diff --git a/pkg/clinical/application/dto/diagnostic_report_output.go b/pkg/clinical/application/dto/diagnostic_report_output.go
new file mode 100644
index 00000000..09aae275
--- /dev/null
+++ b/pkg/clinical/application/dto/diagnostic_report_output.go
@@ -0,0 +1,5 @@
+package dto
+
+type DiagnosticReportOutput struct {
+	ID string `json:"id,omitempty"`
+}
diff --git a/pkg/clinical/domain/complex_types.go b/pkg/clinical/domain/complex_types.go
index d767cc0b..43d119da 100644
--- a/pkg/clinical/domain/complex_types.go
+++ b/pkg/clinical/domain/complex_types.go
@@ -3059,3 +3059,70 @@ func (e *MediaStatusEnum) UnmarshalGQL(v interface{}) error {
 func (e MediaStatusEnum) MarshalGQL(w io.Writer) {
 	fmt.Fprint(w, strconv.Quote(e.String()))
 }
+
+// DiagnosticReportStatusEnum is documented here http://hl7.org/fhir/ValueSet/diagnostic-report-status
+type DiagnosticReportStatusEnum string
+
+const (
+	DiagnosticReportStatusRegistered     = "registered"
+	DiagnosticReportStatusPartial        = "partial"
+	DiagnosticReportStatusPreliminary    = "preliminary"
+	DiagnosticReportStatusFinal          = "final"
+	DiagnosticReportStatusAmended        = "amended"
+	DiagnosticReportStatusCorrected      = "corrected"
+	DiagnosticReportStatusAppended       = "appended"
+	DiagnosticReportStatusCancelled      = "cancelled"
+	DiagnosticReportStatusEnteredInError = "entered-in-error"
+	DiagnosticReportStatusUnknown        = "unknown"
+)
+
+// AllDiagnosticReportStatusEnum ...
+var AllDiagnosticReportStatusEnum = []DiagnosticReportStatusEnum{
+	DiagnosticReportStatusRegistered,
+	DiagnosticReportStatusPartial,
+	DiagnosticReportStatusPreliminary,
+	DiagnosticReportStatusFinal,
+	DiagnosticReportStatusAmended,
+	DiagnosticReportStatusCorrected,
+	DiagnosticReportStatusAppended,
+	DiagnosticReportStatusCancelled,
+	DiagnosticReportStatusEnteredInError,
+	DiagnosticReportStatusUnknown,
+}
+
+// IsValid ...
+func (e DiagnosticReportStatusEnum) IsValid() bool {
+	switch e {
+	case DiagnosticReportStatusRegistered, DiagnosticReportStatusPartial, DiagnosticReportStatusPreliminary,
+		DiagnosticReportStatusFinal, DiagnosticReportStatusAmended, DiagnosticReportStatusCorrected, DiagnosticReportStatusAppended,
+		DiagnosticReportStatusCancelled, DiagnosticReportStatusEnteredInError, DiagnosticReportStatusUnknown:
+		return true
+	}
+
+	return false
+}
+
+// String ...
+func (e DiagnosticReportStatusEnum) String() string {
+	return string(e)
+}
+
+// UnmarshalGQL ...
+func (e *DiagnosticReportStatusEnum) UnmarshalGQL(v interface{}) error {
+	str, ok := v.(string)
+	if !ok {
+		return fmt.Errorf("enums must be strings")
+	}
+
+	*e = DiagnosticReportStatusEnum(str)
+	if !e.IsValid() {
+		return fmt.Errorf("%s is not a valid DiagnosticReportStatusEnum", str)
+	}
+
+	return nil
+}
+
+// MarshalGQL writes the composition attester mode to the supplied writer as a quoted string
+func (e DiagnosticReportStatusEnum) MarshalGQL(w io.Writer) {
+	fmt.Fprint(w, strconv.Quote(e.String()))
+}
diff --git a/pkg/clinical/domain/complex_types_test.go b/pkg/clinical/domain/complex_types_test.go
index 2f1db7a9..389c25cf 100644
--- a/pkg/clinical/domain/complex_types_test.go
+++ b/pkg/clinical/domain/complex_types_test.go
@@ -4401,3 +4401,119 @@ func TestMediaStatusEnum_MarshalGQL(t *testing.T) {
 		})
 	}
 }
+
+func TestDiagnosticReportStatusEnum_IsValid(t *testing.T) {
+	tests := []struct {
+		name string
+		c    DiagnosticReportStatusEnum
+		want bool
+	}{
+		{
+			name: "Happy Case - Valid type",
+			c:    DiagnosticReportStatusAmended,
+			want: true,
+		},
+		{
+			name: "Sad Case - Invalid type",
+			c:    DiagnosticReportStatusEnum("INVALID"),
+			want: false,
+		},
+	}
+	for _, tt := range tests {
+		t.Run(tt.name, func(t *testing.T) {
+			if got := tt.c.IsValid(); got != tt.want {
+				t.Errorf("DiagnosticReportStatusEnum.IsValid() = %v, want %v", got, tt.want)
+			}
+		})
+	}
+}
+
+func TestDiagnosticReportStatusEnum_String(t *testing.T) {
+	tests := []struct {
+		name string
+		c    DiagnosticReportStatusEnum
+		want string
+	}{
+		{
+			name: "Happy Case",
+			c:    DiagnosticReportStatusAmended,
+			want: DiagnosticReportStatusAmended,
+		},
+	}
+	for _, tt := range tests {
+		t.Run(tt.name, func(t *testing.T) {
+			if got := tt.c.String(); got != tt.want {
+				t.Errorf("DiagnosticReportStatusEnum = %v, want %v", got, tt.want)
+			}
+		})
+	}
+}
+
+func TestDiagnosticReportStatusEnum_UnmarshalGQL(t *testing.T) {
+	validValue := DiagnosticReportStatusUnknown
+	invalidType := DiagnosticReportStatusEnum("INVALID")
