OpenHIE Architecture Specification
4.0
4.0
  • Specification Overview
  • How to use the Specification
  • Architecture Specification
    • Architecture
    • Architectural Principles
    • Standards and Profiles
  • OpenHIE Component Specifications
    • Non-Functional Requirements
    • Client Registry (CR)
    • OpenHIE Facility Registry (FR)
    • OpenHIE Finance and Insurance Service (FIS)
    • OpenHIE Health Management Information System (HMIS)
    • OpenHIE Health Worker Registry (HWR)
    • OpenHIE Interoperability Layer (IOL)
    • OpenHIE Logistics Management Information System (LMIS)
    • OpenHIE Product Catalogue (PC)
    • OpenHIE Shared Health Record (SHR)
    • OpenHIE Terminology Service (TS)
    • Point-Of-Care Systems
  • Workflow (Exchange) Specification
    • Aggregate Reporting Workflows
      • Export Aggregate Data
      • Validate and Save Aggregate Data
    • Alerting / Sending Reminders or Information
      • Send Client Alert Workflow
      • Send Health Worker Alert Workflow
    • Care Services Discovery
      • Query Health Worker and/or Facility Records Workflow
      • Query Care Services Records Workflow
      • Search Care Services Workflow
      • Request Care Services Updates Workflow
    • Laboratory Work Flows
      • Order Laboratory Test
      • Report Lab Results
    • Patient Identity Management Workflows
      • Create Patient Demographic Record Workflow
      • Update Patient Demographic Record Workflow
      • Query Patient Demographic Records by Identifier Workflow
      • Query Patient Demographic Records by Demographics Workflow
    • Shared Health Record
      • Save Patient-level Clinical Data Workflow
      • Query Patient-level Clinical Data Workflow
    • Terminology Service Workflows
      • Expand Value Set
      • Translate Code
      • Verify Code Existence
      • Verify Code Membership
      • Query Value Set
      • Query Code Systems
      • Query Concept Maps
      • Lookup Code
    • Vaccine Workflows
  • How to Provide Feedback and Input
  • Change Log and Versioning
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  1. Workflow (Exchange) Specification
  2. Laboratory Work Flows

Report Lab Results

PreviousOrder Laboratory TestNextPatient Identity Management Workflows

Last updated 3 years ago

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

Interaction Description

#

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 DiagnosticReport 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 ()

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