@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<https://fhir.nwgenomics.nhs.uk/Imaging/StructureDefinition/RadiologyReport> a fhir:StructureDefinition ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "RadiologyReport"] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureDefinition RadiologyReport</b></p><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" class=\"xhtTableBorder0\"><tr class=\"xhtRowBorder1\"><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"The logical name of the element\">Name</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Information about the use of the element\">Flags</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Minimum and Maximum # of times the element can appear in the instance\">Card.</a></th><th scope=\"col\" style=\"; width: 100px\" class=\"hierarchy xhtCellBorder0\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Reference to the type of the element\">Type</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck1.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-RadiologyReport-definitions.html#RadiologyReport\" title=\"**Proof of concept - not an authoritative source.**#xA;#xA;The data items of a radiology report shared between RIS, PACS and reporting#xA;networks, based on the Royal College of Radiologists'#xA;[Radiology reporting networks: understanding the technical options](https://www.rcr.ac.uk/media/wwtp2mif/rcr-publications_radiology-reporting-networks-understanding-the-technical-options_march-2022.pdf)#xA;(March 2022), as mapped in an earlier NHS England draft radiology IG for the#xA;National Imaging Registry. The items have **not** been checked against the RCR#xA;text, and cardinalities are this guide's assumption (**To confirm**).#xA;#xA;Indicative HL7 v2 (ORU^R01), DICOM and FHIR mappings are shown on the#xA;**Mappings** tab, including the HL7 v2.5.1 to FHIR conversion of#xA;[Send Imaging Result [RAD-128]](RAD-128.html). The FHIR representation is [Radiology Diagnostic Report](StructureDefinition-RadiologyDiagnosticReport.html),#xA;with the request in [Radiology Service Request](StructureDefinition-RadiologyServiceRequest.html)#xA;and the study in [Radiology Imaging Study](StructureDefinition-RadiologyImagingStudy.html).\">RadiologyReport</a><a name=\"RadiologyReport\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">0</span><span class=\"xhtPieceDeEmphasized\">..</span><span class=\"xhtPieceDeEmphasized\">*</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://build.fhir.org/types.html#Base\">Base</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Radiology Report<br/><span class=\"xhtPieceBold\">Instances of this type can be the target of a Reference</span></td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RadiologyReport.</span><a href=\"StructureDefinition-RadiologyReport-definitions.html#RadiologyReport.reportIdentifier\" title=\"Identifier of the report in the RIS\">reportIdentifier</a><a name=\"RadiologyReport.reportIdentifier\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Identifier\">Identifier</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Report identifier</td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RadiologyReport.</span><a href=\"StructureDefinition-RadiologyReport-definitions.html#RadiologyReport.patient\" title=\"NHS number of the patient (NHS NUMBER)\">patient</a><a name=\"RadiologyReport.patient\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Identifier\">Identifier</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Patient</td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RadiologyReport.</span><a href=\"StructureDefinition-RadiologyReport-definitions.html#RadiologyReport.accessionNumber\" title=\"Identifies the imaging request in the issuing RIS; shared by the request, the DICOM study and the report (RADIOLOGICAL ACCESSION NUMBER)\">accessionNumber</a><a name=\"RadiologyReport.accessionNumber\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Identifier\">Identifier</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Accession number</td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RadiologyReport.</span><a href=\"StructureDefinition-RadiologyReport-definitions.html#RadiologyReport.visitNumber\" title=\"Encounter or visit the examination belongs to\">visitNumber</a><a name=\"RadiologyReport.visitNumber\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Identifier\">Identifier</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Visit number</td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RadiologyReport.</span><a href=\"StructureDefinition-RadiologyReport-definitions.html#RadiologyReport.examination\" title=\"Imaging procedure performed - NICIP code with SNOMED CT map (IMAGING CODE (NICIP))\">examination</a><a name=\"RadiologyReport.examination\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">1..*</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Examination<br/></td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RadiologyReport.</span><a href=\"StructureDefinition-RadiologyReport-definitions.html#RadiologyReport.diagnosticServiceSection\" title=\"For example RAD (Radiology), from HL7 v2 table 0074\">diagnosticServiceSection</a><a name=\"RadiologyReport.diagnosticServiceSection\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Diagnostic service section</td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RadiologyReport.</span><a href=\"StructureDefinition-RadiologyReport-definitions.html#RadiologyReport.examinationCompleted\" title=\"Date and time the radiographer completed the examination\">examinationCompleted</a><a name=\"RadiologyReport.examinationCompleted\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#dateTime\">dateTime</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Examination completed</td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RadiologyReport.</span><a href=\"StructureDefinition-RadiologyReport-definitions.html#RadiologyReport.imagingSite\" title=\"Where the examination was performed (SITE CODE (OF IMAGING), or ODS organisation code - Open)\">imagingSite</a><a name=\"RadiologyReport.imagingSite\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Identifier\">Identifier</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Imaging site</td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RadiologyReport.