NHS England FHIR Implementation Guide (deprecated)

Important Announcement regarding this Implementation Guide
  • As of 04/10/2023, this implementation guide has been deprecated and all development on the legacy NHS England FHIR Implementation Guide assets has ceased.
  • Therefore, vendors looking to start new implementations or looking to update existing implementations should use the new NHS England Implementation Guide. Vendors continuing to implement legacy NHS England FHIR Implementation Guide based solutions do so at their own risk and on the understanding that no maintenance or support will be available.

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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