
FHIR resource link	https://build.fhir.org/diagnosticreport.html http://hl7.org/fhir/diagnosticreport.html https://hl7.org/fhir/R4B/diagnosticreport.html
FHIR definition (v5.0)	The findings and interpretation of diagnostic tests performed on patients, groups of patients, products, substances, devices, and locations, and/or specimens derived from these. The report includes clinical context such as requesting provider information, and some mix of atomic results, images, textual and coded interpretations, and formatted representation of diagnostic reports. The report also includes non-clinical context such as batch analysis and stability reporting of products and substances.
PSI use case	Findings and interpretation of diagnostic tests performed on patients, groups of patients. The report includes context such a subject: for whom was the test performed requestor (who ordered the test, if applicable) performer - who did the test interpreter/reporter - who provided the test result information
FHIR required properties	see below
PSI required properties*	Country and PsiProjectCode * +text
Extensions	future use
Sample payload (minimum set)	{ "resourceType": "DiagnosticReport", "id": "diagnosticreport-example", "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "16581-5", "display": "HIV 1+2 Ab [Presence] in Serum" } ], "text": "HIV 1+2 Ab [Presence] in Serum" }, "subject": { "reference": "Patient/example" }, "effectiveDateTime": "2013-01-17T08:00:00+00:00", "issued": "2013-01-20T08:00:00+00:00", "performer": [ { "reference": "Practitioner/example" } ], "resultsInterpreter": [ { "reference": "#p1" } ], "specimen": [ { "reference": "#s1" } ], "result": [ { "reference": "#r1" } ], ... }

Notes for Diagnosis Report FHIR resource, per property

Property	Required by PSI?	Notes
PSI tags	YES [psi/fhir]	Country ISO-3 code /wiki/spaces/DHM/pages/13992045 PENDING: implementation as extension
basedOn	OPTIONAL [psi/fhir]	Service Request (could be a voucher) CarePlan
status	YES [psi/fhir]	for R4B: registered: report exist, but it is not yet logged preliminary: initial or interim observation: data may be incomplete or unverified modified: Not yet final, the resource has been updated final: complete and verified by an authorized person amended: modified after being marked as final corrected: an error has been rectified cancelled: started, but not completed entered-in-error \| unknown only for R5: partial: aka draft - data is incomplete or unverified amended: after final, data has been added (but not modified)
category	YES [psi]	Service category. Examples: IMM - Immunology
code	YES [psi/fhir]	LOINC code. Example: "http://loinc.org", "code": "16581-5", "display": "HIV 1+2 Ab [Presence] in Serum"
subject	YES [psi]	The patient ID that this result relates to.
encounter	OPTIONAL [psi]	The encounter ID that triggered this diagnosis
performer	YES [psi]	Who did the test? Expected: Patient id, Practitioner id WOULD FHIR ACCEPT PATIENT ID ?
resultsInterpreter	YES [psi]	Who interpreted the results? Expected: Patient id, Practitioner id WOULD FHIR ACCEPT PATIENT ID ?
specimen	OPTIONAL [psi/fhir]	Sample ID, if applicable
result	YES [psi]	Although optional in FHIR, at PSI if we create a Diagnosis Report is because we have a result to store. Based on SNOMED CT Clinical findings. Examples NEED VERIFICATION HIV positive: 165816005 ICD-10 Codes: Z21X HIV negative: 165815009 ICD-10 Codes: No Cross-Mapping. HIV 1 indeterminate: 719727000 ICD-10 Codes: No Cross-Mapping HIV 2 indeterminate: 719767004 ICD-10 Codes: No Cross-Mapping. Source: Finding of HIV status (snomedbrowser.com)
note	OPTIONAL recommended [psi/fhir]	Comments about the diagnostic report Examples: “Patient self-reported”. “AI image interpretation”
media/link	OPTIONAL [psi/fhir]	http://hl7.org/fhir/R5/documentreference.html
conclusion	OPTIONAL [psi/fhir]	markdown, free text
conclusionCode	OPTIONAL [psi/fhir]	SNOMED CT code, if result is conclusive