Diagnostic Report

The findings and interpretation of diagnostic tests (e.g., laboratory, medical imaging) performed on patients, groups of patients, devices, and locations, and/or specimens derived from these.

Attributes

AttributeTypeMultiplicityAttribute note
Diagnostic Report Identifier Identifier 0..*
A unique identifier assigned to a diagnostic result report, used to distinguish it from other clinical documents, and to enable reliable referencing, retrieval and traceability across systems (Order Filler Number).
Diagnostic Report Effective Period Period 0..1
The clinically relevant date or time period that the laboratory report refers to. It indicates when the observations or procedures described in the report actually took place.
Diagnostic Report Status Code Codeable Concept 1
Uniquely specifies a status of a laboratory report (e.g., registered, partial, final). Value Set: https://fhir.infoway-inforoute.ca/ValueSet/diagnosticreportstatus
Diagnostic Report Modality Code Codeable Concept 1
Uniquely specifies a discipline or service area responsible for performing the test (e.g., for laboratory reports: hematology, blood bank, cytology, pathology; for medical imaging: X-ray). Value Set: To be developed. Imaging Results: CID 29 Acquisition Modality Laboratory Results: To be developed
Diagnostic Report Type Code Codeable Concept 0..1
Uniquely specifies the type of laboratory service being requested, such as chemistry, serology, hematology, microbiology, histology, anatomic pathology, cytology or virology. Value Set: To be developed.
Diagnostic Report Test Result Code Codeable Concept 0..1
Uniquely specifies a laboratory test result code and, in value set, test description (e.g., typically LOINC code). Value Set: To be developed.
Diagnostic Report Issued On Date Date Time 0..1
A date and time when the report was signed and made available.
Diagnostic Report Order Trigger Code Codeable Concept 0..1
Uniquely specifies a code indicating a laboratory result that triggers the need for additional tests (e.g., reflex, repeat, re-run). Value Set: To be developed.
Diagnostic Report Abnormality Code Codeable Concept 0..1
Uniquely specifies an interpretation flag that indicates that one of the observations in the lab result outcome may require urgent attention (e.g., critical, urgent, abnormal, normal). Value Set: To be developed.
Diagnostic Report Confidentiality Code Codeable Concept 0..1
A classification that indicates the sensitivity of the information and determines who is authorized to access, view, or share it. (e.g., restricted, VIP). Value Set: To be developed.

Relationships

From class From multiplicity Relationship To class To multiplicity
Diagnostic Report 0..* supports Diagnosis 0..1
Diagnostic Report 0..1 replaces Diagnostic Report 0..1
Diagnostic Report 1 subject of Diagnostic Report Review 0..*
Patient 1 subject of Diagnostic Report 0..*
Party Role 0..* interprets Diagnostic Report 0..*
Service Request Reason 0..* is Diagnostic Report 0..1
Patient Procedure 0..* documented in Diagnostic Report 0..*
Party Role 0..* receives Diagnostic Report 0..*
Imaging Study 0..* associated with Diagnostic Report 0..*
Medical Imaging Interpreter 0..* associated with Diagnostic Report 0..1
Diagnostic Report 0..* has (composition) Attachment 0..*
Diagnostic Report 0..* relates to Diagnostic Report 0..*
Medical Imaging Performer 0..* associated with Diagnostic Report 0..1
Diagnostic Report 0..* based on Service Request 0..*
Procedure Reason 0..* is Diagnostic Report 0..1
Diagnostic Report 0..1 associated with Observation 0..*
Specimen 0..* associated with Diagnostic Report 0..*
Diagnostic Report 0..* has (composition) Clinical Annotation 0..*
Party Role 0..* observes Diagnostic Report 0..*
Encounter 0..1 associated with Diagnostic Report 0..*
Encounter Reason 0..* is Diagnostic Report 0..1
Diagnostic Report 0..* references Patient Pregnancy 0..1
Communication 0..* related to Diagnostic Report 0..*
Fetus 0..1 subject of Diagnostic Report 0..*

Contact us

If you have questions about this initiative, would like to be added to our stakeholder notification list or would like to participate in our consultations, please email us.

connectedcare@cihi.ca

How to cite:

Canadian Institute for Health Information. Diagnostic Report. Accessed November 02, 2026.