</span><a href=\"StructureDefinition-RadiologyReport-definitions.html#RadiologyReport.operator\" title=\"Radiographer who performed the examination - professional registration number (HCPC)\">operator</a><a name=\"RadiologyReport.operator\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Identifier\">Identifier</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Operator<br/></td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RadiologyReport.</span><a href=\"StructureDefinition-RadiologyReport-definitions.html#RadiologyReport.reportIssued\" title=\"Date and time the final report was issued\">reportIssued</a><a name=\"RadiologyReport.reportIssued\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#dateTime\">dateTime</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Final report issued</td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RadiologyReport.</span><a href=\"StructureDefinition-RadiologyReport-definitions.html#RadiologyReport.primaryReporter\" title=\"Radiologist or reporting radiographer responsible for the report - professional registration number (GMC, HCPC)\">primaryReporter</a><a name=\"RadiologyReport.primaryReporter\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Identifier\">Identifier</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Primary reporter</td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RadiologyReport.</span><a href=\"StructureDefinition-RadiologyReport-definitions.html#RadiologyReport.secondaryReporter\" title=\"Other reporter, for example a trainee or second reader - professional registration number\">secondaryReporter</a><a name=\"RadiologyReport.secondaryReporter\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Identifier\">Identifier</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Secondary reporter<br/></td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RadiologyReport.</span><a href=\"StructureDefinition-RadiologyReport-definitions.html#RadiologyReport.clinicalHistory\" title=\"Narrative clinical history from the request\">clinicalHistory</a><a name=\"RadiologyReport.clinicalHistory\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Clinical history</td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RadiologyReport.</span><a href=\"StructureDefinition-RadiologyReport-definitions.html#RadiologyReport.radiographerComments\" title=\"Comments recorded by the radiographer\">radiographerComments</a><a name=\"RadiologyReport.radiographerComments\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Radiographer comments</td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RadiologyReport.</span><a href=\"StructureDefinition-RadiologyReport-definitions.html#RadiologyReport.reportText\" title=\"The narrative report as issued\">reportText</a><a name=\"RadiologyReport.reportText\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">1..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Report text</td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck00.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">RadiologyReport.</span><a href=\"StructureDefinition-RadiologyReport-definitions.html#RadiologyReport.conclusion\" title=\"Summary conclusion of the report. Whether the RCR data set separates it from the report text is Open\">conclusion</a><a name=\"RadiologyReport.conclusion\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\">Conclusion</td></tr>#xD;\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
  ] ;
  fhir:DomainResource.extension [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-type-characteristics" ] ;
     fhir:Extension.valueCode [ fhir:value "can-be-target" ]
  ] ;
  fhir:StructureDefinition.url [ fhir:value "https://fhir.nwgenomics.nhs.uk/Imaging/StructureDefinition/RadiologyReport"] ;
  fhir:StructureDefinition.version [ fhir:value "0.1.0"] ;
  fhir:StructureDefinition.name [ fhir:value "RadiologyReport"] ;
  fhir:StructureDefinition.title [ fhir:value "Radiology Report"] ;
  fhir:StructureDefinition.status [ fhir:value "draft"] ;
  fhir:StructureDefinition.experimental [ fhir:value "true"^^xsd:boolean] ;
  fhir:StructureDefinition.date [ fhir:value "2026-11-01T16:44:52+00:00"^^xsd:dateTime] ;
  fhir:StructureDefinition.publisher [ fhir:value "NHS North West Genomics"] ;
  fhir:StructureDefinition.contact [
     fhir:index -1 ;
     fhir:ContactDetail.telecom [
       fhir:index -1 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "https://www.nwgenomics.nhs.uk/contact-us" ]
     ]
  ] ;
  fhir:StructureDefinition.description [ fhir:value "**Proof of concept - not an authoritative source.**\n\nThe data items of a radiology report shared between RIS, PACS and reporting\nnetworks, based on the Royal College of Radiologists'\n[Radiology reporting networks: understanding the technical options](https://www.rcr.ac.uk/media/wwtp2mif/rcr-publications_radiology-reporting-networks-understanding-the-technical-options_march-2022.pdf)\n(March 2022), as mapped in an earlier NHS England draft radiology IG for the\nNational Imaging Registry. The items have **not** been checked against the RCR\ntext, and cardinalities are this guide's assumption (**To confirm**).\n\nIndicative HL7 v2 (ORU^R01), DICOM and FHIR mappings are shown on the\n**Mappings** tab, including the HL7 v2.5.1 to FHIR conversion of\n[Send Imaging Result [RAD-128]](RAD-128.html). The FHIR representation is [Radiology Diagnostic Report](StructureDefinition-RadiologyDiagnosticReport.html),\nwith the request in [Radiology Service Request](StructureDefinition-RadiologyServiceRequest.html)\nand the study in [Radiology Imaging Study](StructureDefinition-RadiologyImagingStudy.html)."] ;
  fhir:StructureDefinition.jurisdiction [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ] ;
       fhir:Coding.code [ fhir:value "GB" ] ;
       fhir:Coding.display [ fhir:value "United Kingdom of Great Britain and Northern Ireland" ]
     ]
  ] ;
  fhir:StructureDefinition.fhirVersion [ fhir:value "4.0.1"] ;
  fhir:StructureDefinition.mapping [
     fhir:index -1 ;
     fhir:StructureDefinition.mapping.identity [ fhir:value "hl7v2" ] ;
     fhir:StructureDefinition.mapping.uri [ fhir:value "http://hl7.org/v2" ] ;
     fhir:StructureDefinition.mapping.name [ fhir:value "HL7 v2.5.1 ORU^R01 - Send Imaging Result [RAD-128] (indicative)" ]
  ], [
     fhir:index -1 ;
     fhir:StructureDefinition.mapping.identity [ fhir:value "dicom" ] ;
     fhir:StructureDefinition.mapping.uri [ fhir:value "http://dicom.nema.org/medical/dicom/current/output/chtml/part03/" ] ;
     fhir:StructureDefinition.mapping.name [ fhir:value "DICOM (indicative)" ]
  ], [
     fhir:index -1 ;
