PATH-R4-28: UKCore-DiagnosticReport-Lab Snippets

An example of how each key UKCore-DiagnosticReport-Lab data element may be populated is provided below. Please note that the examples are provided to illustrate individual data element usage; the full set of data elements may not necessarily be consistent with one another or illustrate a single, complete clinical scenario.

Refer to the UKCore-DiagnosticReport-Lab profile definition for a detailed description of the supported data elements.

<DiagnosticReport xmlns="http://hl7.org/fhir">
    <id value="Pathology-DiagnosticReport-Lab-Sn-Example" />
    <!--   ***************extension end***************   -->
    <!--  The canonical URL for the UKCore-DiagnosticReport-Lab profile.  -->
    <meta>
        <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-DiagnosticReport-Lab" />
    </meta>
    <!--   ***************extension start***************   -->
    <extension url="http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note">
        <valueAnnotation>
            <authorReference>
                <reference value="e5abf65d-ff1e-4a63-be9d-d12e71cbdf6a" />
            </authorReference>
            <time value="2022-02-09T11:17:00+00:00" />
            <text value="Contact Dr Jones on receipt of results." />
        </valueAnnotation>
    </extension>
    <!--  A business identifier supplied by the laboratory that produced the test report.  -->
    <identifier>
        <system value="http://Y8J7D-pathlab001.com/report" />
        <value value="REP-20220209-001369" />
    </identifier>
    <!--  Reference to the ServiceRequest that contains details of the test request that was made.  -->
    <basedOn>
        <reference value="urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac" />
        <type value="ServiceRequest" />
    </basedOn>
    <!--  The status of the test report.  -->
    <status value="final" />
    <category>
        <!--  The general type of test report.  -->
        <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v2-0074" />
            <code value="LAB" />
            <display value="Laboratory" />
        </coding>
        <coding>
            <display value="Medical microbiology" />
        </coding>
    </category>
    <!--  A code that describes the report. Populated with the following fixed value.  -->
    <code>
        <coding>
            <system value="http://snomed.info/sct" />
            <code value="721981007" />
            <display value="Diagnostic studies report" />
        </coding>
    </code>
    <!--  Reference to the subject that the test report relates to.  -->
    <subject>
        <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
        <display value="MOXEY, Judy" />
    </subject>
    <!--  The date and time that the test report was issued.  -->
    <issued value="2022-02-09T11:17:00+00:00" />
    <!--  Reference(s) to the entity/entities that produced the test report.  -->
    <performer>
        <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
        <display value="TD008362 PATH LAB 001" />
    </performer>
    <!--  Reference(s) to the specimen(s) used for testing.  -->
    <specimen>
        <reference value="urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" />
    </specimen>
    <!--  Reference(s) to the results included in the test report.  -->
    <!--  This may contain references to individual test results, test groups or a combination of these.  -->
    <result>
        <reference value="urn:uuid:ad717ae8-cb35-4d66-ba51-e22a76b1d158" />
    </result>
    <!--  A clinical interpretation/summary of the test results in a text format.  -->
    <conclusion value="Blood culture tested positive on staphylococcus aureus." />
    <!--  A coded finding of the test report.  -->
    <conclusionCode>
        <coding>
            <system value="http://snomed.info/sct" />
            <code value="428763004" />
            <display value="Bacteraemia caused by Staphylococcus aureus" />
        </coding>
    </conclusionCode>
</DiagnosticReport>
{
    "resourceType": "DiagnosticReport",
    "id": "Pathology-DiagnosticReport-Lab-Sn-Example",
    "meta": {
        "profile":  [
            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-DiagnosticReport-Lab"
        ]
