DiagnosticReport Profile

Canonical	../StructureDefinition/nexus-emr-core-diagnosticreport
Status	draft · 1.26.0
Base	DiagnosticReport (constraint)
Source	FSH · JSON

Defines the Nexus EMR FHIR profile for DiagnosticReport resources, based on CA-Core constraints, for aggregating diagnostic reports (e.g., Lab, Imaging) from multiple EMRs.

Examples

Abdominal Ultrasound Report · Anemia Diagnostic Report · Avery INR (warfarin monitoring)

Abdominal Ultrasound Report

Imaging report carrying its acquisition modality in the nexus-imaging-modality extension. This guide models the imaging report rather than the DICOM study, so modality lives on the report

DiagnosticReport/abdominal-us-diagnosticreport-20260312 — claims conformance to DiagnosticReport Profile

{
  "resourceType": "DiagnosticReport",
  "id": "abdominal-us-diagnosticreport-20260312",
  "meta": {
    "profile": [
      "../StructureDefinition/nexus-emr-core-diagnosticreport"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<div xmlns="http://www.w3.org/1999/xhtml"><p>Abdominal ultrasound for Avery Linwood, performed 12 March 2026 for right upper quadrant pain and reported the same day. The acquisition modality is recorded on the report itself: this guide models the imaging report rather than the DICOM study, so modality rides the nexus-imaging-modality extension.</p></div>"
  },
  "extension": [
    {
      "url": "../StructureDefinition/nexus-imaging-modality",
      "valueCoding": {
        "system": "http://dicom.nema.org/resources/ontology/DCM",
        "code": "US",
        "display": "Ultrasound"
      }
    }
  ],
  "status": "final",
  "code": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "45036003",
        "display": "Ultrasonography of abdomen"
      }
    ],
    "text": "Abdominal ultrasound"
  },
  "category": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/v2-0074",
          "code": "RAD",
          "display": "Radiology"
        }
      ]
    }
  ],
  "subject": {
    "reference": "Patient/avery-linwood",
    "display": "Avery Linwood"
  },
  "effectiveDateTime": "2026-03-12T10:40:00-05:00",
  "issued": "2026-03-12T14:05:00-05:00",
  "conclusion": "Hepatic steatosis and cholelithiasis without evidence of acute cholecystitis.",
  "presentedForm": [
    {
      "contentType": "text/plain",
      "language": "en",
      "title": "Abdominal ultrasound report - 12 March 2026",
      "creation": "2026-03-12T14:05:00-05:00"
    }
  ]
}