Medical Imaging Report
A structured and narrative document that communicates the results, interpretations, conclusions, and relevant observations of a medical imaging examination, created and signed by a qualified health care professional.<br/>
- Attributes
- Associations To
- Associations From
| Attribute |
Type |
|
Medical Imaging Report Identifier
|
Identifier
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Notes:
|
A unique identifier, assigned to a medical imaging diagnostic report, used to distinguish it from other clinical documents, and to enable reliable referencing, retrieval and traceability across systems (Order Filler Number).<br/>
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Medical Imaging Report Effective Date Time
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Date Time
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Notes:
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The clinically relevant date or time period that the diagnostic report refers to. It indicates when the observations or procedures described in the report actually took place. <br/>
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Medical Imaging Report Status Code
|
Codeable Concept
|
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Notes:
|
The status of the medical imaging report (e.g., registered, partial, final).<br/><br/>Value Set:<br/>To be developed.<br/><br/>
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Medical Imaging Report Type Code
|
Codeable Concept
|
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Notes:
|
A diagnostic imaging service category (e.g., Radiology Ultrasound, CAT Scan).<br/><br/>Value Set:<br/>To be developed.<br/><br/>
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Medical Imaging Report Test Code
|
Codeable Concept
|
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Notes:
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The medical imaging test code and test description that this report is related to.<br/><br/>Value Set:<br/>To be developed.<br/><br/>
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Medical Imaging Report Issued On Date Time
|
Date Time
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Notes:
|
A date and time when the report was signed and made available.<br/>
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Medical Imaging Report Recommendation
|
String
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Notes:
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A text description of the suggested follow-up / next steps (e.g., repeat in 3 months, MRI recommended for further detail).<br/>
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