England Pathology and Laboratory Medicine (PaLM) Technical Framework
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England Pathology and Laboratory Medicine (PaLM) Technical Framework - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Example Bundle: Document - GTT-Unstructured-Report-Example

Document Details

Language: en

Profile: https://fhir.nhs.uk/England/StructureDefinition/England-Bundle-Lab-Pathology|0.1.0

Final Document at 2022-02-10 11:49:00+0000 by TD008362 PATH LAB 001 for NINE EDITESTPATIENT Female, DoB: 2002-02-02 ( Medical record number: RCB6052841)

Document Subject

Language: en

Profile: Patient (EU core) version: 2.0.1

NINE EDITESTPATIENT Female, DoB: 2002-02-02 ( Medical record number: RCB6052841)

Other Ids:
  • Patient internal identifier/Y8J7D0592374
  • National Health Plan Identifier/9999999549
Contact DetailEX1 2SS

Document Content

NHS Number9999999549
Report numberREP-20220210-000218
Statusfinal
Requested byDr Gale GASKELL, PICKERING MEDICAL PRACTICE (B82033)
LaboratoryTD008362 PATH LAB 001 (Y8J7D)
SpecimenVenous blood specimen collected 2022-02-09T10:01:23+00:00; Venous blood specimen collected 2022-02-09T11:03:07+00:00; Venous blood specimen collected 2022-02-09T12:02:17+00:00
Issued2022-02-10T11:49:00+00:00

Glucose tolerance test

TestResultUnitsReference rangeFlag
Glucose tolerance testGTT Fasting Glucose 4.8 mmol/L
GTT Glucose 60 min 8.8 mmol/L
GTT Glucose 120 min 6.4 mmol/L

Report comment

Fasting glucose below 5.1, 1hr below 10.0 and 2hr below 8.5 mmol/L. Normal response to glucose load, no further action required.

Additional Resources Included in Document

Entry 2 - fullUrl = urn:uuid:7f1074fc-8637-5a74-b278-f7ab2aea5cd4

Resource DiagnosticReport:

Language: en

Profile: http://hl7.eu/fhir/laboratory/StructureDefinition/DiagnosticReport-eu-lab|2.0.0-nhs-fix

Diagnostic studies report (Chemistry, General pathology (specialty))

SubjectNINE EDITESTPATIENT Female, DoB: 2002-02-02 ( Medical record number: RCB6052841)
Relevant Time2022-02-09 10:01:23+0000
Reported2022-02-10 11:49:00+0000
Performer TD008362 PATH LAB 001
Identifier Filler Identifier/REP-20220210-000218

Report Details

CodeValueFlags
Glucose tolerance testGTT Fasting Glucose 4.8 mmol/L GTT Glucose 60 min 8.8 mmol/L GTT Glucose 120 min 6.4 mmol/LFinal

Fasting glucose below 5.1, 1hr below 10.0 and 2hr below 8.5 mmol/L. Normal response to glucose load, no further action required.

Entry 3 - fullUrl = urn:uuid:d5de16d3-fd12-56b0-8978-d8272aa75dcf

Resource ServiceRequest:

Language: en

Profile: http://hl7.eu/fhir/laboratory/StructureDefinition/ServiceRequest-eu-lab|2.0.0

identifier: Placer Identifier/REQ-20220207-000013, Filler Identifier/REP-20220210-000218

status: Completed

intent: Order

code: No display for ServiceRequest.code (concept: Glucose tolerance test)

subject: NINE EDITESTPATIENT Female, DoB: 2002-02-02 ( Medical record number: RCB6052841)

authoredOn: 2022-02-07 09:20:00+0000

requester: Dr Gale GASKELL at PICKERING MEDICAL PRACTICE

performer: TD008362 PATH LAB 001

Entry 4 - fullUrl = urn:uuid:ce95bd35-3fbe-5e16-8275-54a730d8ee8b

Resource Patient:

Language: en

Profile: Patient (EU core) version: 2.0.1

NINE EDITESTPATIENT Female, DoB: 2002-02-02 ( Medical record number: RCB6052841)

Other Ids:
  • Patient internal identifier/Y8J7D0592374
  • National Health Plan Identifier/9999999549
Contact DetailEX1 2SS

Entry 5 - fullUrl = urn:uuid:44b4c2c2-e882-59cb-bcab-4db2c6ed512b

Resource Organization:

Language: en

Profile: https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization|2.5.0

TD008362 PATH LAB 001 (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#Y8J7D)

