Today I’m asking the question, not trying to answer it. Here’s the scenario.
A patient suffering from what appears to be worsening tendonitis goes for an MRI. His GP suspects a frozen shoulder.
The imaging clinic that performs the MRI send the results to the GP as a PDF document a few days later, verifying the frozen shoulder.
Assume the imaging clinic stores its data as FHIR resources.
The images are all stored on a DICOM server.
The radiologist’s findings are stored as Observations before being combined to produce the PDF report sent to the GP.
The GP works for a family clinic whose system is not fully FHIR aware. They’re comfortable with PDF reports.
My question is, would you expect a DiagnosticReport resource to be used here, with various Observations and Media resources referenced from it?
Or would you expect the imaging clinic to produce a FHIR Document that was then used to produce the PDF report?
More about FHIR Documents: https://build.fhir.org/documents.html
More about DiagnosticReport: http://hl7.org/fhir/R4/diagnosticreport.html
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