NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport DomainResourceA Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
... identifier Σ0..*IdentifierBusiness identifier for report
... basedOn 0..*Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ProcedureRequest | ReferralRequest)What was requested
... status ?!Σ1..1coderegistered | partial | preliminary | final +
DiagnosticReportStatus (Required)
... category Σ0..1CodeableConceptService category
Diagnostic Service Section Codes (Example)
... code Σ1..1CodeableConceptName/Code for this diagnostic report
LOINC Diagnostic Report Codes (Preferred)
... subject Σ0..1Reference(Patient | Group | Device | Location)The subject of the report - usually, but not always, the patient
... context Σ0..1Reference(Encounter | EpisodeOfCare)Health care event when test ordered
... effective[x] Σ0..1Clinically relevant time/time-period for report
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... issued Σ0..1instantDateTime this version was released
... performer Σ0..*BackboneElementParticipants in producing the report
.... role Σ0..1CodeableConceptType of performer
Procedure Performer Role Codes (Example)
.... actor Σ1..1Reference(Practitioner | Organization)Practitioner or Organization participant
... specimen 0..*Reference(Specimen)Specimens this report is based on
... result 0..*Reference(Observation)Observations - simple, or complex nested groups
... imagingStudy 0..*Reference(ImagingStudy | ImagingManifest)Reference to full details of imaging associated with the diagnostic report
... image Σ0..*BackboneElementKey images associated with this report
.... comment 0..1stringComment about the image (e.g. explanation)
.... link Σ1..1Reference(Media)Reference to the image source
... conclusion 0..1stringClinical Interpretation of test results
... codedDiagnosis 0..*CodeableConceptCodes for the conclusion
SNOMED CT Clinical Findings (Example)
... presentedForm 0..*AttachmentEntire report as issued

doco Documentation for this format