Integrated Reporting Applications
1.0.0 - Trial-Implementation International flag

This page is part of the Integrated Reporting Applications (v1.0.0: Publication) based on FHIR v5.0.0. This is the current published version. For a full list of available versions, see the Directory of published versions

Open Report Context

Event-name: DiagnosticReport-open

Trigger Event

The Application Invoker (e.g., PACS or Worklist Orchestrator) opens a patient’s study.

Examples

DiagnosticReport-open Example Request

The following example shows a report being opened that contains a single primary study. Note that the diagnostic report’s imagingStudy and subject attributes have references to the imaging study and patient which are also in the open request.

POST https://hub.example.com/ HTTP/1.1
Host: hub
Authorization: Bearer i8hweunweunweofiwweoijewiwe
Content-Type: application/json
{
  "timestamp": "2020-09-07T14:58:45.988Z",
  "id": "0d4c9998",
  "event": {
    "hub.topic": "e62b4411-55f3-431a-94e8-ef4af537511c",
    "hub.event": "DiagnosticReport-open",
    "context": [
      {
        "key": "report",
        "resource": {
          "resourceType": "DiagnosticReport",
          "id": "40012366",
          "status": "unknown",
          "subject": {
            "reference": "Patient/ewUbXT9RWEbSj5wPEdgRaBw3"
          },
          "imagingStudy": [
            {
              "reference": "ImagingStudy/8i7tbu6fby5ftfbku6fniuf"
            }
          ]
        }
      },
      {
        "key": "patient",
        "resource": {
          "resourceType": "Patient",
          "id": "ewUbXT9RWEbSj5wPEdgRaBw3",
          "identifier": [
            {
              "system": "urn:oid:1.2.840.114350",
              "value": "185444"
            }
          ]
        }
      },
      {
        "key": "study",
        "resource": {
          "resourceType": "ImagingStudy",
          "description": "CHEST XRAY",
          "started": "2010-01-30T23:00:00.000Z",
          "status": "available",
          "id": "8i7tbu6fby5ftfbku6fniuf",
          "identifier": [
            {
              "type": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                    "code": "ACSN"
                  }
                ]
              },
              "value": "342123458"
            },
            {
              "system": "urn:dicom:uid",
              "value": "urn:oid:2.16.124.113543.6003.1154777499.38476.11982.4847614254"
            }
          ],
          "subject": {
            "reference": "Patient/ewUbXT9RWEbSj5wPEdgRaBw3"
          }
        }
      }
    ]
  }
}

DiagnosticReport-open Event Example

The event distributed by the Hub includes a context version in the context.versionId event attribute which will be used by subscribers to make subsequent DiagnosticReport-update requests.

{
  "timestamp": "2020-09-07T14:58:45.988Z",
  "id": "0d4c9998",
  "event": {
    "hub.topic": "e62b4411-55f3-431a-94e8-ef4af537511c",
    "hub.event": "DiagnosticReport-open",
    "context.versionId": "b9574cb0-e9e5-4be1-8957-5fcb51ef33c1",
    "context": [
      {
        "key": "report",
        "resource": {
          "resourceType": "DiagnosticReport",
          "id": "40012366",
          "status": "unknown",
          "subject": {
            "reference": "Patient/ewUbXT9RWEbSj5wPEdgRaBw3"
          },
          "imagingStudy": [
            {
              "reference": "ImagingStudy/8i7tbu6fby5ftfbku6fniuf"
            }
          ]
        }
      },
      {
        "key": "patient",
        "resource": {
          "resourceType": "Patient",
          "id": "ewUbXT9RWEbSj5wPEdgRaBw3",
          "identifier": [
            {
              "system": "urn:oid:1.2.840.114350",
              "value": "185444"
            }
          ]
        }
      },
      {
        "key": "study",
        "resource": {
          "resourceType": "ImagingStudy",
          "description": "CHEST XRAY",
          "started": "2010-01-30T23:00:00.000Z",
          "status": "available",
          "id": "8i7tbu6fby5ftfbku6fniuf",
          "identifier": [
            {
              "type": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                    "code": "ACSN"
                  }
                ]
              },
              "value": "342123458"
            },
            {
              "system": "urn:dicom:uid",
              "value": "urn:oid:2.16.124.113543.6003.1154777499.38476.11982.4847614254"
            }
          ],
          "subject": {
            "reference": "Patient/ewUbXT9RWEbSj5wPEdgRaBw3"
          }
        }
      }
    ]
  }
}

Available Context and Content in Hub

Time Sequence Event Session ID Current Context Anchor Context Contexts Present Content Content Selected Version ID Prior Version ID
1 DiagnosticReport-open e62b4411-55f3-431a-94e8-ef4af537511c report: DiagnosticReport
id: 40012366
report: DiagnosticReport
id: 40012366
report: DiagnosticReport
id: 40012366

patient: Patient
id: ewUbXT9RWEbSj5wPEdgRaBw3
mrn: 185444

study: ImagingStudy
id: 8i7tbu6fby5ftfbku6fniuf
study uid: 2.16.124.113543.6003.1154777499.38476.11982.4847614254
accnum: 342123458
none none b9574cb0-e9e5-4be1-8957-5fcb51ef33c1 none