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FHIRcast
3.0.0 - STU 3 International flag

FHIRcast, published by HL7 International / Infrastructure And Messaging. This guide is not an authorized publication; it is the continuous build for version 3.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhircast-docs/ and changes regularly. See the Directory of published versions

DiagnosticReport-close Event

Page standards status: Trial-use Maturity Level: 4

Event-name: DiagnosticReport-close

eventMaturity 2 - Tested

Workflow

User closed a report. A previously open and in context report is no longer open nor in context.

Context

Key Cardinality Type Description
report 1..1 resource FHIR DiagnosticReport resource describing the report previously in context that is being closed.
encounter 0..1 resource A FHIR Encounter resource may be associated with the report
study 0..* resource FHIR ImagingStudy resource(s) describing any image study that was opened as part of the report context that is being closed.
patient 1..1 resource FHIR Patient resource describing the patient associated with the report being closed.

The following profiles provide guidance as to which resource attributes should be present and considerations as to how each attribute should be valued in DiagnosticReport close request:

Other attributes of the DiagnosticReport, ImagingStudy, Encounter, and Patient resources (or resource extensions) may be present in the provided resources; however, attributes not called out in the profiles are not required by the FHIRcast standard.

Content Sharing Support

If a Hub supports content sharing, after it distributes the DiagnosticReport-close event to all Subscribers, the Hub should remove any content associated with the anchor context from its working memory.

Examples

DiagnosticReport-close Example

{
  "timestamp": "2023-04-01T011:18:52.21",
  "id": "1d35d190-2fc9-45df-a9c4-fd0de885544c",
  "event": {
    "hub.topic": "fdb2f928-5546-4f52-87a0-0648e9ded065",
    "hub.event": "DiagnosticReport-close",
    "context": [
      {
        "key": "report",
        "resource": {
          "resourceType": "DiagnosticReport",
          "id": "2402d3bd-e988-414b-b7f2-4322e86c9327",
          "identifier" : [
            {
              "use" : "official",
              "system" : "http://myhealthcare.example.org/reporting-system",
              "value" : "GH339884.RPT.0001"
            }
          ],
          "status": "unknown",
          "basedOn" : [
            {
              "type" : "ServiceRequest",
              "identifier" : {
                "type" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                      "code" : "ACSN"
                    }
                  ]
                },
                "system" : "urn:oid:2.999.16.840.1.113883.19.5",
                "value" : "GH339884",
                "assigner" : {
                  "reference" : "Organization/a92ac1be-fb34-49c1-be58-10928bd271cc",
                  "display" : "My Healthcare Provider"
                }
              }
            }
          ],
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "19005-8",
                "display": "Radiology Imaging study [Impression] (narrative)"
              }
            ]
          },
          "subject": {
            "reference": "Patient/503824b8-fe8c-4227-b061-7181ba6c3926"
          },
          "imagingStudy": [
            {
              "reference": "ImagingStudy/e25c1d31-20a2-41f8-8d85-fe2fdeac74fd"
            }
          ]
        }
      },
      {
        "key": "study",
        "resource": {
          "resourceType": "ImagingStudy",
          "id": "e25c1d31-20a2-41f8-8d85-fe2fdeac74fd",
          "identifier": [
            {
              "system" : "urn:dicom:uid",
              "value" : "urn:oid:1.2.999.840.83474.8.231.875.3.15.661594731"
            }
          ],
          "status": "unknown",
          "subject": {
            "reference": "Patient/503824b8-fe8c-4227-b061-7181ba6c3926"
          },
          "basedOn" : [
            {
              "type" : "ServiceRequest",
              "identifier" : {
                "type" : {
                  "coding" : [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                      "code" : "ACSN"
                    }
                  ]
                },
                "system" : "urn:oid:2.999.16.840.1.113883.19.5",
                "value" : "GH339884",
                "assigner" : {
                  "reference" : "Organization/a92ac1be-fb34-49c1-be58-10928bd271cc",
                  "display" : "My Healthcare Provider"
                }
              }
            }
          ]
        }
      },
      {
        "key": "patient",
        "resource": {
          "resourceType": "Patient",
          "id": "503824b8-fe8c-4227-b061-7181ba6c3926",
          "identifier" : [
            {
              "use" : "official",
              "type" : {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                    "code" : "MR"
                  }
                ]
              },
              "system": "urn:oid:2.999.16.840.1.113883.19.5",
              "value": "4438001",
              "assigner": {
                "reference": "Organization/a92ac1be-fb34-49c1-be58-10928bd271cc",
                "display": "My Healthcare Provider"
              }
            }
          ]
        }
      }
    ]
  }
}

Change Log

Version Description
0.1 Initial draft
0.5 Connectathon trials and initial fielded solutions based on draft STU3
1.0 Reference context resource profiles and update example to be compliant with the profiles