     fhir:StructureDefinition.mapping.identity [ fhir:value "fhir" ] ;
     fhir:StructureDefinition.mapping.uri [ fhir:value "http://hl7.org/fhir" ] ;
     fhir:StructureDefinition.mapping.name [ fhir:value "FHIR (this guide's profiles)" ]
  ], [
     fhir:index -1 ;
     fhir:StructureDefinition.mapping.identity [ fhir:value "rad128" ] ;
     fhir:StructureDefinition.mapping.uri [ fhir:value "https://kevinmayfield.github.io/Imaging/RAD-128.html" ] ;
     fhir:StructureDefinition.mapping.name [ fhir:value "Send Imaging Result [RAD-128] - HL7 v2.5.1 to FHIR (indicative)" ]
  ] ;
  fhir:StructureDefinition.kind [ fhir:value "logical"] ;
  fhir:StructureDefinition.abstract [ fhir:value "false"^^xsd:boolean] ;
  fhir:StructureDefinition.type [ fhir:value "https://fhir.nwgenomics.nhs.uk/Imaging/StructureDefinition/RadiologyReport"] ;
  fhir:StructureDefinition.baseDefinition [
     fhir:value "http://hl7.org/fhir/StructureDefinition/Base" ;
     fhir:link <http://hl7.org/fhir/StructureDefinition/Base>
  ] ;
  fhir:StructureDefinition.derivation [ fhir:value "specialization"] ;
  fhir:StructureDefinition.snapshot [
     fhir:Element.extension [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version" ] ;
       fhir:Extension.valueString [ fhir:value "4.0.1" ]
     ] ;
     fhir:StructureDefinition.snapshot.element [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "RadiologyReport" ] ;
       fhir:ElementDefinition.path [ fhir:value "RadiologyReport" ] ;
       fhir:ElementDefinition.short [ fhir:value "Radiology Report" ] ;
       fhir:ElementDefinition.definition [ fhir:value "**Proof of concept - not an authoritative source.**\n\nThe data items of a radiology report shared between RIS, PACS and reporting\nnetworks, based on the Royal College of Radiologists'\n[Radiology reporting networks: understanding the technical options](https://www.rcr.ac.uk/media/wwtp2mif/rcr-publications_radiology-reporting-networks-understanding-the-technical-options_march-2022.pdf)\n(March 2022), as mapped in an earlier NHS England draft radiology IG for the\nNational Imaging Registry. The items have **not** been checked against the RCR\ntext, and cardinalities are this guide's assumption (**To confirm**).\n\nIndicative HL7 v2 (ORU^R01), DICOM and FHIR mappings are shown on the\n**Mappings** tab, including the HL7 v2.5.1 to FHIR conversion of\n[Send Imaging Result [RAD-128]](RAD-128.html). The FHIR representation is [Radiology Diagnostic Report](StructureDefinition-RadiologyDiagnosticReport.html),\nwith the request in [Radiology Service Request](StructureDefinition-RadiologyServiceRequest.html)\nand the study in [Radiology Imaging Study](StructureDefinition-RadiologyImagingStudy.html)." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Base" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rad128" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "ORU^R01^ORU_R01 to a Bundle of DiagnosticReport, Patient, DocumentReference and Binary, following the HL7 v2-to-FHIR ORU_R01 ConceptMap and the NW GMSA conventions" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "RadiologyReport.reportIdentifier" ] ;
       fhir:ElementDefinition.path [ fhir:value "RadiologyReport.reportIdentifier" ] ;
       fhir:ElementDefinition.short [ fhir:value "Report identifier" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Identifier of the report in the RIS" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "RadiologyReport.reportIdentifier" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Identifier" ]
       ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "hl7v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR-3 Filler Order Number" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "fhir" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DiagnosticReport.identifier" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rad128" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR-3 Filler Order Number -> DiagnosticReport.identifier (ReportIdentifier)" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "RadiologyReport.patient" ] ;
       fhir:ElementDefinition.path [ fhir:value "RadiologyReport.patient" ] ;
       fhir:ElementDefinition.short [ fhir:value "Patient" ] ;
       fhir:ElementDefinition.definition [ fhir:value "NHS number of the patient (NHS NUMBER)" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "RadiologyReport.patient" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Identifier" ]
       ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "hl7v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "PID-3 Patient Identifier List" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "dicom" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "(0010,0020) Patient ID" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "fhir" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DiagnosticReport.subject" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rad128" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "PID-3 -> Patient.identifier:nhsNumber / MedicalRecordNumber; DiagnosticReport.subject" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "RadiologyReport.accessionNumber" ] ;
       fhir:ElementDefinition.path [ fhir:value "RadiologyReport.accessionNumber" ] ;
       fhir:ElementDefinition.short [ fhir:value "Accession number" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Identifies the imaging request in the issuing RIS; shared by the request, the DICOM study and the report (RADIOLOGICAL ACCESSION NUMBER)" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "RadiologyReport.accessionNumber" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Identifier" ]
       ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "hl7v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "ORC-3 / OBR-3 Filler Order Number" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "dicom" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "(0008,0050) Accession Number, (0008,0051) Issuer of Accession Number Sequence" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "fhir" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "ServiceRequest.identifier:accessionNumber, DiagnosticReport.basedOn.identifier, ImagingStudy.basedOn.identifier" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rad128" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "ORC-3 / OBR-3 Filler Order Number -> DiagnosticReport.basedOn.identifier (RadiologicalAccessionNumber). Field carrying the accession number in RAD-128 is To confirm" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "RadiologyReport.visitNumber" ] ;
