DiagnosticReport
DiagnosticReport
draftResource40 elementsv5.0.0
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.
Metadata
hl7.org/fhir- Canonical URL
- http://hl7.org/fhir/StructureDefinition/DiagnosticReport
- ID
- DiagnosticReport
- Type
- Base Definition
- Derivation
- specialization
- Publisher
- Health Level Seven International (Orders and Observations)
- Version
- 5.0.0
- Purpose
- To support reporting for any diagnostic report into a clinical data repository.
| Path | Card. | Type | Description |
|---|---|---|---|
DiagnosticReport | 0..* | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
id | 0..1 | string | Logical id of this artifact |
meta | 0..1 | Metadata about the resource | |
implicitRules | 0..1 | uri | A set of rules under which this content was created |
language | 0..1 | code | Language of the resource contentrequired: all-languages |
text | 0..1 | Text summary of the resource, for human interpretation | |
contained | 0..* | Resource | Contained, inline Resources |
extension | 0..* | Additional content defined by implementations | |
modifierExtension | 0..* | Extensions that cannot be ignored | |
identifier | 0..* | Business identifier for report | |
basedOn | 0..* | What was requested | |
status | 1..1 | code | registered | partial | preliminary | modified | final | amended | corrected | appended | cancelled | entered-in-error | unknownrequired: diagnostic-report-status |
category | 0..* | Service categoryexample: diagnostic-service-sections | |
code | 1..1 | Name/Code for this diagnostic reportpreferred: report-codes | |
subject | 0..1 | The subject of the report - usually, but not always, the patient | |
encounter | 0..1 | Health care event when test ordered | |
effective[x] | 0..1 | dateTimePeriod | Clinically relevant time/time-period for report |
issued | 0..1 | instant | DateTime this version was made |
performer | 0..* | Responsible Diagnostic Service | |
resultsInterpreter | 0..* | Primary result interpreter | |
specimen | 0..* | Specimens this report is based on | |
result | 0..* | Observations | |
note | 0..* | Comments about the diagnostic report | |
study | 0..* | Reference to full details of an analysis associated with the diagnostic report | |
supportingInfo | 0..* | BackboneElement | Additional information supporting the diagnostic report |
media | 0..* | BackboneElement | Key images or data associated with this report |
composition | 0..1 | Reference to a Composition resource for the DiagnosticReport structure | |
conclusion | 0..1 | markdown | Clinical conclusion (interpretation) of test results |
conclusionCode | 0..* | Codes for the clinical conclusion of test resultsexample: clinical-findings | |
presentedForm | 0..* | Entire report as issued |