Athena Core Implementation Guide
5.10.2 - release
Athena Core Implementation Guide
5.10.2 - release
Athena Core Implementation Guide - Local Development build (v5.10.2) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: https://fhir.athena.io/StructureDefinition/ah-diagnosticreport | Version: 5.10.2 | |||
| Active as of 2026-05-26 | Computable Name: AthenahealthDiagnosticReport | |||
| Keywords: Wire Format | ||||
A diagnostic report is the set of information that is typically provided by a diagnostic service when investigations are complete.
The information includes a mix of atomic results, text reports, images, and codes. The mix varies depending on the nature of the diagnostic procedure, and sometimes on the nature of the outcomes for a particular investigation.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from DiagnosticReport
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  DiagnosticReport |
0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
  meta |
||||
  lastUpdated |
0..1 | instant | When the resource version last changed | |
 security |
0..* | Coding | Security Labels applied to this resource | |
 Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
  extension:ahChartSharingGroup |
0..1 | Reference(Organization) | athenahealth Chart Sharing Group URL: https://fhir.athena.io/StructureDefinition/ah-chart-sharing-group | |
| extension:ahPractice |
1..1 | Reference(Organization) | athenahealth Practice URL: https://fhir.athena.io/StructureDefinition/ah-practice | |
| extension:ahSupersededDiagnosticReport |
0..1 | Reference(DiagnosticReport) | athenahealth Superseded Diagnostic Report URL: https://fhir.athena.io/StructureDefinition/ah-superseded-diagnostic-report | |
| extension:ahNoteToPatient |
0..1 | string | athenahealth Note To Patient URL: https://fhir.athena.io/StructureDefinition/ah-note-to-patient | |
| extension:ahPublishedDateTimeToPortal |
0..1 | dateTime | athenahealth Published Date Time To Portal URL: https://fhir.athena.io/StructureDefinition/ah-published-date-time-to-portal | |
| extension:ahClinicalResultStatus |
0..1 | string | athenahealth Diagnostic Report ClinicalResultStatus URL: https://fhir.athena.io/StructureDefinition/ah-diagnostic-report-clinical-result-status | |
 extension:ahDocumentDetails |
0..1 | (Complex) | athenahealth Document Details URL: https://fhir.athena.io/StructureDefinition/ah-document-details | |
| basedOn |
0..0 | What was requested | ||
 subject |
0..1 | Reference(Patient) | The subject of the report - usually, but not always, the patient | |
 effective[x] |
0..1 | dateTime | Clinically relevant time/time-period for report | |
| performer |
0..* | Reference(Practitioner | Organization) | Responsible Diagnostic Service | |
| resultsInterpreter |
0..0 | Primary result interpreter | ||
| specimen |
0..0 | Specimens this report is based on | ||
| imagingStudy |
0..0 | Reference to full details of imaging associated with the diagnostic report | ||
| media |
0..0 | Key images associated with this report | ||
| conclusion |
0..0 | Clinical conclusion (interpretation) of test results | ||
| conclusionCode |
0..0 | Codes for the clinical conclusion of test results | ||
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.code | Base | preferred | LOINC Diagnostic Report Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| DiagnosticReport |
0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
 meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| versionId |
Σ | 0..1 | id | Version specific identifier | ||||
| lastUpdated |
Σ | 0..1 | instant | When the resource version last changed | ||||
| source |
Σ | 0..1 | uri | Identifies where the resource comes from | ||||
| profile |
Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||
| security |
Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||
| tag |
Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:ahChartSharingGroup |
0..1 | Reference(Organization) | athenahealth Chart Sharing Group URL: https://fhir.athena.io/StructureDefinition/ah-chart-sharing-group | |||||
| extension:ahPractice |
1..1 | Reference(Organization) | athenahealth Practice URL: https://fhir.athena.io/StructureDefinition/ah-practice | |||||
| extension:ahSupersededDiagnosticReport |
0..1 | Reference(DiagnosticReport) | athenahealth Superseded Diagnostic Report URL: https://fhir.athena.io/StructureDefinition/ah-superseded-diagnostic-report | |||||
| extension:ahNoteToPatient |
0..1 | string | athenahealth Note To Patient URL: https://fhir.athena.io/StructureDefinition/ah-note-to-patient | |||||
| extension:ahPublishedDateTimeToPortal |
0..1 | dateTime | athenahealth Published Date Time To Portal URL: https://fhir.athena.io/StructureDefinition/ah-published-date-time-to-portal | |||||
| extension:ahClinicalResultStatus |
0..1 | string | athenahealth Diagnostic Report ClinicalResultStatus URL: https://fhir.athena.io/StructureDefinition/ah-diagnostic-report-clinical-result-status | |||||
| extension:ahDocumentDetails |
0..1 | (Complex) | athenahealth Document Details URL: https://fhir.athena.io/StructureDefinition/ah-document-details | |||||
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 0..* | Identifier | Business identifier for report | ||||
| status |
?!Σ | 1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. | ||||
| category |
Σ | 0..* | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. | ||||
| code |
Σ | 1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. | ||||
| subject |
Σ | 0..1 | Reference(Patient) | The subject of the report - usually, but not always, the patient | ||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Health care event when test ordered | ||||
| effective[x] |
Σ | 0..1 | dateTime | Clinically relevant time/time-period for report | ||||
| issued |
Σ | 0..1 | instant | DateTime this version was made | ||||
| performer |
Σ | 0..* | Reference(Practitioner | Organization) | Responsible Diagnostic Service | ||||
| result |
0..* | Reference(Observation) | Observations | |||||
| presentedForm |
