Page Comparison

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D-03.1 - Request Diagnostic Tests

DCF Core Capability

As a Clinical Professional,

I want the ability to digitally request diagnostic tests,

So that I can get accurate diagnosis results.

Acceptance criteria 1:

Given I have the system access to request diagnostic tests,

When I request a diagnostic test,

Then the request for a diagnostic test is sent to the chosen diagnostic service.

Acceptance Criteria 2:

Given that I have requested a diagnostic test,

When the diagnostic test is performed and the patient record is updated with the test results,

Then I get notified that the test has been completed and I can then view the result in the patient record.

Info

Supporting Information

Diagnostic Tests can contain images that need to be viewable from the EPR
Test results could be sent from systems outside of the EPR

Additional Detail

Capability to digitally request consultations and diagnostic tests (including but not limited to laboratory, radiology and cardiology tests) with appropriate decision support to identify duplicate or conflicting requests and flag risk and to integrate results / images into the patient record

Application Function

Description

AF217 Place Test/Investigations Order

The ability to engage testing services in real time and record the action that a request has been made on the patient record.
Scope includes:

Imaging/Scans
MRI
Lab (samples)
Blood Product Ordering

The application must be able to support the following:

Adding relevant patient data to the order
Accurate annotation of body maps to accompany orders
Appending images to orders

Standards Compliance

STD069 Pathology Test and Results Standard

- DAPB4017 Guidance (NHS Digital)

D-04.1 - Diagnostic Test Results

DCF Core Capability

As a Clinical Professional,

I want to be notified that the diagnostic tests that I requested have been completed,

and I want to be able to see these results in the patient record, within appropriate prescribing pathways

So that I can take the appropriate course of action.

Acceptance Criteria 1:

Given I have requested a diagnostic test,

When the test is completed and the results are added to the patient record,

Then I should be notified that the results are published.

Acceptance Criteria 2:

Given a diagnostic test has been completed,

When the test is completed and the results have been added to the patient record,

Then I am able to view the results of the test.

Acceptance Criteria 3:

Given the need to record test results

When results are added to the patient record

Then they should be recorded in compliance with any relevant test result standard

Info

Supporting Information

Diagnostic Tests can contain images that need to be viewable from the EPR,
Test results could be sent from systems outside of the EPR,

Application Function

Description

AF173 Generate clinical alerts

The ability of an application to run algorithms based upon patient data (observations, conditions, test results etc.) to proactively identify conditions or deterioration in conditions and generate clinical alerts where issues are identified (scores are beyond defined thresholds).

AF184 Send Results Notification

The ability of an application to send a notification to the clinician who ordered a test and concerned clinical groups where a test result indicates that a patient has an urgent health need.

AF185 Results Acknowledgement

The ability of an application to request an acknowledgement from a clinician that results have been viewed and actioned where the results fall outside normal parameters for the specific clinical speciality of the requesting clinician.

AF231 Visualise Test/Investigation results

The ability to visualise a set of corresponding results, e.g. via time-series graphs.

This should include the ability to overlap significant events onto views, e.g. interventions, procedures

AF229 View Test/Investigation Results

The ability to view the results of all tests/investigations carried out on behalf of a patient including any associated artefacts (images etc.) captured via the testing application.

AF228 Receive and Process Test Results

The ability of an application to be able to receive and process results received from diagnostic results systems (including correlating results with requests).

Standards Compliance

STD069 Pathology Test and Results Standard

- DAPB4017 Guidance (NHS Digital)

D-05.1- Integration of Diagnostics into Workflow
DCF Core Capability
As a Clinical Professional , I want automated alerts when ordering diagnostic tests and consultations including but not limited to duplication, inconsistent or conflicting test requests, So that I am aware of any issues with the request I am making while I am within the workflow. Acceptance Criteria 1: Given I have requested a diagnostic test or consultation, When the request I make triggers an alert within the diagnostic system (LIMS (Laboratory Management System) or RIS (Radiology Information Management)), Then I will see that alert within the workflow. Acceptance Criteria 2: Given I have requested a diagnostic test or consultation, When the request I make triggers an alert within the diagnostic system (e.g LIMS or RIS) Then I will be able to accept or override the alert, And this decision will be recorded for audit purposes.
Application Function	Description
AF315 Configure Workflow rules	The ability to configure automated workflows consisting of sequences of tasks, data flows (messages), notifications and alerts which can be triggered via events (system or manually generated).

D-06.1 - Historic Diagnostic Results and Images

DCF Core Capability

As a Clinical Professional,

I want to be able to view the patient’s historic diagnostic results and images in a structured format,

So that I can make clinical decisions with accurate data.

Acceptance Criteria 1:

Given I am viewing a patient record,

When I view results,

Then I should have the option to view historic results.

