http://hl7.org/fhir/StructureDefinition/DiagnosticReport|5.0.0
The findings and interpretation of diagnostic tests performed on patients, groups of patients, products, substances, devices, and locations, and/or specimens derived from these. The report includes clinical context such as requesting provider information, and some mix of atomic results, images, textual and coded interpretations, and formatted representation of diagnostic reports. The report also includes non-clinical context such as batch analysis and stability reporting of products and substances.
| Name | Flags | Card | Type | Description & Constraints |
|---|---|---|---|---|
DiagnosticReport | 0..* | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | ||
Σ | 0..* | Identifier | Business identifier for report | |
| 0..* | Reference | What was requested | ||
?!Σ | 1..1 | code | registered | partial | preliminary | modified | final | amended | corrected | appended | cancelled | entered-in-error | unknown DiagnosticReportStatus (required) | |
Σ | 0..* | CodeableConcept | Service category DiagnosticServiceSection (example) | |
Σ | 1..1 | CodeableConcept | Name/Code for this diagnostic report DiagnosticReportCodes (preferred) | |
Σ | 0..1 | Reference | The subject of the report - usually, but not always, the patient | |
Σ | 0..1 | Reference | Health care event when test ordered | |
Σ | 0..1 | Clinically relevant time/time-period for report | ||
Σ | 0..1 | dateTime | ||
Σ | 0..1 | Period | ||
Σ | 0..1 | instant | DateTime this version was made | |
Σ | 0..* | Reference | Responsible Diagnostic Service | |
Σ | 0..* | Reference | Primary result interpreter | |
| 0..* | Reference | Specimens this report is based on | ||
| 0..* | Reference | Observations | ||
| 0..* | Annotation | Comments about the diagnostic report | ||
| 0..* | Reference | Reference to full details of an analysis associated with the diagnostic report | ||
| 0..* | BackboneElement | Additional information supporting the diagnostic report | ||
| 1..1 | CodeableConcept | Supporting information role code DiagnosticReportSupportingInfoType (example) | ||
| 1..1 | Reference | Supporting information reference | ||
Σ | 0..* | BackboneElement | Key images or data associated with this report | |
| 0..1 | string | Comment about the image or data (e.g. explanation) | ||
Σ | 1..1 | Reference | Reference to the image or data source | |
| 0..1 | Reference | Reference to a Composition resource for the DiagnosticReport structure | ||
| 0..1 | markdown | Clinical conclusion (interpretation) of test results | ||
| 0..* | CodeableConcept | Codes for the clinical conclusion of test results AdjunctDiagnosis (example) | ||
| 0..* | Attachment | Entire report as issued |