FHIR IG analytics
| Package | hl7.fhir.uv.xver-r4.r5 |
| Resource Type | StructureDefinition |
| Id | StructureDefinition-ext-R4-DiagnosticReport.imagingStudy.json |
| FHIR Version | R5 |
| Source | http://hl7.org/fhir/uv/xver-r4.r5/0.1.0/StructureDefinition-ext-R4-DiagnosticReport.imagingStudy.html |
| URL | http://hl7.org/fhir/4.0/StructureDefinition/extension-DiagnosticReport.imagingStudy |
| Version | 0.1.0 |
| Status | active |
| Date | 2026-03-17T21:02:03.8104715+00:00 |
| Name | ExtensionDiagnosticReport_ImagingStudy |
| Title | R4: Reference to full details of imaging associated with the diagnostic report (new) |
| Realm | uv |
| Authority | hl7 |
| Description | R4: `DiagnosticReport.imagingStudy` (new:Reference(ImagingStudy)) |
| Purpose | This extension is part of the cross-version definitions generated to enable use of the
element `DiagnosticReport.imagingStudy` as defined in FHIR R4
in FHIR R5.
The source element is defined as:
`DiagnosticReport.imagingStudy` 0..* `Reference(http://hl7.org/fhir/StructureDefinition/ImagingStudy)`
Across FHIR versions, the element set has been mapped as:
* R4: `DiagnosticReport.imagingStudy` 0..* `Reference(http://hl7.org/fhir/StructureDefinition/ImagingStudy)`
* R4B: `DiagnosticReport.imagingStudy` 0..* `Reference(http://hl7.org/fhir/StructureDefinition/ImagingStudy)`
Following are the generation technical comments:
Element `DiagnosticReport.imagingStudy` has a context of DiagnosticReport based on following the parent source element upwards and mapping to `DiagnosticReport`.
Element `DiagnosticReport.imagingStudy` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element). |
| Type | Extension |
| Kind | complex-type |
Resources that use this resource
Resources that this resource uses
| StructureDefinition |
| hl7.fhir.uv.xver-r4.r4b#0.1.0 | profile-ImagingStudy | Cross-version Profile for R4.ImagingStudy for use in FHIR R4B |
Examples of Use for Extension
No extension usage examples found
Narrative
Note: links and images are rebased to the (stated) source
Source1
{
"resourceType": "StructureDefinition",
"id": "ext-R4-DiagnosticReport.imagingStudy",
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "fhir"
},
{
"extension": [
{
"url": "packageId",
"valueId": "hl7.fhir.uv.xver-r4.r5"
},
{
"url": "version",
"valueString": "0.1.0"
},
{
"url": "uri",
"valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r5"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/package-source"
},
{
"extension": [
{
"url": "startFhirVersion",
"valueCode": "5.0"
},
{
"url": "endFhirVersion",
"valueCode": "5.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/version-specific-use"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-type-characteristics",
"valueCode": "can-bind"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger": 0,
"_valueInteger": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueCanonical": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r5"
}
]
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "trial-use",
"_valueCode": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueCanonical": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4.r5"
}
]
}
}
],
"url": "http://hl7.org/fhir/4.0/StructureDefinition/extension-DiagnosticReport.imagingStudy",
"version": "0.1.0",
"name": "ExtensionDiagnosticReport_ImagingStudy",
"title": "R4: Reference to full details of imaging associated with the diagnostic report (new)",
"status": "active",
"experimental": false,
"date": "2026-03-17T21:02:03.8104715+00:00",
"publisher": "FHIR Infrastructure",
"contact": [
{
"name": "FHIR Infrastructure",
"telecom": [
{
"system": "url",
"value": "http://www.hl7.org/Special/committees/fiwg"
}
]
}
],
"description": "R4: `DiagnosticReport.imagingStudy` (new:Reference(ImagingStudy))",
"jurisdiction": [
{
"coding": [
{
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code": "001",
"display": "World"
}
]
}
],
"purpose": "This extension is part of the cross-version definitions generated to enable use of the\r\nelement `DiagnosticReport.imagingStudy` as defined in FHIR R4\r\nin FHIR R5.\r\n\r\nThe source element is defined as:\r\n`DiagnosticReport.imagingStudy` 0..* `Reference(http://hl7.org/fhir/StructureDefinition/ImagingStudy)`\r\n\r\nAcross FHIR versions, the element set has been mapped as:\r\n* R4: `DiagnosticReport.imagingStudy` 0..* `Reference(http://hl7.org/fhir/StructureDefinition/ImagingStudy)`\n* R4B: `DiagnosticReport.imagingStudy` 0..* `Reference(http://hl7.org/fhir/StructureDefinition/ImagingStudy)`\r\n\r\nFollowing are the generation technical comments:\r\nElement `DiagnosticReport.imagingStudy` has a context of DiagnosticReport based on following the parent source element upwards and mapping to `DiagnosticReport`.\nElement `DiagnosticReport.imagingStudy` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).",
"fhirVersion": "5.0.0",
"mapping": [
{
"identity": "rim",
"uri": "http://hl7.org/v3",
"name": "RIM Mapping"
}
],
"kind": "complex-type",
"abstract": false,
"context": [
{
"type": "element",
"expression": "DiagnosticReport"
}
],
"type": "Extension",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension|5.0.0",
