Name Flags Card. Type Description & Constraints doco
. . DiagnosticReport DomainResource A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
. . . identifier Σ 0..* Identifier Id for external references to this report
. . . status ?! Σ 1..1 code registered | partial | final | corrected | appended | cancelled | entered-in-error
DiagnosticReportStatus ( Required)
. . . category Σ 0..1 CodeableConcept Service category
Diagnostic Service Section Codes ( Example)
. . . code Σ 1..1 CodeableConcept Name/Code for this diagnostic report
LOINC Diagnostic Report Codes ( Preferred)
. . . subject Σ 1..1 Reference( Patient | Group | Device | Location) 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 1..1 Clinically Relevant time/time-period for report
. . . . effectiveDateTime dateTime
. . . . effectivePeriod Period
. . . issued Σ 1..1 instant DateTime this version was released
. . . performer Σ 1..1 Reference( Practitioner | Organization) Responsible Diagnostic Service
. . . request 0..* Reference( DiagnosticOrder | ProcedureRequest | ReferralRequest) What was requested
. . . specimen 0..* Reference( Specimen) Specimens this report is based on
. . . result 0..* Reference( Observation) Observations - simple, or complex nested groups
. . . imagingStudy 0..* Reference( ImagingStudy | ImagingObjectSelection) Reference to full details of imaging associated with the diagnostic report
. . . image Σ 0..* BackboneElement Key images associated with this report
. . . . comment 0..1 string Comment about the image (e.g. explanation)
. . . . link Σ 1..1 Reference( Media) Reference to the image source
. . . conclusion 0..1 string Clinical Interpretation of test results
. . . codedDiagnosis 0..* CodeableConcept Codes for the conclusion
SNOMED CT Clinical Findings ( Example)
. . . presentedForm 0..* Attachment Entire report as issued

doco Documentation for this format