Zimbabwe Laboratory Ordering and Results IG
0.1.0 - ci-build Zimbabwe (ZWE)

Zimbabwe Laboratory Ordering and Results IG, published by MOH Zimbabwe. 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/mohcc/fhir-zw-lab-ig/ and changes regularly. See the Directory of published versions

Resource Profile: ZW Lab Diagnostic Report

Official URL: http://mohcc.gov.zw/fhir/lab/StructureDefinition/zw-lab-diagnostic-report Version: 0.1.0
Active as of 2026-06-11 Computable Name: ZWLabDiagnosticReport

A laboratory result report produced by a Zimbabwe LIMS and pushed to the Shared Health Record (ZW.LAB.A2 DE73–DE99).

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: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:reportReviewState S 0..1 CodeableConcept LIMS workflow state (ZW.LAB.A.DE73)
URL: http://mohcc.gov.zw/fhir/lab/StructureDefinition/report-review-state
Binding: ZW Report Review State (required)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!SΣ 1..1 code Result status (preliminary | final | amended | corrected | cancelled)
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... category SΣ 0..* CodeableConcept Laboratory report category
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
... code SΣ 1..1 CodeableConcept Report/panel code — use the test code from VSZWLabTests
Binding: ZW Laboratory Tests (preferred)
... subject SΣ 1..1 Reference(ZW Lab Patient) The subject of the report - usually, but not always, the patient
... Slices for effective[x] SΣ 0..1 Clinically relevant time/time-period for report
Slice: Unordered, Open by type:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effective[x]:effectiveDateTime Σ 0..1 dateTime Date result submitted (ZW.LAB.A.DE81)
... issued SΣ 0..1 instant Date result verified/issued (ZW.LAB.A.DE82)
... performer SΣ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Result submitter (ZW.LAB.A.DE79)
... resultsInterpreter SΣ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Results verifier (ZW.LAB.A.DE80)
... specimen S 0..1 Reference(ZW Lab Specimen) Specimen analysed
... result S 0..* Reference(ZW Lab Result Observation) Individual test result Observation(s)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
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 preferred ZW Laboratory Tests 📦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: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:reportReviewState S 0..1 CodeableConcept LIMS workflow state (ZW.LAB.A.DE73)
URL: http://mohcc.gov.zw/fhir/lab/StructureDefinition/report-review-state
Binding: ZW Report Review State (required)
... basedOn S 1..1 Reference(ZW Lab Service Request) ServiceRequest that initiated this report
... status S 1..1 code Result status (preliminary | final | amended | corrected | cancelled)
... code S 1..1 CodeableConcept Report/panel code — use the test code from VSZWLabTests
Binding: ZW Laboratory Tests (preferred)
... subject S 1..1 Reference(ZW Lab Patient) The subject of the report - usually, but not always, the patient
... Slices for effective[x] S 0..1 dateTime, Period Clinically relevant time/time-period for report
Slice: Unordered, Open by type:$this
.... effective[x]:effectiveDateTime 0..1 dateTime Date result submitted (ZW.LAB.A.DE81)
... issued S 0..1 instant Date result verified/issued (ZW.LAB.A.DE82)
... performer S 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Result submitter (ZW.LAB.A.DE79)
... resultsInterpreter S 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Results verifier (ZW.LAB.A.DE80)
... specimen S 0..1 Reference(ZW Lab Specimen) Specimen analysed
... result S 0..* Reference(ZW Lab Result Observation) Individual test result Observation(s)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DiagnosticReport.code Base preferred ZW Laboratory Tests 📦0.1.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:reportReviewState S 0..1 CodeableConcept LIMS workflow state (ZW.LAB.A.DE73)
URL: http://mohcc.gov.zw/fhir/lab/StructureDefinition/report-review-state
Binding: ZW Report Review State (required)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business identifier for report
... basedOn S 1..1 Reference(ZW Lab Service Request) ServiceRequest that initiated this report
... status ?!SΣ 1..1 code Result status (preliminary | final | amended | corrected | cancelled)
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... category SΣ 0..* CodeableConcept Laboratory report category
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
... code SΣ 1..1 CodeableConcept Report/panel code — use the test code from VSZWLabTests
Binding: ZW Laboratory Tests (preferred)
... subject SΣ 1..1 Reference(ZW Lab Patient) The subject of the report - usually, but not always, the patient
... encounter Σ 0..1 Reference(Encounter) Health care event when test ordered
... Slices for effective[x] SΣ 0..1 Clinically relevant time/time-period for report
Slice: Unordered, Open by type:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effective[x]:effectiveDateTime Σ 0..1 dateTime Date result submitted (ZW.LAB.A.DE81)
... issued SΣ 0..1 instant Date result verified/issued (ZW.LAB.A.DE82)
... performer SΣ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Result submitter (ZW.LAB.A.DE79)
... resultsInterpreter SΣ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Results verifier (ZW.LAB.A.DE80)
... specimen S 0..1 Reference(ZW Lab Specimen) Specimen analysed
... result S 0..* Reference(ZW Lab Result Observation) Individual test result Observation(s)
... imagingStudy 0..* Reference(ImagingStudy) Reference to full details of imaging associated with the diagnostic report
... media Σ 0..* BackboneElement Key images associated with this report
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... comment 0..1 string Comment about the image (e.g. explanation)
.... link Σ 1..1 Reference(Media) Reference to the image source
... conclusion 0..1 string Clinical conclusion (interpretation) of test results
... conclusionCode 0..* CodeableConcept Codes for the clinical conclusion of test results
Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
... presentedForm 0..* Attachment Entire report as issued

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.language Base preferred Common Languages 📍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 preferred ZW Laboratory Tests 📦0.1.0 This IG
DiagnosticReport.conclusionCode Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.

