DiagnosticReport

Provide DiagnosticReport

Usage

Only DiagnosticReport resources using profiles listed bellow are supported.

Supported Profiles

Profile Title	Version	Description
MI-Initiative - Laborprofile - DiagnosticReport	2020-10-28	This profile describes a laboratory finding in the medical informatics initiative.
Diagnostic Report Radiology	2020-10-29	Radiological findings in the context of an infection with SARS-CoV-2.

create

Note: currently the Observation contained in the DiagnosticReport for the Laboratory Result is not saved in the local database as it's own resource. So chained parameters for the DiagnosticReport contained Observation won't work for the search, neither searching directly in the Observation resource. This will change when saving the contained resources is forced by the implementation.

POST [base]/DiagnosticReport

Sample create: MI-Initiative - Laborprofile - DiagnosticReport

curl --request POST \
  --url http://localhost:8888/fhir-bridge/fhir/DiagnosticReport \
  --header 'content-type: application/json' \
  --data '{
  "resourceType": "DiagnosticReport",
  "meta": {
    "profile": [
      "https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/DiagnosticReportLab"
    ],
    "source": "http://www.highmed.org"
  },
  "contained": [
    {
      "resourceType": "Observation",
      "id": "obs-1",
      "meta": {
        "profile": [
          "https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/ObservationLab"
        ]
      },
      "identifier": [
        {
          "type": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code": "OBI"
              }
            ]
          },
          "system": "https://diz.mii.de/fhir/core/NamingSystem/test-lab-results",
          "value": "59826-8_1234567890",
          "assigner": {
            "identifier": {
              "system": "https://www.medizininformatik-initiative.de/fhir/core/NamingSystem/org-identifier",
              "value": "DIZ-ID"
            }
          }
        }
      ],
      "status": "final",
      "category": [
        {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "26436-6"
            },
            {
              "system": "http://terminology.hl7.org/CodeSystem/observation-category",
              "code": "laboratory"
            }
          ]
        }
      ],
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "732-8",
            "display": "Lymphocytes [#/volume] in Blood by Manual count"
          }
        ],
        "text": "Kreatinin"
      },
      "subject": {
        "reference": "urn:uuid:07f602e0-579e-4fe3-95af-381728bf0d49"
      },
      "encounter": {
        "reference": "http://external.fhir.server/Encounter/555"
      },
      "effectiveDateTime": "2018-11-20T12:05:00+01:00",
      "issued": "2018-03-11T10:28:00+01:00",
      "performer": [
        {
          "reference": "http://external.fhir.server/Organization/7772",
          "display": "Zentrallabor des IKCL"
        }
      ],
      "valueQuantity": {
        "value": 72,
        "unit": "µmol/l",
        "system": "http://unitsofmeasure.org",
        "code": "umol/L"
      },
      "interpretation": [
        {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
              "code": "N"
            }
          ]
        }
      ],
      "referenceRange": [
        {
          "low": {
            "value": 72
          },
          "high": {
            "value": 127
          },
          "type": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/referencerange-meaning",
                "code": "normal",
                "display": "Normal Range"
              }
            ]
          }
        }
      ]
    }
  ],
  "identifier": [
    {
      "type": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code": "FILL"
          }
        ]
      },
      "system": "https://diz.mii.de/fhir/core/NamingSystem/test-befund",
      "value": "0987654666",
      "assigner": {
        "identifier": {
          "system": "https://www.medizininformatik-initiative.de/fhir/core/NamingSystem/org-identifier",
          "value": "DIZ-ID"
        }
      }
    }
  ],
  "basedOn": [
    {
      "reference": "http://external.fhir.server/ServiceRequest/111"
    }
  ],
  "status": "final",
  "category": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/v2-0074",
          "code": "LAB"
        },
        {
          "system": "http://loinc.org",
          "code": "26436-6",
          "display": "Laboratory studies"
        }
      ]
    }
  ],
  "code": {
    "coding": [
      {
        "system": "http://loinc.org",
        "code": "11502-2",
        "display": "Laboratory report"
      }
    ]
  },
  "subject": {
		"reference": "Patient/07f602e0-579e-4fe3-95af-381728bf0d49",
    "identifier": {
      "system": "urn:ietf:rfc:4122",
      "value": "07f602e0-579e-4fe3-95af-381728bf0d49"
    }
  },
  "effectiveDateTime": "2018-11-20T12:05:00+01:00",
  "issued": "2018-03-11T10:28:00+01:00",
  "result": [
    {
      "reference": "#obs-1"
    }
  ]
}'

update

PUT [base]/DiagnosticReport/[id]

