NHS Digital FHIR Implementation Guide (Retired - 2.1.50)

This guidance is under active development by NHS Digital and content may be added or updated on a regular basis.

SARS-CoV-2-ORGY

{
    "resourceType": "Observation",
    "id": "08fa43dc-6bda-456f-b10c-5bc8abaca855",
    "extension":  [
        {
            "url": "https://fhir.nhs.uk/StructureDefinition/Extension-COVID19-TestResult",
            "extension":  [
                {
                    "url": "reportOrigin",
                    "valueCodeableConcept": {
                        "text": "electiveCare"
                    }
                },
                {
                    "url": "administrationMethod",
                    "valueCodeableConcept": {
                        "text": "health_care_professional"
                    }
                }
            ]
        }
    ],
    "identifier":  [
        {
            "system": "https://fhir.nhs.uk/Id/SpecimenId",
            "value": "eb89a392-5b20-11eb-ae93-0242ac130002"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "https://fhir.nhs.uk/CodeSystem/covid-test-pillar",
                    "code": "pillar-1",
                    "display": "pillar 1"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "871555000",
                "display": "Detection of ribonucleic acid of SARS-CoV-2"
            }
        ]
    },
    "subject": {
        "reference": "urn:uuid:edea022a-2d81-11eb-adc1-0242ac120002",
        "identifier": {
            "system": "https://fhir.nhs.uk/Id/nhs-number",
            "value": "9912003888"
        }
    },
    "effectiveDateTime": "2020-09-23T13:00:08.476+00:00",
    "valueCodeableConcept": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "1240581000000104",
                "display": "SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) detection result positive"
            }
        ],
        "text": "SARS-CoV-2-ORGY"
    },
    "method": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "1240471000000102",
                "display": "Measurement of SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) antigen"
            }
        ]
    },
    "specimen": {
        "identifier": {
            "system": "https://fhir.nhs.uk/Id/SpecimenId",
            "value": "eb89a392-5b20-11eb-ae93-0242ac130002"
        }
    },
    "device": {
        "identifier": {
            "system": "https://fhir.nhs.uk/Id/Covid19-TestKit",
            "value": "LFT"
        },
        "display": "Lateral Flow Test"
    },
    "performer":  [
        {
            "type": "Organization",
            "identifier": {
                "type": {
                    "coding":  [
                        {
                            "system": "https://fhir.nhs.uk/CodeSystem/organisation-role",
                            "code": "173",
                            "display": "PATHOLOGY LAB"
                        }
                    ]
                },
                "value": "LFD004"
            },
            "display": "Add if possible"
        },
        {
            "type": "Organization",
            "identifier": {
                "value": "WKE03"
            },
            "display": "Add if possible"
        }
    ]
}
<Observation xmlns="http://hl7.org/fhir">
    <id value="08fa43dc-6bda-456f-b10c-5bc8abaca855" />
    <extension url="https://fhir.nhs.uk/StructureDefinition/Extension-COVID19-TestResult">
        <extension url="reportOrigin">
            <valueCodeableConcept>
                <text value="electiveCare" />
            </valueCodeableConcept>
        </extension>
        <extension url="administrationMethod">
            <valueCodeableConcept>
                <text value="health_care_professional" />
            </valueCodeableConcept>
        </extension>
    </extension>
    <identifier>
        <system value="https://fhir.nhs.uk/Id/SpecimenId" />
        <value value="eb89a392-5b20-11eb-ae93-0242ac130002" />
    </identifier>
    <status value="final" />
    <category>
        <coding>
            <system value="https://fhir.nhs.uk/CodeSystem/covid-test-pillar" />
            <code value="pillar-1" />
            <display value="pillar 1" />
        </coding>
    </category>
    <code>
        <coding>
            <system value="http://snomed.info/sct" />
            <code value="871555000" />
            <display value="Detection of ribonucleic acid of SARS-CoV-2" />
        </coding>
    </code>
    <subject>
        <reference value="urn:uuid:edea022a-2d81-11eb-adc1-0242ac120002" />
        <identifier>
            <system value="https://fhir.nhs.uk/Id/nhs-number" />
            <value value="9912003888" />
        </identifier>
    </subject>
    <effectiveDateTime value="2020-09-23T13:00:08.476+00:00" />
    <performer>
        <type value="Organization" />
        <identifier>
            <type>
                <coding>
                    <system value="https://fhir.nhs.uk/CodeSystem/organisation-role" />
                    <code value="173" />
                    <display value="PATHOLOGY LAB" />
                </coding>
            </type>
            <value value="LFD004" />
        </identifier>
        <display value="Add if possible" />
    </performer>
    <performer>
        <type value="Organization" />
        <identifier>
            <value value="WKE03" />
        </identifier>
        <display value="Add if possible" />
    </performer>
    <valueCodeableConcept>
        <coding>
            <system value="http://snomed.info/sct" />
            <code value="1240581000000104" />
            <display value="SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) detection result positive" />
        </coding>
        <text value="SARS-CoV-2-ORGY" />
    </valueCodeableConcept>
    <method>
        <coding>
            <system value="http://snomed.info/sct" />
            <code value="1240471000000102" />
            <display value="Measurement of SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) antigen" />
        </coding>
    </method>
    <specimen>
        <identifier>
            <system value="https://fhir.nhs.uk/Id/SpecimenId" />
            <value value="eb89a392-5b20-11eb-ae93-0242ac130002" />
        </identifier>
    </specimen>
    <device>
        <identifier>
            <system value="https://fhir.nhs.uk/Id/Covid19-TestKit" />
            <value value="LFT" />
        </identifier>
        <display value="Lateral Flow Test" />
    </device>
</Observation>
Observation
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