Botswana AMR Implementation Guide
0.1.0 - 0.1.0

Botswana AMR Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Botswana AMR DiagnosticReport

Official URL: http://bw.health.gov/fhir/amr/StructureDefinition/botswana-amr-diagnostic-report Version: 0.1.0
Draft as of 2026-03-13 Computable Name: BotswanaAMRDiagnosticReport

Bundles AMR culture results into one comprehensive report. References top-level observations (gram stain and organism identifications). Susceptibility and special test results are accessed via OrganismObservation.hasMember.

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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code registered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
Required Pattern: final
.... category:microbiologyStudies Σ 1..1 CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18725-2
...... display 1..1 string Representation defined by the system
Fixed Value: Microbiology studies (set)
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... code Σ 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: LOINCDiagnosticReportCodes (preferred): LOINC Codes for Diagnostic Reports
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 85421-6
..... display 1..1 string Representation defined by the system
Fixed Value: Bacterial identification and susceptibility panel - Isolate
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject Σ 1..1 Reference(Botswana AMR Patient) The subject of the report - usually, but not always, the patient
... encounter Σ 0..1 Reference(Botswana AMR Encounter) Health care event when test ordered
... Slices for effective[x] Σ 1..1 dateTime Clinically relevant time/time-period for report
Slice: Unordered, Closed by type:$this
.... effective[x]:effectiveDateTime Σ 1..1 dateTime Clinically relevant time/time-period for report
... performer Σ 0..* Reference(Organization | Practitioner) Responsible Diagnostic Service
... specimen 1..* Reference(Botswana AMR Specimen) Specimens this report is based on
... Slices for result 1..* Reference(Observation) Observations
Slice: Unordered, Open by pattern:resolve().code
.... result:gramStain 0..1 Reference(Botswana AMR Gram Stain Observation) Observations
.... result:organism 1..* Reference(Botswana AMR Organism Identification Observation) Observations

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.3.0 FHIR Std.
DiagnosticReport.category Base example Diagnostic Service Section Codes 📍4.3.0 FHIR Std.
DiagnosticReport.category:microbiologyStudies Base example Diagnostic Service Section Codes 📍4.3.0 FHIR Std.
DiagnosticReport.code Base preferred LOINC Diagnostic Report Codes 📍4.3.0 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.exists() and ('#'+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(uri) = '#').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
... status 1..1 code registered | partial | preliminary | final +
Required Pattern: final
... Slices for category 1..* CodeableConcept Service category
Slice: Unordered, Open by pattern:$this
.... category:microbiologyStudies 1..1 CodeableConcept Service category
Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18725-2
...... display 1..1 string Representation defined by the system
Fixed Value: Microbiology studies (set)
... code 1..1 CodeableConcept Name/Code for this diagnostic report
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 85421-6
..... display 1..1 string Representation defined by the system
Fixed Value: Bacterial identification and susceptibility panel - Isolate
... encounter 0..1 Reference(Botswana AMR Encounter) Health care event when test ordered
... Slices for effective[x] 1..1 dateTime Clinically relevant time/time-period for report
Slice: Unordered, Open by type:$this
.... effective[x]:effectiveDateTime 1..1 dateTime Clinically relevant time/time-period for report
... performer 0..* Reference(Organization | Practitioner) Responsible Diagnostic Service
... specimen 1..* Reference(Botswana AMR Specimen) Specimens this report is based on
... Slices for result 1..* Reference(Observation) Observations
Slice: Unordered, Open by pattern:resolve().code
.... result:gramStain 0..1 Reference(Botswana AMR Gram Stain Observation) Observations
.... result:organism 1..* Reference(Botswana AMR Organism Identification Observation) Observations

