SGHI FHIR Profile Implementation Guide
0.1.0 - ci-build

SGHI FHIR Profile 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/sil_fhir_profile_ig/ and changes regularly. See the Directory of published versions

Resource Profile: SGHI DiagnosticReport

Official URL: https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-diagnosticreport Version: 0.1.0
Draft as of 2025-09-04 Computable Name: SGHIDiagnosticReport

SGHI's profile for DiagnosticReport

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 C 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
Constraints: dgr-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
.... type Σ 0..1 SGHICodeableConcept Description of identifier
Binding: SGHI Standard Identifier Types (required)
.... system Σ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value ΣC 1..1 string The value that is unique
Example General: 123456
.... assigner Σ 1..1 SGHIReference(SGHI Organization) Organization that issued id (may be just text)
... basedOn 0..* SGHIReference(SGHI MedicationRequest | SGHI ServiceRequest) What was requested
... status ?!Σ 1..1 code registered | partial | preliminary | modified | final | amended | corrected | appended | cancelled | entered-in-error | unknown
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... category Σ 1..* SGHICodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074
... code Σ 1..1 SGHICodeableConcept Name/Code for this diagnostic report
Binding: LOINCDiagnosticReportCodes (preferred): LOINC Codes for Diagnostic Reports
... subject Σ 1..1 SGHIReference(SGHI Patient) The subject of the report - usually, but not always, the patient
... encounter Σ 1..1 SGHIReference(SGHI Encounter) Health care event when test ordered
... effective[x] Σ 1..1 dateTime Clinically relevant time/time-period for report
... issued Σ 1..1 instant DateTime this version was made
... performer Σ 1..* SGHIReference(SGHI Organization) Responsible Diagnostic Service
... resultsInterpreter Σ 1..* SGHIReference(SGHI Organization) Primary result interpreter
... result C 0..* SGHIReference(SGHI Observation) Observations
... conclusionCode 0..* SGHICodeableConcept Codes for the clinical conclusion of test results
Binding: SGHI Diagnostic Conclusion ICD-11 (extensible)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DiagnosticReport.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use
From the FHIR Standard
DiagnosticReport.identifier.typerequiredSGHIIdentifierTypes
https://fhir.slade360.co.ke/fhir/ValueSet/sghi-identifier-types
From this IG
DiagnosticReport.statusrequiredDiagnosticReportStatus
http://hl7.org/fhir/ValueSet/diagnostic-report-status|5.0.0
From the FHIR Standard
DiagnosticReport.categoryexampleDiagnosticServiceSectionCodes
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
From the FHIR Standard
DiagnosticReport.codepreferredLOINCDiagnosticReportCodes(a valid code from LOINC)
http://hl7.org/fhir/ValueSet/report-codes
From the FHIR Standard
DiagnosticReport.conclusionCodeextensibleSGHIDiagnosticConclusionICD11
https://fhir.slade360.co.ke/fhir/ValueSet/sghi-diagnostic-conclusion-icd11
From this IG

Constraints

IdGradePath(s)DetailsRequirements
dgr-1errorDiagnosticReportWhen a Composition is referenced in `Diagnostic.composition`, all Observation resources referenced in `Composition.entry` must also be referenced in `Diagnostic.entry` or in the references Observations in `Observation.hasMember`
: composition.exists() implies (composition.resolve().section.entry.reference.where(resolve() is Observation) in (result.reference|result.reference.resolve().hasMember.reference))
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()