       fhir:ElementDefinition.path [ fhir:value "RadiologyReport.visitNumber" ] ;
       fhir:ElementDefinition.short [ fhir:value "Visit number" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Encounter or visit the examination belongs to" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "RadiologyReport.visitNumber" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Identifier" ]
       ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "hl7v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "PV1-19 Visit Number" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "fhir" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DiagnosticReport.encounter" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rad128" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "PV1-19 -> Encounter.identifier (VisitNumber); DiagnosticReport.encounter" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "RadiologyReport.examination" ] ;
       fhir:ElementDefinition.path [ fhir:value "RadiologyReport.examination" ] ;
       fhir:ElementDefinition.short [ fhir:value "Examination" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Imaging procedure performed - NICIP code with SNOMED CT map (IMAGING CODE (NICIP))" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "RadiologyReport.examination" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
       ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "hl7v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR-4 Universal Service Identifier" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "dicom" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "(0008,1032) Procedure Code Sequence" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "fhir" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "ServiceRequest.code, ImagingStudy.procedureCode, Procedure.code (DiagnosticReport.extension:procedure)" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rad128" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR-4 (NICIP) -> DiagnosticReport.code.coding:nicip" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "RadiologyReport.diagnosticServiceSection" ] ;
       fhir:ElementDefinition.path [ fhir:value "RadiologyReport.diagnosticServiceSection" ] ;
       fhir:ElementDefinition.short [ fhir:value "Diagnostic service section" ] ;
       fhir:ElementDefinition.definition [ fhir:value "For example RAD (Radiology), from HL7 v2 table 0074" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "RadiologyReport.diagnosticServiceSection" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
       ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "hl7v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR-24 Diagnostic Serv Sect ID" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "fhir" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DiagnosticReport.category:diagnostic-service" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rad128" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR-24 -> DiagnosticReport.category" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "RadiologyReport.examinationCompleted" ] ;
       fhir:ElementDefinition.path [ fhir:value "RadiologyReport.examinationCompleted" ] ;
       fhir:ElementDefinition.short [ fhir:value "Examination completed" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Date and time the radiographer completed the examination" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "RadiologyReport.examinationCompleted" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "dateTime" ]
       ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "hl7v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR-7 Observation Date/Time, OBR-8 Observation End Date/Time" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "fhir" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DiagnosticReport.effective[x]" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rad128" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR-7 / OBR-8 -> DiagnosticReport.effectiveDateTime / effectivePeriod" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "RadiologyReport.imagingSite" ] ;
       fhir:ElementDefinition.path [ fhir:value "RadiologyReport.imagingSite" ] ;
       fhir:ElementDefinition.short [ fhir:value "Imaging site" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Where the examination was performed (SITE CODE (OF IMAGING), or ODS organisation code - Open)" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "RadiologyReport.imagingSite" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Identifier" ]
       ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "hl7v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "PV1-3 Assigned Patient Location (facility)" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "dicom" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "(0008,0082) Institution Code Sequence" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "fhir" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DiagnosticReport.performer:organization" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rad128" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "PV1-3 (facility) -> DiagnosticReport.performer (Organization)" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "RadiologyReport.operator" ] ;
       fhir:ElementDefinition.path [ fhir:value "RadiologyReport.operator" ] ;
       fhir:ElementDefinition.short [ fhir:value "Operator" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Radiographer who performed the examination - professional registration number (HCPC)" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "RadiologyReport.operator" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Identifier" ]
       ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "hl7v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR-34 Technician" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "dicom" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "(0008,1070) Operators' Name, (0008,1072) Operator Identification Sequence" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "fhir" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "ImagingStudy.series.performer:performer" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rad128" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR-34 -> not carried on DiagnosticReport; ImagingStudy.series.performer" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "RadiologyReport.reportIssued" ] ;