"derivation": "constraint",
"snapshot": {
"extension": [
{
"url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version",
"valueString": "5.0.0"
}
],
"element": [
{
"id": "Extension",
"path": "Extension",
"short": "R4: Reference to full details of imaging associated with the diagnostic report (new)",
"definition": "R4: `DiagnosticReport.imagingStudy` (new:Reference(ImagingStudy))",
"comment": "Element `DiagnosticReport.imagingStudy` has a context of DiagnosticReport based on following the parent source element upwards and mapping to `DiagnosticReport`.\nElement `DiagnosticReport.imagingStudy` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).\nImagingStudy and the image element are somewhat overlapping - typically, the list of image references in the image 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": 0,
"max": "*",
"base": {
"path": "Extension",
"min": 0,
"max": "*"
},
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"source": "http://hl7.org/fhir/StructureDefinition/Element|5.0.0"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"source": "http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"
}
],
"isModifier": false
},
{
"id": "Extension.id",
"path": "Extension.id",
"representation": [
"xmlAttr"
],
"short": "Unique id for inter-element referencing",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "id"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"condition": [
"ele-1"
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Extension.extension",
"path": "Extension.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"definition": "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 managable, 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": "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": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"source": "http://hl7.org/fhir/StructureDefinition/Element|5.0.0"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"source": "http://hl7.org/fhir/StructureDefinition/Extension|5.0.0"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Extension.url",
"path": "Extension.url",
"representation": [
"xmlAttr"
],
"short": "identifies the meaning of the extension",
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"comment": "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": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "uri"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"fixedUri": "http://hl7.org/fhir/4.0/StructureDefinition/extension-DiagnosticReport.imagingStudy",
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.value[x]",
"path": "Extension.value[x]",
"short": "Reference to full details of imaging associated with the diagnostic report",
"definition": "One or more links to full details of any imaging performed during the diagnostic investigation. 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.",
"comment": "ImagingStudy and the image element are somewhat overlapping - typically, the list of image references in the image 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": 0,
"max": "1",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/4.0/StructureDefinition/profile-ImagingStudy|0.1.0",
"http://hl7.org/fhir/StructureDefinition/ImagingStudy|5.0.0"
]
}
],
"condition": [
"ext-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"source": "http://hl7.org/fhir/StructureDefinition/Element|5.0.0"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
}
]
},
"differential": {
"element": [
{
"id": "Extension",
"path": "Extension",
"short": "R4: Reference to full details of imaging associated with the diagnostic report (new)",
"definition": "R4: `DiagnosticReport.imagingStudy` (new:Reference(ImagingStudy))",
"comment": "Element `DiagnosticReport.imagingStudy` has a context of DiagnosticReport based on following the parent source element upwards and mapping to `DiagnosticReport`.\nElement `DiagnosticReport.imagingStudy` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).\nImagingStudy and the image element are somewhat overlapping - typically, the list of image references in the image 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": 0,
"max": "*",
"base": {
"path": "Extension",
"min": 0,
"max": "*"
},
"isModifier": false
},
{
"id": "Extension.url",
"path": "Extension.url",
"min": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"fixedUri": "http://hl7.org/fhir/4.0/StructureDefinition/extension-DiagnosticReport.imagingStudy"
},
{
"id": "Extension.value[x]",
"path": "Extension.value[x]",
"short": "Reference to full details of imaging associated with the diagnostic report",
"definition": "One or more links to full details of any imaging performed during the diagnostic investigation. 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.",
"comment": "ImagingStudy and the image element are somewhat overlapping - typically, the list of image references in the image 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": 0,
"max": "1",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/4.0/StructureDefinition/profile-ImagingStudy|0.1.0",
"http://hl7.org/fhir/StructureDefinition/ImagingStudy|5.0.0"
]
}
]
}
]
}
}
Extension 
value[x] 
FHIR
FHIRsmith