PUT [base]/DiagnosticReport?[parameters]

Find DiagnosticReport

read

GET [base]/DiagnosticReport/[id]

vread

GET [base]/DiagnosticReport/[id]/_history/[vid]

search

Note: the current search won't work with chained parameters on contained resources, like the Observation in the DiagnosticReport for the Laboratory Result, or for the subject when the Patient resource is not created as it's own resource. Currently the Patient is created only when DiagnosticReport.subject.reference is present when creating the DiagnosticReport.

GET [base]/DiagnosticReport{?[parameters]}

Sample search by date range: MI-Initiative - Laborprofile - DiagnosticReport

curl --request GET \
  --url 'http://localhost:8888/fhir-bridge/fhir/DiagnosticReport?_profile=https%3A%2F%2Fwww.medizininformatik-initiative.de%2Ffhir%2Fcore%2Fmodul-labor%2FStructureDefinition%2FDiagnosticReportLab&date=gt2018-11-19&date=lt2020-07-08' \
  --header 'prefer: return=representation'

Sample search by identifier: MI-Initiative - Laborprofile - DiagnosticReport

curl --request GET \
  --url 'http://localhost:8888/fhir-bridge/fhir/DiagnosticReport?_profile=https%3A%2F%2Fwww.medizininformatik-initiative.de%2Ffhir%2Fcore%2Fmodul-labor%2FStructureDefinition%2FDiagnosticReportLab&identifier=0987654666' \
  --header 'prefer: return=representation'

Sample search by category: MI-Initiative - Laborprofile - DiagnosticReport

curl --request GET \
  --url 'http://localhost:8888/fhir-bridge/fhir/DiagnosticReport?_profile=https%3A%2F%2Fwww.medizininformatik-initiative.de%2Ffhir%2Fcore%2Fmodul-labor%2FStructureDefinition%2FDiagnosticReportLab&category=26436-6' \
  --header 'prefer: return=representation'

Sample search by code: MI-Initiative - Laborprofile - DiagnosticReport

curl --request GET \
  --url 'http://localhost:8888/fhir-bridge/fhir/DiagnosticReport?_profile=https%3A%2F%2Fwww.medizininformatik-initiative.de%2Ffhir%2Fcore%2Fmodul-labor%2FStructureDefinition%2FDiagnosticReportLab&code=11502-2' \
  --header 'prefer: return=representation'

Sample search by status: MI-Initiative - Laborprofile - DiagnosticReport

curl --request GET \
  --url 'http://localhost:8888/fhir-bridge/fhir/DiagnosticReport?_profile=https%3A%2F%2Fwww.medizininformatik-initiative.de%2Ffhir%2Fcore%2Fmodul-labor%2FStructureDefinition%2FDiagnosticReportLab&status=final' \
  --header 'prefer: return=representation'

Sample search by subject.identifier (chained): MI-Initiative - Laborprofile - DiagnosticReport

Note: this works only if the Patient resource was created on it's own, when the DiagnosticReport was created.

curl --request GET \
  --url 'http://localhost:8888/fhir-bridge/fhir/DiagnosticReport?_profile=https%3A%2F%2Fwww.medizininformatik-initiative.de%2Ffhir%2Fcore%2Fmodul-labor%2FStructureDefinition%2FDiagnosticReportLab&subject.identifier=07f602e0-579e-4fe3-95af-381728bf0d49' \
  --header 'prefer: return=representation'

Search Parameters

The list of search parameters for this resource is available here.