Acceptance Criteria 2:

Given the need to present historic diagnostic results

When displaying the results from the patient record

Then these should be presented in compliance with any relevant test standards

Acceptance Criteria 3:

Given the need to include images in results presented

When including images in the patient record

Then the system should comply with relevant medical imaging standards

Application Function

Description

AF215 Order History - Patient

The ability to view a record of order requests made on behalf of a patient including:

All orders/investigations
The current status of any outstanding/incomplete requests
The results of completed tests
Verification data (e.g. patient identifying information, barcoding)

This should be for current and/or historic care episodes

Standards Compliance

STD028 Diagnostic Imaging Data Set

- SCCI1577 Guidance (NHS Digital)

Info

Supporting Information

This is an information standard and therefore the trust will have to provide this data to the NHS on a monthly basis
The data set captures information about referral source and patient type, details of the test (imaging code which can be mapped to useful information such as type of test and body site post collection), demographic information such as GP registered practice, patient postcode, ethnicity, gender and date of birth, plus key dates for events in the imaging process to allow derivation of information about waiting times for each diagnostic imaging event, from time of test request through to time of reporting.

STD030 Digital Imaging and Communications in Medicine (DICOM)

- ISB 1556 Guidance

STD069 Pathology Test and Results Standard

- DAPB4017 Guidance (NHS Digital)

D-06.2 - Diagnostic Results filtering
DCF Core Capability
As a Clinical Professional, I want to be able to filter historic results and images, So that I can find the results I am looking for quickly. Acceptance Criteria 1: Given I am viewing a patient record, When I view historic results, Then I should have the option to apply filters to the results And the applied filters should limit the visible results.
Application Function	Description
AF215 Order History - Patient	The ability to view a record of order requests made on behalf of a patient including: All orders/investigations The current status of any outstanding/incomplete requests The results of completed tests Verification data (e.g. patient identifying information, barcoding) This should be for current and/or historic care episodes

D-06.3 - Diagnostic Results verification
DCF Core Capability
As a clinical professional, I want the results displayed to include verification e.g. patient identifying information, barcoding, So that I can ensure that the results I am viewing match the patient I am treating. Acceptance Criteria 1: Given I am viewing a patient record, When I view the detailed results, Then I should see verification information within the results that matches the patient’s record, And I should be able to flag if the results don’t match the patient. Acceptance Criteria 2: Given the need to present diagnostic results When displaying the results from the patient record Then these should be presented in compliance with any relevant test standards Acceptance Criteria 3: Given the use of patient barcodes to identify the patient When displaying the barcode as part of the results Then follow the guidance in the AIDC standard for patient barcodes
Application Function	Description
AF215 Order History - Patient	The ability to view a record of order requests made on behalf of a patient including: All orders/investigations The current status of any outstanding/incomplete requests The results of completed tests Verification data (e.g. patient identifying information, barcoding) This should be for current and/or historic care episodes
Standards Compliance
STD069 Pathology Test and Results Standard - DAPB4017 Guidance (NHS Digital)
STD003 AIDC for Patient Identification - DCB1077 Guidance (NHS Digital)

D-07.1 - Diagnostic Order Progress
DCF Transformation & Innovation Capability
As a Clinical Professional, I want to view the progress of my order, So that I am assured that my order has not been overlooked. Acceptance Criteria 1: Given the need to create a new order When my order is opened Then an view of order progress is available
Application Function	Description
AF360 Order acknowledgement	System issues an acknowledgement when an order is opened. When placing order clinician may request acknowledgement via an alert

D-08.1 - Diagnostic Time Stamps
DCF Transformation & Innovation Capability
As a Clinical Professional, I want any investigation notes to be visibly time stamped So that, I can see which notes are current, and the timeline of notes Acceptance Criteria 1: Given the need to keep up to date with the patients progress When reviewing investigation notes Then notes are all time stamped
Application Function	Description
AF215 Order History - Patient	The ability to view a record of order requests made on behalf of a patient including: All orders/investigations The current status of any outstanding/incomplete requests The results of completed tests Verification data (e.g. patient identifying information, barcoding) This should be for current and/or historic care episodes
Standards Compliance
STD085 The Core Information Standard - The Core Information Standard

D-09.1 - Single User Interface for Tests and Diagnostics
DCF Transformation & Innovation Capability
As a Clinical Professional, I want to see test results and diagnostics in a single user interface So that, I don't have to jump between different user interfaces for all diagnostic information, Acceptance Criteria 1: Given the need to review tests and diagnostic results When reviewing the patients care record Then both test results and diagnostics are in the same user interface
Application Function	Description
AF215 Order History - Patient	The ability to view a record of order requests made on behalf of a patient including: All orders/investigations The current status of any outstanding/incomplete requests The results of completed tests This should be for current and/or historic care episodes