NHDR Implementation Guide Release 1.0
0.1.0 - ci-build

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/UP-Manila-SILab/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

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:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: doco
DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
DiagnosticReport.status This element is a modifier element. This element is included in summaries. 1..1 code registered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
DiagnosticReport.code This element is included in summaries. 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: ICD-10 Codes (required)
DiagnosticReport.subject This element is included in summaries. 0..1 Reference(PH Patient) The subject of the report - usually, but not always, the patient
DiagnosticReport.encounter This element is included in summaries. 0..1 Reference(PH Encounter) Health care event when test ordered
DiagnosticReport.performer This element is included in summaries. 0..* Reference(PH Practitioner | PH PractitionerRole | PH Organization | CareTeam) Responsible Diagnostic Service
DiagnosticReport.specimen 0..* Reference(PH Specimen) Specimens this report is based on
DiagnosticReport.result 0..* Reference(PH Observation) Observations
DiagnosticReport.conclusionCode 0..* CodeableConcept Codes for the clinical conclusion of test results
Binding: ICD-10 Codes (required)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 FHIR Std.
DiagnosticReport.code Base required ICD-10 Codes 📦0.1.0 This IG
DiagnosticReport.conclusionCode Base required ICD-10 Codes 📦0.1.0 This IG

Constraints

Id Grade Path(s) Description Expression
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

NameFlagsCard.TypeDescription & Constraints    Filter: doco
DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
DiagnosticReport.meta
DiagnosticReport.meta.Slices for extension Content/Rules for all slices
DiagnosticReport.meta.Slices for extension.extension:hfRecordedDate 0..1 dateTime The recorded date indicating when the record was uploaded by the health facility.
URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFRecordedDate
DiagnosticReport.meta.Slices for extension.extension:hfLastUpdated 0..* dateTime The date indicating when the record was last updated by the health facility.
URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFLastUpdated
DiagnosticReport.meta.lastUpdated 0..1 instant When the resource was uploaded to the NHDR.
DiagnosticReport.implicitRules 0..0 A set of rules under which this content was created
DiagnosticReport.language 0..0 Language of the resource content
DiagnosticReport.contained 0..0 Contained, inline Resources
DiagnosticReport.extension 0..0 Extension
DiagnosticReport.modifierExtension 0..0 Extension
DiagnosticReport.basedOn 0..0 What was requested
DiagnosticReport.code 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: ICD-10 Codes (required)
DiagnosticReport.subject 0..1 Reference(PH Patient) The subject of the report - usually, but not always, the patient
DiagnosticReport.encounter 0..1 Reference(PH Encounter) Health care event when test ordered
DiagnosticReport.performer 0..* Reference(PH Practitioner | PH PractitionerRole | PH Organization | CareTeam) Responsible Diagnostic Service
DiagnosticReport.resultsInterpreter 0..0 Primary result interpreter
DiagnosticReport.specimen 0..* Reference(PH Specimen) Specimens this report is based on
DiagnosticReport.result 0..* Reference(PH Observation) Observations
DiagnosticReport.imagingStudy 0..0 Reference to full details of imaging associated with the diagnostic report
DiagnosticReport.media 0..0 Key images associated with this report
DiagnosticReport.conclusionCode 0..* CodeableConcept Codes for the clinical conclusion of test results
Binding: ICD-10 Codes (required)
DiagnosticReport.presentedForm 0..0 Entire report as issued