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
... identifier 1..* Identifier Business identifier for report
.... use 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
.... type 0..1 SGHICodeableConcept Description of identifier
Binding: SGHI Standard Identifier Types (required)
.... system 1..1 uri The namespace for the identifier value
.... value 1..1 string The value that is unique
.... assigner 1..1 SGHIReference(SGHI Organization) Organization that issued id (may be just text)
... basedOn 0..* SGHIReference(SGHI MedicationRequest | SGHI ServiceRequest) What was requested
... category 1..* SGHICodeableConcept Service category
... subject 1..1 SGHIReference(SGHI Patient) The subject of the report - usually, but not always, the patient
... encounter 1..1 SGHIReference(SGHI Encounter) Health care event when test ordered
... effective[x] 1..1 dateTime Clinically relevant time/time-period for report
... issued 1..1 instant DateTime this version was made
... performer 1..* SGHIReference(SGHI Organization) Responsible Diagnostic Service
... resultsInterpreter 1..* SGHIReference(SGHI Organization) Primary result interpreter
... result 0..* SGHIReference(SGHI Observation) Observations
... supportingInfo
.... reference 1..1 SGHIReference(SGHI Observation | SGHI DiagnosticReport) Supporting information reference
... conclusionCode 0..* SGHICodeableConcept Codes for the clinical conclusion of test results
Binding: SGHI Diagnostic Conclusion ICD-11 (extensible)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
DiagnosticReport.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use
From the FHIR Standard
DiagnosticReport.identifier.typerequiredSGHIIdentifierTypes
https://fhir.slade360.co.ke/fhir/ValueSet/sghi-identifier-types
From this IG
DiagnosticReport.conclusionCodeextensibleSGHIDiagnosticConclusionICD11
https://fhir.slade360.co.ke/fhir/ValueSet/sghi-diagnostic-conclusion-icd11
From this IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport C 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
Constraints: dgr-1
... 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
... language 0..1 code Language of the resource content
Binding: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
... 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
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier Σ 1..* Identifier Business identifier for report
.... id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
.... type Σ 0..1 SGHICodeableConcept Description of identifier
Binding: SGHI Standard Identifier Types (required)
.... system Σ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value ΣC 1..1 string The value that is unique
Example General: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 1..1 SGHIReference(SGHI Organization) Organization that issued id (may be just text)
... basedOn 0..* SGHIReference(SGHI MedicationRequest | SGHI ServiceRequest) What was requested
... status ?!Σ 1..1 code registered | partial | preliminary | modified | final | amended | corrected | appended | cancelled | entered-in-error | unknown
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... category Σ 1..* SGHICodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074
... code Σ 1..1 SGHICodeableConcept Name/Code for this diagnostic report
Binding: LOINCDiagnosticReportCodes (preferred): LOINC Codes for Diagnostic Reports
... subject Σ 1..1 SGHIReference(SGHI Patient) The subject of the report - usually, but not always, the patient
... encounter Σ 1..1 SGHIReference(SGHI Encounter) Health care event when test ordered
... effective[x] Σ 1..1 dateTime Clinically relevant time/time-period for report
... issued Σ 1..1 instant DateTime this version was made
... performer Σ 1..* SGHIReference(SGHI Organization) Responsible Diagnostic Service
... resultsInterpreter Σ 1..* SGHIReference(SGHI Organization) Primary result interpreter
... specimen 0..* Reference(Specimen) Specimens this report is based on
... result C 0..* SGHIReference(SGHI Observation) Observations
... note 0..* Annotation Comments about the diagnostic report
... study 0..* Reference(GenomicStudy | ImagingStudy) Reference to full details of an analysis associated with the diagnostic report
... supportingInfo 0..* BackboneElement Additional information supporting the diagnostic 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
.... type 1..1 CodeableConcept Supporting information role code
Binding: hl7VS-VS-observationType (example): The code value for the role of the supporting information in the diagnostic report.
.... reference 1..1 SGHIReference(SGHI Observation | SGHI DiagnosticReport) Supporting information reference
... media Σ 0..* BackboneElement Key images or data 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 or data (e.g. explanation)
.... link Σ 1..1 Reference(DocumentReference) Reference to the image or data source
... composition C 0..1 Reference(Composition) Reference to a Composition resource for the DiagnosticReport structure
... conclusion 0..1 markdown Clinical conclusion (interpretation) of test results
... conclusionCode 0..* SGHICodeableConcept Codes for the clinical conclusion of test results
Binding: SGHI Diagnostic Conclusion ICD-11 (extensible)
... presentedForm 0..* Attachment Entire report as issued

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DiagnosticReport.languagerequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages|5.0.0
From the FHIR Standard
DiagnosticReport.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use
From the FHIR Standard
DiagnosticReport.identifier.typerequiredSGHIIdentifierTypes
https://fhir.slade360.co.ke/fhir/ValueSet/sghi-identifier-types
From this IG
DiagnosticReport.statusrequiredDiagnosticReportStatus
http://hl7.org/fhir/ValueSet/diagnostic-report-status|5.0.0
From the FHIR Standard
DiagnosticReport.categoryexampleDiagnosticServiceSectionCodes
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
From the FHIR Standard
DiagnosticReport.codepreferredLOINCDiagnosticReportCodes(a valid code from LOINC)
http://hl7.org/fhir/ValueSet/report-codes
From the FHIR Standard
DiagnosticReport.supportingInfo.typeexampleHl7VSVSObservationType
http://terminology.hl7.org/ValueSet/v2-0936
DiagnosticReport.conclusionCodeextensibleSGHIDiagnosticConclusionICD11
https://fhir.slade360.co.ke/fhir/ValueSet/sghi-diagnostic-conclusion-icd11
From this IG

