Notice
- Important: This guidance is under active development by NHS England and content may be added or updated on a regular basis.
- This Implementation Guide is currently in Draft and SHOULD NOT be used for development or active implementation without express direction from the NHS England Genomics Unit.
Relevant Clinical Report
Purpose
To locate previous Non-Genomic diagnostic test reports linked to this service request.
Notes
Mapped to DiagnosticReport. Observations/test results within the DiagnosticReport are expected to be included as referenced Observation resources. It is expected previous diagnostic reports will have a minimal amount of information coded for automated interpretation but reports can be attached as PDF documents or references to their location provided, as with Genomic reports.
Mapping
| Source Data item | Target FHIR Element | HL7v2.5.1 Mapping | Description |
|---|---|---|---|
| Relevant clinical report - Report title | DiagnosticReport.code | OBR-4 (for the request the report is in relation to) | Referring clinician's summary of the previous non genomic report to support test request. |
| Relevant clinical report - Report referral summary | DiagnosticReport.conclusion | OBX-5 | Referring clinician's summary of the previous non genomic report to support test request. |
| Relevant clinical report - Report file/link | DiagnosticReport.presentedForm | OBX-5 where OBX-2=ED or RP | A copy of/or link to the previous non genomic report. |
| Relevant clinical report - Test performed date | DiagnosticReport.effectiveDateTime | OBX-19 | The date a previous non genomic test was performed. |
| Relevant clinical report - Report identifier | DiagnosticReport.identifier | OBX-3 | The identifier for the previous non genomic report. |
| Relevant clinical report - Test type | DiagnosticReport.code | OBR-4 | A name that describes the previous non genomic report. |
| Relevant clinical report - Test result value comparator | DiagnosticReport.result( Observation.valueQuantity.comparator ) | OBX-5 | A comparator that may used to indicate whether the actual value is greater or less than the stated value. Applies to numeric values only. |
| Relevant clinical report - Test result value unit of measure | DiagnosticReport.result( Observation.valueQuantity.unit ) | OBX-6 | The name and code of the unit of measure associated with the test result value. Applies to numeric values only. |
| Relevant clinical report - Test result reference range low | DiagnosticReport.result( Observation.referenceRange.low ) | OBX-7 (before operator) | The reference range low value. |
| Relevant clinical report - Test result reference range high | DiagnosticReport.result( Observation.referenceRange.high ) | OBX-7 (after operator) | The reference range high value. |
| Relevant clinical report - Test result test method | DiagnosticReport.result( Observation.method ) | OBX-17 | The method of testing/observation that was used. |
| Relevant clinical report - Test result reference range text | DiagnosticReport.result( Observation.referenceRange.text ) | OBX-7 | A human readable text-based description to provide additional information about the reference range. For example, the target population that the reference range applies to and/or differences based on factors such as age or sex. |
| Relevant clinical report - Test result clinical summary | DiagnosticReport.result( Observation.interpretation ) | OBX-8 | A human readable text-based clinical interpretation of the test result and any additional notes provided by the performing organisation. |
| Relevant clinical report - Report result | DiagnosticReport.conclusionCode | OBR-5 | Reference to the result(s)/result groups contained in the report. |
| Relevant clinical report - Report performer full name | DiagnosticReport.performer( PractitionerRole.practitioner.display ) | OBX-16 | The full name of the individual that authored the previous non genomic test report. |
| Relevant clinical report - Report performer organisation ODS code | DiagnosticReport.performer( PractitionerRole.organization.identifier ) | OBX-23.10 | The organisation ODS code of the individual that authored the previous non genomic test report. |
| Relevant clinical report - Original requester full name | DiagnosticReport.basedOn( ServiceRequest.requester( PractitionerRole.practitioner.display ) ) TBC, need to review recording/referencing of original request where this is not in an electronic format | ORC-12 | The full name of the individual that requested the previous non genomic test report. |
| Relevant clinical report - Original requester organisation ODS code | DiagnosticReport.basedOn( ServiceRequest.requester( PractitionerRole.organization.identifier ) ) | ORC-21.10 | The organisation ODS code of the individual that requested the previous non genomic test report. |
| Relevant clinical report - Original requester reason for request | DiagnosticReport.basedOn( ServiceRequest.reasonCode ) | ORC-16 | The reason for requesting the previous non genomic test report. |