doco Documentation for this format
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
Constraints: dom-r4b
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business identifier for report
... basedOn 0..* Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) What was requested
... status ?!Σ 1..1 code registered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
Required Pattern: final
... Slices for category Σ 1..* CodeableConcept Service category
Slice: Unordered, Open by pattern:$this
Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074
.... category:microbiologyStudies Σ 1..1 CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18725-2
...... display 1..1 string Representation defined by the system
Fixed Value: Microbiology studies (set)
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... code Σ 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: LOINCDiagnosticReportCodes (preferred): LOINC Codes for Diagnostic Reports
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 85421-6
..... display 1..1 string Representation defined by the system
Fixed Value: Bacterial identification and susceptibility panel - Isolate
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject Σ 1..1 Reference(Botswana AMR Patient) The subject of the report - usually, but not always, the patient
... encounter Σ 0..1 Reference(Botswana AMR Encounter) Health care event when test ordered
... Slices for effective[x] Σ 1..1 dateTime Clinically relevant time/time-period for report
Slice: Unordered, Closed by type:$this
.... effective[x]:effectiveDateTime Σ 1..1 dateTime Clinically relevant time/time-period for report
... issued Σ 0..1 instant DateTime this version was made
... performer Σ 0..* Reference(Organization | Practitioner) Responsible Diagnostic Service
... resultsInterpreter Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
... specimen 1..* Reference(Botswana AMR Specimen) Specimens this report is based on
... Slices for result 1..* Reference(Observation) Observations
Slice: Unordered, Open by pattern:resolve().code
.... result:gramStain 0..1 Reference(Botswana AMR Gram Stain Observation) Observations
.... result:organism 1..* Reference(Botswana AMR Organism Identification Observation) Observations
... 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): SNOMED CT Clinical Findings
... 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 📍4.3.0 FHIR Std.
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.3.0 FHIR Std.
DiagnosticReport.category Base example Diagnostic Service Section Codes 📍4.3.0 FHIR Std.
DiagnosticReport.category:microbiologyStudies Base example Diagnostic Service Section Codes 📍4.3.0 FHIR Std.
DiagnosticReport.code Base preferred LOINC Diagnostic Report Codes 📍4.3.0 FHIR Std.
DiagnosticReport.conclusionCode Base example SNOMED CT Clinical Findings 📍4.3.0 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.exists() and ('#'+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(uri) = '#').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()
dom-r4b warning DiagnosticReport.contained Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems ($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic)
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

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
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code registered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
Required Pattern: final
.... category:microbiologyStudies Σ 1..1 CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18725-2
...... display 1..1 string Representation defined by the system
Fixed Value: Microbiology studies (set)
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... code Σ 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: LOINCDiagnosticReportCodes (preferred): LOINC Codes for Diagnostic Reports
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 85421-6
..... display 1..1 string Representation defined by the system
Fixed Value: Bacterial identification and susceptibility panel - Isolate
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject Σ 1..1 Reference(Botswana AMR Patient) The subject of the report - usually, but not always, the patient
... encounter Σ 0..1 Reference(Botswana AMR Encounter) Health care event when test ordered
... Slices for effective[x] Σ 1..1 dateTime Clinically relevant time/time-period for report
Slice: Unordered, Closed by type:$this
.... effective[x]:effectiveDateTime Σ 1..1 dateTime Clinically relevant time/time-period for report
... performer Σ 0..* Reference(Organization | Practitioner) Responsible Diagnostic Service
... specimen 1..* Reference(Botswana AMR Specimen) Specimens this report is based on
... Slices for result 1..* Reference(Observation) Observations
Slice: Unordered, Open by pattern:resolve().code
.... result:gramStain 0..1 Reference(Botswana AMR Gram Stain Observation) Observations
.... result:organism 1..* Reference(Botswana AMR Organism Identification Observation) Observations

