NHDR Implementation Guide Release 1.0, published by NHDR. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/PROJ-PHILHEALTH-EA-NHDR/PhilHealth-NHDR-IG-Review/ and changes regularly. See the Directory of published versions
Resource Profile: PH DiagnosticReport
| Official URL: https://nhdr.gov.ph/fhir/StructureDefinition/PH-DiagnosticReport | Version: 0.1.0 | |||
| Standards status: Draft | Computable Name: PH_DiagnosticReport | |||
Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License |
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The findings and interpretation of diagnostic tests performed on patients, groups of patients, products, substances, devices, and locations, and/or specimens derived from these.
Usages:
- Refer to this Profile: PH MedicationAdministration
Formal Views of Profile Content
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  DiagnosticReport |
0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
  status |
?!Σ | 1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. |
 code |
Σ | 1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: ICD-10 Codes (required) |
 subject |
Σ | 0..1 | Reference(PH Patient) | The subject of the report - usually, but not always, the patient |
| encounter |
Σ | 0..1 | Reference(PH Encounter) | Health care event when test ordered |
| performer |
Σ | 0..* | Reference(PH Practitioner | PH PractitionerRole | PH Organization | CareTeam) | Responsible Diagnostic Service |
| specimen |
0..* | Reference(PH Specimen) | Specimens this report is based on | |
| result |
0..* | Reference(PH Observation) | Observations | |
 conclusionCode |
0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: ICD-10 Codes (required) | |
| Documentation for this format | ||||
Terminology Bindings
| Path | Conformance | ValueSet | URI |
| DiagnosticReport.status | required | DiagnosticReportStatushttp://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1From the FHIR Standard | |
| DiagnosticReport.code | required | ICD10VShttps://nhdr.gov.ph/fhir/ValueSet/ICD10VSFrom this IG | |
| DiagnosticReport.conclusionCode | required | ICD10VShttps://nhdr.gov.ph/fhir/ValueSet/ICD10VSFrom this IG |
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from DiagnosticReport
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DiagnosticReport |
0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
 implicitRules |
0..0 | |||
| language |
0..0 | |||
| text |
0..0 | |||
| contained |
0..0 | |||
 extension |
0..0 | |||
 modifierExtension |
0..0 | |||
| basedOn |
0..0 | |||
| code |
1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: ICD-10 Codes (required) | |
| subject |
0..1 | Reference(PH Patient) | The subject of the report - usually, but not always, the patient | |
| encounter |
0..1 | Reference(PH Encounter) | Health care event when test ordered | |
| performer |
0..* | Reference(PH Practitioner | PH PractitionerRole | PH Organization | CareTeam) | Responsible Diagnostic Service | |
| resultsInterpreter |
0..0 | |||
| specimen |
0..* | Reference(PH Specimen) | Specimens this report is based on | |
| result |
0..* | Reference(PH Observation) | Observations | |
| imagingStudy |
0..0 | |||
| media |
0..0 | |||
| conclusionCode |
0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: ICD-10 Codes (required) | |
| presentedForm |
0..0 | |||
| Documentation for this format | ||||
Terminology Bindings (Differential)
| Path | Conformance | ValueSet | URI |
| DiagnosticReport.code | required | ICD10VShttps://nhdr.gov.ph/fhir/ValueSet/ICD10VSFrom this IG | |
| DiagnosticReport.conclusionCode | required | ICD10VShttps://nhdr.gov.ph/fhir/ValueSet/ICD10VSFrom this IG |
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DiagnosticReport |
0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
| id |
Σ | 0..1 | id | Logical id of this artifact |
| meta |
Σ | 0..1 | Meta | Metadata about the resource |
| identifier |
Σ | 0..* | Identifier | Business identifier for report |
| status |
?!Σ | 1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. |
| category |
Σ | 0..* | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. |
| code |
