SIL HIE Implementation Guide
0.1.0 - sil-hie-active

SIL HIE Implementation Guide, published by Kathurima Kimathi. 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/savannahghi/hie-fhir-ig-profile/ and changes regularly. See the Directory of published versions

: Example HIE DiagnosticReport - XML Representation

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<DiagnosticReport xmlns="http://hl7.org/fhir">
  <id value="HIEDiagnosticReport-example"/>
  <meta>
    <profile
             value="https://nshr.dha.go.ke/fhir/StructureDefinition/diagnosticreport"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Diagnostic Report</b></p><p>CBC panel completed. Results interpreted and finalized.</p><p><b>Subject</b>: Jane Patient (Patient/p-001)</p><p><b>Encounter</b>: Outpatient visit on 2025-11-12 (Encounter/enc-001)</p><table><thead><tr><th align="left">Code</th><th align="left">Name</th><th align="left">Value</th><th align="left">Ref Range</th></tr></thead><tbody><tr><td>718-7</td><td>Hemoglobin [Mass/volume] in Blood</td><td>12.4 g/dL</td><td>12.0–16.0 g/dL</td></tr><tr><td>6690-2</td><td>Leukocytes [#/volume] in Blood</td><td>7.2 ×10^3/µL</td><td>4.0–11.0 ×10^3/µL</td></tr></tbody></table><p><b>Conclusion</b>: Findings consistent with normal CBC.</p><p><b>Performer</b>: Acme Lab (Organization/org-001)</p><p><b>Issued</b>: 2025-11-12T11:05:00+03:00</p></div>
  </text>
  <identifier>
    <use value="official"/>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
        <code value="ACSN"/>
        <display value="Accession ID"/>
      </coding>
    </type>
    <system value="http://example.org/reports"/>
    <value value="DR-2025-0001"/>
  </identifier>
  <basedOn>
    <reference value="ServiceRequest/sr-001"/>
    <display value="CBC order"/>
  </basedOn>
  <status value="final"/>
  <category>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/v2-0074"/>
      <code value="LAB"/>
      <display value="Laboratory"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <code value="24323-8"/>
      <display value="CBC panel - Hematology"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/p-001"/>
    <display value="Jane Patient"/>
  </subject>
  <encounter>
    <reference value="Encounter/enc-001"/>
    <display value="Outpatient visit 2025-11-12"/>
  </encounter>
  <effectiveDateTime value="2025-11-12T10:40:00+03:00"/>
  <issued value="2025-11-12T11:05:00+03:00"/>
  <performer>
    <reference value="Organization/org-001"/>
    <display value="Acme Lab"/>
  </performer>
  <resultsInterpreter>
    <reference value="HIEPractitioner/pr-001"/>
    <display value="Dr. John Clinician"/>
  </resultsInterpreter>
  <specimen>
    <reference value="Specimen/spec-001"/>
    <display value="Whole blood EDTA"/>
  </specimen>
  <result>
    <reference value="Observation/obs-hb"/>
    <display value="Hemoglobin"/>
  </result>
  <result>
    <reference value="Observation/obs-wbc"/>
    <display value="Leukocytes"/>
  </result>
  <media>
    <comment value="Analyzer QC image"/>
    <link>
      <reference value="Media/media-1"/>
      <display value="Analyzer QC image"/>
    </link>
  </media>
  <conclusion value="Normal CBC."/>
  <conclusionCode>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="281900007"/>
      <display value="Normal complete blood count"/>
    </coding>
  </conclusionCode>
</DiagnosticReport>