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-R4-29 UKCore-Observation-Group-Lab (Test Group) Snippets
An example of how each key UKCore-Observation-Group-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-Observation-Group-Lab profile definition for a detailed description of the supported data elements.
<Observation xmlns="http://hl7.org/fhir"> <id value="Pathology-Observation-Group-Lab-Sn-Example" /> <!-- The canonical URL for the UKCore-Observation-Group-Lab profile. --> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Group-Lab" /> </meta> <!-- A business identifier supplied by the laboratory that performed the test group. --> <identifier> <system value="https://tools.ietf.org/html/rfc4122" /> <value value="2af46949-4938-4c57-bad4-c4363e1965d5" /> </identifier> <!-- The status of the test group. --> <status value="final" /> <!-- The general type of test group. --> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category" /> <code value="laboratory" /> <display value="Laboratory" /> </coding> </category> <!-- The clinical code and name of the test group. --> <code> <coding> <!-- SNOMED CT Procedure --> <system value="http://snomed.info/sct" /> <code value="26604007" /> <display value="Full blood count" /> </coding> </code> <!-- Reference to the subject that the test group relates to. --> <subject> <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" /> <display value="MOXEY, Judy" /> </subject> <!-- The date and time that the test group was performed. --> <effectiveDateTime value="2022-02-09T08:39:00+00:00" /> <!-- The date and time that the test group results were issued. --> <issued value="2022-02-09T11:17:00+00:00" /> <!-- Reference(s) to the entity/entities that performed the test group. --> <performer> <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" /> <display value="TD008362 PATH LAB 001" /> </performer> <!-- Comments relating to the test group. --> <note> <text value="Some results outside of range." /> </note> <!-- Reference to the specimen that was used for testing. --> <specimen> <reference value="urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" /> </specimen> <!-- Reference(s) to the Observation(s) that make up the test group. --> <hasMember> <!-- White blood cell count in blood --> <reference value="urn:uuid:f8c185fc-0993-4b80-9d33-4c9ae11c3afe" /> </hasMember> <hasMember> <!-- Red blood cell count --> <reference value="urn:uuid:78afe41f-4689-41a2-b10d-351a991b261a" /> </hasMember> <hasMember> <!-- Haemoglobin mass concentration in blood --> <reference value="urn:uuid:b7849f25-3c44-4542-805f-ba769b7cfe04" /> </hasMember> <hasMember> <!-- Haematocrit volume fraction of blood --> <reference value="urn:uuid:b483a0bf-c332-4dde-b606-ec29aab33583" /> </hasMember> <hasMember> <!-- Erythrocytes MCV (mean corpuscular volume) in blood --> <reference value="urn:uuid:9e44a75d-e676-4497-aeb3-da72a08a3641" /> </hasMember> <hasMember> <!-- MCH - Mean corpuscular haemoglobin --> <reference value="urn:uuid:ba423cce-bf8c-440c-8061-086055a1799b" /> </hasMember> <hasMember> <!-- MCHC - Mean corpuscular haemoglobin concentration --> <reference value="urn:uuid:af52170f-763a-40a6-9363-dc58cd72602e" /> </hasMember> <hasMember> <!-- Platelet count in blood --> <reference value="urn:uuid:298306aa-4a5e-4442-8f60-9153c19c6333" /> </hasMember> <hasMember> <!-- Neutrophil count in blood --> <reference value="urn:uuid:69d08add-5ab8-46a3-be08-fb15e550da75" /> </hasMember> <hasMember> <!-- Lymphocyte count in blood --> <reference value="urn:uuid:d5995ac0-55d8-4f2f-9058-6235a13fc1fe" /> </hasMember> <hasMember> <!-- Monocyte count in blood --> <reference value="urn:uuid:42d1c079-777a-4878-b568-af6f297dbecb" /> </hasMember> <hasMember> <!-- Eosinophil count in blood --> <reference value="urn:uuid:56f9a606-221b-462b-b134-154c72db9c66" /> </hasMember> <hasMember> <!-- Basophil count in blood --> <reference value="urn:uuid:d719524b-993c-455c-9c18-36e3dfe6f71e" /> </hasMember> </Observation>