Contact Detail
  • PATHOLOGY LAB 7-8 WELLINGTON PLACE LEEDS LS1 4AP

Entry 6 - fullUrl = urn:uuid:1af6c6d6-64c1-5acc-bac8-9c96d266f5e8

Resource Specimen:

Language: en

Profile: http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab|2.0.0

identifier: Placer Identifier/SPC-REQ-20220209-000082

status: Available

type: Venous blood specimen

subject: NINE EDITESTPATIENT Female, DoB: 2002-02-02 ( Medical record number: RCB6052841)

receivedTime: 2022-02-09 14:17:06+0000

request: ServiceRequest Glucose tolerance test

Collections

-Collected[x]
*2022-02-09 10:01:23+0000

Entry 7 - fullUrl = urn:uuid:c6d12c68-b7f5-58f2-a15f-fae8ed14bfef

Resource Specimen:

Language: en

Profile: http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab|2.0.0

identifier: Placer Identifier/SPC-REQ-20220209-000083

status: Available

type: Venous blood specimen

subject: NINE EDITESTPATIENT Female, DoB: 2002-02-02 ( Medical record number: RCB6052841)

receivedTime: 2022-02-09 14:17:06+0000

request: ServiceRequest Glucose tolerance test

Collections

-Collected[x]
*2022-02-09 11:03:07+0000

Entry 8 - fullUrl = urn:uuid:d4d97863-50e7-5114-a1af-c3d43e5f705d

Resource Specimen:

Language: en

Profile: http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab|2.0.0

identifier: Placer Identifier/SPC-REQ-20220209-000084

status: Available

type: Venous blood specimen

subject: NINE EDITESTPATIENT Female, DoB: 2002-02-02 ( Medical record number: RCB6052841)

receivedTime: 2022-02-09 14:17:06+0000

request: ServiceRequest Glucose tolerance test

Collections

-Collected[x]
*2022-02-09 12:02:17+0000

Entry 9 - fullUrl = urn:uuid:95c09825-169a-524a-9569-f08c5f288ca4

Resource Observation:

Language: en

Profile: https://fhir.nhs.uk/England/StructureDefinition/England-Observation-Lab-Pathology|0.2.1

basedOn: ServiceRequest Glucose tolerance test

status: Final

category: Laboratory, General pathology (specialty)

code: Glucose tolerance test

subject: NINE EDITESTPATIENT Female, DoB: 2002-02-02 ( Medical record number: RCB6052841)

effective: 2022-02-09 10:01:23+0000

issued: 2022-02-10 11:49:00+0000

performer: TD008362 PATH LAB 001

value: GTT Fasting Glucose 4.8 mmol/L GTT Glucose 60 min 8.8 mmol/L GTT Glucose 120 min 6.4 mmol/L

specimen: Specimen: identifier = Placer Identifier: SPC-REQ-20220209-000082; accessionIdentifier = Accession ID: SPC-Lab-20220209-001531; status = available; type = Venous blood specimen; receivedTime = 2022-02-09 14:17:06+0000

Entry 10 - fullUrl = urn:uuid:84c94bb1-4336-5607-9124-6b82052db22a

Resource PractitionerRole:

Language: en

Profile: https://fhir.hl7.org.uk/StructureDefinition/UKCore-PractitionerRole|2.4.0

Dr Gale GASKELL at PICKERING MEDICAL PRACTICE

Practitioner:Dr Gale GASKELL
Organization:PICKERING MEDICAL PRACTICE

Entry 11 - fullUrl = urn:uuid:73062312-924a-5a6d-972b-1a454bb5a8c6

Resource Practitioner:

Language: en

Profile: https://fhir.hl7.org.uk/StructureDefinition/UKCore-Practitioner|2.4.0

Gale GASKELL (official) (https://fhir.hl7.org.uk/Id/gmc-number#GMC Number#C1008215)

Entry 12 - fullUrl = urn:uuid:7f2280d3-a318-510e-98c8-389ad7c30671

Resource Organization:

Language: en

Profile: https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization|2.5.0

PICKERING MEDICAL PRACTICE (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#B82033)

Contact Detail
  • SOUTHGATE PICKERING YO18 8BL

Entry 13 - fullUrl = urn:uuid:1d5925a5-1e62-542d-b17f-ac0249167cc7

Resource Provenance:

Laboratory report REP-20220210-000218 sent by product EXAMPLE-PRODUCT:Y8J7D.