; final: .completionCode="AU" && ./statusCode[isNormalDatatype()]="complete" and not(./inboundRelationship[typeCode="SUBJ" and isNormalActRelationship()]/source[subsumesCode("ActClass#CACT") and moodCode="EVN" and domainMember("ReviseComposition", code) and isNormalAct()]); amended: .completionCode="AU" && ./statusCode[isNormalDatatype()]="complete" and ./inboundRelationship[typeCode="SUBJ" and isNormalActRelationship()]/source[subsumesCode("ActClass#CACT") and moodCode="EVN" and domainMember("ReviseComposition", code) and isNormalAct() and statusCode="completed"]; withdrawn : .completionCode=NI && ./statusCode[isNormalDatatype()]="obsolete"
type	./code
category	.outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code
subject	.participation[typeCode="SBJ"].role[typeCode="PAT"]
encounter	unique(highest(./outboundRelationship[typeCode="SUBJ" and isNormalActRelationship()], priorityNumber)/target[moodCode="EVN" and classCode=("ENC", "PCPR") and isNormalAct])
date	.effectiveTime[type="TS"]
author	.participation[typeCode="AUT"].role[classCode="ASSIGNED"]
title	./title
attester	.participation[typeCode="AUTHEN"].role[classCode="ASSIGNED"]
id	n/a
extension	n/a
modifierExtension	N/A
mode	unique(./modeCode)
time	./time[type="TS" and isNormalDatatype()]
party	./role[classCode="ASSIGNED" and isNormalRole]/player[determinerCode="INST" and classCode=("DEV", "PSN") and isNormalEntity()] or ./role[classCode="ASSIGNED" and isNormalRole and not(player)]/scoper[determinerCode="INST" and classCode="ORG" and isNormalEntity()]
attester (legal_attester)	.participation[typeCode="AUTHEN"].role[classCode="ASSIGNED"]
id	n/a
extension	n/a
modifierExtension	N/A
mode	unique(./modeCode)
time	./time[type="TS" and isNormalDatatype()]
party	./role[classCode="ASSIGNED" and isNormalRole]/player[determinerCode="INST" and classCode=("DEV", "PSN") and isNormalEntity()] or ./role[classCode="ASSIGNED" and isNormalRole and not(player)]/scoper[determinerCode="INST" and classCode="ORG" and isNormalEntity()]
attester (professional_attester)	.participation[typeCode="AUTHEN"].role[classCode="ASSIGNED"]
id	n/a
extension	n/a
modifierExtension	N/A
mode	unique(./modeCode)
time	./time[type="TS" and isNormalDatatype()]
party	./role[classCode="ASSIGNED" and isNormalRole]/player[determinerCode="INST" and classCode=("DEV", "PSN") and isNormalEntity()] or ./role[classCode="ASSIGNED" and isNormalRole and not(player)]/scoper[determinerCode="INST" and classCode="ORG" and isNormalEntity()]
attester (personal_attester)	.participation[typeCode="AUTHEN"].role[classCode="ASSIGNED"]
id	n/a
extension	n/a
modifierExtension	N/A
mode	unique(./modeCode)
time	./time[type="TS" and isNormalDatatype()]
party	./role[classCode="ASSIGNED" and isNormalRole]/player[determinerCode="INST" and classCode=("DEV", "PSN") and isNormalEntity()] or ./role[classCode="ASSIGNED" and isNormalRole and not(player)]/scoper[determinerCode="INST" and classCode="ORG" and isNormalEntity()]
custodian	.participation[typeCode="RCV"].role[classCode="CUST"].scoper[classCode="ORG" and determinerCode="INST"]
relatesTo	.outboundRelationship
id	n/a
extension	n/a
modifierExtension	N/A
code	.outboundRelationship.typeCode
target[x]	.target[classCode="DOC", moodCode="EVN"].id
event	outboundRelationship[typeCode="SUBJ"].target[classCode<'ACT']
id	n/a
extension	n/a
modifierExtension	N/A
code	.code
period	.effectiveTime
detail	.outboundRelationship[typeCode="SUBJ"].target
section	./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
id	n/a
extension	n/a
modifierExtension	N/A
title	./title
code	./code
author	.participation[typeCode="AUT"].role[classCode="ASSIGNED"]
text	.text
mode	.outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value
orderedBy	.outboundRelationship[typeCode=COMP].sequenceNumber > 1
entry	.outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
emptyReason	.inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]
section	./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
section (findings_section)	./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
id	n/a
extension	n/a
modifierExtension	N/A
title	./title
code	./code
author	.participation[typeCode="AUT"].role[classCode="ASSIGNED"]
text	.text
mode	.outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value
orderedBy	.outboundRelationship[typeCode=COMP].sequenceNumber > 1
entry	.outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
entry (findings_entry)	.outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
emptyReason	.inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]
section	./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
section (dicom_object_catalog_section)	./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
id	n/a
extension	n/a
modifierExtension	N/A
title	./title
code	./code
author	.participation[typeCode="AUT"].role[classCode="ASSIGNED"]
text	.text
mode	.outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value
