# Report Lab Results

A laboratory information system (LIS) can send lab test results to an Electronic Medical Record (EMR) system.

| **Workflow Maturity**         | <p><img src="https://lh6.googleusercontent.com/Kxkqfa92YGW3mIOmWio0Twi4YLMA92z6mL1MuFzkx4AWS5CX5zbzWid5z4p2W-e6O66llKpaU0r6lzwyXfhbIiWmkVEuPDy6stX5x5L8uC2DkEXs6qUFX-7xxXTlb9hbkg" alt=""></p><p><strong>Newly Defined</strong></p> | <ul><li>Workflow is defined and ARB approved</li><li>Initial implementations are being implemented</li></ul>                                                                                                                                                                                                                                                                                                                                                                                                                                                      |
| ----------------------------- | ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |
| Standards                     |                                                                                                                                                                                                                                     | <ul><li>FHIR R4 Workflow</li><li>FHIR R4 search on Task, DiagnosticReport, ServiceRequest or Patient resources</li><li>FHIR R4 bundle search response</li></ul>                                                                                                                                                                                                                                                                                                                                                                                                   |
| Assumptions and Prerequisites |                                                                                                                                                                                                                                     | <ul><li>The EMR and LIS are trusted applications known by the IOL</li><li>The IOL supports node authentication, audit tracking, and rerunning of failed transactions</li><li>The SHR adheres to OHIE specification</li></ul>                                                                                                                                                                                                                                                                                                                                      |
| Actors                        |                                                                                                                                                                                                                                     | <ul><li>EMR - The electronic medical record system that captures the patient and order information and sends the electronic order to the LIS</li><li>LIS - The laboratory information system that pulls order information, processes orders, updating statuses and generating results sets</li><li>IOL - The interoperability layer that secures and orchestrates the exchange of information (see OHIE Interoperability layer)</li><li>SHR - The shared health record that serves as a centralized data store for patients’ longitudinal health record</li></ul> |

## **Interaction Description**

![](https://lh3.googleusercontent.com/jaFnDthLcquyqr0od9FNVobs1RxK5xaXZQ6ixemAzUHB3Dd0PcNMqm-2tmcnMV_U_M_OHH5vZmC92cdQnJqN311AWvP_Acv9Pc-pNE2Wm1T_W4F5BNRm4XkOjpOA91TuUw)

| # | **Interaction**                                                   | **Data**                                                                                                                                                                                                                                                                                                                                                                                                                                                                   | Transaction Options                                                                                                                                                 |
| - | ----------------------------------------------------------------- | -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | ------------------------------------------------------------------------------------------------------------------------------------------------------------------- |
| 1 | Results Saved and FHIR Task Updated                               | The results save generates a FHIR R4 DiagnosticReport Resource ([example](https://docs.google.com/document/d/10cEBED1abA2s8LWFzLDWldv4j25pByQF8K2oZfhHB24/edit?ts=5f245ba3#heading=h.rdb5qcec7z1h)) with referenced FHIR R4 Observation resources ([example](https://docs.google.com/document/d/10cEBED1abA2s8LWFzLDWldv4j25pByQF8K2oZfhHB24/edit?ts=5f245ba3#heading=h.jridzznwrp75)) 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](https://docs.google.com/document/d/10cEBED1abA2s8LWFzLDWldv4j25pByQF8K2oZfhHB24/edit?ts=5f245ba3#heading=h.avnpgs9wlolc)) |
| 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 |                                                                                                                                                                                                                                                                                                                                                                                                                                                                            |                                                                                                                                                                     |


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