PATH-R4-31: UKCore-ServiceRequest-Lab Snippets

An example of how each key UKCore-ServiceRequest-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-ServiceRequest-Lab profile definition for a detailed description of the supported data elements.

<ServiceRequest xmlns="http://hl7.org/fhir">
    <id value="Pathology-ServiceRequest-Lab-Sn-Example" />
    <!--  The canonical URL for the UKCore-ServiceRequest-Lab profile.  -->
    <meta>
        <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-ServiceRequest-Lab" />
    </meta>
    <!--  A business identifier supplied by the organisation that requested the test(s).  -->
    <identifier>
        <type>
            <coding>
                <system value="http://terminology.hl7.org/CodeSystem/v2-0203" />
                <code value="PLAC" />
            </coding>
            <text value="Placer" />
        </type>
        <system value="http://B82033-pickeringmedicalpractice.com/labrequest" />
        <value value="REQ-20220307-000046-001" />
    </identifier>
    <!--  A business identifier supplied by the organisation that has been requested to perform the test(s).  -->
    <identifier>
        <type>
            <coding>
                <system value="http://terminology.hl7.org/CodeSystem/v2-0203" />
                <code value="FILL" />
            </coding>
            <text value="Filler" />
        </type>
        <system value="http://B82033-pickeringmedicalpractice.com/labrequest" />
        <value value="REP-20220307-000247" />
    </identifier>
    <!--  A shared identifier that is used to link multiple requests.  -->
    <requisition>
        <system value="http://B82033-pickeringmedicalpractice.com/labrequest" />
        <value value="REQ-20220307-000046" />
    </requisition>
    <!--  The status of the test request.  -->
    <status value="active" />
    <!--  The intent of the test request.  -->
    <intent value="order" />
    <!--  The urgency of the test request.  -->
    <priority value="routine" />
    <!--  The clinical code and name of the requested test or test group.  -->
    <code>
        <coding>
            <!--  SNOMED CT Procedure  -->
            <system value="http://snomed.info/sct" />
            <code value="43396009" />
            <display value="Haemoglobin A1c measurement" />
        </coding>
    </code>
    <!--  Reference to the subject that the test request relates to.  -->
    <subject>
        <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
        <display value="WELSH, Joel" />
    </subject>
    <!--  The date and time of the test request.  -->
    <authoredOn value="2022-01-29T10:24:00+00:00" />
    <!--  Reference to the entity that requested the test(s).  -->
    <requester>
        <reference value="urn:uuid:9a835acf-d715-4d84-8dcf-a8435f6417fe" />
        <display value="GASKELL, Dr Gale" />
    </requester>
    <!--  Reference(s) to the entity/entities that will perform the test(s).  -->
    <performer>
        <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
        <display value="TD008362 PATH LAB 001" />
    </performer>
    <!--  An explanation in coded or textual form that describes why the tests have been requested.  -->
    <reasonCode>
        <text value="Diabetes type 1 monitoring." />
    </reasonCode>
    <!--  Reference(s) to any conditions the patient has (as supplied by the requester) that are relevant to the test request.  -->
    <!--  The example assumes that the reference is to a seperate Condition resource.  -->
    <reasonReference>
        <reference value="urn:uuid:12c09bac-b108-4c48-8882-7c8daddf17fa" />
        <display value="Type 1 diabetes mellitus" />
    </reasonReference>
    <!--  Reference(s) to the specimen(s) that will be used for testing.  -->
    <!--  This should only be used when a test is requested and the specimen has already been collected.  -->
    <specimen>
        <reference value="urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" />
    </specimen>
    <!--  Notes relating to the test request, as provided by the requester.  -->
    <note>
        <text value="Patient has a needle phobia." />
    </note>
</ServiceRequest>
{
    "resourceType": "ServiceRequest",
    "id": "Pathology-ServiceRequest-Lab-Sn-Example",
    "meta": {
        "profile":  [
            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-ServiceRequest-Lab"
        ]
    },
    "identifier":  [
        {
            "type": {
                "coding":  [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "PLAC"
                    }
                ],
                "text": "Placer"
            },
            "system": "http://B82033-pickeringmedicalpractice.com/labrequest",
            "value": "REQ-20220307-000046-001"
        },
        {
            "type": {
                "coding":  [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "FILL"
                    }
                ],
                "text": "Filler"
            },
            "system": "http://B82033-pickeringmedicalpractice.com/labrequest",
            "value": "REP-20220307-000247"
        }
    ],
    "requisition": {
        "system": "http://B82033-pickeringmedicalpractice.com/labrequest",
        "value": "REQ-20220307-000046"
    },
    "status": "active",
    "intent": "order",
    "priority": "routine",
    "code": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "43396009",
                "display": "Haemoglobin A1c measurement"
            }
        ]
    },
    "subject": {
        "reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4",
        "display": "WELSH, Joel"
    },
    "authoredOn": "2022-01-29T10:24:00+00:00",
    "requester": {
        "reference": "urn:uuid:9a835acf-d715-4d84-8dcf-a8435f6417fe",
        "display": "GASKELL, Dr Gale"
    },
    "performer":  [
        {
            "reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338",
            "display": "TD008362 PATH LAB 001"
        }
    ],
    "reasonCode":  [
        {
            "text": "Diabetes type 1 monitoring."
