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-R4-31: 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.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. |