DiagnosticReport-open
Rad AI Reporting publishes the DiagnosticReport-open event when a Diagnostic Report is opened.
This can occur when:
- A user manually opens a report through their worklist.
- A report is opened automatically after receiving a
DiagnosticReport-openevent.
Example Message
Rad AI Reporting publishes a FHIRcast event with the context containing:
- A
DiagnosticReportresource - A
Patientresource - One or more
ImagingStudyresources
{
"id": "c3b83f6f-e0f9-4d71-9482-eb3bc2668418",
"timestamp": "2026-08-13T18:15:09.555Z",
"event": {
"hub.topic": "test-topic",
"context.versionId": "c85f4479-96ac-48d0-b81f-b147f8264826",
"hub.event": "DiagnosticReport-open",
"context": [
{
"key": "report",
"resource": {
"resourceType": "DiagnosticReport",
"id": "01KZY5BK27R3W838ZVNPEEABXJ",
"status": "partial",
"contained": [
{
"resourceType": "Practitioner",
"id": "01KHTA4HH81JTFD9239TQXKD06",
"identifier": [
{
"system": "https://fhir.radai.com/sid/provider-id",
"value": "8675309"
},
{
"use": "official",
"system": "https://fhir.radai.com/sid/username",
"value": "john.smith@example.com"
}
],
"name": [
{
"use": "official",
"family": "Smith",
"given": ["John"]
}
]
}
],
"resultsInterpreter": [
{
"reference": "#01KHTA4HH81JTFD9239TQXKD06"
}
],
"subject": {
"reference": "Patient/c57334fc-0497-470f-b375-ac04e8967193"
},
"code": {
"coding": [
{
"code": "36934-8",
"display": "CT Heart for Calcium Scoring"
}
]
},
"imagingStudy": [
{
"reference": "ImagingStudy/01KYE6J0JT7MJKD662CZDR4CRJ"
}
]
}
},
{
"key": "patient",
"resource": {
"resourceType": "Patient",
"id": "c57334fc-0497-470f-b375-ac04e8967193",
"identifier": [
{
"use": "official",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "MR"
}
]
},
"value": "HOG5413337"
}
],
"name": [
{
"family": "Lovegood",
"given": ["Luna"],
"text": "Lovegood, Luna"
}
],
"birthDate": "1981-02-13",
"gender": "female"
}
},
{
"key": "study",
"resource": {
"resourceType": "ImagingStudy",
"id": "01KYE6J0JT7MJKD662CZDR4CRJ",
"status": "available",
"contained": [
{
"resourceType": "Practitioner",
"id": "02661de0-fc21-4fc9-b3a0-ad4fbc8c0826",
"name": [
{
"use": "official",
"family": "McGonagall",
"given": ["Minerva"]
}
]
},
{
"resourceType": "Encounter",
"id": "encounter-1",
"status": "finished",
"subject": {
"reference": "Patient/c57334fc-0497-470f-b375-ac04e8967193"
},
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB",
"display": "ambulatory"
}
},
{
"resourceType": "ServiceRequest",
"id": "servicerequest-1",
"status": "active",
"intent": "order",
"subject": {
"reference": "Patient/c57334fc-0497-470f-b375-ac04e8967193"
},
"requester": {
"reference": "#02661de0-fc21-4fc9-b3a0-ad4fbc8c0826"
}
}
],
"identifier": [
{
"use": "official",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "ACSN"
}
]
},
"value": "RA20006"
}
],
"subject": {
"reference": "Patient/c57334fc-0497-470f-b375-ac04e8967193"
},
"encounter": {
"reference": "#encounter-1"
},
"basedOn": [
{
"reference": "#servicerequest-1"
}
],
"location": {
"identifier": {
"value": "Hogwarts"
}
},
"procedureCode": [
{
"coding": [
{
"code": "36934-8"
}
],
"text": "CT Heart for Calcium Scoring"
}
]
}
}
]
}
}
Resources
report— TheDiagnosticReportbeing opened.patient— ThePatientthe report is for.study— TheImagingStudyresources associated with the report. Thecontainedresources describe:- A
Practitionerfor the ordering/referring provider. - An
Encounterfor the clinical encounter the order was placed under. - A
ServiceRequestfor the imaging order itself, referencing the ordering provider throughrequester.
- A
Multiple Studies
A report can be associated with more than one ImagingStudy.
When this occurs, Rad AI Reporting includes an additional study context entry for each associated study,
and the report key's DiagnosticReport.imagingStudy collection reflects the report's current list of linked studies.