Σ | 1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: ICD-10 Codes (required) |
| subject |
Σ | 0..1 | Reference(PH Patient) | The subject of the report - usually, but not always, the patient |
| encounter |
Σ | 0..1 | Reference(PH Encounter) | Health care event when test ordered |
  effective[x] |
Σ | 0..1 | Clinically relevant time/time-period for report | |
 effectiveDateTime |
dateTime | |||
| effectivePeriod |
Period | |||
| issued |
Σ | 0..1 | instant | DateTime this version was made |
| performer |
Σ | 0..* | Reference(PH Practitioner | PH PractitionerRole | PH Organization | CareTeam) | Responsible Diagnostic Service |
| specimen |
0..* | Reference(PH Specimen) | Specimens this report is based on | |
| result |
0..* | Reference(PH Observation) | Observations | |
| conclusion |
0..1 | string | Clinical conclusion (interpretation) of test results | |
| conclusionCode |
0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: ICD-10 Codes (required) | |
| Documentation for this format | ||||
Terminology Bindings
| Path | Conformance | ValueSet | URI |
| DiagnosticReport.status | required | DiagnosticReportStatushttp://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1From the FHIR Standard | |
| DiagnosticReport.category | example | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sectionsFrom the FHIR Standard | |
| DiagnosticReport.code | required | ICD10VShttps://nhdr.gov.ph/fhir/ValueSet/ICD10VSFrom this IG | |
| DiagnosticReport.conclusionCode | required | ICD10VShttps://nhdr.gov.ph/fhir/ValueSet/ICD10VSFrom this IG |
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from DiagnosticReport
Summary
Prohibited: 11 elements
Structures
This structure refers to these other structures:
- PH Patient (https://nhdr.gov.ph/fhir/StructureDefinition/PH-Patient)
- PH Encounter (https://nhdr.gov.ph/fhir/StructureDefinition/PH-Encounter)
- PH Practitioner (https://nhdr.gov.ph/fhir/StructureDefinition/PH-Practitioner)
- PH PractitionerRole (https://nhdr.gov.ph/fhir/StructureDefinition/PH-PractitionerRole)
- PH Organization (https://nhdr.gov.ph/fhir/StructureDefinition/PH-Organization)
- PH Specimen (https://nhdr.gov.ph/fhir/StructureDefinition/PH-Specimen)
- PH Observation (https://nhdr.gov.ph/fhir/StructureDefinition/PH-Observation)
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DiagnosticReport |
0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
| status |
?!Σ | 1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. |
| code |
Σ | 1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: ICD-10 Codes (required) |
| subject |
Σ | 0..1 | Reference(PH Patient) | The subject of the report - usually, but not always, the patient |
| encounter |
Σ | 0..1 | Reference(PH Encounter) | Health care event when test ordered |
| performer |
Σ | 0..* | Reference(PH Practitioner | PH PractitionerRole | PH Organization | CareTeam) | Responsible Diagnostic Service |
| specimen |
0..* | Reference(PH Specimen) | Specimens this report is based on | |
| result |
0..* | Reference(PH Observation) | Observations | |
| conclusionCode |
0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: ICD-10 Codes (required) | |
| Documentation for this format | ||||
Terminology Bindings
| Path | Conformance | ValueSet | URI |
| DiagnosticReport.status | required | DiagnosticReportStatushttp://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1From the FHIR Standard | |
| DiagnosticReport.code | required | ICD10VShttps://nhdr.gov.ph/fhir/ValueSet/ICD10VSFrom this IG | |
| DiagnosticReport.conclusionCode | required | ICD10VShttps://nhdr.gov.ph/fhir/ValueSet/ICD10VSFrom this IG |
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Differential View
This structure is derived from DiagnosticReport
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DiagnosticReport |
0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
| implicitRules |
0..0 | |||
| language |
0..0 | |||
| text |
0..0 | |||
| contained |
0..0 | |||
| extension |
0..0 | |||
| modifierExtension |
0..0 | |||
| basedOn |
0..0 | |||
| code |
1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: ICD-10 Codes (required) | |
