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Cross-enterprise sharing of laboratory results

Related Use Case

Request and results sharing workflow for laboratory on a National/regional scale

Scenario context

This use case describes a simple process of request and results, but not a “closed loop system”. Also, there is no

Actors/Roles

  • Lab Results Source
  • Results Viewer

Transactions

  • Request Laboratory results
  • Retrieve Laboratory results
  • Show Laboratory results

Technical process flow

  1. Physician logs in and requests laboratory results of a patient
  2. Results are gathered from the different laboratory result documents that are available of the patient in the XDS registry
  3. Results are shown in a viewing format as instructed in the “View” option of the XD-LAB IHE profile. This profile collects the different result documents and shows the combined information in a format that is recognised by the requesting physician.

Associated profiles, standards, and HL7 FHIR Implementation guides

  • Policy: —
  • Care process: —
  • Information: XD-LAB
  • IT Infrastructure: PIX/PDQ, XDS, CT, ATNA, BPPC, XUA(++)
  • IT Infrastructure, cross-regional: XCA, XCA-i , XCPD

Possible issues

  • This Realisation Scenario assumes the availability of laboratory results in a document-based format (usually, a CDA document). Rules for the combination of information from different documents must be agreed upon for a shared, uniform viewing format.

Implementation examples