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DiagnosticReport Profile

Canonical../StructureDefinition/nexus-emr-core-diagnosticreport
Statusdraft · 1.26.0
BaseDiagnosticReport (constraint)
SourceFSH · 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)

Avery INR (warfarin monitoring)

Therapeutic INR on routine warfarin monitoring. The conclusion is the passage the AI-generated pre-visit summary quotes verbatim, so the citation can be checked against the report it is attributed to

DiagnosticReport/inr-diagnosticreport-20250402 — claims conformance to DiagnosticReport Profile

{
  "resourceType": "DiagnosticReport",
  "id": "inr-diagnosticreport-20250402",
  "meta": {
    "profile": [
      "../StructureDefinition/nexus-emr-core-diagnosticreport"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<div xmlns="http://www.w3.org/1999/xhtml"><p>Routine warfarin monitoring INR for Avery Linwood, drawn 2 April 2025 and reported the same morning. Therapeutic. This is the source the AI-generated pre-visit summary cites for its INR statement, and the conclusion below is the passage quoted verbatim in that summary's provenance.</p></div>"
  },
  "status": "final",
  "code": {
    "coding": [
      {
        "system": "http://loinc.org",
        "code": "6301-6",
        "display": "INR in Platelet poor plasma by Coagulation assay"
      }
    ],
    "text": "INR (international normalized ratio)"
  },
  "category": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/v2-0074",
          "code": "LAB",
          "display": "Laboratory"
        }
      ]
    }
  ],
  "subject": {
    "reference": "Patient/avery-linwood",
    "display": "Avery Linwood"
  },
  "effectiveDateTime": "2025-04-02T08:40:00-06:00",
  "issued": "2025-04-02T10:05:00-06:00",
  "conclusion": "INR 2.4 (target 2.0-3.0). Therapeutic; no dose change."
}

Referenced by: AI-Generated Summary With Per-Fact Citations