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)

Anemia Diagnostic Report

Example diagnostic report for anemia workup from April 8, 2025

DiagnosticReport/anemia-diagnosticreport-20250408 — claims conformance to DiagnosticReport Profile

{
  "resourceType": "DiagnosticReport",
  "id": "anemia-diagnosticreport-20250408",
  "meta": {
    "profile": [
      "../StructureDefinition/nexus-emr-core-diagnosticreport"
    ]
  },
  "identifier": [
    {
      "use": "secondary",
      "system": "../NamingSystem/cedarbrook-clinic-diagnosticreport-raw-code",
      "value": "EMR-DR-ANEMIA-WORKUP-20250408"
    }
  ],
  "status": "final",
  "code": {
    "text": "CBC panel with hemoglobin result"
  },
  "subject": {
    "reference": "Patient/avery-linwood",
    "display": "Avery Linwood"
  },
  "encounter": {
    "reference": "Encounter/enc-avery-20250408-01rc",
    "display": "Annual physical with anemia workup"
  },
  "effectiveDateTime": "2025-04-08T10:12:00-06:00",
  "result": [
    {
      "reference": "Observation/hemoglobin-result",
      "display": "Hemoglobin concentration"
    }
  ],
  "conclusion": "Hemoglobin level of 68 g/L confirmed acute anemia. Urgent treatment initiated and further investigation recommended.",
  "presentedForm": [
    {
      "contentType": "application/pdf",
      "language": "en",
      "title": "CBC and Hemoglobin Report - April 8, 2025",
      "creation": "2025-04-08T11:00:00-06:00"
    }
  ],
  "text": {
    "status": "generated",
    "div": "<div xmlns="http://www.w3.org/1999/xhtml"><p>CBC panel including hemoglobin result for Avery Linwood (DOB: 1990-06-05). Result shows a hemoglobin level of 68 g/L. Diagnostic impression: acute anemia. Treatment initiated by Dr. Emil Navarro.</p></div>"
  }
}

Referenced by: Enclosures - Internal Medicine referral letter - Avery Linwood