In-depth guide

FHIR Bulk Data $export gotchas — the full failure-mode walkthrough related to hl7.org, checked against official docs, with linked verified routes.

Verified steps

Conform report-level resources to the US Core DiagnosticReport Profile for Laboratory Results Reporting (us-core-diagnosticreport-lab) in the current US Core IG (v8.0.0, STU8)
Conform each individual result to the US Core Laboratory Result Observation Profile (us-core-observation-lab), which extends the US Core Observation Clinical Result Profile
Reference component Observations from the DiagnosticReport rather than duplicating result data, and support nested panel structures via Observation.hasMember/component
Populate DiagnosticReport.category with the required laboratory category coding and Observation.code with LOINC per the profiles' terminology bindings
Implement the required search parameters (e.g., patient, category, code, date) documented in each profile's Quick Start section

Known gotchas

US Core publishes an annual release tied to USCDI updates and must-support elements/bindings change between versions -- pin to a specific US Core version and re-validate on upgrade rather than assuming backward compatibility
US Core has separate DiagnosticReport profiles for laboratory results versus clinical notes/reports -- they have different required elements and must not be conflated
A report-level 'final' status does not guarantee every referenced Observation is final -- check each component Observation's own status, since individual results can be amended or corrected independently

hl7.org/fhir/us/core · 5 steps · unrated

Implement US Core DiagnosticReport for clinical notes to store and retrieve provider-authored notes distinct from laboratory DiagnosticReports

hl7.org/fhir/us/core · 5 steps · unrated

Implement US Core 7.0.0 Screening and Assessment Observation profile to record and query social, behavioral, and functional health screening responses

hl7.org · 6 steps · unrated

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Implement the US Core DiagnosticReport (Laboratory) and Laboratory Result Observation profiles for lab data exchange

In-depth guide

Verified steps

Known gotchas

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