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DiagnosticReport.code Base required ICD-10 Codes 📦0.1.0 This IG
DiagnosticReport.conclusionCode Base required ICD-10 Codes 📦0.1.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: doco
DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
DiagnosticReport.id This element is included in summaries. 0..1 id Logical id of this artifact
DiagnosticReport.meta This element is included in summaries. 0..1 Meta Metadata about the resource
DiagnosticReport.meta.id 0..1 string Unique id for inter-element referencing
DiagnosticReport.meta.Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
DiagnosticReport.meta.Slices for extension.extension:hfRecordedDate 0..1 dateTime The recorded date indicating when the record was uploaded by the health facility.
URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFRecordedDate
DiagnosticReport.meta.Slices for extension.extension:hfLastUpdated 0..* dateTime The date indicating when the record was last updated by the health facility.
URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFLastUpdated
DiagnosticReport.meta.versionId This element is included in summaries. 0..1 id Version specific identifier
DiagnosticReport.meta.lastUpdated This element is included in summaries. 0..1 instant When the resource was uploaded to the NHDR.
DiagnosticReport.meta.source This element is included in summaries. 0..1 uri Identifies where the resource comes from
DiagnosticReport.meta.profile This element is included in summaries. 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
DiagnosticReport.meta.security This element is included in summaries. 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
DiagnosticReport.meta.tag This element is included in summaries. 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
DiagnosticReport.identifier This element is included in summaries. 0..* Identifier Business identifier for report
DiagnosticReport.status This element is a modifier element. This element is included in summaries. 1..1 code registered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
DiagnosticReport.category This element is included in summaries. 0..* CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
DiagnosticReport.code This element is included in summaries. 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: ICD-10 Codes (required)
DiagnosticReport.subject This element is included in summaries. 0..1 Reference(PH Patient) The subject of the report - usually, but not always, the patient
DiagnosticReport.encounter This element is included in summaries. 0..1 Reference(PH Encounter) Health care event when test ordered
DiagnosticReport.effective[x] This element is included in summaries. 0..1 Clinically relevant time/time-period for report
DiagnosticReport.effective[x].effectiveDateTime dateTime
DiagnosticReport.effective[x].effectivePeriod Period
DiagnosticReport.issued This element is included in summaries. 0..1 instant DateTime this version was made
DiagnosticReport.performer This element is included in summaries. 0..* Reference(PH Practitioner | PH PractitionerRole | PH Organization | CareTeam) Responsible Diagnostic Service
DiagnosticReport.specimen 0..* Reference(PH Specimen) Specimens this report is based on
DiagnosticReport.result 0..* Reference(PH Observation) Observations
DiagnosticReport.conclusion 0..1 string Clinical conclusion (interpretation) of test results
DiagnosticReport.conclusionCode 0..* CodeableConcept Codes for the clinical conclusion of test results
Binding: ICD-10 Codes (required)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.meta.​security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
DiagnosticReport.meta.​tag Base example Common Tags 📍4.0.1 FHIR Std.
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 FHIR Std.
DiagnosticReport.category Base example Diagnostic Service Section Codes 📍4.0.1 FHIR Std.
DiagnosticReport.code Base required ICD-10 Codes 📦0.1.0 This IG
DiagnosticReport.conclusionCode Base required ICD-10 Codes 📦0.1.0 This IG

Constraints

Id Grade Path(s) Description Expression
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()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
DiagnosticReport.status This element is a modifier element. This element is included in summaries. 1..1 code registered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
DiagnosticReport.code This element is included in summaries. 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: ICD-10 Codes (required)
DiagnosticReport.subject This element is included in summaries. 0..1 Reference(PH Patient) The subject of the report - usually, but not always, the patient
DiagnosticReport.encounter This element is included in summaries. 0..1 Reference(PH Encounter) Health care event when test ordered
DiagnosticReport.performer This element is included in summaries. 0..* Reference(PH Practitioner | PH PractitionerRole | PH Organization | CareTeam) Responsible Diagnostic Service
DiagnosticReport.specimen 0..* Reference(PH Specimen) Specimens this report is based on
DiagnosticReport.result 0..* Reference(PH Observation) Observations
DiagnosticReport.conclusionCode 0..* CodeableConcept Codes for the clinical conclusion of test results
Binding: ICD-10 Codes (required)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 FHIR Std.
DiagnosticReport.code Base required ICD-10 Codes 📦0.1.0 This IG
DiagnosticReport.conclusionCode Base required ICD-10 Codes 📦0.1.0 This IG

Constraints

Id Grade Path(s) Description Expression
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

