German Practice Management FHIR Profiles (R4)
Version 0.101.6 - release

CodeSystem: Report Substatus

Official URL: https://fhir.cognovis.de/praxis/CodeSystem/report-substatus Version: 0.101.6
Active as of 2026-09-11 Computable Name: ReportSubstatusCS
Other Identifiers: OID:2.16.840.1.113883.3.7985.16.68

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Sub-states for radiology and diagnostic report workflow in German practices. Fills the gap in FHIR R4 DiagnosticReport.status for dictation, reading, and sign-off workflow tracking. Note: #signed is only valid when DiagnosticReport.status=final — it represents the sub-state at which the report has been signed but is not a replacement for status=final.

This Code system is referenced in the content logical definition of the following value sets:

This case-sensitive code system https://fhir.cognovis.de/praxis/CodeSystem/report-substatus defines the following codes:

CodeDisplayDefinition
dictation-pending Dictation Pending Images acquired; report not yet dictated (radiologist has not yet started dictation)
dictated Dictated Report dictated (voice or typed); awaiting final read-through and approval
read-pending Read Pending Dictation transcribed or reviewed; awaiting final radiologist sign-off
signed Signed Report finalized and signed by responsible radiologist; only valid as sub-state when DiagnosticReport.status=final. Signals the report is ready for distribution.