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-R4-26: Observation Example - Rubella IgG Antibody
An example of a quantitative test result combined with an interpretation:
- Rubella IgG antibody: >10 IU/ml DETECTED
<Observation xmlns="http://hl7.org/fhir"> <id value="Pathology-Observation-Rubella-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="f0abb40c-fd22-4483-bc35-ab74531860ad" /> </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="1012301000000103" /> <display value="Rubella IgG level" /> </coding> <coding> <!-- From PaLM observable entity reference set --> <system value="http://snomed.info/sct" /> <code value="21091000237108" /> <display value="Rubella IgG antibody arbitrary concentration in serum" /> </coding> </code> <subject> <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" /> <display value="MOXEY, Judy" /> </subject> <issued value="2022-06-16T11:21:00+00:00" /> <performer> <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" /> <display value="TD008362 PATH LAB 001" /> </performer> <valueQuantity> <value value="10" /> <comparator value=">" /> <unit value="IU/mL" /> <system value="http://unitsofmeasure.org" /> <code value="[IU]/mL" /> </valueQuantity> <interpretation> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" /> <code value="DET" /> <display value="Detected" /> </coding> </interpretation> <specimen> <reference value="urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" /> </specimen> </Observation>
{ "resourceType": "Observation", "id": "Pathology-Observation-Rubella-Example", "meta": { "profile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" ] }, "identifier": [ { "system": "https://tools.ietf.org/html/rfc4122", "value": "f0abb40c-fd22-4483-bc35-ab74531860ad" } ], "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory", "display": "Laboratory" } ] } ], "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "1012301000000103", "display": "Rubella IgG level" }, { "system": "http://snomed.info/sct", "code": "21091000237108", "display": "Rubella IgG antibody arbitrary concentration in serum" } ] }, "subject": { "reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4", "display": "MOXEY, Judy" }, "issued": "2022-06-16T11:21:00+00:00", "performer": [ { "reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338", "display": "TD008362 PATH LAB 001" } ], "valueQuantity": { "value": 10, "comparator": ">", "unit": "IU/mL", "system": "http://unitsofmeasure.org", "code": "[IU]/mL" }, "interpretation": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code": "DET", "display": "Detected" } ] } ], "specimen": { "reference": "urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" } }
Observation.id[0] | Pathology-Observation-Rubella-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] | f0abb40c-fd22-4483-bc35-ab74531860ad |
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] | 1012301000000103 |
Observation.code[0].coding[0].display[0] | Rubella IgG level |
Observation.code[0].coding[1].system[0] | http://snomed.info/sct |
Observation.code[0].coding[1].code[0] | 21091000237108 |
Observation.code[0].coding[1].display[0] | Rubella IgG antibody arbitrary concentration in serum |
Observation.subject[0].reference[0] | urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4 |
Observation.subject[0].display[0] | MOXEY, Judy |
Observation.issued[0] | 2022-06-16T11:21:00+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].value[0] | 10 |
Observation.value[0].comparator[0] | > |
Observation.value[0].unit[0] | IU/mL |
Observation.value[0].system[0] | http://unitsofmeasure.org |
Observation.value[0].code[0] | [IU]/mL |
Observation.interpretation[0].coding[0].system[0] | http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation |
Observation.interpretation[0].coding[0].code[0] | DET |
Observation.interpretation[0].coding[0].display[0] | Detected |
Observation.specimen[0].reference[0] | urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d |