        }
    ],
    "reasonReference":  [
        {
            "reference": "urn:uuid:12c09bac-b108-4c48-8882-7c8daddf17fa",
            "display": "Type 1 diabetes mellitus"
        }
    ],
    "specimen":  [
        {
            "reference": "urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d"
        }
    ],
    "note":  [
        {
            "text": "Patient has a needle phobia."
        }
    ]
}
ServiceRequest
ServiceRequest.id[0]Pathology-ServiceRequest-Lab-Sn-Example
ServiceRequest.meta[0].profile[0]https://fhir.hl7.org.uk/StructureDefinition/UKCore-ServiceRequest-Lab
ServiceRequest.identifier[0].type[0].coding[0].system[0]http://terminology.hl7.org/CodeSystem/v2-0203
ServiceRequest.identifier[0].type[0].coding[0].code[0]PLAC
ServiceRequest.identifier[0].type[0].text[0]Placer
ServiceRequest.identifier[0].system[0]http://B82033-pickeringmedicalpractice.com/labrequest
ServiceRequest.identifier[0].value[0]REQ-20220307-000046-001
ServiceRequest.identifier[1].type[0].coding[0].system[0]http://terminology.hl7.org/CodeSystem/v2-0203
ServiceRequest.identifier[1].type[0].coding[0].code[0]FILL
ServiceRequest.identifier[1].type[0].text[0]Filler
ServiceRequest.identifier[1].system[0]http://B82033-pickeringmedicalpractice.com/labrequest
ServiceRequest.identifier[1].value[0]REP-20220307-000247
ServiceRequest.requisition[0].system[0]http://B82033-pickeringmedicalpractice.com/labrequest
ServiceRequest.requisition[0].value[0]REQ-20220307-000046
ServiceRequest.status[0]active
ServiceRequest.intent[0]order
ServiceRequest.priority[0]routine
ServiceRequest.code[0].coding[0].system[0]http://snomed.info/sct
ServiceRequest.code[0].coding[0].code[0]43396009
ServiceRequest.code[0].coding[0].display[0]Haemoglobin A1c measurement
ServiceRequest.subject[0].reference[0]urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4
ServiceRequest.subject[0].display[0]WELSH, Joel
ServiceRequest.authoredOn[0]2022-01-29T10:24:00+00:00
ServiceRequest.requester[0].reference[0]urn:uuid:9a835acf-d715-4d84-8dcf-a8435f6417fe
ServiceRequest.requester[0].display[0]GASKELL, Dr Gale
ServiceRequest.performer[0].reference[0]urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338
ServiceRequest.performer[0].display[0]TD008362 PATH LAB 001
ServiceRequest.reasonCode[0].text[0]Diabetes type 1 monitoring.
ServiceRequest.reasonReference[0].reference[0]urn:uuid:12c09bac-b108-4c48-8882-7c8daddf17fa
ServiceRequest.reasonReference[0].display[0]Type 1 diabetes mellitus
ServiceRequest.specimen[0].reference[0]urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d
ServiceRequest.note[0].text[0]Patient has a needle phobia.