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 Implementation team.PATH-R4-28: UKCore-DiagnosticReport 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.
<!-- ***************extension end*************** -->
<!-- The canonical URL for the UKCore-DiagnosticReport-Lab profile. -->
</meta>
<!-- ***************extension start*************** -->
</authorReference>
</valueAnnotation>
</extension>
<!-- A business identifier supplied by the laboratory that produced the test report. -->
</identifier>
<!-- Reference to the ServiceRequest that contains details of the test request that was made. -->
</basedOn>
<!-- The status of the test report. -->
<!-- The general type of test report. -->
</coding>
</coding>
</category>
<!-- A code that describes the report. Populated with the following fixed value. -->
</coding>
</code>
<!-- Reference to the subject that the test report relates to. -->
</subject>
<!-- The date and time that the test report was issued. -->
<!-- Reference(s) to the entity/entities that produced the test report. -->
</performer>
<!-- Reference(s) to the specimen(s) used for testing. -->
</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>
<!-- A clinical interpretation/summary of the test results in a text format. -->
<!-- A coded finding of the test report. -->
</coding>
</conclusionCode>
</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 |