+	type args struct {
+		v interface{}
+	}
+	tests := []struct {
+		name    string
+		c       *DiagnosticReportStatusEnum
+		args    args
+		wantErr bool
+	}{
+		{
+			name: "Happy Case - Valid type",
+			args: args{
+				v: DiagnosticReportStatusAmended,
+			},
+			c:       (*DiagnosticReportStatusEnum)(&validValue),
+			wantErr: false,
+		},
+		{
+			name: "Sad Case - Invalid type",
+			args: args{
+				v: "invalid type",
+			},
+			c:       &invalidType,
+			wantErr: true,
+		},
+		{
+			name: "Sad Case - Invalid type(float)",
+			args: args{
+				v: 45.1,
+			},
+			c:       (*DiagnosticReportStatusEnum)(&validValue),
+			wantErr: true,
+		},
+	}
+	for _, tt := range tests {
+		t.Run(tt.name, func(t *testing.T) {
+			if err := tt.c.UnmarshalGQL(tt.args.v); (err != nil) != tt.wantErr {
+				t.Errorf("DiagnosticReportStatusEnum.UnmarshalGQL() error = %v, wantErr %v", err, tt.wantErr)
+			}
+		})
+	}
+}
+
+func TestConsentState_MarshalGQL(t *testing.T) {
+	tests := []struct {
+		name  string
+		c     DiagnosticReportStatusEnum
+		wantW string
+	}{
+		{
+			name:  "valid type enums",
+			c:     DiagnosticReportStatusAmended,
+			wantW: strconv.Quote("amended"),
+		},
+	}
+	for _, tt := range tests {
+		t.Run(tt.name, func(t *testing.T) {
+			w := &bytes.Buffer{}
+			tt.c.MarshalGQL(w)
+			if gotW := w.String(); gotW != tt.wantW {
+				t.Errorf("DiagnosticReportStatusEnum.MarshalGQL() = %v, want %v", gotW, tt.wantW)
+			}
+		})
+	}
+}
diff --git a/pkg/clinical/domain/diagnostic_report.go b/pkg/clinical/domain/diagnostic_report.go
new file mode 100644
index 00000000..e7960b0e
--- /dev/null
+++ b/pkg/clinical/domain/diagnostic_report.go
@@ -0,0 +1,40 @@
+package domain
+
+// DiagnosticReport is documented here http://hl7.org/fhir/StructureDefinition/DiagnosticReport
+type DiagnosticReport struct {
+	ID                 *string                    `json:"id,omitempty"`
+	Meta               *FHIRMeta                  `json:"meta,omitempty"`
+	ImplicitRules      *string                    `json:"implicitRules,omitempty"`
+	Language           *string                    `json:"language,omitempty"`
+	Text               *FHIRNarrative             `json:"text,omitempty"`
+	Extension          []*Extension               `json:"extension,omitempty"`
+	ModifierExtension  []*Extension               `json:"modifierExtension,omitempty"`
+	Identifier         []*FHIRIdentifier          `json:"identifier,omitempty"`
+	BasedOn            []*FHIRReference           `json:"basedOn,omitempty"`
+	Status             DiagnosticReportStatusEnum `json:"status"`
+	Category           []*FHIRCodeableConcept     `json:"category,omitempty"`
+	Code               FHIRCodeableConcept        `json:"code"`
+	Subject            *FHIRReference             `json:"subject,omitempty"`
+	Encounter          *FHIRReference             `json:"encounter,omitempty"`
+	EffectiveDateTime  *string                    `json:"effectiveDateTime,omitempty"`
+	EffectivePeriod    *FHIRPeriod                `json:"effectivePeriod,omitempty"`
+	Issued             *string                    `json:"issued,omitempty"`
+	Performer          []*FHIRReference           `json:"performer,omitempty"`
+	ResultsInterpreter []*FHIRReference           `json:"resultsInterpreter,omitempty"`
+	Specimen           []*FHIRReference           `json:"specimen,omitempty"`
+	Result             []*FHIRReference           `json:"result,omitempty"`
+	ImagingStudy       []*FHIRReference           `json:"imagingStudy,omitempty"`
+	Media              []*DiagnosticReportMedia   `json:"media,omitempty"`
+	Conclusion         *string                    `json:"conclusion,omitempty"`
+	ConclusionCode     []*FHIRCodeableConcept     `json:"conclusionCode,omitempty"`
+	PresentedForm      []*FHIRAttachment          `json:"presentedForm,omitempty"`
+}
+
+// DiagnosticReportMedia represents the key images associated with this report
+type DiagnosticReportMedia struct {
+	ID                *string        `json:"id,omitempty"`
+	Extension         []*Extension   `json:"extension,omitempty"`
+	ModifierExtension []*Extension   `json:"modifierExtension,omitempty"`
+	Comment           *string        `json:"comment,omitempty"`
+	Link              *FHIRReference `json:"link"`
+}
diff --git a/pkg/clinical/usecases/clinical/diagnostic_report.go b/pkg/clinical/usecases/clinical/diagnostic_report.go
new file mode 100644
index 00000000..be973de9
--- /dev/null
+++ b/pkg/clinical/usecases/clinical/diagnostic_report.go
@@ -0,0 +1 @@
+package clinical