       fhir:ElementDefinition.path [ fhir:value "RadiologyReport.reportIssued" ] ;
       fhir:ElementDefinition.short [ fhir:value "Final report issued" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Date and time the final report was issued" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "RadiologyReport.reportIssued" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "dateTime" ]
       ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "hl7v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR-22 Results Rpt/Status Chng - Date/Time" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "fhir" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DiagnosticReport.issued" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rad128" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR-22 -> DiagnosticReport.issued" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "RadiologyReport.primaryReporter" ] ;
       fhir:ElementDefinition.path [ fhir:value "RadiologyReport.primaryReporter" ] ;
       fhir:ElementDefinition.short [ fhir:value "Primary reporter" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Radiologist or reporting radiographer responsible for the report - professional registration number (GMC, HCPC)" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "RadiologyReport.primaryReporter" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Identifier" ]
       ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "hl7v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR-32 Principal Result Interpreter" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "dicom" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "(0008,1060) Name of Physician(s) Reading Study, (0008,1062) Physician(s) Reading Study Identification Sequence" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "fhir" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DiagnosticReport.resultsInterpreter" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rad128" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR-32 -> DiagnosticReport.resultsInterpreter (Practitioner / PractitionerRole)" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "RadiologyReport.secondaryReporter" ] ;
       fhir:ElementDefinition.path [ fhir:value "RadiologyReport.secondaryReporter" ] ;
       fhir:ElementDefinition.short [ fhir:value "Secondary reporter" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Other reporter, for example a trainee or second reader - professional registration number" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "RadiologyReport.secondaryReporter" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Identifier" ]
       ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "hl7v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR-33 Assistant Result Interpreter" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "dicom" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "(0008,1062) Physician(s) Reading Study Identification Sequence" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "fhir" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DiagnosticReport.resultsInterpreter" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rad128" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR-33 -> DiagnosticReport.resultsInterpreter" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "RadiologyReport.clinicalHistory" ] ;
       fhir:ElementDefinition.path [ fhir:value "RadiologyReport.clinicalHistory" ] ;
       fhir:ElementDefinition.short [ fhir:value "Clinical history" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Narrative clinical history from the request" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "RadiologyReport.clinicalHistory" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]
       ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "hl7v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBX-5" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "fhir" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "ServiceRequest.reasonCode / supportingInfo; DiagnosticReport.extension:patientHistory (references to the relevant resources)" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rad128" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBX-5 (clinical history OBX) -> ServiceRequest.reasonCode / supportingInfo" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "RadiologyReport.radiographerComments" ] ;
       fhir:ElementDefinition.path [ fhir:value "RadiologyReport.radiographerComments" ] ;
       fhir:ElementDefinition.short [ fhir:value "Radiographer comments" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Comments recorded by the radiographer" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "RadiologyReport.radiographerComments" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]
       ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "hl7v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "NTE-3" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "fhir" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DiagnosticReport.extension:note" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rad128" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "NTE-3 -> DiagnosticReport.extension:note" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "RadiologyReport.reportText" ] ;
       fhir:ElementDefinition.path [ fhir:value "RadiologyReport.reportText" ] ;
       fhir:ElementDefinition.short [ fhir:value "Report text" ] ;
       fhir:ElementDefinition.definition [ fhir:value "The narrative report as issued" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "RadiologyReport.reportText" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]
       ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "hl7v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBX-5 (value type TX; or ED - PDF Option)" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "dicom" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DICOM Structured Report" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "fhir" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DiagnosticReport.presentedForm; Composition (DiagnosticReport.extension:composition)" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rad128" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBX-5 type TX -> DiagnosticReport.presentedForm (text/plain) or Composition; type ED (PDF Option) -> Binary.data, DocumentReference.content.attachment.url -> Binary, DiagnosticReport.presentedForm.url -> Binary (no Attachment.data)" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "RadiologyReport.conclusion" ] ;
