WARNING
This guidance is under active development by NHS England and content may be added or updated on a regular basis. The implementation guide is currently in draft and SHOULD NOT be used for development or implementation without consulting the NHS England Pathology Standards and Implementation team.Examples Index
The following examples illustrate the use of the FHIR UK Core R4 Profiles described by this implementation guide, categorised by profile type and pathology speciality.
The Bundle
examples include on-screen representations of pathology test requests and reports. These have been provided to illustrate the contents of the associated messages. They are not intended to define a standard layout or format for pathology test requests and reports and should not be used as such.
The Bundle
examples also include simplified logical data models to illustrate the key references between the relevant FHIR resources. To aid clarity, not all of the references are shown. For a detailed description of the relationships between the FHIR resources, refer to How to Construct a Pathology Test Request Bundle and How to Construct a Pathology Test Report Bundle.
The snippet examples have been provided to illustrate how each key data element within a profile may be populated. The examples illustrate individual data element usage within a profile; the full set of data elements may not necessarily be consistent with one another or illustrate a single, complete clinical scenario.
Note: Most of the examples include equivalent codes from the PBCL and PaLM SNOMED CT reference sets to identify the relevant pathology test. This has been done to illustrate how the examples can be used with different reference sets. In practice, it is likely that only one code will be carried for each pathology test. To facilitate the initial adoption of SNOMED and minimise the impact on existing systems and processes, it is anticipated that codes from the PBCL SNOMED CT reference set will be used at first.
Reference | Profile | Speciality | Summary | Example |
---|---|---|---|---|
PATH-R4-01 | UKCore-Bundle | Clinical Biochemistry | An example of a request for a single test with a quantitative (numeric) test result. | HbA1c Request |
PATH-R4-02 | UKCore-Bundle | Clinical Biochemistry | An example of a report for a single test with a quantitative (numeric) test result. | HbA1c Report |
PATH-R4-03 | UKCore-Bundle | Clinical Biochemistry | An example of a request for a single test with a quantitative (numeric) test result. | C-Reactive Protein Request |
PATH-R4-04 | UKCore-Bundle | Clinical Biochemistry | An example of a report for a single test with a quantitative (numeric) test result. | C-Reactive Protein Report |
PATH-R4-05 | UKCore-Bundle | Immunology / Serology | An example of a request for a single test with a qualitative test result. | Hepatitis B Surface Antigen Request |
PATH-R4-06 | UKCore-Bundle | Immunology / Serology | An example of a report for a single test with a qualitative test result. | Hepatitis B Surface Antigen Report |
PATH-R4-07 | UKCore-Bundle | Cytology | An example of a request for a single test with a qualitative test result. | HPV Primary Screening Request |
PATH-R4-08 | UKCore-Bundle | Cytology | An example of a report for a single test with a qualitative test result. | HPV Primary Screening Report |
PATH-R4-09 | UKCore-Bundle | Haematology | An example of a request for a single test group with quantitative (numeric) test results. | Full Blood Count Request |
PATH-R4-10 | UKCore-Bundle | Haematology | An example of a report for a single test group with quantitative (numeric) test results. | Full Blood Count Report |
PATH-R4-11 | UKCore-Bundle | Clinical Biochemistry | An example of a request for a single test group and a single test with quantitative (numeric) test results. | Lipids Profile and HbA1c Request |
PATH-R4-12 | UKCore-Bundle | Clinical Biochemistry | An example of a report for a single test group and a single test with quantitative (numeric) test results. | Lipids Profile and HbA1c Report |
PATH-R4-13 | UKCore-Bundle | Clinical Biochemistry | An example of a request for multiple test groups with quantitative (numeric) test results. | Liver Function and U&Es Request |
PATH-R4-14 | UKCore-Bundle | Clinical Biochemistry | An example of a report for multiple test groups with quantitative (numeric) test results. | Liver Function and U&Es Report |
PATH-R4-15 | UKCore-Bundle | Clinical Biochemistry | An example of a request for a dynamic function test with quantitative (numeric) test results. | Glucose Tolerance Test Request |
PATH-R4-16a | UKCore-Bundle | Clinical Biochemistry | An example of a report for a dynamic function test with quantitative (numeric) test results. The results are represented using a single Observation and formatted as a blob of text. |
Glucose Tolerance Test Report - Unstructured |
PATH-R4-16b | UKCore-Bundle | Clinical Biochemistry | An example of a report for a dynamic function test with quantitative (numeric) test results. The results are represented using a set of structured, coded Observations . |
Glucose Tolerance Test Report - Structured |
PATH-R4-17 | UKCore-Bundle | Microbiology | An example of a request for a complex test with multiple, nested test groups and quantitative (numeric), qualitative and semi-quantitative test results. | Urine MC&S Request |
PATH-R4-18a | UKCore-Bundle | Microbiology | An example of a report for a complex test with multiple, nested test groups and quantitative (numeric), qualitative and semi-quantitative test results. The results are represented using a single Observation and formatted as a blob of text. |
Urine MC&S Report - Unstructured |
PATH-R4-18b | UKCore-Bundle | Microbiology | An example of a report for a complex test with multiple, nested test groups and quantitative (numeric), qualitative and semi-quantitative test results. The results are represented using a set of structured, coded Observations . |
Urine MC&S Report - Structured |
PATH-R4-19 | UKCore-Observation-Lab | Clinical Biochemistry | An example of a quantitative (numeric) test result. | Albumin |
PATH-R4-20 | UKCore-Observation-Lab | Clinical Biochemistry | An example of a quantitative (numeric) test result. | eGFR |
PATH-R4-21 | UKCore-Observation-Lab | Microbiology | An example of a semi-quantitative test result. | Epithelial Cells |
PATH-R4-22 | UKCore-Observation-Lab | Microbiology | An example of a semi-quantitative test result. | Organism Susceptibility to Nitrofurantoin |
PATH-R4-23 | UKCore-Observation-Lab | Immunology / Serology | An example of a qualitative test result. | Hepatitis B Surface Antigen |
PATH-R4-24 | UKCore-Observation-Lab | Microbiology | An example of a qualitative test result. | MRSA Screening Test |
PATH-R4-25 | UKCore-Observation-Lab | Clinical Biochemistry | An example of a quantitative (numeric) test result combined with an interpretation. | Lymphocyte Count |
PATH-R4-26 | UKCore-Observation-Lab | Microbiology | An example of a quantitative (numeric) test result combined with an interpretation. | Rubella IgG Antibody |
PATH-R4-27 | UKCore-Observation-Lab | Microbiology | An example of a narrative test result. | Aerobic Blood Culture |
PATH-R4-28 | UKCore-DiagnosticReport-Lab | Microbiology | An example to illustrate how each key data element within UKCore-DiagnosticReport-Lab may be populated. | DiagnosticReport Snippets |
PATH-R4-29 | UKCore-Observation-Group-Lab | Haematology | An example to illustrate how each key data element within UKCore-Observation-Group-Lab may be populated. | Observation (Test Group) Snippets |
PATH-R4-30 | UKCore-Observation-Lab | Haematology | An example to illustrate how each key data element within UKCore-Observation-Lab may be populated. | Observation (Test Result) Snippets |
PATH-R4-31 | UKCore-ServiceRequest-Lab | Clinical Biochemistry | An example to illustrate how each key data element within UKCore-ServiceRequest-Lab may be populated. | ServiceRequest Snippets |
PATH-R4-32 | UKCore-Specimen | Clinical Biochemistry | An example to illustrate how each key data element within UKCore-Specimen may be populated. | Specimen Snippets |