National Pathology FHIR Message Profiles
Test Request Summary Overview for a Haemotology or Chemical Biology Test
Information from the original request that is returned with the test report. This has two purposes.
- 1) To assist in linking the report to the original request;
- 2) Give context to the test report where the receiving HCP is different to the requesting HCP and does not have access to the original request.
Mapping for Procedure Request
How to populate the Procedure Request instance to conform to the profiles below:
Level 1 | Procedure Request Resource | Level 2 | CareConnect-ProcedureRequest-1 | Level 3 | None |
Name | Card. | Conformance | Type | Description, Constraints and mapping for National Pathology Implementation |
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ProcedureRequest | | A request for a procedure or diagnostic to be performed Constraint (dom-2): If the resource is contained in another resource, it SHALL NOT contain nested Resources Constraint (dom-1): If the resource is contained in another resource, it SHALL NOT contain any narrative Constraint (dom-4): If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated Constraint (dom-3): If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource |
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- id | 0..1 | Required | Id | Logical id of this artifact Must contain a UUID to identify the instance of a procedureRequest |
- meta | 0..1 | Required | Meta | Metadata about the resource The value attribute of the profile element MUST contain the value 'https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ProcedureRequest-1' |
- identifier | 0..* | Optional | Identifier | Identifiers assigned to this order |
- - system | 1..1 | Mandatory | Uri | The namespace for the identifier value MUST contain the value 'https://tools.ietf.org/html/rfc4122'. |
- - value | 1..1 | Mandatory | String | The value that is unique MUST contain a UUID |
- status | 1..1 | Mandatory | Code | draft : active : suspended : completed : entered-in-error : cancelled Binding (required): The status of a procedure or diagnostic order. RequestStatus MUST contain the value 'active'. |
- intent | 1..1 | Mandatory | Code | proposal : plan : order + Binding (required): The kind of procedure or diagnostic request RequestIntent MUST contain the value 'order'. |
- priority | 0..1 | Required | Code | routine | urgent | asap | stat Binding (required): Identifies the level of importance to be assigned to actioning the request http://hl7.org/fhir/stu3/valueset-request-priority.html The urgency of the test request |
- code | 1..1 | Required | CodeableConcept | What is being requested/ordered Binding (example): Codes identifying names of simple observations. The tests requested by the requesting HCP. |
- - coding | 0..* | Optional | Coding | Code defined by a terminology system |
- - coding (snomedCT) | 0..1 | Mandatory | Coding | Code defined by a terminology system Binding (extensible): A code from the SNOMED Clinical Terminology UK coding system describing a type of observation CareConnect-ObservationType-1 |
- - - extension (snomedCTDescriptionID) | 0..1 | Optional | Extension-coding-sctdescid | The SNOMED CT Description ID for the display. Constraint (ext-1): Must have either extensions or value[x], not both |
- - - system | 0..1 | Mandatory | Uri | Identity of the terminology system |
- - - code | 0..1 | Mandatory | Code | Symbol in syntax defined by the system |
- - - display | 0..1 | Mandatory | String | Representation defined by the system |
- - text | 0..1 | Optional | String | Plain text representation of the concept |
- subject | 1..1 | Mandatory | Reference | Individual the service is ordered for Constraint (ref-1): SHALL have a contained resource if a local reference is provided |
Required | CareConnect-Patient-1 | This MUST be to the Organization resource profiled as CareConnect-Patient-1 | ||
- - reference | 0..1 | Mandatory | String | Literal reference, Relative, internal or absolute URL a reference to the Patient resource instance in the message in the format of a UUID prefixed with 'urn:uuid:'. |
- authoredOn | 0..1 | Required | dateTime | Date request signed The date and time of the test request |
- requester | 0..1 | Mandatory | BackboneElement | Who/what is requesting procedure or diagnosticReference to the resource for the Practitioner and/or Organization that requested the DiagnosticReport. At least one MUST be populated. |
- - agent | 1..1 | Mandatory | Reference | Individual making the request Constraint (ref-1): SHALL have a contained resource if a local reference is provided |
Mandatory | CareConnect-Practitioner-1 | The value attribute of the profile element MUST contain the value 'https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-Practitioner-1' Requesting HCP |
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- - - reference | 1..1 | Mandatory | String | Literal reference, Relative, internal or absolute URL a reference to the location resource instance in the message in the format of a UUID prefixed with 'urn:uuid:'. |
- - onBehalfOf | 0..1 | Mandatory | Reference | Organization agent is acting for Constraint (ref-1): SHALL have a contained resource if a local reference is provided |
Mandatory | CareConnect-Organization-1 | The value attribute of the profile element MUST contain the value 'https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-Organization-1' Requesting Organisation |
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- - - reference | 0..1 | Mandatory | String | Literal reference, Relative, internal or absolute URL a reference to the location resource instance in the message in the format of a UUID prefixed with 'urn:uuid:'. |
- performer | 0..1 | Mandatory | Reference | Requested perfomer Constraint (ref-1): SHALL have a contained resource if a local reference is provided |
Mandatory | CareConnect-Practitioner-1 | This MUST be to the Organization resource profiled as CareConnect-Practitioner-1 | ||
Mandatory | CareConnect-Organisation-1 | This MUST be to the Organization resource profiled as CareConnect-Organisation-1 | ||
- - reference | 1..1 | Mandatory | String | Literal reference, Relative, internal or absolute URL a reference to the Patient resource instance in the message in the format of a UUID prefixed with 'urn:uuid:'. |
- reasonCode | 0..* | Required | CodeableConcept | Explanation/Justification for test Binding (example): Diagnosis or problem codes justifying the reason for requesting the procedure or diagnostic investigation. Procedure Reason Codes A structured and coded explanation from the requesting HCP containing an explanation on why the test has been requested and any contextual information they considered relevant. Use FHIR default value set |
- - coding | 0..* | Required | Coding | Code defined by a terminology system |
- - - system | 1..1 | Mandatory | Uri | Identity of the terminology system |
- - - code | 1..1 | Mandatory | Code | Symbol in syntax defined by the system |
- - - display | 1..1 | Mandatory | String | Representation defined by the system |
- - text | 0..1 | Optional | String | Plain text representation of the concept A human readable explanation from the requesting HCP containing an explanation on why the test has been requested and any contextual information they considered relevant. |
- reasonReference | 0..* | Required | Reference | Explanation/Justification for test Constraint (ref-1): SHALL have a contained resource if a local reference is provided. The clinical code of conditions the patient has that are supplied by the requesting HCP due to their relevance to the test request. |
Required | CareConnect-Condition-1 | This MUST be to the Organization resource profiled as CareConnect-Condition-1 | ||
- - reference | 0..1 | Required | String | Literal reference, Relative, internal or absolute URL a reference to the Patient resource instance in the message in the format of a UUID prefixed with 'urn:uuid:'. |
- note | 0..* | Required | Annotation | Comments Notes relating to the test request, as provided by the requester. May be used to provide further clinical context and/or the reason for requesting the tests. |
- - text | 1..1 | Required | String | The annotation - text content E.G. Patient always feels tired |