England Pathology and Laboratory Medicine (PaLM) Technical Framework
0.1.0 - ci-build
England Pathology and Laboratory Medicine (PaLM) Technical Framework
0.1.0 - ci-build
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
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Composition_c678e649-7cf0-585a-a74d-726ef113d86e\"> </a><table><tr><th>NHS Number</th><td>9999999468</td></tr><tr><th>Report number</th><td>REP-20220308-008902</td></tr><tr><th>Status</th><td>final</td></tr><tr><th>Requested by</th><td>Dr Gale GASKELL, PICKERING MEDICAL PRACTICE (B82033)</td></tr><tr><th>Laboratory</th><td>TD008362 PATH LAB 001 (Y8J7D)</td></tr><tr><th>Specimen</th><td>Venous blood specimen collected 2022-03-07T10:02:00+00:00</td></tr><tr><th>Issued</th><td>2022-03-08T14:23:00+00:00</td></tr></table></div>"
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table><tr><th>Test</th><th>Result</th><th>Units</th><th>Reference range</th><th>Flag</th></tr><tr><td>Serum total bilirubin level</td><td>6</td><td>umol/L</td><td>< 21</td><td/></tr><tr><td>Serum albumin level</td><td>47</td><td>g/L</td><td>35 - 50</td><td/></tr><tr><td>Serum alkaline phosphatase level</td><td>96</td><td>iu/L</td><td>30 - 130</td><td/></tr><tr><td>Serum alanine aminotransferase level</td><td>15</td><td>iu/L</td><td>< 40</td><td/></tr></table></div>"
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table><tr><th>Test</th><th>Result</th><th>Units</th><th>Reference range</th><th>Flag</th></tr><tr><td>Serum urea level</td><td>3.7</td><td>mmol/L</td><td>2.5 - 7.8</td><td/></tr><tr><td>Serum sodium level</td><td>139</td><td>mmol/L</td><td>133 - 146</td><td/></tr><tr><td>Serum potassium level</td><td>4.7</td><td>mmol/L</td><td>3.5 - 5.3</td><td/></tr><tr><td>Serum creatinine level</td><td>73</td><td>umol/L</td><td>59 - 104</td><td/></tr><tr><td>eGFR (estimated glomerular filtration rate) using creatinine Chronic Kidney Disease Epidemiology Collaboration equation per 1.73 square metres</td><td>100</td><td>mL/min/1.73m2</td><td/><td/></tr></table><p><i>eGFR (estimated glomerular filtration rate) using creatinine Chronic Kidney Disease Epidemiology Collaboration equation per 1.73 square metres</i>: Calculated eGFR is not valid in children or pregnancy.<br/>Less accurate with acute change in creatinine (AKI).<br/>Caution with high or low muscle mass or amputation.<br/>Avoid blood sampling within 12 hours of eating meat.<br/>Ethnicity factor comment removed Dec21 NG203.<br/></p></div>"
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_f4ce5504-3821-5939-8131-96727eda4722\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport f4ce5504-3821-5939-8131-96727eda4722</b></p><a name=\"f4ce5504-3821-5939-8131-96727eda4722\"> </a><a name=\"hcf4ce5504-3821-5939-8131-96727eda4722\"> </a><div style=\"display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <code>http://hl7.eu/fhir/laboratory/StructureDefinition/DiagnosticReport-eu-lab|2.0.0-nhs-fix</code></p></div><h2><span title=\"Codes:{http://snomed.info/sct 721981007}, {http://loinc.org 11502-2}\">Diagnostic studies report</span> (<span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 CH}\">Chemistry</span>, <span title=\"Codes:{http://snomed.info/sct 394915009}\">General pathology (specialty)</span>) </h2><table class=\"grid\"><tr><td>Subject</td><td>ONE John EDITESTPATIENT Male, DoB: 1925-01-27 ( Medical record number: RCB4719263)</td></tr><tr><td>Relevant Time</td><td>2022-03-07 10:02:00+0000</td></tr><tr><td>Reported</td><td>2022-03-08 14:23:00+0000</td></tr><tr><td>Performer</td><td> <a href=\"Bundle-Document-CRP-Report-Example.html#urn-uuid-44b4c2c2-e882-59cb-bcab-4db2c6ed512b\">TD008362 PATH LAB 001</a></td></tr><tr><td>Identifier</td><td> Filler Identifier/REP-20220308-008902</td></tr></table><p><b>Report Details</b></p><table class=\"grid\"><tr><td><b>Code</b></td><td><b>Value</b></td><td><b>Flags</b></td></tr><tr><td><a href=\"Bundle-Document-LFT-UandE-Report-Example.html#urn-uuid-32f8a5ae-c597-54ac-b65c-2d1edfc352f2\"><span title=\"Codes:{http://snomed.info/sct 1031081000000108}\">Liver function tests</span></a></td><td/><td>Final</td></tr><tr><td><a href=\"Bundle-Document-LFT-UandE-Report-Example.html#urn-uuid-91b76c07-cbc7-5a01-9b90-e6b4eea3fd80\"><span title=\"Codes:{http://snomed.info/sct 1000971000000107}\">Urea and electrolytes level</span></a></td><td/><td>Final</td></tr></table></div>"