orderedBy	.outboundRelationship[typeCode=COMP].sequenceNumber > 1
entry	.outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
entry (dicom_object_catalog_entry)	.outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
emptyReason	.inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]
section	./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
section (history_section)	./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
id	n/a
extension	n/a
modifierExtension	N/A
title	./title
code	./code
author	.participation[typeCode="AUT"].role[classCode="ASSIGNED"]
text	.text
mode	.outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value
orderedBy	.outboundRelationship[typeCode=COMP].sequenceNumber > 1
entry	.outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
emptyReason	.inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]
section	./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
section (request_section)	./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
id	n/a
extension	n/a
modifierExtension	N/A
title	./title
code	./code
author	.participation[typeCode="AUT"].role[classCode="ASSIGNED"]
text	.text
mode	.outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value
orderedBy	.outboundRelationship[typeCode=COMP].sequenceNumber > 1
entry	.outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
emptyReason	.inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]
section	./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
section (current_procedure_descriptions_section)	./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
id	n/a
extension	n/a
modifierExtension	N/A
title	./title
code	./code
author	.participation[typeCode="AUT"].role[classCode="ASSIGNED"]
text	.text
mode	.outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value
orderedBy	.outboundRelationship[typeCode=COMP].sequenceNumber > 1
entry	.outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
emptyReason	.inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]
section	./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
section (prior_procedure_descriptions_section)	./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
id	n/a
extension	n/a
modifierExtension	N/A
title	./title
code	./code
author	.participation[typeCode="AUT"].role[classCode="ASSIGNED"]
text	.text
mode	.outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value
orderedBy	.outboundRelationship[typeCode=COMP].sequenceNumber > 1
entry	.outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
emptyReason	.inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]
section	./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
section (previous_findings_section)	./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
id	n/a
extension	n/a
modifierExtension	N/A
title	./title
code	./code
author	.participation[typeCode="AUT"].role[classCode="ASSIGNED"]
text	.text
mode	.outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value
orderedBy	.outboundRelationship[typeCode=COMP].sequenceNumber > 1
entry	.outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
emptyReason	.inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]
section	./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
section (impressions_section)	./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
id	n/a
extension	n/a
modifierExtension	N/A
title	./title
code	./code
author	.participation[typeCode="AUT"].role[classCode="ASSIGNED"]
text	.text
mode	.outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value
orderedBy	.outboundRelationship[typeCode=COMP].sequenceNumber > 1
entry	.outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
emptyReason	.inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]
section	./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
section (recommendations_section)	./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
id	n/a
extension	n/a
modifierExtension	N/A
title	./title
code	./code
author	.participation[typeCode="AUT"].role[classCode="ASSIGNED"]
text	.text
mode	.outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value
orderedBy	.outboundRelationship[typeCode=COMP].sequenceNumber > 1
entry	.outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
emptyReason	.inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]
section	./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
section (conclusions_section)	./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
id	n/a
extension	n/a
modifierExtension	N/A
title	./title
code	./code
author	.participation[typeCode="AUT"].role[classCode="ASSIGNED"]
text	.text
mode	.outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value
orderedBy	.outboundRelationship[typeCode=COMP].sequenceNumber > 1
entry	.outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
emptyReason	.inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]
section	./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]

