FHIR Diagnostic Report documentation
Bika Senaite Names added
Resource DiagnosticReport - Content
| Structure | UML | XML | JSON | Turtle | R2 Diff |
FHIR Diagnostic Report |
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| DiagnosticReport | Bika AR. Analysis Request | DomainResource | 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 | |
Bika Name |
Example |
Type |
Description & Constraints |
|
| identifier | AR ID | Cx18-46664-R1 | Identifier | Business identifier for report |
| basedOn | AR | AR |
Reference(CarePlan | ImmunizationRecommendation| MedicationRequest | NutritionOrder | ProcedureRequest | ReferralRequest)
|
What was requested |
| status | State | Sample_Received | code | DiagnosticReportStatus (Required) registered | partial | preliminary | final + |
| category | AR | AR | CodeableConcept | Service category. Diagnostic Service Section Codes (Example) |
| code | AR | Cx18-46664-R1 | CodeableConcept | Name/Code for this diagnostic report. LOINC Diagnostic Report Codes (Preferred) |
| subject | Patient ID (optional) | P18-000220/82 |
Reference(Patient | Group | Device | Location)
|
The subject of the report - usually, but not always, the patient |
| context |
Reference(Encounter | EpisodeOfCare)
|
Health care event when test ordered | ||
| effective[x] | Clinically relevant time/time-period for report | |||
| effectiveDateTime | DateTime Analysed | 2018/05/01 11:11 | dateTime | |
| effectivePeriod | Period | |||
| issued | DateTime exported | instant | DateTime this version was released | |
| performer | Analyst name | Afolabi Schneider | BackboneElement | Participants in producing the report |
| role | Analyst | Analyst | CodeableConcept | Type of performer. Procedure Performer Role Codes (Example) |
| actor | Doctor |
Reference(Practitioner | Organization)
|
Practitioner or Organization participant | |
| specimen | Sample ID | Cx18-46664 | Reference(Specimen) | Specimens this report is based on |
| result | Interpretation | Reference(Observation) | Observations - simple, or complex nested groups | |
| imagingStudy | Attachment Link |
Reference(ImagingStudy | ImagingManifest)
|
Reference to full details of imaging associated with the diagnostic report | |
| image | Attachment Name | CSV File name | BackboneElement | Key images associated with this report |
| comment | AR Remark | string | Comment about the image (e.g. explanation) | |
| link | Attachment Link | Reference(Media) | Reference to the image source | |
| conclusion | Interpretation | string | Clinical Interpretation of test results | |
| codedDiagnosis | CodeableConcept | Codes for the conclusion. SNOMED CT Clinical Findings (Example) | ||
| presentedForm | Results File |
Full Instrument CSV
|
Attachment | Entire report as issued |
