England Pathology and Laboratory Medicine (PaLM) Technical Framework
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Example Bundle: Document - HbA1c-Report-Example

Document Details

Language: en

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

Final Document at 2022-01-30 12:48:00+0000 by TD008362 PATH LAB 001 for ONE John EDITESTPATIENT Male, DoB: 1925-01-27 ( Medical record number: RCB4719263)

Document Subject

Language: en

Profile: Patient (EU core) version: 2.0.1

ONE John EDITESTPATIENT Male, DoB: 1925-01-27 ( Medical record number: RCB4719263)

Other Ids:
  • Patient internal identifier/Y8J7D0381527
  • National Health Plan Identifier/9999999468
Contact DetailB6 5RQ

Document Content

NHS Number9999999468
Report numberREP-20220130-007843
Statusfinal
Requested byDr Gale GASKELL, PICKERING MEDICAL PRACTICE (B82033)
LaboratoryTD008362 PATH LAB 001 (Y8J7D)
SpecimenVenous blood specimen collected 2022-01-29T10:18:00+00:00
Issued2022-01-30T12:48:00+00:00

Haemoglobin A1c level - International Federation of Clinical Chemistry and Laboratory Medicine standardised

TestResultUnitsReference rangeFlag
Haemoglobin A1c level - International Federation of Clinical Chemistry and Laboratory Medicine standardised54mmol/mol

Haemoglobin A1c level - International Federation of Clinical Chemistry and Laboratory Medicine standardised: DIAGNOSIS OF DIABETES MELLITUS:
HbA1c of 48 mmol/mol and above is diagnostic of DM (WHO 2011)
42 - 47 mmol/mol indicates high risk of DM (NICE Guidance PH38 2012)

MONITORING OF DIABETES MELLITUS (ADULTS):
Type 2 target values: 48 mmol/mol – 57 mmol/mol (NICE Guidelines NG28)
Type 1 target values: 48 mmol/mol or lower (NICE Guidelines NG17)

Additional Resources Included in Document

Entry 2 - fullUrl = urn:uuid:73f36ee5-bd67-57cb-860a-d12690aa09ba

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))

SubjectONE John EDITESTPATIENT Male, DoB: 1925-01-27 ( Medical record number: RCB4719263)
Relevant Time2022-01-29 10:18:00+0000
Reported2022-01-30 12:48:00+0000
Performer TD008362 PATH LAB 001
Identifier Filler Identifier/REP-20220130-007843

Report Details

CodeValueFlagsNote
Haemoglobin A1c level - International Federation of Clinical Chemistry and Laboratory Medicine standardised54 mmol/mol (Details: UCUM codemmol/mol = 'mmol/mol')Final

DIAGNOSIS OF DIABETES MELLITUS: HbA1c of 48 mmol/mol and above is diagnostic of DM (WHO 2011) 42 - 47 mmol/mol indicates high risk of DM (NICE Guidance PH38 2012)

MONITORING OF DIABETES MELLITUS (ADULTS): Type 2 target values: 48 mmol/mol – 57 mmol/mol (NICE Guidelines NG28) Type 1 target values: 48 mmol/mol or lower (NICE Guidelines NG17)

Entry 3 - fullUrl = urn:uuid:d722ddcf-b3da-51eb-b616-01d6c5f1eace

Resource ServiceRequest:

Language: en

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

identifier: Placer Identifier/REQ-20220129-000241, Filler Identifier/REP-20220130-007843

status: Completed

intent: Order

code: No display for ServiceRequest.code (concept: Haemoglobin A1c level - International Federation of Clinical Chemistry and Laboratory Medicine standardised)

subject: ONE John EDITESTPATIENT Male, DoB: 1925-01-27 ( Medical record number: RCB4719263)

authoredOn: 2022-01-29 10:24:00+0000

requester: Dr Gale GASKELL at PICKERING MEDICAL PRACTICE

performer: TD008362 PATH LAB 001

Entry 4 - fullUrl = urn:uuid:bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5

Resource Patient:

Language: en

Profile: Patient (EU core) version: 2.0.1

ONE John EDITESTPATIENT Male, DoB: 1925-01-27 ( Medical record number: RCB4719263)

Other Ids:
  • Patient internal identifier/Y8J7D0381527
  • National Health Plan Identifier/9999999468
Contact DetailB6 5RQ

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:c41f9657-4d5b-553e-97db-9caf4478d9ad

Resource Specimen:

Language: en

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

identifier: Placer Identifier/SPC-REQ-20220129-000362

status: Available

type: Venous blood specimen

subject: ONE John EDITESTPATIENT Male, DoB: 1925-01-27 ( Medical record number: RCB4719263)

receivedTime: 2022-01-29 15:14:00+0000

request: ServiceRequest Haemoglobin A1c level - International Federation of Clinical Chemistry and Laboratory Medicine standardised

Collections

-Collected[x]
*2022-01-29 10:18:00+0000

Entry 7 - fullUrl = urn:uuid:f9469916-f829-5957-a478-acbef4b04196

Resource Observation:

Language: en

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

basedOn: ServiceRequest Haemoglobin A1c level - International Federation of Clinical Chemistry and Laboratory Medicine standardised

status: Final

category: Laboratory, General pathology (specialty)

code: Haemoglobin A1c level - International Federation of Clinical Chemistry and Laboratory Medicine standardised

subject: ONE John EDITESTPATIENT Male, DoB: 1925-01-27 ( Medical record number: RCB4719263)

effective: 2022-01-29 10:18:00+0000

issued: 2022-01-30 12:48:00+0000

performer: TD008362 PATH LAB 001

value: 54 mmol/mol (Details: UCUM codemmol/mol = 'mmol/mol')

note:

DIAGNOSIS OF DIABETES MELLITUS: HbA1c of 48 mmol/mol and above is diagnostic of DM (WHO 2011) 42 - 47 mmol/mol indicates high risk of DM (NICE Guidance PH38 2012)

MONITORING OF DIABETES MELLITUS (ADULTS): Type 2 target values: 48 mmol/mol – 57 mmol/mol (NICE Guidelines NG28) Type 1 target values: 48 mmol/mol or lower (NICE Guidelines NG17)

specimen: Specimen: identifier = Placer Identifier: SPC-REQ-20220129-000362; accessionIdentifier = Accession ID: SPC-Lab-20220129-008927; status = available; type = Venous blood specimen; receivedTime = 2022-01-29 15:14:00+0000

Entry 8 - 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 9 - 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 10 - 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 11 - fullUrl = urn:uuid:5031da0d-bfe7-5667-84a3-a65a2e34d04a

Resource Provenance:

Laboratory report REP-20220130-007843 sent by product EXAMPLE-PRODUCT:Y8J7D.