Constraints

IdGradePath(s)DetailsRequirements
dgr-1errorDiagnosticReportWhen a Composition is referenced in `Diagnostic.composition`, all Observation resources referenced in `Composition.entry` must also be referenced in `Diagnostic.entry` or in the references Observations in `Observation.hasMember`
: composition.exists() implies (composition.resolve().section.entry.reference.where(resolve() is Observation) in (result.reference|result.reference.resolve().hasMember.reference))
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport C 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
Constraints: dgr-1
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
.... type Σ 0..1 SGHICodeableConcept Description of identifier
Binding: SGHI Standard Identifier Types (required)
.... system Σ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value ΣC 1..1 string The value that is unique
Example General: 123456
.... assigner Σ 1..1 SGHIReference(SGHI Organization) Organization that issued id (may be just text)
... basedOn 0..* SGHIReference(SGHI MedicationRequest | SGHI ServiceRequest) What was requested
... status ?!Σ 1..1 code registered | partial | preliminary | modified | final | amended | corrected | appended | cancelled | entered-in-error | unknown
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... category Σ 1..* SGHICodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074
... code Σ 1..1 SGHICodeableConcept Name/Code for this diagnostic report
Binding: LOINCDiagnosticReportCodes (preferred): LOINC Codes for Diagnostic Reports
... subject Σ 1..1 SGHIReference(SGHI Patient) The subject of the report - usually, but not always, the patient
... encounter Σ 1..1 SGHIReference(SGHI Encounter) Health care event when test ordered
... effective[x] Σ 1..1 dateTime Clinically relevant time/time-period for report
... issued Σ 1..1 instant DateTime this version was made
... performer Σ 1..* SGHIReference(SGHI Organization) Responsible Diagnostic Service
... resultsInterpreter Σ 1..* SGHIReference(SGHI Organization) Primary result interpreter
... result C 0..* SGHIReference(SGHI Observation) Observations
... conclusionCode 0..* SGHICodeableConcept Codes for the clinical conclusion of test results
Binding: SGHI Diagnostic Conclusion ICD-11 (extensible)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DiagnosticReport.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use
From the FHIR Standard
DiagnosticReport.identifier.typerequiredSGHIIdentifierTypes
https://fhir.slade360.co.ke/fhir/ValueSet/sghi-identifier-types
From this IG
DiagnosticReport.statusrequiredDiagnosticReportStatus
http://hl7.org/fhir/ValueSet/diagnostic-report-status|5.0.0
From the FHIR Standard
DiagnosticReport.categoryexampleDiagnosticServiceSectionCodes
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
From the FHIR Standard
DiagnosticReport.codepreferredLOINCDiagnosticReportCodes(a valid code from LOINC)
http://hl7.org/fhir/ValueSet/report-codes
From the FHIR Standard
DiagnosticReport.conclusionCodeextensibleSGHIDiagnosticConclusionICD11
https://fhir.slade360.co.ke/fhir/ValueSet/sghi-diagnostic-conclusion-icd11
From this IG

Constraints

IdGradePath(s)DetailsRequirements
dgr-1errorDiagnosticReportWhen a Composition is referenced in `Diagnostic.composition`, all Observation resources referenced in `Composition.entry` must also be referenced in `Diagnostic.entry` or in the references Observations in `Observation.hasMember`
: composition.exists() implies (composition.resolve().section.entry.reference.where(resolve() is Observation) in (result.reference|result.reference.resolve().hasMember.reference))
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()