{ "resourceType": "Observation", "id": "Pathology-Observation-Group-Lab-Sn-Example", "meta": { "profile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Group-Lab" ] }, "identifier": [ { "system": "https://tools.ietf.org/html/rfc4122", "value": "2af46949-4938-4c57-bad4-c4363e1965d5" } ], "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory", "display": "Laboratory" } ] } ], "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "26604007", "display": "Full blood count" } ] }, "subject": { "reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4", "display": "MOXEY, Judy" }, "effectiveDateTime": "2022-02-09T08:39:00+00:00", "issued": "2022-02-09T11:17:00+00:00", "performer": [ { "reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338", "display": "TD008362 PATH LAB 001" } ], "note": [ { "text": "Some results outside of range." } ], "specimen": { "reference": "urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" }, "hasMember": [ { "reference": "urn:uuid:f8c185fc-0993-4b80-9d33-4c9ae11c3afe" }, { "reference": "urn:uuid:78afe41f-4689-41a2-b10d-351a991b261a" }, { "reference": "urn:uuid:b7849f25-3c44-4542-805f-ba769b7cfe04" }, { "reference": "urn:uuid:b483a0bf-c332-4dde-b606-ec29aab33583" }, { "reference": "urn:uuid:9e44a75d-e676-4497-aeb3-da72a08a3641" }, { "reference": "urn:uuid:ba423cce-bf8c-440c-8061-086055a1799b" }, { "reference": "urn:uuid:af52170f-763a-40a6-9363-dc58cd72602e" }, { "reference": "urn:uuid:298306aa-4a5e-4442-8f60-9153c19c6333" }, { "reference": "urn:uuid:69d08add-5ab8-46a3-be08-fb15e550da75" }, { "reference": "urn:uuid:d5995ac0-55d8-4f2f-9058-6235a13fc1fe" }, { "reference": "urn:uuid:42d1c079-777a-4878-b568-af6f297dbecb" }, { "reference": "urn:uuid:56f9a606-221b-462b-b134-154c72db9c66" }, { "reference": "urn:uuid:d719524b-993c-455c-9c18-36e3dfe6f71e" } ] }
Observation.id[0] | Pathology-Observation-Group-Lab-Sn-Example |
Observation.meta[0].profile[0] | https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Group-Lab |
Observation.identifier[0].system[0] | https://tools.ietf.org/html/rfc4122 |
Observation.identifier[0].value[0] | 2af46949-4938-4c57-bad4-c4363e1965d5 |
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] | 26604007 |
Observation.code[0].coding[0].display[0] | Full blood count |
Observation.subject[0].reference[0] | urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4 |
Observation.subject[0].display[0] | MOXEY, Judy |
Observation.effective[0] | 2022-02-09T08:39:00+00:00 |
Observation.issued[0] | 2022-02-09T11:17:00+00:00 |
Observation.performer[0].reference[0] | urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338 |
Observation.performer[0].display[0] | TD008362 PATH LAB 001 |
Observation.note[0].text[0] | Some results outside of range. |
Observation.specimen[0].reference[0] | urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d |
Observation.hasMember[0].reference[0] | urn:uuid:f8c185fc-0993-4b80-9d33-4c9ae11c3afe |
Observation.hasMember[1].reference[0] | urn:uuid:78afe41f-4689-41a2-b10d-351a991b261a |
Observation.hasMember[2].reference[0] | urn:uuid:b7849f25-3c44-4542-805f-ba769b7cfe04 |
Observation.hasMember[3].reference[0] | urn:uuid:b483a0bf-c332-4dde-b606-ec29aab33583 |
Observation.hasMember[4].reference[0] | urn:uuid:9e44a75d-e676-4497-aeb3-da72a08a3641 |
Observation.hasMember[5].reference[0] | urn:uuid:ba423cce-bf8c-440c-8061-086055a1799b |
Observation.hasMember[6].reference[0] | urn:uuid:af52170f-763a-40a6-9363-dc58cd72602e |
Observation.hasMember[7].reference[0] | urn:uuid:298306aa-4a5e-4442-8f60-9153c19c6333 |
Observation.hasMember[8].reference[0] | urn:uuid:69d08add-5ab8-46a3-be08-fb15e550da75 |
Observation.hasMember[9].reference[0] | urn:uuid:d5995ac0-55d8-4f2f-9058-6235a13fc1fe |
Observation.hasMember[10].reference[0] | urn:uuid:42d1c079-777a-4878-b568-af6f297dbecb |
Observation.hasMember[11].reference[0] | urn:uuid:56f9a606-221b-462b-b134-154c72db9c66 |
Observation.hasMember[12].reference[0] | urn:uuid:d719524b-993c-455c-9c18-36e3dfe6f71e |