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.PATH-R4-24: Observation Example - MRSA Screening Test
An example of a qualitative test result:
- MRSA screening test: NOT DETECTED
<Observation xmlns="http://hl7.org/fhir"> <id value="Pathology-Observation-MRSA-Example" /> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" /> </meta> <identifier> <system value="https://tools.ietf.org/html/rfc4122" /> <value value="2831d45f-8fcb-4f54-9788-b4e7380d9790" /> </identifier> <status value="final" /> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category" /> <code value="laboratory" /> <display value="Laboratory" /> </coding> </category> <code> <!-- Equivalent codes from the PBCL and PaLM SNOMED CT reference sets are used in this example. --> <!-- In practice, it is likely that only a code from one reference set will be carried. --> <coding> <!-- From PBCL observable entity reference set --> <system value="http://snomed.info/sct" /> <code value="993071000000107" /> <display value="MRSA (methicillin resistant Staphylococcus aureus) screening test" /> </coding> <coding> <!-- From PaLM observable entity reference set --> <system value="http://snomed.info/sct" /> <code value="51681000237102" /> <display value="MRSA (methicillin resistant Staphylococcus aureus) DNA nucleic acid amplification qualitative result" /> </coding> </code> <subject> <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" /> <display value="WELSH, Joel" /> </subject> <issued value="2022-05-10T16:07:00+00:00" /> <performer> <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" /> <display value="TD008362 PATH LAB 001" /> </performer> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct" /> <code value="260415000" /> <display value="Not detected" /> </coding> </valueCodeableConcept> <specimen> <reference value="urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" /> </specimen> </Observation>
{ "resourceType": "Observation", "id": "Pathology-Observation-MRSA-Example", "meta": { "profile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" ] }, "identifier": [ { "system": "https://tools.ietf.org/html/rfc4122", "value": "2831d45f-8fcb-4f54-9788-b4e7380d9790" } ], "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory", "display": "Laboratory" } ] } ], "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "993071000000107", "display": "MRSA (methicillin resistant Staphylococcus aureus) screening test" }, { "system": "http://snomed.info/sct", "code": "51681000237102", "display": "MRSA (methicillin resistant Staphylococcus aureus) DNA nucleic acid amplification qualitative result" } ] }, "subject": { "reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4", "display": "WELSH, Joel" }, "issued": "2022-05-10T16:07:00+00:00", "performer": [ { "reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338", "display": "TD008362 PATH LAB 001" } ], "valueCodeableConcept": { "coding": [ { "system": "http://snomed.info/sct", "code": "260415000", "display": "Not detected" } ] }, "specimen": { "reference": "urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" } }
Observation.id[0] | Pathology-Observation-MRSA-Example |
Observation.meta[0].profile[0] | https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab |
Observation.identifier[0].system[0] | https://tools.ietf.org/html/rfc4122 |
Observation.identifier[0].value[0] | 2831d45f-8fcb-4f54-9788-b4e7380d9790 |
Observation.status[0] | final |
Observation.category[0].coding[0].system[0] | http://terminology.hl7.org/CodeSystem/observation-category |
Observation.category[0].coding[0].code[0] | laboratory |
Observation.category[0].coding[0].display[0] | Laboratory |
Observation.code[0].coding[0].system[0] | http://snomed.info/sct |
Observation.code[0].coding[0].code[0] | 993071000000107 |
Observation.code[0].coding[0].display[0] | MRSA (methicillin resistant Staphylococcus aureus) screening test |
Observation.code[0].coding[1].system[0] | http://snomed.info/sct |
Observation.code[0].coding[1].code[0] | 51681000237102 |
Observation.code[0].coding[1].display[0] | MRSA (methicillin resistant Staphylococcus aureus) DNA nucleic acid amplification qualitative result |
Observation.subject[0].reference[0] | urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4 |
Observation.subject[0].display[0] | WELSH, Joel |
Observation.issued[0] | 2022-05-10T16:07:00+00:00 |
Observation.performer[0].reference[0] | urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338 |
Observation.performer[0].display[0] | TD008362 PATH LAB 001 |
Observation.value[0].coding[0].system[0] | http://snomed.info/sct |
Observation.value[0].coding[0].code[0] | 260415000 |
Observation.value[0].coding[0].display[0] | Not detected |
Observation.specimen[0].reference[0] | urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d |