       fhir:ElementDefinition.path [ fhir:value "RadiologyReport.conclusion" ] ;
       fhir:ElementDefinition.short [ fhir:value "Conclusion" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Summary conclusion of the report. Whether the RCR data set separates it from the report text is Open" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "RadiologyReport.conclusion" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]
       ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "fhir" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DiagnosticReport.conclusion (coded impressions: DiagnosticReport.extension:impression)" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rad128" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBX-5 (impression OBX, if sent separately - Open) -> DiagnosticReport.conclusion" ]
       ]
     ]
  ] ;
  fhir:StructureDefinition.differential [
     fhir:StructureDefinition.differential.element [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "RadiologyReport" ] ;
       fhir:ElementDefinition.path [ fhir:value "RadiologyReport" ] ;
       fhir:ElementDefinition.short [ fhir:value "Radiology Report" ] ;
       fhir:ElementDefinition.definition [ fhir:value "**Proof of concept - not an authoritative source.**\n\nThe data items of a radiology report shared between RIS, PACS and reporting\nnetworks, based on the Royal College of Radiologists'\n[Radiology reporting networks: understanding the technical options](https://www.rcr.ac.uk/media/wwtp2mif/rcr-publications_radiology-reporting-networks-understanding-the-technical-options_march-2022.pdf)\n(March 2022), as mapped in an earlier NHS England draft radiology IG for the\nNational Imaging Registry. The items have **not** been checked against the RCR\ntext, and cardinalities are this guide's assumption (**To confirm**).\n\nIndicative HL7 v2 (ORU^R01), DICOM and FHIR mappings are shown on the\n**Mappings** tab, including the HL7 v2.5.1 to FHIR conversion of\n[Send Imaging Result [RAD-128]](RAD-128.html). The FHIR representation is [Radiology Diagnostic Report](StructureDefinition-RadiologyDiagnosticReport.html),\nwith the request in [Radiology Service Request](StructureDefinition-RadiologyServiceRequest.html)\nand the study in [Radiology Imaging Study](StructureDefinition-RadiologyImagingStudy.html)." ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rad128" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "ORU^R01^ORU_R01 to a Bundle of DiagnosticReport, Patient, DocumentReference and Binary, following the HL7 v2-to-FHIR ORU_R01 ConceptMap and the NW GMSA conventions" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "RadiologyReport.reportIdentifier" ] ;
       fhir:ElementDefinition.path [ fhir:value "RadiologyReport.reportIdentifier" ] ;
       fhir:ElementDefinition.short [ fhir:value "Report identifier" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Identifier of the report in the RIS" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Identifier" ]
       ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "hl7v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR-3 Filler Order Number" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "fhir" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DiagnosticReport.identifier" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rad128" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR-3 Filler Order Number -> DiagnosticReport.identifier (ReportIdentifier)" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "RadiologyReport.patient" ] ;
       fhir:ElementDefinition.path [ fhir:value "RadiologyReport.patient" ] ;
       fhir:ElementDefinition.short [ fhir:value "Patient" ] ;
       fhir:ElementDefinition.definition [ fhir:value "NHS number of the patient (NHS NUMBER)" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Identifier" ]
       ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "hl7v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "PID-3 Patient Identifier List" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "dicom" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "(0010,0020) Patient ID" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "fhir" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DiagnosticReport.subject" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rad128" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "PID-3 -> Patient.identifier:nhsNumber / MedicalRecordNumber; DiagnosticReport.subject" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "RadiologyReport.accessionNumber" ] ;
       fhir:ElementDefinition.path [ fhir:value "RadiologyReport.accessionNumber" ] ;
       fhir:ElementDefinition.short [ fhir:value "Accession number" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Identifies the imaging request in the issuing RIS; shared by the request, the DICOM study and the report (RADIOLOGICAL ACCESSION NUMBER)" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Identifier" ]
       ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "hl7v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "ORC-3 / OBR-3 Filler Order Number" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "dicom" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "(0008,0050) Accession Number, (0008,0051) Issuer of Accession Number Sequence" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "fhir" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "ServiceRequest.identifier:accessionNumber, DiagnosticReport.basedOn.identifier, ImagingStudy.basedOn.identifier" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rad128" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "ORC-3 / OBR-3 Filler Order Number -> DiagnosticReport.basedOn.identifier (RadiologicalAccessionNumber). Field carrying the accession number in RAD-128 is To confirm" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "RadiologyReport.visitNumber" ] ;
       fhir:ElementDefinition.path [ fhir:value "RadiologyReport.visitNumber" ] ;
       fhir:ElementDefinition.short [ fhir:value "Visit number" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Encounter or visit the examination belongs to" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Identifier" ]
       ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "hl7v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "PV1-19 Visit Number" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "fhir" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DiagnosticReport.encounter" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rad128" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "PV1-19 -> Encounter.identifier (VisitNumber); DiagnosticReport.encounter" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "RadiologyReport.examination" ] ;
       fhir:ElementDefinition.path [ fhir:value "RadiologyReport.examination" ] ;
       fhir:ElementDefinition.short [ fhir:value "Examination" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Imaging procedure performed - NICIP code with SNOMED CT map (IMAGING CODE (NICIP))" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
       ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "hl7v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR-4 Universal Service Identifier" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "dicom" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "(0008,1032) Procedure Code Sequence" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "fhir" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "ServiceRequest.code, ImagingStudy.procedureCode, Procedure.code (DiagnosticReport.extension:procedure)" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rad128" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR-4 (NICIP) -> DiagnosticReport.code.coding:nicip" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "RadiologyReport.diagnosticServiceSection" ] ;
       fhir:ElementDefinition.path [ fhir:value "RadiologyReport.diagnosticServiceSection" ] ;
       fhir:ElementDefinition.short [ fhir:value "Diagnostic service section" ] ;
       fhir:ElementDefinition.definition [ fhir:value "For example RAD (Radiology), from HL7 v2 table 0074" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
       ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "hl7v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR-24 Diagnostic Serv Sect ID" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "fhir" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DiagnosticReport.category:diagnostic-service" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rad128" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR-24 -> DiagnosticReport.category" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "RadiologyReport.examinationCompleted" ] ;
       fhir:ElementDefinition.path [ fhir:value "RadiologyReport.examinationCompleted" ] ;
       fhir:ElementDefinition.short [ fhir:value "Examination completed" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Date and time the radiographer completed the examination" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "dateTime" ]
       ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "hl7v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR-7 Observation Date/Time, OBR-8 Observation End Date/Time" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "fhir" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DiagnosticReport.effective[x]" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rad128" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR-7 / OBR-8 -> DiagnosticReport.effectiveDateTime / effectivePeriod" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "RadiologyReport.imagingSite" ] ;
       fhir:ElementDefinition.path [ fhir:value "RadiologyReport.imagingSite" ] ;
       fhir:ElementDefinition.short [ fhir:value "Imaging site" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Where the examination was performed (SITE CODE (OF IMAGING), or ODS organisation code - Open)" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Identifier" ]
       ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "hl7v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "PV1-3 Assigned Patient Location (facility)" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "dicom" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "(0008,0082) Institution Code Sequence" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "fhir" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DiagnosticReport.performer:organization" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rad128" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "PV1-3 (facility) -> DiagnosticReport.performer (Organization)" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "RadiologyReport.operator" ] ;
       fhir:ElementDefinition.path [ fhir:value "RadiologyReport.operator" ] ;
       fhir:ElementDefinition.short [ fhir:value "Operator" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Radiographer who performed the examination - professional registration number (HCPC)" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Identifier" ]
       ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "hl7v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR-34 Technician" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "dicom" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "(0008,1070) Operators' Name, (0008,1072) Operator Identification Sequence" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "fhir" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "ImagingStudy.series.performer:performer" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rad128" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR-34 -> not carried on DiagnosticReport; ImagingStudy.series.performer" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "RadiologyReport.reportIssued" ] ;
       fhir:ElementDefinition.path [ fhir:value "RadiologyReport.reportIssued" ] ;
       fhir:ElementDefinition.short [ fhir:value "Final report issued" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Date and time the final report was issued" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "dateTime" ]
       ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "hl7v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR-22 Results Rpt/Status Chng - Date/Time" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "fhir" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DiagnosticReport.issued" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rad128" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR-22 -> DiagnosticReport.issued" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "RadiologyReport.primaryReporter" ] ;
       fhir:ElementDefinition.path [ fhir:value "RadiologyReport.primaryReporter" ] ;
