Report Lab Results
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
The results save generates a FHIR R4 DiagnosticReport Resource (example) with referenced FHIR R4 Observation resources (example) to store the results, and a reference to the associated Patient and Task Resource.
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
FHIR R4 bundle search response (example)
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
Copy link