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

Summary

Mandatory: 2 elements
Must-Support: 12 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of DiagnosticReport.effective[x]

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:reportReviewState S 0..1 CodeableConcept LIMS workflow state (ZW.LAB.A.DE73)
URL: http://mohcc.gov.zw/fhir/lab/StructureDefinition/report-review-state
Binding: ZW Report Review State (required)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!SΣ 1..1 code Result status (preliminary | final | amended | corrected | cancelled)
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... category SΣ 0..* CodeableConcept Laboratory report category
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
... code SΣ 1..1 CodeableConcept Report/panel code — use the test code from VSZWLabTests
Binding: ZW Laboratory Tests (preferred)
... subject SΣ 1..1 Reference(ZW Lab Patient) The subject of the report - usually, but not always, the patient
... Slices for effective[x] SΣ 0..1 Clinically relevant time/time-period for report
Slice: Unordered, Open by type:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effective[x]:effectiveDateTime Σ 0..1 dateTime Date result submitted (ZW.LAB.A.DE81)
... issued SΣ 0..1 instant Date result verified/issued (ZW.LAB.A.DE82)
... performer SΣ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Result submitter (ZW.LAB.A.DE79)
... resultsInterpreter SΣ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Results verifier (ZW.LAB.A.DE80)
... specimen S 0..1 Reference(ZW Lab Specimen) Specimen analysed
... result S 0..* Reference(ZW Lab Result Observation) Individual test result Observation(s)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
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 preferred ZW Laboratory Tests 📦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: Filtersdoco
.. DiagnosticReport 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:reportReviewState S 0..1 CodeableConcept LIMS workflow state (ZW.LAB.A.DE73)
URL: http://mohcc.gov.zw/fhir/lab/StructureDefinition/report-review-state
Binding: ZW Report Review State (required)
... basedOn S 1..1 Reference(ZW Lab Service Request) ServiceRequest that initiated this report
... status S 1..1 code Result status (preliminary | final | amended | corrected | cancelled)
... code S 1..1 CodeableConcept Report/panel code — use the test code from VSZWLabTests
Binding: ZW Laboratory Tests (preferred)
... subject S 1..1 Reference(ZW Lab Patient) The subject of the report - usually, but not always, the patient
... Slices for effective[x] S 0..1 dateTime, Period Clinically relevant time/time-period for report
Slice: Unordered, Open by type:$this
.... effective[x]:effectiveDateTime 0..1 dateTime Date result submitted (ZW.LAB.A.DE81)
... issued S 0..1 instant Date result verified/issued (ZW.LAB.A.DE82)
... performer S 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Result submitter (ZW.LAB.A.DE79)
... resultsInterpreter S 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Results verifier (ZW.LAB.A.DE80)
... specimen S 0..1 Reference(ZW Lab Specimen) Specimen analysed
... result S 0..* Reference(ZW Lab Result Observation) Individual test result Observation(s)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DiagnosticReport.code Base preferred ZW Laboratory Tests 📦0.1.0 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:reportReviewState S 0..1 CodeableConcept LIMS workflow state (ZW.LAB.A.DE73)
URL: http://mohcc.gov.zw/fhir/lab/StructureDefinition/report-review-state
Binding: ZW Report Review State (required)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business identifier for report
... basedOn S 1..1 Reference(ZW Lab Service Request) ServiceRequest that initiated this report
... status ?!SΣ 1..1 code Result status (preliminary | final | amended | corrected | cancelled)
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... category SΣ 0..* CodeableConcept Laboratory report category
Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
... code SΣ 1..1 CodeableConcept Report/panel code — use the test code from VSZWLabTests
Binding: ZW Laboratory Tests (preferred)
... subject SΣ 1..1 Reference(ZW Lab Patient) The subject of the report - usually, but not always, the patient
... encounter Σ 0..1 Reference(Encounter) Health care event when test ordered
... Slices for effective[x] SΣ 0..1 Clinically relevant time/time-period for report
Slice: Unordered, Open by type:$this
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effective[x]:effectiveDateTime Σ 0..1 dateTime Date result submitted (ZW.LAB.A.DE81)
... issued SΣ 0..1 instant Date result verified/issued (ZW.LAB.A.DE82)
... performer SΣ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Result submitter (ZW.LAB.A.DE79)
... resultsInterpreter SΣ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Results verifier (ZW.LAB.A.DE80)
... specimen S 0..1 Reference(ZW Lab Specimen) Specimen analysed
... result S 0..* Reference(ZW Lab Result Observation) Individual test result Observation(s)
... imagingStudy 0..* Reference(ImagingStudy) Reference to full details of imaging associated with the diagnostic report
... media Σ 0..* BackboneElement Key images associated with this report
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... comment 0..1 string Comment about the image (e.g. explanation)
.... link Σ 1..1 Reference(Media) Reference to the image source
... conclusion 0..1 string Clinical conclusion (interpretation) of test results
... conclusionCode 0..* CodeableConcept Codes for the clinical conclusion of test results
Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
... presentedForm 0..* Attachment Entire report as issued

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.language Base preferred Common Languages 📍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 preferred ZW Laboratory Tests 📦0.1.0 This IG
DiagnosticReport.conclusionCode Base example SNOMED CT Clinical Findings 📍4.0.1 FHIR Std.

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

Summary

Mandatory: 2 elements
Must-Support: 12 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of DiagnosticReport.effective[x]

 

Other representations of profile: CSV, Excel, Schematron