       fhir:ElementDefinition.short [ fhir:value "Primary reporter" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Radiologist or reporting radiographer responsible for the report - professional registration number (GMC, HCPC)" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Identifier" ]
       ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "hl7v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR-32 Principal Result Interpreter" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "dicom" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "(0008,1060) Name of Physician(s) Reading Study, (0008,1062) Physician(s) Reading Study Identification Sequence" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "fhir" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DiagnosticReport.resultsInterpreter" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rad128" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR-32 -> DiagnosticReport.resultsInterpreter (Practitioner / PractitionerRole)" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "RadiologyReport.secondaryReporter" ] ;
       fhir:ElementDefinition.path [ fhir:value "RadiologyReport.secondaryReporter" ] ;
       fhir:ElementDefinition.short [ fhir:value "Secondary reporter" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Other reporter, for example a trainee or second reader - professional registration number" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "Identifier" ]
       ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "hl7v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR-33 Assistant Result Interpreter" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "dicom" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "(0008,1062) Physician(s) Reading Study Identification Sequence" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "fhir" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DiagnosticReport.resultsInterpreter" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rad128" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBR-33 -> DiagnosticReport.resultsInterpreter" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "RadiologyReport.clinicalHistory" ] ;
       fhir:ElementDefinition.path [ fhir:value "RadiologyReport.clinicalHistory" ] ;
       fhir:ElementDefinition.short [ fhir:value "Clinical history" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Narrative clinical history from the request" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]
       ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "hl7v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBX-5" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "fhir" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "ServiceRequest.reasonCode / supportingInfo; DiagnosticReport.extension:patientHistory (references to the relevant resources)" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rad128" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBX-5 (clinical history OBX) -> ServiceRequest.reasonCode / supportingInfo" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "RadiologyReport.radiographerComments" ] ;
       fhir:ElementDefinition.path [ fhir:value "RadiologyReport.radiographerComments" ] ;
       fhir:ElementDefinition.short [ fhir:value "Radiographer comments" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Comments recorded by the radiographer" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]
       ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "hl7v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "NTE-3" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "fhir" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DiagnosticReport.extension:note" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rad128" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "NTE-3 -> DiagnosticReport.extension:note" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "RadiologyReport.reportText" ] ;
       fhir:ElementDefinition.path [ fhir:value "RadiologyReport.reportText" ] ;
       fhir:ElementDefinition.short [ fhir:value "Report text" ] ;
       fhir:ElementDefinition.definition [ fhir:value "The narrative report as issued" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]
       ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "hl7v2" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBX-5 (value type TX; or ED - PDF Option)" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "dicom" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DICOM Structured Report" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "fhir" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DiagnosticReport.presentedForm; Composition (DiagnosticReport.extension:composition)" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rad128" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBX-5 type TX -> DiagnosticReport.presentedForm (text/plain) or Composition; type ED (PDF Option) -> Binary.data, DocumentReference.content.attachment.url -> Binary, DiagnosticReport.presentedForm.url -> Binary (no Attachment.data)" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Element.id [ fhir:value "RadiologyReport.conclusion" ] ;
       fhir:ElementDefinition.path [ fhir:value "RadiologyReport.conclusion" ] ;
       fhir:ElementDefinition.short [ fhir:value "Conclusion" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Summary conclusion of the report. Whether the RCR data set separates it from the report text is Open" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.type [
         fhir:index -1 ;
         fhir:ElementDefinition.type.code [ fhir:value "string" ]
       ] ;
       fhir:ElementDefinition.mapping [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "fhir" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "DiagnosticReport.conclusion (coded impressions: DiagnosticReport.extension:impression)" ]
       ], [
         fhir:index -1 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rad128" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "OBX-5 (impression OBX, if sent separately - Open) -> DiagnosticReport.conclusion" ]
       ]
     ]
  ] .

# - ontology header ------------------------------------------------------------

<https://fhir.nwgenomics.nhs.uk/Imaging/StructureDefinition/RadiologyReport.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl .

# -------------------------------------------------------------------------------------