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.3.0 FHIR Std.
DiagnosticReport.category Base example Diagnostic Service Section Codes 📍4.3.0 FHIR Std.
DiagnosticReport.category:microbiologyStudies Base example Diagnostic Service Section Codes 📍4.3.0 FHIR Std.
DiagnosticReport.code Base preferred LOINC Diagnostic Report Codes 📍4.3.0 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.exists() and ('#'+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(uri) = '#').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
... status 1..1 code registered | partial | preliminary | final +
Required Pattern: final
... Slices for category 1..* CodeableConcept Service category
Slice: Unordered, Open by pattern:$this
.... category:microbiologyStudies 1..1 CodeableConcept Service category
Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18725-2
...... display 1..1 string Representation defined by the system
Fixed Value: Microbiology studies (set)
... code 1..1 CodeableConcept Name/Code for this diagnostic report
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 85421-6
..... display 1..1 string Representation defined by the system
Fixed Value: Bacterial identification and susceptibility panel - Isolate
... encounter 0..1 Reference(Botswana AMR Encounter) Health care event when test ordered
... Slices for effective[x] 1..1 dateTime Clinically relevant time/time-period for report
Slice: Unordered, Open by type:$this
.... effective[x]:effectiveDateTime 1..1 dateTime Clinically relevant time/time-period for report
... performer 0..* Reference(Organization | Practitioner) Responsible Diagnostic Service
... specimen 1..* Reference(Botswana AMR Specimen) Specimens this report is based on
... Slices for result 1..* Reference(Observation) Observations
Slice: Unordered, Open by pattern:resolve().code
.... result:gramStain 0..1 Reference(Botswana AMR Gram Stain Observation) Observations
.... result:organism 1..* Reference(Botswana AMR Organism Identification Observation) Observations

doco Documentation for this format

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
Constraints: dom-r4b
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business identifier for report
... basedOn 0..* Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) What was requested
... status ?!Σ 1..1 code registered | partial | preliminary | final +
Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
Required Pattern: final
... Slices for category Σ 1..* CodeableConcept Service category
Slice: Unordered, Open by pattern:$this
Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074
.... category:microbiologyStudies Σ 1..1 CodeableConcept Service category
Binding: DiagnosticServiceSectionCodes (example): HL7 V2 table 0074

Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18725-2
...... display 1..1 string Representation defined by the system
Fixed Value: Microbiology studies (set)
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
... code Σ 1..1 CodeableConcept Name/Code for this diagnostic report
Binding: LOINCDiagnosticReportCodes (preferred): LOINC Codes for Diagnostic Reports
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 85421-6
..... display 1..1 string Representation defined by the system
Fixed Value: Bacterial identification and susceptibility panel - Isolate
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject Σ 1..1 Reference(Botswana AMR Patient) The subject of the report - usually, but not always, the patient
... encounter Σ 0..1 Reference(Botswana AMR Encounter) Health care event when test ordered
... Slices for effective[x] Σ 1..1 dateTime Clinically relevant time/time-period for report
Slice: Unordered, Closed by type:$this
.... effective[x]:effectiveDateTime Σ 1..1 dateTime Clinically relevant time/time-period for report
... issued Σ 0..1 instant DateTime this version was made
... performer Σ 0..* Reference(Organization | Practitioner) Responsible Diagnostic Service
... resultsInterpreter Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam) Primary result interpreter
... specimen 1..* Reference(Botswana AMR Specimen) Specimens this report is based on
... Slices for result 1..* Reference(Observation) Observations
Slice: Unordered, Open by pattern:resolve().code
.... result:gramStain 0..1 Reference(Botswana AMR Gram Stain Observation) Observations
.... result:organism 1..* Reference(Botswana AMR Organism Identification Observation) Observations
... 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): SNOMED CT Clinical Findings
... 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 📍4.3.0 FHIR Std.
DiagnosticReport.status Base required DiagnosticReportStatus 📍4.3.0 FHIR Std.
DiagnosticReport.category Base example Diagnostic Service Section Codes 📍4.3.0 FHIR Std.
DiagnosticReport.category:microbiologyStudies Base example Diagnostic Service Section Codes 📍4.3.0 FHIR Std.
DiagnosticReport.code Base preferred LOINC Diagnostic Report Codes 📍4.3.0 FHIR Std.
DiagnosticReport.conclusionCode Base example SNOMED CT Clinical Findings 📍4.3.0 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.exists() and ('#'+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(uri) = '#').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()
dom-r4b warning DiagnosticReport.contained Containing new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems ($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic)
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

 

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