    },
    "extension":  [
        {
            "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note",
            "valueAnnotation": {
                "authorReference": {
                    "reference": "e5abf65d-ff1e-4a63-be9d-d12e71cbdf6a"
                },
                "time": "2022-02-09T11:17:00+00:00",
                "text": "Contact Dr Jones on receipt of results."
            }
        }
    ],
    "identifier":  [
        {
            "system": "http://Y8J7D-pathlab001.com/report",
            "value": "REP-20220209-001369"
        }
    ],
    "basedOn":  [
        {
            "reference": "urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac",
            "type": "ServiceRequest"
        }
    ],
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/v2-0074",
                    "code": "LAB",
                    "display": "Laboratory"
                },
                {
                    "display": "Medical microbiology"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "721981007",
                "display": "Diagnostic studies report"
            }
        ]
    },
    "subject": {
        "reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4",
        "display": "MOXEY, Judy"
    },
    "issued": "2022-02-09T11:17:00+00:00",
    "performer":  [
        {
            "reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338",
            "display": "TD008362 PATH LAB 001"
        }
    ],
    "specimen":  [
        {
            "reference": "urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d"
        }
    ],
    "result":  [
        {
            "reference": "urn:uuid:ad717ae8-cb35-4d66-ba51-e22a76b1d158"
        }
    ],
    "conclusion": "Blood culture tested positive on staphylococcus aureus.",
    "conclusionCode":  [
        {
            "coding":  [
                {
                    "system": "http://snomed.info/sct",
                    "code": "428763004",
                    "display": "Bacteraemia caused by Staphylococcus aureus"
                }
            ]
        }
    ]
}
DiagnosticReport
DiagnosticReport.id[0]Pathology-DiagnosticReport-Lab-Sn-Example
DiagnosticReport.meta[0].profile[0]https://fhir.hl7.org.uk/StructureDefinition/UKCore-DiagnosticReport-Lab
DiagnosticReport.extension[0].url[0]http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note
DiagnosticReport.extension[0].value[0].author[0].reference[0]e5abf65d-ff1e-4a63-be9d-d12e71cbdf6a
DiagnosticReport.extension[0].value[0].time[0]2022-02-09T11:17:00+00:00
DiagnosticReport.extension[0].value[0].text[0]Contact Dr Jones on receipt of results.
DiagnosticReport.identifier[0].system[0]http://Y8J7D-pathlab001.com/report
DiagnosticReport.identifier[0].value[0]REP-20220209-001369
DiagnosticReport.basedOn[0].reference[0]urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac
DiagnosticReport.basedOn[0].type[0]ServiceRequest
DiagnosticReport.status[0]final
DiagnosticReport.category[0].coding[0].system[0]http://terminology.hl7.org/CodeSystem/v2-0074
DiagnosticReport.category[0].coding[0].code[0]LAB
DiagnosticReport.category[0].coding[0].display[0]Laboratory
DiagnosticReport.category[0].coding[1].display[0]Medical microbiology
DiagnosticReport.code[0].coding[0].system[0]http://snomed.info/sct
DiagnosticReport.code[0].coding[0].code[0]721981007
DiagnosticReport.code[0].coding[0].display[0]Diagnostic studies report
DiagnosticReport.subject[0].reference[0]urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4
DiagnosticReport.subject[0].display[0]MOXEY, Judy
DiagnosticReport.issued[0]2022-02-09T11:17:00+00:00
DiagnosticReport.performer[0].reference[0]urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338
DiagnosticReport.performer[0].display[0]TD008362 PATH LAB 001
DiagnosticReport.specimen[0].reference[0]urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d
DiagnosticReport.result[0].reference[0]urn:uuid:ad717ae8-cb35-4d66-ba51-e22a76b1d158
DiagnosticReport.conclusion[0]Blood culture tested positive on staphylococcus aureus.
DiagnosticReport.conclusionCode[0].coding[0].system[0]http://snomed.info/sct
DiagnosticReport.conclusionCode[0].coding[0].code[0]428763004
DiagnosticReport.conclusionCode[0].coding[0].display[0]Bacteraemia caused by Staphylococcus aureus