{
  "resourceType" : "CodeSystem",
  "id" : "report-substatus",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem report-substatus</b></p><a name=\"report-substatus\"> </a><a name=\"hcreport-substatus\"> </a><p>This case-sensitive code system <code>https://fhir.cognovis.de/praxis/CodeSystem/report-substatus</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">dictation-pending<a name=\"report-substatus-dictation-pending\"> </a></td><td>Dictation Pending</td><td>Images acquired; report not yet dictated (radiologist has not yet started dictation)</td></tr><tr><td style=\"white-space:nowrap\">dictated<a name=\"report-substatus-dictated\"> </a></td><td>Dictated</td><td>Report dictated (voice or typed); awaiting final read-through and approval</td></tr><tr><td style=\"white-space:nowrap\">read-pending<a name=\"report-substatus-read-pending\"> </a></td><td>Read Pending</td><td>Dictation transcribed or reviewed; awaiting final radiologist sign-off</td></tr><tr><td style=\"white-space:nowrap\">signed<a name=\"report-substatus-signed\"> </a></td><td>Signed</td><td>Report finalized and signed by responsible radiologist; only valid as sub-state when DiagnosticReport.status=final. Signals the report is ready for distribution.</td></tr></table></div>"
  },
  "url" : "https://fhir.cognovis.de/praxis/CodeSystem/report-substatus",
  "identifier" : [{
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:oid:2.16.840.1.113883.3.7985.16.39"
  }],
  "version" : "0.49.0",
  "name" : "ReportSubstatusCS",
  "title" : "Report Substatus",
  "status" : "active",
  "experimental" : false,
  "date" : "2026-05-04T13:25:14+00:00",
  "publisher" : "cognovis GmbH",
  "contact" : [{
    "name" : "cognovis GmbH",
    "telecom" : [{
      "system" : "url",
      "value" : "https://www.cognovis.de"
    },
    {
      "system" : "email",
      "value" : "info@cognovis.de"
    }]
  }],
  "description" : "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.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "DE",
      "display" : "Germany"
    }]
  }],
  "caseSensitive" : true,
  "content" : "complete",
  "count" : 4,
  "concept" : [{
    "code" : "dictation-pending",
    "display" : "Dictation Pending",
    "definition" : "Images acquired; report not yet dictated (radiologist has not yet started dictation)"
  },
  {
    "code" : "dictated",
    "display" : "Dictated",
    "definition" : "Report dictated (voice or typed); awaiting final read-through and approval"
  },
  {
    "code" : "read-pending",
    "display" : "Read Pending",
    "definition" : "Dictation transcribed or reviewed; awaiting final radiologist sign-off"
  },
  {
    "code" : "signed",
    "display" : "Signed",
    "definition" : "Report finalized and signed by responsible radiologist; only valid as sub-state when DiagnosticReport.status=final. Signals the report is ready for distribution."
  }]
}