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
... identifier 1..* Identifier Business identifier for report
.... use 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
.... type 0..1 SGHICodeableConcept Description of identifier
Binding: SGHI Standard Identifier Types (required)
.... system 1..1 uri The namespace for the identifier value
.... value 1..1 string The value that is unique
.... assigner 1..1 SGHIReference(SGHI Organization) Organization that issued id (may be just text)
... basedOn 0..* SGHIReference(SGHI MedicationRequest | SGHI ServiceRequest) What was requested
... category 1..* SGHICodeableConcept Service category
... subject 1..1 SGHIReference(SGHI Patient) The subject of the report - usually, but not always, the patient
... encounter 1..1 SGHIReference(SGHI Encounter) Health care event when test ordered
... effective[x] 1..1 dateTime Clinically relevant time/time-period for report
... issued 1..1 instant DateTime this version was made
... performer 1..* SGHIReference(SGHI Organization) Responsible Diagnostic Service
... resultsInterpreter 1..* SGHIReference(SGHI Organization) Primary result interpreter
... result 0..* SGHIReference(SGHI Observation) Observations
... supportingInfo
.... reference 1..1 SGHIReference(SGHI Observation | SGHI DiagnosticReport) Supporting information reference
... conclusionCode 0..* SGHICodeableConcept Codes for the clinical conclusion of test results
Binding: SGHI Diagnostic Conclusion ICD-11 (extensible)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
DiagnosticReport.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use
From the FHIR Standard
DiagnosticReport.identifier.typerequiredSGHIIdentifierTypes
https://fhir.slade360.co.ke/fhir/ValueSet/sghi-identifier-types
From this IG
DiagnosticReport.conclusionCodeextensibleSGHIDiagnosticConclusionICD11
https://fhir.slade360.co.ke/fhir/ValueSet/sghi-diagnostic-conclusion-icd11
From this IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DiagnosticReport C 0..* DiagnosticReport A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
Constraints: dgr-1
... 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
... language 0..1 code Language of the resource content
Binding: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
... 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
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier Σ 1..* Identifier Business identifier for report
.... id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
.... type Σ 0..1 SGHICodeableConcept Description of identifier
Binding: SGHI Standard Identifier Types (required)
.... system Σ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value ΣC 1..1 string The value that is unique
Example General: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 1..1 SGHIReference(SGHI Organization) Organization that issued id (may be just text)
... basedOn 0..* SGHIReference(SGHI MedicationRequest | SGHI ServiceRequest) What was requested
... status ?!Σ 1..1 code registered | partial | preliminary | modified | final | amended | corrected | appended | cancelled | entered-in-error | unknown
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
... category Σ 1..* SGHICodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074
... code Σ 1..1 SGHICodeableConcept Name/Code for this diagnostic report
Binding: LOINCDiagnosticReportCodes (preferred): LOINC Codes for Diagnostic Reports
... subject Σ 1..1 SGHIReference(SGHI Patient) The subject of the report - usually, but not always, the patient
... encounter Σ 1..1 SGHIReference(SGHI Encounter) Health care event when test ordered
... effective[x] Σ 1..1 dateTime Clinically relevant time/time-period for report
... issued Σ 1..1 instant DateTime this version was made
... performer Σ 1..* SGHIReference(SGHI Organization) Responsible Diagnostic Service
... resultsInterpreter Σ 1..* SGHIReference(SGHI Organization) Primary result interpreter
... specimen 0..* Reference(Specimen) Specimens this report is based on
... result C 0..* SGHIReference(SGHI Observation) Observations
... note 0..* Annotation Comments about the diagnostic report
... study 0..* Reference(GenomicStudy | ImagingStudy) Reference to full details of an analysis associated with the diagnostic report
... supportingInfo 0..* BackboneElement Additional information supporting the diagnostic 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
.... type 1..1 CodeableConcept Supporting information role code
Binding: hl7VS-VS-observationType (example): The code value for the role of the supporting information in the diagnostic report.
.... reference 1..1 SGHIReference(SGHI Observation | SGHI DiagnosticReport) Supporting information reference
... media Σ 0..* BackboneElement Key images or data 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 or data (e.g. explanation)
.... link Σ 1..1 Reference(DocumentReference) Reference to the image or data source
... composition C 0..1 Reference(Composition) Reference to a Composition resource for the DiagnosticReport structure
... conclusion 0..1 markdown Clinical conclusion (interpretation) of test results
... conclusionCode 0..* SGHICodeableConcept Codes for the clinical conclusion of test results
Binding: SGHI Diagnostic Conclusion ICD-11 (extensible)
... presentedForm 0..* Attachment Entire report as issued

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
DiagnosticReport.languagerequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages|5.0.0
From the FHIR Standard
DiagnosticReport.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use
From the FHIR Standard
DiagnosticReport.identifier.typerequiredSGHIIdentifierTypes
https://fhir.slade360.co.ke/fhir/ValueSet/sghi-identifier-types
From this IG
DiagnosticReport.statusrequiredDiagnosticReportStatus
http://hl7.org/fhir/ValueSet/diagnostic-report-status|5.0.0
From the FHIR Standard
DiagnosticReport.categoryexampleDiagnosticServiceSectionCodes
http://hl7.org/fhir/ValueSet/diagnostic-service-sections
From the FHIR Standard
DiagnosticReport.codepreferredLOINCDiagnosticReportCodes(a valid code from LOINC)
http://hl7.org/fhir/ValueSet/report-codes
From the FHIR Standard
DiagnosticReport.supportingInfo.typeexampleHl7VSVSObservationType
http://terminology.hl7.org/ValueSet/v2-0936
DiagnosticReport.conclusionCodeextensibleSGHIDiagnosticConclusionICD11
https://fhir.slade360.co.ke/fhir/ValueSet/sghi-diagnostic-conclusion-icd11
From this IG

Constraints

IdGradePath(s)DetailsRequirements
dgr-1errorDiagnosticReportWhen a Composition is referenced in `Diagnostic.composition`, all Observation resources referenced in `Composition.entry` must also be referenced in `Diagnostic.entry` or in the references Observations in `Observation.hasMember`
: composition.exists() implies (composition.resolve().section.entry.reference.where(resolve() is Observation) in (result.reference|result.reference.resolve().hasMember.reference))
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()

 

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