DiagnosticReport-update

Rad AI Reporting publishes the DiagnosticReport-update event when a Diagnostic Report is signed.

DiagnosticReport.status

Status	Action in Rad AI Reporting
partial	User saves the report without signing it.
cancelled	User discards the report.
preliminary	User preliminarily signs the report.
amended	User signs an addendum.
final	User signs the report.

Example Message

Rad AI Reporting publishes a FHIRcast event with the context containing:

• A Bundle resource containing:
  • A DiagnosticReport resource with the status field set (see above)
• A DiagnosticReport resource with the status field set (see above)
• An ImagingStudy resource

{
  "id": "52ea27b3-456e-4b04-8b79-be0643833447",
  "timestamp": "2024-01-01T00:00:00.000Z",
  "event": {
    "hub.topic": "test-topic",
    "hub.event": "DiagnosticReport-update",
    "context": [
      {
        "key": "updates",
        "resource": {
          "resourceType": "Bundle",
          "type": "transaction",
          "id": "bundle-transaction",
          "entry": [
            {
              "request": {
                "method": "PUT"
              },
              "resource": {
                "resourceType": "DiagnosticReport",
                "id": "01J36EZNMZH3Q5YSWHP9FZPDVP",
                "status": "partial",
                "imagingStudy": [
                  {
                    "reference": "ImagingStudy/4c2299a7-f1af-4a84-8260-b511011f229e"
                  }
                ]
              }
            }
          ]
        }
      },
      {
        "key": "report",
        "resource": {
          "resourceType": "DiagnosticReport",
          "id": "01J36EZNMZH3Q5YSWHP9FZPDVP",
          "status": "partial"
        }
      },
      {
        "key": "study",
        "resource": {
          "resourceType": "ImagingStudy",
          "id": "4c2299a7-f1af-4a84-8260-b511011f229e",
          "identifier": [
            {
              "type": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                    "code": "ACSN"
                  }
                ]
              },
              "system": "demo://EsewymOVqP9L",
              "value": "RA00111"
            }
          ],
          "basedOn": [
            {
              "reference": "ServiceRequest/c7e7515d-1dd4-49aa-ba71-f1066c7c252b",
              "resource": {
                "resourceType": "ServiceRequest",
                "id": "c7e7515d-1dd4-49aa-ba71-f1066c7c252b",
                "identifier": [
                  {
                    "type": {
                      "coding": [
                        {
                          "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                          "code": "ACSN"
                        }
                      ]
                    },
                    "system": "https://hospital.radai.com/accession",
                    "value": "RA00111"
                  }
                ],
                "status": "active",
                "intent": "order",
                "subject": {
                  "reference": "Patient/8bdff84f-699f-4088-9e14-8b3f946f6351",
                  "type": "Patient",
                  "display": "Leia, Princess"
                },
                "code": {
                  "text": "XR Chest 2 Views",
                  "coding": [
                    {
                      "system": "http://playbook.radlex.org/",
                      "code": "RPID2503",
                      "display": "XR Chest 2 Views"
                    }
                  ]
                },
                "reasonCode": [
                  {
                    "text": "Fever"
                  }
                ],
                "authoredOn": "2023-10-31T20:24:20.000Z",
                "meta": {
                  "versionId": "c6ac9a73-c10d-459b-afc2-2788051b9149",
                  "lastUpdated": "2023-11-20T19:09:36.381Z",
                  "author": {
                    "reference": "Practitioner/7a4a04a3-90f6-4c5d-9662-19b0ead8e649",
                    "display": "Rad AI"
                  },
                  "project": "030f43d3-7cef-4c2d-bb10-2d50e1b44893",
                  "compartment": [
                    {
                      "reference": "Project/030f43d3-7cef-4c2d-bb10-2d50e1b44893"
                    },
                    {
                      "reference": "Patient/8bdff84f-699f-4088-9e14-8b3f946f6351"
                    }
                  ]
                },
                "locationReference": [
                  {
                    "reference": "Location/975e2290-b16e-4b6a-bfb0-acc747ea145b",
                    "display": "Tower"
                  }
                ]
              }
            }
          ],
          "status": "available",
          "modality": [
            {
              "system": "http://dicom.nema.org/resources/ontology/DCM",
              "code": "CR"
            }
          ],
          "subject": {
            "reference": "Patient/8bdff84f-699f-4088-9e14-8b3f946f6351",
            "type": "Patient",
            "display": "Leia, Princess",
            "resource": {
              "resourceType": "Patient",
              "id": "8bdff84f-699f-4088-9e14-8b3f946f6351",
              "active": true,
              "identifier": [
                {
                  "use": "usual",
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "MR"
                      }
                    ]
                  },
                  "system": "https://hospital.radai.com/mrn",
                  "value": "MZ100071",
                  "assigner": {
                    "display": "Acme Healthcare"
                  }
                }
              ],
              "name": [
                {
                  "use": "official",
                  "family": "Leia",
                  "given": ["Princess"]
                }
              ],
              "gender": "female",
              "birthDate": "1970-01-01",
              "meta": {
                "versionId": "a234f5c1-5024-4c58-ae00-7df4dd6c94cb",
                "lastUpdated": "2023-11-02T13:00:11.162Z",
                "author": {
                  "reference": "Practitioner/7a4a04a3-90f6-4c5d-9662-19b0ead8e649",
                  "display": "Rad AI"
                },
                "project": "030f43d3-7cef-4c2d-bb10-2d50e1b44893",
                "compartment": [
                  {
                    "reference": "Project/030f43d3-7cef-4c2d-bb10-2d50e1b44893"
                  },
                  {
                    "reference": "Patient/8bdff84f-699f-4088-9e14-8b3f946f6351"
                  }
                ]
              }
            }
          },
          "started": "2023-10-31T20:24:20.000Z",
          "procedureCode": [
            {
              "text": "XR Chest 2 Views",
              "coding": [
                {
                  "system": "http://playbook.radlex.org/",
                  "code": "RPID2503",
                  "display": "XR Chest 2 Views"
                }
              ]
            }
          ],
          "description": "Chest X-Ray",
          "meta": {
            "versionId": "6ed783a5-c5ca-4bf5-a4c5-051c5c978021",
            "lastUpdated": "2023-11-02T13:05:04.066Z",
            "author": {
              "reference": "Practitioner/7a4a04a3-90f6-4c5d-9662-19b0ead8e649",
              "display": "Rad AI"
            },
            "project": "030f43d3-7cef-4c2d-bb10-2d50e1b44893",
            "compartment": [
              {
                "reference": "Project/030f43d3-7cef-4c2d-bb10-2d50e1b44893"
              },
              {
                "reference": "Patient/8bdff84f-699f-4088-9e14-8b3f946f6351"
              }
            ]
          }
        }
      }
    ]
  }
}