| subject |
0..1 | Reference(PH Patient) | The subject of the report - usually, but not always, the patient | |
| encounter |
0..1 | Reference(PH Encounter) | Health care event when test ordered | |
| performer |
0..* | Reference(PH Practitioner | PH PractitionerRole | PH Organization | CareTeam) | Responsible Diagnostic Service | |
| resultsInterpreter |
0..0 | |||
| specimen |
0..* | Reference(PH Specimen) | Specimens this report is based on | |
| result |
0..* | Reference(PH Observation) | Observations | |
| imagingStudy |
0..0 | |||
| media |
0..0 | |||
| conclusionCode |
0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: ICD-10 Codes (required) | |
| presentedForm |
0..0 | |||
| Documentation for this format | ||||
Terminology Bindings (Differential)
| Path | Conformance | ValueSet | URI |
| DiagnosticReport.code | required | ICD10VShttps://nhdr.gov.ph/fhir/ValueSet/ICD10VSFrom this IG | |
| DiagnosticReport.conclusionCode | required | ICD10VShttps://nhdr.gov.ph/fhir/ValueSet/ICD10VSFrom this IG |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DiagnosticReport |
0..* | DiagnosticReport | A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports | |
| id |
Σ | 0..1 | id | Logical id of this artifact |
| meta |
Σ | 0..1 | Meta | Metadata about the resource |
| identifier |
Σ | 0..* | Identifier | Business identifier for report |
| status |
?!Σ | 1..1 | code | registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. |
| category |
Σ | 0..* | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. |
| code |
Σ | 1..1 | CodeableConcept | Name/Code for this diagnostic report Binding: ICD-10 Codes (required) |
| subject |
Σ | 0..1 | Reference(PH Patient) | The subject of the report - usually, but not always, the patient |
| encounter |
Σ | 0..1 | Reference(PH Encounter) | Health care event when test ordered |
| effective[x] |
Σ | 0..1 | Clinically relevant time/time-period for report | |
| effectiveDateTime |
dateTime | |||
| effectivePeriod |
Period | |||
| issued |
Σ | 0..1 | instant | DateTime this version was made |
| performer |
Σ | 0..* | Reference(PH Practitioner | PH PractitionerRole | PH Organization | CareTeam) | Responsible Diagnostic Service |
| specimen |
0..* | Reference(PH Specimen) | Specimens this report is based on | |
| result |
0..* | Reference(PH Observation) | Observations | |
| conclusion |
0..1 | string | Clinical conclusion (interpretation) of test results | |
| conclusionCode |
0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: ICD-10 Codes (required) | |
| Documentation for this format | ||||
Terminology Bindings
| Path | Conformance | ValueSet | URI |
| DiagnosticReport.status | required | DiagnosticReportStatushttp://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1From the FHIR Standard | |
| DiagnosticReport.category | example | DiagnosticServiceSectionCodeshttp://hl7.org/fhir/ValueSet/diagnostic-service-sectionsFrom the FHIR Standard | |
| DiagnosticReport.code | required | ICD10VShttps://nhdr.gov.ph/fhir/ValueSet/ICD10VSFrom this IG | |
| DiagnosticReport.conclusionCode | required | ICD10VShttps://nhdr.gov.ph/fhir/ValueSet/ICD10VSFrom this IG |
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | DiagnosticReport | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | DiagnosticReport | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | DiagnosticReport | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from DiagnosticReport
Summary
Prohibited: 11 elements
Structures
This structure refers to these other structures:
- PH Patient (https://nhdr.gov.ph/fhir/StructureDefinition/PH-Patient)
- PH Encounter (https://nhdr.gov.ph/fhir/StructureDefinition/PH-Encounter)
- PH Practitioner (https://nhdr.gov.ph/fhir/StructureDefinition/PH-Practitioner)
- PH PractitionerRole (https://nhdr.gov.ph/fhir/StructureDefinition/PH-PractitionerRole)
- PH Organization (https://nhdr.gov.ph/fhir/StructureDefinition/PH-Organization)
- PH Specimen (https://nhdr.gov.ph/fhir/StructureDefinition/PH-Specimen)
- PH Observation (https://nhdr.gov.ph/fhir/StructureDefinition/PH-Observation)
Other representations of profile: CSV, Excel, Schematron