DRAFT Implementation Guide

This is for collaboration and discussion purposes and is subject to change.

North West Genomics Testing Workflow (GTW) - Local Development build (v0.0.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Order Results Management [LAB-3]

Referenced Standards

• A. IHE Pathology and Laboratory Medicine (PaLM) Technical Framework - Volume 2a (PaLM TF-2a) Transactions
• B. HL7 Version 2.5.1 Implementation Guide: Lab Results Interface (LRI), Release 1 from May 2017

Scope

It transmits the observation results from the Order Filler to the Order Result Tracker, when a result is acquired, clinically validated, modified or deleted at the Order Filler level.

EIP - Document Message

Actor Roles

Regional Order Results management [LAB-3] Component Diagram

Message

The following messages are used to support creation and updating of the Genomics Test Report composition

Message	Purpose	EIP Type
Laboratory Results	The results for a laboratory-order request.	Document Message

Laboratory Results

Is based on a HL7 FHIR unsolicited-observation (R01) Message which is backwards compatible with HL7 v2 ORU_R01 Message.

Detailed Mapping can be here Message ORU_R01 to Bundle Map (Experimental)

HL7 v2 ORU Segment	Cardinality	FHIR Resource	Map
MSH - Message Header	1..1	MessageHeader	MSH[MessageHeader]
PID - Patient Identification	0..1	Patient	PID[Patient]
PV1 - Patient visit	0..1	Encounter	PV1[Encounter]
ORC - Common Order	1..*	DiagnosticReport	ORC[DiagnosticReport]
		ServiceRequest	ORC[ServiceRequest]
OBR - Observations Request		DiagnosticReport	OBR[DiagnosticReport]
NTE - Notes and Comments		Observation.note?
OBX - Observation/Result		Observation or Attachment (part of DiagnosticReport)	OBX[Observation]

Regional Order Results management [LAB-3] Sequence Diagram