NameFlagsCard.TypeDescription & Constraints    Filter: doco
DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
DiagnosticReport.meta
DiagnosticReport.meta.Slices for extension Content/Rules for all slices
DiagnosticReport.meta.Slices for extension.extension:hfRecordedDate 0..1 dateTime The recorded date indicating when the record was uploaded by the health facility.
URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFRecordedDate
DiagnosticReport.meta.Slices for extension.extension:hfLastUpdated 0..* dateTime The date indicating when the record was last updated by the health facility.
URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFLastUpdated
DiagnosticReport.meta.lastUpdated 0..1 instant When the resource was uploaded to the NHDR.
DiagnosticReport.implicitRules 0..0 A set of rules under which this content was created
DiagnosticReport.language 0..0 Language of the resource content
DiagnosticReport.text 0..0 Text summary of the resource, for human interpretation
DiagnosticReport.contained 0..0 Contained, inline Resources
DiagnosticReport.extension 0..0 Extension
DiagnosticReport.modifierExtension 0..0 Extension
DiagnosticReport.basedOn 0..0 What was requested
DiagnosticReport.code 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: ICD-10 Codes (required)
DiagnosticReport.subject 0..1 Reference(PH Patient) The subject of the report - usually, but not always, the patient
DiagnosticReport.encounter 0..1 Reference(PH Encounter) Health care event when test ordered
DiagnosticReport.performer 0..* Reference(PH Practitioner | PH PractitionerRole | PH Organization | CareTeam) Responsible Diagnostic Service
DiagnosticReport.resultsInterpreter 0..0 Primary result interpreter
DiagnosticReport.specimen 0..* Reference(PH Specimen) Specimens this report is based on
DiagnosticReport.result 0..* Reference(PH Observation) Observations
DiagnosticReport.imagingStudy 0..0 Reference to full details of imaging associated with the diagnostic report
DiagnosticReport.media 0..0 Key images associated with this report
DiagnosticReport.conclusionCode 0..* CodeableConcept Codes for the clinical conclusion of test results
Binding: ICD-10 Codes (required)
DiagnosticReport.presentedForm 0..0 Entire report as issued

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DiagnosticReport.code Base required ICD-10 Codes 📦0.1.0 This IG
DiagnosticReport.conclusionCode Base required ICD-10 Codes 📦0.1.0 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
DiagnosticReport.id This element is included in summaries. 0..1 id Logical id of this artifact
DiagnosticReport.meta This element is included in summaries. 0..1 Meta Metadata about the resource
DiagnosticReport.meta.id 0..1 string Unique id for inter-element referencing
DiagnosticReport.meta.Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
DiagnosticReport.meta.Slices for extension.extension:hfRecordedDate 0..1 dateTime The recorded date indicating when the record was uploaded by the health facility.
URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFRecordedDate
DiagnosticReport.meta.Slices for extension.extension:hfLastUpdated 0..* dateTime The date indicating when the record was last updated by the health facility.
URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFLastUpdated
DiagnosticReport.meta.versionId This element is included in summaries. 0..1 id Version specific identifier
DiagnosticReport.meta.lastUpdated This element is included in summaries. 0..1 instant When the resource was uploaded to the NHDR.
DiagnosticReport.meta.source This element is included in summaries. 0..1 uri Identifies where the resource comes from
DiagnosticReport.meta.profile This element is included in summaries. 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
DiagnosticReport.meta.security This element is included in summaries. 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
DiagnosticReport.meta.tag This element is included in summaries. 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
DiagnosticReport.identifier This element is included in summaries. 0..* Identifier Business identifier for report
DiagnosticReport.status This element is a modifier element. This element is included in summaries. 1..1 code registered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
DiagnosticReport.category This element is included in summaries. 0..* CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
DiagnosticReport.code This element is included in summaries. 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: ICD-10 Codes (required)
DiagnosticReport.subject This element is included in summaries. 0..1 Reference(PH Patient) The subject of the report - usually, but not always, the patient
DiagnosticReport.encounter This element is included in summaries. 0..1 Reference(PH Encounter) Health care event when test ordered
DiagnosticReport.effective[x] This element is included in summaries. 0..1 Clinically relevant time/time-period for report
DiagnosticReport.effective[x].effectiveDateTime dateTime
DiagnosticReport.effective[x].effectivePeriod Period
DiagnosticReport.issued This element is included in summaries. 0..1 instant DateTime this version was made
DiagnosticReport.performer This element is included in summaries. 0..* Reference(PH Practitioner | PH PractitionerRole | PH Organization | CareTeam) Responsible Diagnostic Service
DiagnosticReport.specimen 0..* Reference(PH Specimen) Specimens this report is based on
DiagnosticReport.result 0..* Reference(PH Observation) Observations
DiagnosticReport.conclusion 0..1 string Clinical conclusion (interpretation) of test results
DiagnosticReport.conclusionCode 0..* CodeableConcept Codes for the clinical conclusion of test results
Binding: ICD-10 Codes (required)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.meta.​security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
DiagnosticReport.meta.​tag Base example Common Tags 📍4.0.1 FHIR Std.
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.0.1 FHIR Std.
DiagnosticReport.category Base example Diagnostic Service Section Codes 📍4.0.1 FHIR Std.
DiagnosticReport.code Base required ICD-10 Codes 📦0.1.0 This IG
DiagnosticReport.conclusionCode Base required ICD-10 Codes 📦0.1.0 This IG

Constraints

Id Grade Path(s) Description Expression
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()

 

Other representations of profile: CSV, Excel, Schematron