| Name | Flags | Card. | Type | Description & Constraints |
|---|
  DiagnosticReport | TU | | DomainResource | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
+ Rule: When a Composition is referenced in `Diagnostic.composition`, all Observation resources referenced in `Composition.entry` must also be referenced in `Diagnostic.entry` or in the references Observations in `Observation.hasMember`
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension |
  identifier | Σ | 0..* | Identifier | Business identifier for report
|
 basedOn | | 0..* | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested
|
 status | ?!Σ | 1..1 | code | registered | partial | preliminary | modified | final | amended | corrected | appended | cancelled | entered-in-error | unknown
Binding: Diagnostic Report Status (Required)
|
| category | Σ | 0..* | CodeableConcept | Service category
Binding: Diagnostic Service Section Codes (Example)
|
| code | Σ | 1..1 | CodeableConcept | Name/Code for this diagnostic report
Binding: LOINC Diagnostic Report Codes (Preferred)
|
| subject | Σ | 0..1 | Reference(Patient | Group | Device | Location | Organization | Practitioner | Medication | Substance | BiologicallyDerivedProduct) | The subject of the report - usually, but not always, the patient
|
| encounter | Σ | 0..1 | Reference(Encounter) | Health care event when test ordered
|
 effective[x] | Σ | 0..1 | | Clinically relevant time/time-period for report
|
 effectiveDateTime | | | dateTime | |
 effectivePeriod | | | Period | |
| issued | Σ | 0..1 | instant | DateTime this version was made
|
| performer | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Responsible Diagnostic Service
|
| resultsInterpreter | Σ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam) | Primary result interpreter
|
| specimen | | 0..* | Reference(Specimen) | Specimens this report is based on
|
| result | C | 0..* | Reference(Observation) | Observations
|
| note | | 0..* | Annotation | Comments about the diagnostic report
|
| study | | 0..* | Reference(GenomicStudy | ImagingStudy) | Reference to full details of an analysis associated with the diagnostic report
|
 supportingInfo | | 0..* | BackboneElement | Additional information supporting the diagnostic report
|
| type | | 1..1 | CodeableConcept | Supporting information role code
Binding: hl7VS-VS-observationType (Example)
|
| reference | | 1..1 | Reference(Procedure | Observation | DiagnosticReport | Citation) | Supporting information reference
|
| media | Σ | 0..* | BackboneElement | Key images or data associated with this report
|
| comment | | 0..1 | string | Comment about the image or data (e.g. explanation)
|
| link | Σ | 1..1 | Reference(DocumentReference) | Reference to the image or data source
|
| composition | C | 0..1 | Reference(Composition) | Reference to a Composition resource for the DiagnosticReport structure
|
| conclusion | | 0..1 | markdown | Clinical conclusion (interpretation) of test results
|
| conclusionCode | | 0..* | CodeableConcept | Codes for the clinical conclusion of test results
Binding: SNOMED CT Clinical Findings (Example)
|
| presentedForm | | 0..* | Attachment | Entire report as issued
|
Documentation for this format |