DiagnosticReport

DiagnosticReport is used for reports such as lab results, imaging studies, and pathology reports. It contains the final report and references to supporting observations.

API convention: patient and encounter references are flat (subjectId, encounterId). Performer and result references use the standard FHIR reference shape. All ids are UUIDs.

Create a DiagnosticReport

curl -X POST https://api.esus.health/fhir/DiagnosticReport \
  -H "Authorization: Bearer YOUR_TOKEN" \
  -H "Content-Type: application/fhir+json" \
  -d '{
    "status": "final",
    "subjectId": "3fa85f64-5717-4562-b3fc-2c963f66afa6",
    "encounterId": "c1a2e3d4-5b6f-7890-abcd-ef1234567890",
    "category": [{
      "coding": [{
        "system": "http://terminology.hl7.org/CodeSystem/v2-0074",
        "code": "LAB",
        "display": "Laboratory"
      }]
    }],
    "code": {
      "coding": [{
        "system": "http://loinc.org",
        "code": "58410-2",
        "display": "Complete blood count panel"
      }]
    },
    "effectiveDateTime": "2026-04-21T09:30:00Z",
    "issued": "2026-04-21T14:30:00Z",
    "performer": [{
      "reference": "Organization/9a8b7c6d-5e4f-3210-9876-543210fedcba",
      "display": "Central Lab Services"
    }],
    "result": [
      { "reference": "Observation/aa11bb22-cc33-dd44-ee55-ff6677889900" },
      { "reference": "Observation/bb22cc33-dd44-ee55-ff66-778899001122" },
      { "reference": "Observation/cc33dd44-ee55-ff66-7788-990011223344" }
    ],
    "conclusion": "All values within normal limits",
    "conclusionCode": [{
      "coding": [{
        "system": "http://snomed.info/sct",
        "code": "17621005",
        "display": "Normal findings"
      }]
    }]
  }'

DiagnosticReport Status

StatusMeaning
registeredReport registered, results pending
partialPreliminary results
preliminaryEarly results, may change
finalComplete final results
amendedAdjusted after final
correctedCorrected after final
appendedAdditional info added after final
cancelledOrder cancelled
entered-in-errorErroneous
unknownStatus cannot be determined

Report Categories (typical)

CategoryDescription
LABLaboratory results
RADRadiology / imaging
PATHPathology
CARCardiology
NEURNeurology

Attach a Rendered Report

Upload the PDF via /files/upload, then update the report with a presentedForm:

curl -X PUT https://api.esus.health/fhir/DiagnosticReport/aa11bb22-cc33-dd44-ee55-ff6677889900 \
  -H "Authorization: Bearer YOUR_TOKEN" \
  -H "Content-Type: application/fhir+json" \
  -d '{
    "status": "final",
    "subjectId": "3fa85f64-5717-4562-b3fc-2c963f66afa6",
    "code": { "coding": [{ "code": "58410-2" }] },
    "presentedForm": [{
      "contentType": "application/pdf",
      "url": "https://api.esus.health/files/{fileId}"
    }]
  }'

Search Reports

# All reports for a patient
curl "https://api.esus.health/fhir/DiagnosticReport?patient=3fa85f64-5717-4562-b3fc-2c963f66afa6" \
  -H "Authorization: Bearer YOUR_TOKEN"

# Lab results only
curl "https://api.esus.health/fhir/DiagnosticReport?patient=3fa85f64-5717-4562-b3fc-2c963f66afa6&category=LAB" \
  -H "Authorization: Bearer YOUR_TOKEN"

# By date (exact-day match — no prefixes)
curl "https://api.esus.health/fhir/DiagnosticReport?patient=3fa85f64-5717-4562-b3fc-2c963f66afa6&date=2026-04-21" \
  -H "Authorization: Bearer YOUR_TOKEN"

Note: the date parameter filters on effectiveDateTime with an exact-day match. FHIR prefixes (ge, le, gt, etc.) are not applied — they are ignored and the query resolves as day equality.