<status value="active"/> <experimental value="false"/> <date value="2026-05-04T13:25:14+00:00"/> <publisher value="cognovis GmbH"/> <contact> <name value="cognovis GmbH"/> <telecom> <system value="url"/> <value value="https://www.cognovis.de"/> </telecom> <telecom> <system value="email"/> <value value="info@cognovis.de"/> </telecom> </contact> <description value="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 value="urn:iso:std:iso:3166"/> <code value="DE"/> <display value="Germany"/> </coding> </jurisdiction> <caseSensitive value="true"/> <content value="complete"/> <count value="4"/> <concept> <code value="dictation-pending"/> <display value="Dictation Pending"/> <definition value="Images acquired; report not yet dictated (radiologist has not yet started dictation)"/> </concept> <concept> <code value="dictated"/> <display value="Dictated"/> <definition value="Report dictated (voice or typed); awaiting final read-through and approval"/> </concept> <concept> <code value="read-pending"/> <display value="Read Pending"/> <definition value="Dictation transcribed or reviewed; awaiting final radiologist sign-off"/> </concept> <concept> <code value="signed"/> <display value="Signed"/> <definition value="Report finalized and signed by responsible radiologist; only valid as sub-state when DiagnosticReport.status=final. Signals the report is ready for distribution."/> </concept> </CodeSystem>

Generated Narrative: CodeSystem report-substatus

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

Code	Display	Definition
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.