Botswana FHIR Implementation Guide
1.0.0 - STU1 Botswana flag

Botswana FHIR Implementation Guide, published by Jembi Health Systems. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/jembi/botswana-hie-fhir-ig/ and changes regularly. See the Directory of published versions

Resource Profile: DiagnosticReport - Lab Order

Official URL: http://moh.bw.org/StructureDefinition/lab-order-diagnostic-report Version: 1.0.0
Active as of 2025-03-10 Computable Name: LabOrderDiagnosticReport

Represents the results for the lab order.

Usage:

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: 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
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... basedOn 1..1 Reference(ServiceRequest - Lab Orders) What was requested
ele-1: All FHIR elements must have a @value or children
... category Σ 1..1 CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.


ele-1: All FHIR elements must have a @value or children

Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11502-2
... code Σ 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: Lab Order Codes (extensible)
ele-1: All FHIR elements must have a @value or children
.... text Σ 1..1 string Plain text representation of the concept
ele-1: All FHIR elements must have a @value or children
... subject Σ 1..1 Reference(Botswana Patient) The subject of the report - usually, but not always, the patient
ele-1: All FHIR elements must have a @value or children
... encounter Σ 1..1 Reference(Encounter - Initiated By The Facility Providing the Service) Health care event when test ordered
ele-1: All FHIR elements must have a @value or children
... issued Σ 1..1 instant DateTime this version was made
ele-1: All FHIR elements must have a @value or children
... performer Σ 1..* Reference(Practitioner | Organization) Responsible Diagnostic Service
ele-1: All FHIR elements must have a @value or children
... result 1..1 Reference(Observation - Lab Result) Observations
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
DiagnosticReport.statusrequiredDiagnosticReportStatus
http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1
from the FHIR Standard
DiagnosticReport.categoryexamplePattern: LOINC Code 11502-2
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
from the FHIR Standard
DiagnosticReport.codeextensibleVSLabOrderCodes
http://moh.bw.org/ValueSet/vs-lab-order-codes
from this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorDiagnosticReportIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDiagnosticReportIf 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-4errorDiagnosticReportIf 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-5errorDiagnosticReportIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDiagnosticReportA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

 

Other representations of profile: CSV, Excel, Schematron