{
"id": "2b0cd1d0-fee8-43cb-ae9a-ebf555eeaba3",
"timestamp": "2026-08-13T18:27:25.615Z",
"event": {
"hub.topic": "test-topic",
"context.versionId": "784c7d69-fdc7-4378-be6e-14c7e0b0dd9f",
"hub.event": "DiagnosticReport-open",
"context": [
{
"key": "report",
"resource": {
"resourceType": "DiagnosticReport",
"id": "01KYDZKC24AFT0PWTJCKAW5A0E",
"status": "final",
"contained": [
{
"resourceType": "Practitioner",
"id": "01KHTA4HH81JTFD9239TQXKD06",
"identifier": [
{
"system": "https://fhir.radai.com/sid/provider-id",
"value": "8675309"
},
{
"use": "official",
"system": "https://fhir.radai.com/sid/username",
"value": "john.smith@example.com"
}
],
"name": [
{
"use": "official",
"family": "Smith",
"given": ["John"]
}
]
}
],
"resultsInterpreter": [
{
"reference": "#01KHTA4HH81JTFD9239TQXKD06"
}
],
"subject": {
"reference": "Patient/1b496b6b-fecc-4735-87ec-7ce1d3f9ac4b"
},
"code": {
"coding": [
{
"code": "RPID2522",
"display": "XR Foot LT 3V Min"
}
]
},
"imagingStudy": [
{
"reference": "ImagingStudy/01KYDZKBN2N2NVSKHE0NF64R1B"
},
{
"reference": "ImagingStudy/01KYDZKEW9XFKD9GPK4J16H9BM"
},
{
"reference": "ImagingStudy/01KYDZKHKQ81FBB4TE6Z18DB0V"
}
]
}
},
{
"key": "patient",
"resource": {
"resourceType": "Patient",
"id": "1b496b6b-fecc-4735-87ec-7ce1d3f9ac4b",
"identifier": [
{
"use": "official",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "MR"
}
]
},
"value": "HOG1895223"
}
],
"name": [
{
"family": "Weasley",
"given": ["Ron"],
"text": "Weasley, Ron"
}
],
"birthDate": "1980-03-01",
"gender": "male"
}
},
{
"key": "study",
"resource": {
"resourceType": "ImagingStudy",
"id": "01KYDZKBN2N2NVSKHE0NF64R1B",
"status": "available",
"contained": [
{
"resourceType": "Practitioner",
"id": "fab4b968-1ce3-4c10-a30e-1867942df89c",
"name": [
{
"use": "official",
"family": "Snape",
"given": ["Severus"]
}
]
},
{
"resourceType": "Encounter",
"id": "encounter-1",
"status": "finished",
"subject": {
"reference": "Patient/1b496b6b-fecc-4735-87ec-7ce1d3f9ac4b"
},
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB",
"display": "ambulatory"
}
},
{
"resourceType": "ServiceRequest",
"id": "servicerequest-1",
"status": "active",
"intent": "order",
"subject": {
"reference": "Patient/1b496b6b-fecc-4735-87ec-7ce1d3f9ac4b"
},
"requester": {
"reference": "#fab4b968-1ce3-4c10-a30e-1867942df89c"
}
}
],
"identifier": [
{
"use": "official",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "ACSN"
}
]
},
"value": "RA20015"
}
],
"subject": {
"reference": "Patient/1b496b6b-fecc-4735-87ec-7ce1d3f9ac4b"
},
"encounter": {
"reference": "#encounter-1"
},
"basedOn": [
{
"reference": "#servicerequest-1"
}
],
"location": {
"identifier": {
"value": "Hogwarts"
}
},
"procedureCode": [
{
"coding": [
{
"code": "RPID2522"
}
],
"text": "XR Foot LT 3V Min"
}
]
}
},
{
"key": "study",
"resource": {
"resourceType": "ImagingStudy",
"id": "01KYDZKEW9XFKD9GPK4J16H9BM",
"status": "available",
"contained": [
{
"resourceType": "Practitioner",
"id": "fab4b968-1ce3-4c10-a30e-1867942df89c",
"name": [
{
"use": "official",
"family": "Snape",
"given": ["Severus"]
}
]
},
{
"resourceType": "Encounter",
"id": "encounter-1",
"status": "finished",
"subject": {
"reference": "Patient/1b496b6b-fecc-4735-87ec-7ce1d3f9ac4b"
},
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB",
"display": "ambulatory"
}
},
{
"resourceType": "ServiceRequest",
"id": "servicerequest-1",
"status": "active",
"intent": "order",
"subject": {
"reference": "Patient/1b496b6b-fecc-4735-87ec-7ce1d3f9ac4b"
},
"requester": {
"reference": "#fab4b968-1ce3-4c10-a30e-1867942df89c"
}
}
],
"identifier": [
{
"use": "official",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "ACSN"
}
]
},
"value": "RA20016"
}
],
"subject": {
"reference": "Patient/1b496b6b-fecc-4735-87ec-7ce1d3f9ac4b"
},
"encounter": {
"reference": "#encounter-1"
},
"basedOn": [
{
"reference": "#servicerequest-1"
}
],
"location": {
"identifier": {
"value": "Hogwarts"
}
},
"procedureCode": [
{
"coding": [
{
"code": "RPID2520"
}
],
"text": "XR Ankle LT 3V Min"
}
]
}
},
{
"key": "study",
"resource": {
"resourceType": "ImagingStudy",
"id": "01KYDZKHKQ81FBB4TE6Z18DB0V",
"status": "available",
"contained": [
{
"resourceType": "Practitioner",
"id": "fab4b968-1ce3-4c10-a30e-1867942df89c",
"name": [
{
"use": "official",
"family": "Snape",
"given": ["Severus"]
}
]
},
{
"resourceType": "Encounter",
"id": "encounter-1",
"status": "finished",
"subject": {
"reference": "Patient/1b496b6b-fecc-4735-87ec-7ce1d3f9ac4b"
},
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB",
"display": "ambulatory"
}
},
{
"resourceType": "ServiceRequest",
"id": "servicerequest-1",
"status": "active",
"intent": "order",
"subject": {
"reference": "Patient/1b496b6b-fecc-4735-87ec-7ce1d3f9ac4b"
},
"requester": {
"reference": "#fab4b968-1ce3-4c10-a30e-1867942df89c"
}
}
],
"identifier": [
{
"use": "official",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "ACSN"
}
]
},
"value": "RA20017"
}
],
"subject": {
"reference": "Patient/1b496b6b-fecc-4735-87ec-7ce1d3f9ac4b"
},
"encounter": {
"reference": "#encounter-1"
},
"basedOn": [
{
"reference": "#servicerequest-1"
}
],
"location": {
"identifier": {
"value": "Hogwarts"
}
},
"procedureCode": [
{
"coding": [
{
"code": "RPID2577"
}
],
"text": "XR Tibia Fibula LT 2V Min"
}
]
}
}
]
}
}