0..* | Attachment | Entire report as issued | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.meta.security | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.meta.tag | Base | example | Common Tags | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.category | Base | example | Diagnostic Service Section Codes | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.code | Base | preferred | LOINC Diagnostic Report Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from DiagnosticReport
Summary
Mandatory: 2 elements
Prohibited: 7 elements
Extensions
This structure refers to these extensions:
Differential View
This structure is derived from DiagnosticReport
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DiagnosticReport |
0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
| meta |
||||
| lastUpdated |
0..1 | instant | When the resource version last changed | |
| security |
0..* | Coding | Security Labels applied to this resource | |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:ahChartSharingGroup |
0..1 | Reference(Organization) | athenahealth Chart Sharing Group URL: https://fhir.athena.io/StructureDefinition/ah-chart-sharing-group | |
| extension:ahPractice |
1..1 | Reference(Organization) | athenahealth Practice URL: https://fhir.athena.io/StructureDefinition/ah-practice | |
| extension:ahSupersededDiagnosticReport |
0..1 | Reference(DiagnosticReport) | athenahealth Superseded Diagnostic Report URL: https://fhir.athena.io/StructureDefinition/ah-superseded-diagnostic-report | |
| extension:ahNoteToPatient |
0..1 | string | athenahealth Note To Patient URL: https://fhir.athena.io/StructureDefinition/ah-note-to-patient | |
| extension:ahPublishedDateTimeToPortal |
0..1 | dateTime | athenahealth Published Date Time To Portal URL: https://fhir.athena.io/StructureDefinition/ah-published-date-time-to-portal | |
| extension:ahClinicalResultStatus |
0..1 | string | athenahealth Diagnostic Report ClinicalResultStatus URL: https://fhir.athena.io/StructureDefinition/ah-diagnostic-report-clinical-result-status | |
| extension:ahDocumentDetails |
0..1 | (Complex) | athenahealth Document Details URL: https://fhir.athena.io/StructureDefinition/ah-document-details | |
| basedOn |
0..0 | What was requested | ||
| subject |
0..1 | Reference(Patient) | The subject of the report - usually, but not always, the patient | |
| effective[x] |
0..1 | dateTime | Clinically relevant time/time-period for report | |
| performer |
0..* | Reference(Practitioner | Organization) | Responsible Diagnostic Service | |
| resultsInterpreter |
0..0 | Primary result interpreter | ||
| specimen |
0..0 | Specimens this report is based on | ||
| imagingStudy |
0..0 | Reference to full details of imaging associated with the diagnostic report | ||
| media |
0..0 | Key images associated with this report | ||
| conclusion |
0..0 | Clinical conclusion (interpretation) of test results | ||
| conclusionCode |
0..0 | Codes for the clinical conclusion of test results | ||
| Documentation for this format | ||||
Key Elements View
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.code | Base | preferred | LOINC Diagnostic Report Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| DiagnosticReport |
0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| versionId |
Σ | 0..1 | id | Version specific identifier | ||||
| lastUpdated |
Σ | 0..1 | instant | When the resource version last changed | ||||
| source |
Σ | 0..1 | uri | Identifies where the resource comes from | ||||
| profile |
Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||
| security |
Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||
| tag |
Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:ahChartSharingGroup |
0..1 | Reference(Organization) | athenahealth Chart Sharing Group URL: https://fhir.athena.io/StructureDefinition/ah-chart-sharing-group | |||||
| extension:ahPractice |
1..1 | Reference(Organization) | athenahealth Practice URL: https://fhir.athena.io/StructureDefinition/ah-practice | |||||
| extension:ahSupersededDiagnosticReport |
0..1 | Reference(DiagnosticReport) | athenahealth Superseded Diagnostic Report URL: https://fhir.athena.io/StructureDefinition/ah-superseded-diagnostic-report | |||||
| extension:ahNoteToPatient |
0..1 | string | athenahealth Note To Patient URL: https://fhir.athena.io/StructureDefinition/ah-note-to-patient | |||||
| extension:ahPublishedDateTimeToPortal |
0..1 | dateTime | athenahealth Published Date Time To Portal URL: https://fhir.athena.io/StructureDefinition/ah-published-date-time-to-portal | |||||
| extension:ahClinicalResultStatus |
0..1 | string | athenahealth Diagnostic Report ClinicalResultStatus URL: https://fhir.athena.io/StructureDefinition/ah-diagnostic-report-clinical-result-status | |||||
| extension:ahDocumentDetails |
0..1 | (Complex) | athenahealth Document Details URL: https://fhir.athena.io/StructureDefinition/ah-document-details | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 0..* | Identifier | Business identifier for report | ||||
| status |
?!Σ | 1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. | ||||
| category |
Σ | 0..* | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. | ||||
| code |
Σ | 1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. | ||||
| subject |
Σ | 0..1 | Reference(Patient) | The subject of the report - usually, but not always, the patient | ||||
| encounter |
Σ | 0..1 | Reference(Encounter) | Health care event when test ordered | ||||
| effective[x] |
Σ | 0..1 | dateTime | Clinically relevant time/time-period for report | ||||
| issued |
Σ | 0..1 | instant | DateTime this version was made | ||||
| performer |
Σ | 0..* | Reference(Practitioner | Organization) | Responsible Diagnostic Service | ||||
| result |
0..* | Reference(Observation) | Observations | |||||
| presentedForm |
0..* | Attachment | Entire report as issued | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.meta.security | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.meta.tag | Base | example | Common Tags | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.category | Base | example | Diagnostic Service Section Codes | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.code | Base | preferred | LOINC Diagnostic Report Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
This structure is derived from DiagnosticReport
Summary
Mandatory: 2 elements
Prohibited: 7 elements
Extensions
This structure refers to these extensions:
Other representations of profile: CSV, Excel, Schematron