NHS North West Genomics, published by NHS North West Genomics. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/nw-gmsa/nw-gmsa.github.com/ and changes regularly. See the Directory of published versions

Specimen Event Tracking (SET)

References

1. IHE Specimen Event Tracking
2. NHS MFT Transport of Samples

Actors and Transactions

Overview

See Ref 1 for details.

IHE SET Main Events

Scenarios

Biopsy Procedure

For information purposes only, this documention of a biopsy procedure in Nottingham University Hospital.

graph TD
    Home --> |1. Patient Arrives| DayUnit
    DayUnit --> |2. Performs Patient Admission| EHR
    DayUnit --> |3. Patient Sent to| Biopsy
    Biopsy --> |A. Collects Specimen| Biopsy
    Biopsy --> |4. Patient sent back to| DayUnit
    DayUnit -->  |5. Patient Discharged| Home
    Biopsy --> |B. Sends Specimen| SpecimenReception[Specimen Reception]
    SpecimenReception --> |C. Specimen Administration| LIMS[Diagnostic Testing - LIMS]

Collect Specimen - Biopsy Procedure for obtaining a specimen, part of a diagnostic pathway. Day case admission.

Blood Sample Collection

For information only, this is an extract of work done by North West Childresn Cancer and NHS England.

graph TD
    PTC["Primary Treatment Centre (PTC)"] --> |1. Sends Blood Tests Request| POSCU["Paediatric Oncology Shared Care Unit (POSCU)"]
    POSCU --> |2. Blood Collection Task| Collection["Blood Sample Taken<br/><br/>Community Nurse"] 
    Collection --> |3. Send Laboratory Order and Blood Specimen| SpecimenReception[Specimen Reception]
    SpecimenReception --> |4. Send Laboratory Order and Blood Specimen| LIMS[Diagnostic Testing - LIMS]
    LIMS --> |5. Performs Blood Test| LIMS
    LIMS --> |6. Write Laboratory Report| LIMS
    LIMS --> |7. Send Laboratory Report| POSCU
    LIMS --> |8. Send Laboratory Report| PTC
    PTC --> Prescription{Prescription Change Required?}
    Prescription --> |9. Yes| Medication[Amend Prescription]
    Medication --> |10. Inform of prescription change| POSCU      

As Is Process:

• (1) Blood test requested by Primary Treatment Centre (PTC)
• (2) Blood sample taken by Community Nurse or Paediatric Oncology Shared Care Unit (POSCU) and the specimen details are documented
• (3) Blood Laboratory Order is created and a laboratory order request is sent to the laboratory (4)
• (5) Blood test performed by laboratory
• (6) Laboratory writes up blood results report (laboratory report)
• (7) Laboratory report sent to Community Nurse or POSCU
• (8) Laboratory report then sent to PTC
• Community Nurse or POSCU calls PTC by phone to notify that the results have been sent and to confirm that they have been received
• If results cannot be understood, PTC will call Community Nurse or POSCU to inform them. This is usually due to a defective message
• Community Nurse or POSCU sends results in a different format (via telephone or re writes the results out)
• (9) PTC may edit child's prescription on regimen in light of blood results and may need to recall patient into hospital for additional tests
• (10) If prescription is amended then PTC must notify POSCU