Clinical Scenario: Laboratory/Pathology Result

Overview

Pathology is the most prevalent of the results in the Welsh Results & Reporting Service. Pathology covers many departmental areas:

  • Blood Sciences (BSC)
  • Bio-Chemistry (CHM)
  • Immunology (IMM)
  • Microbiology (MIC)
  • Histopathology (HIS)
  • Haematology
  • Screening
  • Andrology

Implementation Guidance

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

For Pathology results in NHS Wales:

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

  • The DiagnosticReport.result field SHALL be populated
    • This field will be populated with the Observation Group containing 1 or multiple ObservationResults as Members.

Scenario 1: Single Panel

  • Status: Final
  • Security Label: Normal
  • Category: Pathology
  • Code: FBC
  • Result: FBC (Full Blood Count)

Logical Model

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

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Important: Single panel approach for Laboratory DiagnosticReports needs review and approval.

Example Result

Click here for an Example of a Diagnostic Report returning Pathology single panel Full Blood Count Blood Sciences result.

Scenario 2: Multiple Panel

  • Status: Final
  • Security Label: Normal
  • Category: Pathology
  • Code: Pathology
  • Results: ACE (Angiotensin Converting Enzyme), LFT (Liver Function Test)

Logical Model

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

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Click here for an Example of a Diagnostic Report returning Pathology multiple panel Blood Sciences result.