DiagnosticReport

ResourceClinical · DiagnosticsTrial useMaturity 3

The findings and interpretation of diagnostic tests performed on patients, groups of patients, devices, and locations, and/or specimens derived from these. The report includes clinical context such as requesting and provider information, and some mix of atomic results, images, textual and coded interpretations, and formatted representation of diagnostic reports.

StructureSearch parametersHL7 specificationStructureDefinition JSON

Tested supportFull test results →

Backends

PostgreSQLElasticsearch

Interactions

CreateReadUpdatePatchDelete

Search

16 of 16 parameters tested

Structure

Show inherited elements (11)

Element	Card.	Type	Description
identifierΣ	0..*	Identifier	Business identifier for report
basedOn	0..*	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested
statusRequired?!Σ	1..1	code	registered | partial | preliminary | final +Binding (required): diagnostic-report-status
categoryΣ	0..*	CodeableConcept	Service categoryBinding (example): diagnostic-service-sections
codeRequiredΣ	1..1	CodeableConcept	Name/Code for this diagnostic reportBinding (preferred): report-codes
subjectΣ	0..1	Reference(Patient | Group | Device | Location)	The subject of the report - usually, but not always, the patient
encounterΣ	0..1	Reference(Encounter)	Health care event when test ordered
effective[x]Σ	0..1	dateTime | Period	Clinically relevant time/time-period for report
issuedΣ	0..1	instant	DateTime this version was made
performerΣ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Responsible Diagnostic Service
resultsInterpreterΣ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter
specimen	0..*	Reference(Specimen)	Specimens this report is based on
result	0..*	Reference(Observation)	Observations
imagingStudy	0..*	Reference(ImagingStudy)	Reference to full details of imaging associated with the diagnostic report
mediaΣ	0..*	BackboneElement	Key images associated with this report
comment	0..1	string	Comment about the image (e.g. explanation)
linkRequiredΣ	1..1	Reference(Media)	Reference to the image source
conclusion	0..1	string	Clinical conclusion (interpretation) of test results
conclusionCode	0..*	CodeableConcept	Codes for the clinical conclusion of test resultsBinding (example): clinical-findings
presentedForm	0..*	Attachment	Entire report as issued

Σ in _summary results · ?! modifier element · 1.. required · inherited elements in grey

Search parameters

Query with GET [base]/DiagnosticReport?[parameter]=[value]. Type decides which modifiers and prefixes apply, see search features.

Parameter	Type	Description	PG	ES
based-on	reference	Reference to the service request. DiagnosticReport.basedOn
category	token	Which diagnostic discipline/department created the report DiagnosticReport.category
code	token	The code for the report, as opposed to codes for the atomic results, which are the names on the observation resource referred to from the result DiagnosticReport.code
conclusion	token	A coded conclusion (interpretation/impression) on the report DiagnosticReport.conclusionCode
date	date	The clinically relevant time of the report DiagnosticReport.effective
encounter	reference	The Encounter when the order was made DiagnosticReport.encounter
identifier	token	An identifier for the report DiagnosticReport.identifier
issued	date	When the report was issued DiagnosticReport.issued
media	reference	A reference to the image source. DiagnosticReport.media.link
patient	reference	The subject of the report if a patient DiagnosticReport.subject.where(resolve() is Patient)
performer	reference	Who is responsible for the report DiagnosticReport.performer
result	reference	Link to an atomic result (observation resource) DiagnosticReport.result
results-interpreter	reference	Who was the source of the report DiagnosticReport.resultsInterpreter
specimen	reference	The specimen details DiagnosticReport.specimen
status	token	The status of the report DiagnosticReport.status
subject	reference	The subject of the report DiagnosticReport.subject

PG: PostgreSQL, ES: Elasticsearch. passes its TestScript checks, fails, not tested yet.

Common parameters on every resource (8)

_haste-health-author	reference	The author of the resource
_id	token	Logical id of this artifact
_lastUpdated	date	When the resource version last changed
_profile	uri	Profiles this resource claims to conform to
_security	token	Security Labels applied to this resource
_source	uri	Identifies where the resource comes from
_tag	token	Tags applied to this resource
_type	token	Derived from the R4B Definition