Report Lab Results
Last updated
Last updated
A laboratory information system (LIS) can send lab test results to an Electronic Medical Record (EMR) system.
Workflow Maturity
Newly Defined
Workflow is defined and ARB approved
Initial implementations are being implemented
Standards
FHIR R4 Workflow
FHIR R4 search on Task, DiagnosticReport, ServiceRequest or Patient resources
FHIR R4 bundle search response
Assumptions and Prerequisites
The EMR and LIS are trusted applications known by the IOL
The IOL supports node authentication, audit tracking, and rerunning of failed transactions
The SHR adheres to OHIE specification
Actors
EMR - The electronic medical record system that captures the patient and order information and sends the electronic order to the LIS
LIS - The laboratory information system that pulls order information, processes orders, updating statuses and generating results sets
IOL - The interoperability layer that secures and orchestrates the exchange of information (see OHIE Interoperability layer)
SHR - The shared health record that serves as a centralized data store for patients’ longitudinal health record
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Interaction
Data
Transaction Options
1
Results Saved and FHIR Task Updated
2
Search for Updated FHIR Tasks
FHIR R4 Search for Tasks based on tasks for which the owner is the EMR, and which have a status ‘completed’
3
Return FHIR Updated Tasks
FHIR R4 Task Resource with status ‘completed’ and reference to FHIR R4 DiagnosticReport
4
Search for Associated Diagnostic Reports
FHIR R4 Search for DiagnosticReports by UUID
5
Return Associated Diagnostic Reports
FHIR R4 DiagnosticReport Resource with
6
Update FHIR Task Status, Store DiagnosticReports and Save Results
The results save generates a FHIR R4 Diagnostic Report Resource () with referenced FHIR R4 Observation resources () to store the results, and a reference to the associated Patient and Task Resource.
FHIR R4 bundle search response ()