Mappings for CDA (R2) (http://hl7.org/v3/cda)

DiagnosticImagingReport
Composition	ClinicalDocument
identifier	.setId
status	n/a
type	.code
category	n/a
subject	.recordTarget
encounter	.componentOf.encompassingEncounter
date	.effectiveTime
author	.author.assignedAuthor
title	.title
attester	.authenticator/.legalAuthenticator
mode	implied by .authenticator/.legalAuthenticator
time	.authenticator.time
party	.authenticator.assignedEnttty
attester (legal_attester)	.authenticator/.legalAuthenticator
mode	implied by .authenticator/.legalAuthenticator
time	.authenticator.time
party	.authenticator.assignedEnttty
attester (professional_attester)	.authenticator/.legalAuthenticator
mode	implied by .authenticator/.legalAuthenticator
time	.authenticator.time
party	.authenticator.assignedEnttty
attester (personal_attester)	.authenticator/.legalAuthenticator
mode	implied by .authenticator/.legalAuthenticator
time	.authenticator.time
party	.authenticator.assignedEnttty
custodian	.custodian.assignedCustodian
relatesTo	.relatedDocument
code	.relatedDocument.typeCode
target[x]	.relatedDocument.id
event	.documentationOf.serviceEvent
code	.code
period	.effectiveTime
detail	n/a
section	.component.structuredBody.component.section
title	.title
code	.code
author	.author.assignedAuthor
focus	.subject? (CDA did not differentiate between subject and focus)
text	.text
mode	n/a
orderedBy	n/a
entry	.entry
emptyReason	n/a
section	.component.section
section (findings_section)	.component.structuredBody.component.section
title	.title
code	.code
author	.author.assignedAuthor
focus	.subject? (CDA did not differentiate between subject and focus)
text	.text
mode	n/a
orderedBy	n/a
entry	.entry
entry (findings_entry)	.entry
emptyReason	n/a
section	.component.section
section (dicom_object_catalog_section)	.component.structuredBody.component.section
title	.title
code	.code
author	.author.assignedAuthor
focus	.subject? (CDA did not differentiate between subject and focus)
text	.text
mode	n/a
orderedBy	n/a
entry	.entry
entry (dicom_object_catalog_entry)	.entry
emptyReason	n/a
section	.component.section
section (history_section)	.component.structuredBody.component.section
title	.title
code	.code
author	.author.assignedAuthor
focus	.subject? (CDA did not differentiate between subject and focus)
text	.text
mode	n/a
orderedBy	n/a
entry	.entry
emptyReason	n/a
section	.component.section
section (request_section)	.component.structuredBody.component.section
title	.title
code	.code
author	.author.assignedAuthor
focus	.subject? (CDA did not differentiate between subject and focus)
text	.text
mode	n/a
orderedBy	n/a
entry	.entry
emptyReason	n/a
section	.component.section
section (current_procedure_descriptions_section)	.component.structuredBody.component.section
title	.title
code	.code
author	.author.assignedAuthor
focus	.subject? (CDA did not differentiate between subject and focus)
text	.text
mode	n/a
orderedBy	n/a
entry	.entry
emptyReason	n/a
section	.component.section
section (prior_procedure_descriptions_section)	.component.structuredBody.component.section
title	.title
code	.code
author	.author.assignedAuthor
focus	.subject? (CDA did not differentiate between subject and focus)
text	.text
mode	n/a
orderedBy	n/a
entry	.entry
emptyReason	n/a
section	.component.section
section (previous_findings_section)	.component.structuredBody.component.section
title	.title
code	.code
author	.author.assignedAuthor
focus	.subject? (CDA did not differentiate between subject and focus)
text	.text
mode	n/a
orderedBy	n/a
entry	.entry
emptyReason	n/a
section	.component.section
section (impressions_section)	.component.structuredBody.component.section
title	.title
code	.code
author	.author.assignedAuthor
focus	.subject? (CDA did not differentiate between subject and focus)
text	.text
mode	n/a
orderedBy	n/a
entry	.entry
emptyReason	n/a
section	.component.section
section (recommendations_section)	.component.structuredBody.component.section
title	.title
code	.code
author	.author.assignedAuthor
focus	.subject? (CDA did not differentiate between subject and focus)
text	.text
mode	n/a
orderedBy	n/a
entry	.entry
emptyReason	n/a
section	.component.section
section (conclusions_section)	.component.structuredBody.component.section
title	.title
code	.code
author	.author.assignedAuthor
focus	.subject? (CDA did not differentiate between subject and focus)
text	.text
mode	n/a
orderedBy	n/a
entry	.entry
emptyReason	n/a
section	.component.section

Mappings for FHIR DocumentReference (http://hl7.org/fhir/documentreference)

DiagnosticImagingReport
Composition	when described by DocumentReference
identifier	DocumentReference.masterIdentifier
status	DocumentReference.status
type	DocumentReference.type
category	DocumenttReference.category
subject	DocumentReference.subject
encounter	DocumentReference.context.encounter
date	DocumentReference.content.attachment.date, DocumentReference.created
author	DocumentReference.agent
title	DocumentReference.description, DocumentReference.content.attachment.title
attester	DocumentReference.authenticator
attester (legal_attester)	DocumentReference.authenticator
attester (professional_attester)	DocumentReference.authenticator
attester (personal_attester)	DocumentReference.authenticator
custodian	DocumentReference.custodian
relatesTo	DocumentReference.relatesTo
code	DocumentReference.relatesTo.code
target[x]	DocumentReference.relatesTo.target
event	DocumentReference.event
code	DocumentReference.event.code
period	DocumentReference.event.period

Mappings for FiveWs Pattern Mapping (http://hl7.org/fhir/fivews)

DiagnosticImagingReport
Composition
identifier	FiveWs.identifier
status	FiveWs.status
type	FiveWs.class
category	FiveWs.class
subject	FiveWs.subject[x], FiveWs.subject
encounter	FiveWs.context
date	FiveWs.done[x]
author	FiveWs.author
attester
party	FiveWs.witness
attester (legal_attester)
party	FiveWs.witness
attester (professional_attester)
party	FiveWs.witness
attester (personal_attester)
party	FiveWs.witness
section
author	FiveWs.author
mode	FiveWs.class
section (findings_section)
author	FiveWs.author
mode	FiveWs.class
section (dicom_object_catalog_section)
author	FiveWs.author
mode	FiveWs.class
section (history_section)
author	FiveWs.author
mode	FiveWs.class
section (request_section)
author	FiveWs.author
mode	FiveWs.class
section (current_procedure_descriptions_section)
author	FiveWs.author
mode	FiveWs.class
section (prior_procedure_descriptions_section)
author	FiveWs.author
mode	FiveWs.class
section (previous_findings_section)
author	FiveWs.author
mode	FiveWs.class
section (impressions_section)
author	FiveWs.author
mode	FiveWs.class
section (recommendations_section)
author	FiveWs.author
mode	FiveWs.class
section (conclusions_section)
author	FiveWs.author
mode	FiveWs.class