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

Artifacts Summary

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Structures: Logical Models

These define data models that represent the domain covered by this implementation guide in more business-friendly terms than the underlying FHIR resources.

ZW Lab Order (ZW.LAB.A1)

Logical model for ordering a laboratory test in Zimbabwe. Covers all data elements defined in activity ZW.LAB.A1 of the Zimbabwe Lab DAK data dictionary.

ZW Lab Result Report (ZW.LAB.A2)

Logical model for reporting a laboratory result in Zimbabwe. Covers all data elements defined in activity ZW.LAB.A2 of the Zimbabwe Lab DAK data dictionary.

Structures: Resource Profiles

These define constraints on FHIR resources for systems conforming to this implementation guide.

ZW Health Facility (Location)

A health facility placing a laboratory order in Zimbabwe (ZW.LAB.A.DE11).

ZW Lab Diagnostic Report

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

ZW Lab Order Task

Task that wraps a laboratory test order sent from Impilo (EHR) to a LIMS via OpenHIM. Carries the ServiceRequest plus contextual clinical information (ZW.LAB.A1).

ZW Lab Patient

Patient demographics exchanged in the Zimbabwe lab ordering workflow (ZW.LAB.A1 DE1–DE9).

ZW Lab Result Observation

A single laboratory test result measured by a Zimbabwe LIMS (ZW.LAB.A2 DE83–DE87).

ZW Lab Service Request

A laboratory test request from a Zimbabwe health facility to a laboratory (ZW.LAB.A1 DE17–DE72).

ZW Lab Specimen

A laboratory specimen collected in the Zimbabwe lab workflow (ZW.LAB.A1 DE52–DE72).

ZW Laboratory (Organization)

A laboratory in the national Zimbabwe laboratory network. Used as the receiving laboratory for an order (ZW.LAB.A.DE10) and as the reporting organisation for a DiagnosticReport.

Structures: Extension Definitions

These define constraints on FHIR data types for systems conforming to this implementation guide.

Date of Birth Estimated

Indicates that the client's date of birth is an estimate rather than the precise birth date. Corresponds to the Impilo→Senaite contract field dateOfBirthEstimated.

Patient Citizenship

The patient's legal status as citizen of a country.

Report Review State

The LIMS workflow/publication state of a laboratory report (ZW.LAB.A.DE73). This mutable status is separate from the FHIR DiagnosticReport.status lifecycle status, which tracks the clinical finality of the report.

Terminology: Value Sets

These define sets of codes used by systems conforming to this implementation guide.

ZW Laboratory Tests

Value set of laboratory tests requestable in Zimbabwe (ZW.LAB.A.DE17).

ZW National Laboratory List

Value set of national laboratory identifiers in Zimbabwe.

ZW Reason for Test

Value set of reasons for laboratory test requests in Zimbabwe (ZW.LAB.A.DE30).

ZW Report Review State

Value set of LIMS workflow states for a laboratory report (ZW.LAB.A.DE73).

ZW Specimen Rejection Reasons

Value set of specimen rejection reasons (ZW.LAB.A.DE88).

ZW Specimen Types

Value set of specimen/sample types used in Zimbabwe (ZW.LAB.A.DE53).

Terminology: Code Systems

These define new code systems used by systems conforming to this implementation guide.

ZW Lab Task Input Type

Type codes for Task.input slices on the ZWLabTask order profile.

ZW Lab Task Output Type

Type codes for Task.output slices on the ZWLabTask order profile.

ZW Laboratory Tests

National code list for laboratory tests ordered in Zimbabwe (ZW.LAB.A.DE17).

ZW National Laboratory List

National identifiers for public-health laboratories in Zimbabwe.

ZW Reason for Test

Coded reasons for laboratory test requests in Zimbabwe (ZW.LAB.A.DE30).

ZW Report Review State

LIMS workflow/review state for a laboratory report (ZW.LAB.A.DE73).

ZW Specimen Rejection Reasons

Reasons a specimen was rejected by the laboratory (ZW.LAB.A.DE88).

ZW Specimen Types

National code list for specimen/sample types collected in Zimbabwe (ZW.LAB.A.DE53).

Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.

Example — Blood Plasma Specimen

Example blood plasma specimen for the Viral Load Plasma order.

Example — Lab Order Task

Task sent by Impilo EHR to the LIMS via OpenHIM representing the lab order (step 1 of the HIE transaction flow).

Example — National Virology Laboratory

Example Organization instance for the National Virology Laboratory (ZWLPAR001).

Example — Ordering Health Facility

Example Location instance for a primary health facility placing the order.

Example — Viral Load Diagnostic Report

DiagnosticReport for the Viral Load Plasma result, pushed by the LIMS to the Shared Health Record (step 5 of the HIE transaction flow).

Example — Viral Load Plasma Service Request

Example ServiceRequest for a Viral Load Plasma test (baseline monitoring).

Example — Viral Load Result Observation

Example HIV Viral Load Plasma result (copies/mL) returned by the LIMS.

Example — ZW Lab Patient

Example Patient for the Viral Load end-to-end scenario.