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-R4-30: UKCore-Observation (Test Result) Snippets
An example of how each key UKCore-Observation-Lab data element may be populated to represent a test result 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-Lab profile definition for a detailed description of the supported data elements.
<!-- The canonical URL for the UKCore-Observation-Lab profile. -->
</meta>
<!-- A business identifier supplied by the laboratory that performed the test. -->
</identifier>
<!-- The status of the test result. -->
<!-- The general type of test result. -->
</coding>
</category>
<!-- The clinical code and name of the test that was performed. -->
<!-- SNOMED CT Observable Entity -->
</coding>
</code>
<!-- Reference to the subject that the test relates to. -->
</subject>
<!-- The date and time that the test was performed. -->
<!-- The date and time that the test result was issued. -->
<!-- Reference(s) to the entity/entities that performed the test. -->
</performer>
<!-- The reason why a test result value has been omitted. -->
</coding>
</dataAbsentReason>
<!-- A coded, categorical assessment of a test result value. -->
</coding>
</interpretation>
<!-- Comments relating to the test result. -->
</note>
<!-- The body part that was tested/observed. -->
</coding>
</bodySite>
<!-- The method of testing/observation that was used. -->
</coding>
</method>
<!-- Reference to the specimen that was used for testing. -->
</specimen>
<!-- Guidance on how to interpret the test result value by comparison to a normal or recommended range. -->
</low>
</high>
</referenceRange>
</Observation>
{
},
{
}
],
{
{
}
]
}
],
{
}
]
},
},
{
}
],
{
}
]
},
{
{
}
]
}
],
],
{
}
]
},
]
},
},
{
},
}
}
]
}
| Observation.id[0] | Pathology-Observation-Lab-Sn-Example |
| Observation.meta[0].profile[0] | https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-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] | 1110441000000100 |
| Observation.code[0].coding[0].display[0] | White blood cell count in blood |
| Observation.subject[0].reference[0] | urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4 |
| Observation.subject[0].display[0] | MOXEY, Judy |
| Observation.effective[0] | 2022-02-09T08:03:00+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.dataAbsentReason[0].coding[0].system[0] | http://snomed.info/sct |
| Observation.dataAbsentReason[0].coding[0].code[0] | 125154007 |
| Observation.dataAbsentReason[0].coding[0].display[0] | Specimen unsatisfactory for evaluation |
| Observation.interpretation[0].coding[0].system[0] | http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation |
| Observation.interpretation[0].coding[0].code[0] | H |
| Observation.interpretation[0].coding[0].display[0] | High |
| Observation.note[0].text[0] | Further tests advised. |
| Observation.bodySite[0].coding[0].system[0] | http://snomed.info/sct |
| Observation.bodySite[0].coding[0].code[0] | 49852007 |
| Observation.bodySite[0].coding[0].display[0] | Structure of median cubital vein |
| Observation.method[0].coding[0].system[0] | http://snomed.info/sct |
| Observation.method[0].coding[0].code[0] | 702659008 |
| Observation.method[0].coding[0].display[0] | Automated count |
| Observation.specimen[0].reference[0] | urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d |
| Observation.referenceRange[0].low[0].value[0] | 4.00 |
| Observation.referenceRange[0].low[0].unit[0] | 10*9/L |
| Observation.referenceRange[0].low[0].system[0] | http://unitsofmeasure.org |
| Observation.referenceRange[0].low[0].code[0] | 10^9/L |
| Observation.referenceRange[0].high[0].value[0] | 11.00 |
| Observation.referenceRange[0].high[0].unit[0] | 10*9/L |
| Observation.referenceRange[0].high[0].system[0] | http://unitsofmeasure.org |
| Observation.referenceRange[0].high[0].code[0] | 10^9/L |