<status value="active"/> <experimental value="false"/> <date value="2026-03-17T21:02:03.8104715+00:00"/> <publisher value="FHIR Infrastructure"/> <contact> <name value="FHIR Infrastructure"/> <telecom> <system value="url"/> <value value="http://www.hl7.org/Special/committees/fiwg"/> </telecom> </contact> <description value="R5: `DiagnosticReport.study` (new:Reference(GenomicStudy,ImagingStudy))"/> <jurisdiction> <coding> <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/> <code value="001"/> <display value="World"/> </coding> </jurisdiction> <purpose value="This extension is part of the cross-version definitions generated to enable use of the element `DiagnosticReport.study` as defined in FHIR R5 in FHIR R4. The source element is defined as: `DiagnosticReport.study` 0..* `Reference(http://hl7.org/fhir/StructureDefinition/GenomicStudy,http://hl7.org/fhir/StructureDefinition/ImagingStudy)` Across FHIR versions, the element set has been mapped as: * R5: `DiagnosticReport.study` 0..* `Reference(http://hl7.org/fhir/StructureDefinition/GenomicStudy,http://hl7.org/fhir/StructureDefinition/ImagingStudy)` Following are the generation technical comments: Element `DiagnosticReport.study` has a context of DiagnosticReport based on following the parent source element upwards and mapping to `DiagnosticReport`. Element `DiagnosticReport.study` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element)."/> <fhirVersion value="4.0.1"/> <mapping> <identity value="rim"/> <uri value="http://hl7.org/v3"/> <name value="RIM Mapping"/> </mapping> <kind value="complex-type"/> <abstract value="false"/> <context> <type value="element"/> <expression value="DiagnosticReport"/> </context> <type value="Extension"/> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/> <derivation value="constraint"/> <snapshot> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version"> <valueString value="4.0.1"/> </extension> <element id="Extension"> <path value="Extension"/> <short value="R5: Reference to full details of an analysis associated with the diagnostic report (new)"/> <definition value="R5: `DiagnosticReport.study` (new:Reference(GenomicStudy,ImagingStudy))"/> <comment value="Element `DiagnosticReport.study` has a context of DiagnosticReport based on following the parent source element upwards and mapping to `DiagnosticReport`. Element `DiagnosticReport.study` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). For laboratory-type studies like GenomeStudy, type resources will be used for tracking additional metadata and workflow aspects of complex studies. ImagingStudy and the media element are somewhat overlapping - typically, the list of image references in the media element will also be found in one of the imaging study resources. However, each caters to different types of displays for different types of purposes. Neither, either, or both may be provided."/> <min value="0"/> <max value="*"/> <base> <path value="Extension"/> <min value="0"/> <max value="*"/> </base> <condition value="ele-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/> </constraint> <isModifier value="false"/> </element> <element id="Extension.id"> <path value="Extension.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Extension.extension"> <path value="Extension.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Extension.url"> <path value="Extension.url"/> <representation value="xmlAttr"/> <short value="identifies the meaning of the extension"/> <definition value="Source of the definition for the extension code - a logical name or a URL."/> <comment value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/> <min value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="uri"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <fixedUri value="http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.study"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Extension.value[x]"> <path value="Extension.value[x]"/> <short value="Reference to full details of an analysis associated with the diagnostic report"/> <definition value="One or more links to full details of any study performed during the diagnostic investigation. An ImagingStudy might comprise a set of radiologic images obtained via a procedure that are analyzed as a group. Typically, this is imaging performed by DICOM enabled modalities, but this is not required. A fully enabled PACS viewer can use this information to provide views of the source images. A GenomicStudy might comprise one or more analyses, each serving a specific purpose. These analyses may vary in method (e.g., karyotyping, CNV, or SNV detection), performer, software, devices used, or regions targeted."/> <comment value="For laboratory-type studies like GenomeStudy, type resources will be used for tracking additional metadata and workflow aspects of complex studies. ImagingStudy and the media element are somewhat overlapping - typically, the list of image references in the media element will also be found in one of the imaging study resources. However, each caters to different types of displays for different types of purposes. Neither, either, or both may be provided."/> <min value="0"/> <max value="1"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/5.0/StructureDefinition/profile-GenomicStudy|0.1.0"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Basic|4.0.1"/> <targetProfile value="http://hl7.org/fhir/5.0/StructureDefinition/profile-ImagingStudy|0.1.0"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImagingStudy|4.0.1"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element|4.0.1"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> </snapshot> <differential> <element id="Extension"> <path value="Extension"/> <short value="R5: Reference to full details of an analysis associated with the diagnostic report (new)"/> <definition value="R5: `DiagnosticReport.study` (new:Reference(GenomicStudy,ImagingStudy))"/> <comment value="Element `DiagnosticReport.study` has a context of DiagnosticReport based on following the parent source element upwards and mapping to `DiagnosticReport`. Element `DiagnosticReport.study` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). For laboratory-type studies like GenomeStudy, type resources will be used for tracking additional metadata and workflow aspects of complex studies. ImagingStudy and the media element are somewhat overlapping - typically, the list of image references in the media element will also be found in one of the imaging study resources. However, each caters to different types of displays for different types of purposes. Neither, either, or both may be provided."/> <min value="0"/> <max value="*"/> <base> <path value="Extension"/> <min value="0"/> <max value="*"/> </base> <isModifier value="false"/> </element> <element id="Extension.url"> <path value="Extension.url"/> <min value="1"/> <max value="1"/> <base> <path value="Extension.url"/> <min value="1"/> <max value="1"/> </base> <fixedUri value="http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.study"/> </element> <element id="Extension.value[x]"> <path value="Extension.value[x]"/> <short value="Reference to full details of an analysis associated with the diagnostic report"/> <definition value="One or more links to full details of any study performed during the diagnostic investigation. An ImagingStudy might comprise a set of radiologic images obtained via a procedure that are analyzed as a group. Typically, this is imaging performed by DICOM enabled modalities, but this is not required. A fully enabled PACS viewer can use this information to provide views of the source images. A GenomicStudy might comprise one or more analyses, each serving a specific purpose. These analyses may vary in method (e.g., karyotyping, CNV, or SNV detection), performer, software, devices used, or regions targeted."/> <comment value="For laboratory-type studies like GenomeStudy, type resources will be used for tracking additional metadata and workflow aspects of complex studies. ImagingStudy and the media element are somewhat overlapping - typically, the list of image references in the media element will also be found in one of the imaging study resources. However, each caters to different types of displays for different types of purposes. Neither, either, or both may be provided."/> <min value="0"/> <max value="1"/> <base> <path value="Extension.value[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/5.0/StructureDefinition/profile-GenomicStudy|0.1.0"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Basic|4.0.1"/> <targetProfile value="http://hl7.org/fhir/5.0/StructureDefinition/profile-ImagingStudy|0.1.0"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImagingStudy|4.0.1"/> </type> </element> </differential> </StructureDefinition>

Generated Narrative: StructureDefinition ext-R5-DiagnosticReport.study

Name	Card.	Type	Description & Constraints
Extension	0..*	Extension(4.0.1)	R5: Reference to full details of an analysis associated with the diagnostic report (new)
url	1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.study"
value[x]	0..1	Reference(Cross-version Profile for R5.GenomicStudy for use in FHIR R4(0.1.0) \| Basic \| Cross-version Profile for R5.ImagingStudy for use in FHIR R4(0.1.0) \| ImagingStudy)	Reference to full details of an analysis associated with the diagnostic report
Documentation for this format