Clinical Scenario: Cardiology Result (Attached Document)

Overview

Departments that can send binary attachments within NHS Wales to the Welsh Results & Reporting Service system are:

  • Blood Science
  • Cardiology
  • Endoscopy
  • Genetics
  • Haematology
  • Histology
  • Microbiology
  • Neurophysiology
  • Radiology
  • Respiratory
  • Urology

Implementation Guidance

Please refer to the Data Standards Wales DiagnosticReport Profile page for general guidance.

For DiagnosticReport results with Attached Documents in NHS Wales:

  • The DiagnosticReport.meta.profile field SHALL be https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-DiagnosticReport

  • The DiagnosticReport.presentedForm field SHALL be populated
    • The DiagnosticReport.presentedForm.contentType field SHALL be populated
    • The DiagnosticReport.presentedForm.data field SHALL be populated with base64 string representation of the document
    • The DiagnosticReport.presentedForm.title field SHALL be populated

Scenario 1

  • Status: Final
  • Security Label: Normal
  • Category: Cardiology
  • Encounter: Emergency Admission
  • Result: ECG

Logical Model

The diagram below shows the typical relationship between NHS Wales DiagnosticReport and presentedForm .

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Example Result

Click here for an Example of a Diagnostic Report returning a Cardiology ECG report as presentedForm.

Scenario 2

  • Status: Final
  • Security Label: Normal
  • Category: Cardiology
  • Result: Stress Test

Example Result

Click here for an Example of a Diagnostic Report returning a Cardiology Stress Test report as presentedForm.