Release 4 5

This page is part of the FHIR Specification (v4.0.1: R4 (v5.0.0: R5 - Mixed Normative and STU ) ). This is the current published version in it's permanent home (it will always be available at this URL). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

Diagnosticreport-example-f201-brainct.json

Example DiagnosticReport/f201 (JSON)

Orders and Observations Work Group Maturity Level : N/A Standards Status : Informative Compartments : Device , Encounter , Patient , Practitioner

Raw JSON ( canonical form + also see JSON Format Specification )

Real-world patient example

{
  "resourceType": "DiagnosticReport",
  "id": "f201",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: f201</p><p><b>status</b>: final</p><p><b>category</b>: Radiology <span>(Details : {SNOMED CT code '394914008' = 'Radiology - speciality', given as 'Radiology'}; {http://terminology.hl7.org/CodeSystem/v2-0074 code 'RAD' = 'Radiology)</span></p><p><b>code</b>: CT of head-neck <span>(Details : {SNOMED CT code '429858000' = 'Computed tomography (CT) of head and neck', given as 'Computed tomography (CT) of head and neck'})</span></p><p><b>subject</b>: <a>Roel</a></p><p><b>effective</b>: 01/12/2012 12:00:00 PM</p><p><b>issued</b>: 01/12/2012 12:00:00 PM</p><p><b>performer</b>: <a>Blijdorp MC</a></p><p><b>imagingStudy</b>: HEAD and NECK CT DICOM imaging study</p><p><b>conclusion</b>: CT brains: large tumor sphenoid/clivus.</p><p><b>conclusionCode</b>: Malignant tumor of craniopharyngeal duct <span>(Details : {SNOMED CT code '188340000' = 'Malignant tumor of craniopharyngeal duct', given as 'Malignant tumor of craniopharyngeal duct'})</span></p></div>"

  "resourceType" : "DiagnosticReport",
  "id" : "f201",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2><span title=\"Codes: {http://snomed.info/sct 429858000}\">CT of head-neck</span> (<span title=\"Codes: {http://snomed.info/sct 394914008}, {http://terminology.hl7.org/CodeSystem/v2-0074 RAD}\">Radiology</span>) </h2><table class=\"grid\"><tr><td>Subject</td><td><b>Roel(OFFICIAL)</b> male, DoB: 1960-03-13 ( BSN:\u00a0123456789\u00a0(use:\u00a0OFFICIAL))</td></tr><tr><td>When For</td><td>2012-12-01T12:00:00+01:00</td></tr><tr><td>Reported</td><td>2012-12-01T12:00:00+01:00</td></tr></table><p><b>Report Details</b></p><div><p>CT brains: large tumor sphenoid/clivus.</p>\n</div><p><b>Coded Conclusions :</b></p><ul><li><span title=\"Codes: {http://snomed.info/sct 188340000}\">Malignant tumor of craniopharyngeal duct</span></li></ul></div>"

  },
  "status": "final",
  "category": [

  "contained" : [{
    "resourceType" : "ImagingStudy",
    "id" : "is1",
    "status" : "available",
    "subject" : {
      "reference" : "Patient/f201"
    },
    "description" : "HEAD and NECK CT DICOM imaging study"
  }],
  "status" : "final",
  "category" : [{
    "coding" : [{
      "system" : "http://snomed.info/sct",
      "code" : "394914008",
      "display" : "Radiology"
    },

    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "394914008",
          "display": "Radiology"
        },
        {
          "system": "http://terminology.hl7.org/CodeSystem/v2-0074",
          "code": "RAD"
        }
      ]
    }
  ],
  "code": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "429858000",
        "display": "Computed tomography (CT) of head and neck"
      }
    ],
    "text": "CT of head-neck"

      "system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
      "code" : "RAD"
    }]
  }],
  "code" : {
    "coding" : [{
      "system" : "http://snomed.info/sct",
      "code" : "429858000",
      "display" : "Computed tomography (CT) of head and neck"
    }],
    "text" : "CT of head-neck"

  },
  "subject": {
    "reference": "Patient/f201",
    "display": "Roel"

  "subject" : {
    "reference" : "Patient/f201",
    "display" : "Roel"

  },
  "effectiveDateTime": "2012-12-01T12:00:00+01:00",
  "issued": "2012-12-01T12:00:00+01:00",
  "performer": [
    {
      "reference": "Organization/f203",
      "display": "Blijdorp MC"
    }
  ],
  "imagingStudy": [
    {
      "display": "HEAD and NECK CT DICOM imaging study"
    }
  ],
  "conclusion": "CT brains: large tumor sphenoid/clivus.",
  "conclusionCode": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "188340000",
          "display": "Malignant tumor of craniopharyngeal duct"
        }
      ]
    }
  ]

  "effectiveDateTime" : "2012-12-01T12:00:00+01:00",
  "issued" : "2012-12-01T12:00:00+01:00",
  "performer" : [{
    "reference" : "Organization/f203",
    "display" : "Blijdorp MC"
  }],
  "study" : [{
    "reference" : "#is1"
  }],
  "conclusion" : "CT brains: large tumor sphenoid/clivus.",
  "conclusionCode" : [{
    "coding" : [{
      "system" : "http://snomed.info/sct",
      "code" : "188340000",
      "display" : "Malignant tumor of craniopharyngeal duct"
    }]
  }]

}

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.