Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
DomainResource | A 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 | |||
Σ | 0..* | Identifier | Business identifier for report | |
0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ProcedureRequest | ReferralRequest) | What was requested | ||
?!Σ | 1..1 | code | registered | partial | preliminary | final + DiagnosticReportStatus (Required) | |
Σ | 0..1 | CodeableConcept | Service category Diagnostic Service Section Codes (Example) | |
Σ | 1..1 | CodeableConcept | Name/Code for this diagnostic report LOINC Diagnostic Report Codes (Preferred) | |
Σ | 0..1 | Reference(Patient | Group | Device | Location) | The subject of the report - usually, but not always, the patient | |
Σ | 0..1 | Reference(Encounter | EpisodeOfCare) | Health care event when test ordered | |
Σ | 0..1 | Clinically relevant time/time-period for report | ||
dateTime | ||||
Period | ||||
Σ | 0..1 | instant | DateTime this version was released | |
Σ | 0..* | BackboneElement | Participants in producing the report | |
Σ | 0..1 | CodeableConcept | Type of performer Procedure Performer Role Codes (Example) | |
Σ | 1..1 | Reference(Practitioner | Organization) | Practitioner or Organization participant | |
0..* | Reference(Specimen) | Specimens this report is based on | ||
0..* | Reference(Observation) | Observations - simple, or complex nested groups | ||
0..* | Reference(ImagingStudy | ImagingManifest) | Reference to full details of imaging associated with the diagnostic report | ||
Σ | 0..* | BackboneElement | Key images associated with this report | |
0..1 | string | Comment about the image (e.g. explanation) | ||
Σ | 1..1 | Reference(Media) | Reference to the image source | |
0..1 | string | Clinical Interpretation of test results | ||
0..* | CodeableConcept | Codes for the conclusion SNOMED CT Clinical Findings (Example) | ||
0..* | Attachment | Entire report as issued | ||
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