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_5034f823-2354-50e0-8023-1b3cf29cd7dc\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest 5034f823-2354-50e0-8023-1b3cf29cd7dc</b></p><a name=\"5034f823-2354-50e0-8023-1b3cf29cd7dc\"> </a><a name=\"hc5034f823-2354-50e0-8023-1b3cf29cd7dc\"> </a><div style=\"display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <code>http://hl7.eu/fhir/laboratory/StructureDefinition/ServiceRequest-eu-lab|2.0.0</code></p></div><p><b>identifier</b>: Placer Identifier/REQ-20220307-000046-001, Filler Identifier/REP-20220308-008902</p><p><b>status</b>: Completed</p><p><b>intent</b>: Order</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 1031081000000108}\">Liver function tests</span></p><p><b>subject</b>: <a href=\"Bundle-Document-CRP-Report-Example.html#urn-uuid-bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5\">ONE John EDITESTPATIENT Male, DoB: 1925-01-27 ( Medical record number: RCB4719263)</a></p><p><b>authoredOn</b>: 2022-03-07 09:48:00+0000</p><p><b>requester</b>: <a href=\"Bundle-Document-CRP-Report-Example.html#urn-uuid-84c94bb1-4336-5607-9124-6b82052db22a\">Dr Gale GASKELL at PICKERING MEDICAL PRACTICE</a></p><p><b>performer</b>: <a href=\"Bundle-Document-CRP-Report-Example.html#urn-uuid-44b4c2c2-e882-59cb-bcab-4db2c6ed512b\">TD008362 PATH LAB 001</a></p><p><b>specimen</b>: <a href=\"Bundle-Document-CRP-Report-Example.html#urn-uuid-e1fae66a-128e-57f2-a3c0-41647ca6076b\">Specimen: identifier = Placer Identifier: SPC-REQ-20220307-000105; accessionIdentifier = Accession ID: SPC-Lab-20220307-007856; status = available; type = Venous blood specimen; receivedTime = 2022-03-07 14:58:00+0000</a></p></div>"
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_e1a2c957-a745-501b-880c-358c673f2013\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest e1a2c957-a745-501b-880c-358c673f2013</b></p><a name=\"e1a2c957-a745-501b-880c-358c673f2013\"> </a><a name=\"hce1a2c957-a745-501b-880c-358c673f2013\"> </a><div style=\"display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <code>http://hl7.eu/fhir/laboratory/StructureDefinition/ServiceRequest-eu-lab|2.0.0</code></p></div><p><b>identifier</b>: Placer Identifier/REQ-20220307-000046-002, Filler Identifier/REP-20220308-008902</p><p><b>status</b>: Completed</p><p><b>intent</b>: Order</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 1000971000000107}\">Urea and electrolytes level</span></p><p><b>subject</b>: <a href=\"Bundle-Document-CRP-Report-Example.html#urn-uuid-bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5\">ONE John EDITESTPATIENT Male, DoB: 1925-01-27 ( Medical record number: RCB4719263)</a></p><p><b>authoredOn</b>: 2022-03-07 09:48:00+0000</p><p><b>requester</b>: <a href=\"Bundle-Document-CRP-Report-Example.html#urn-uuid-84c94bb1-4336-5607-9124-6b82052db22a\">Dr Gale GASKELL at PICKERING MEDICAL PRACTICE</a></p><p><b>performer</b>: <a href=\"Bundle-Document-CRP-Report-Example.html#urn-uuid-44b4c2c2-e882-59cb-bcab-4db2c6ed512b\">TD008362 PATH LAB 001</a></p><p><b>specimen</b>: <a href=\"Bundle-Document-CRP-Report-Example.html#urn-uuid-e1fae66a-128e-57f2-a3c0-41647ca6076b\">Specimen: identifier = Placer Identifier: SPC-REQ-20220307-000105; accessionIdentifier = Accession ID: SPC-Lab-20220307-007856; status = available; type = Venous blood specimen; receivedTime = 2022-03-07 14:58:00+0000</a></p></div>"
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"resource" : {
"resourceType" : "Patient",
"id" : "bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5",
"meta" : {
"profile" : [
🔗 "http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core|2.0.0"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5</b></p><a name=\"bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5\"> </a><a name=\"hcbfe333d7-2a8c-5dae-a44a-5d3b120d2ef5\"> </a><div style=\"display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.eu/fhir/base/2.0.1/StructureDefinition-patient-eu-core.html\">Patient (EU core)</a> version: 2.0.1</p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">ONE John EDITESTPATIENT Male, DoB: 1925-01-27 ( Medical record number: RCB4719263)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Other Ids (see the one above)\">Other Ids:</td><td colspan=\"3\"><ul><li>Patient internal identifier/Y8J7D0381527</li><li>National Health Plan Identifier/9999999468</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\">B6 5RQ </td></tr></table></div>"
},
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MR"
}
]
},
"system" : "https://examplesihe.org.uk/Id/mrn/RCB",
"value" : "RCB4719263",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "RCB"
}
}
},
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "PI"
}
]
},
"system" : "https://examplesihe.org.uk/Id/patient-internal/Y8J7D",
"value" : "Y8J7D0381527",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "Y8J7D"
}
}
},
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "NH"
}
]
},
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9999999468"
}
],
"name" : [
{
"family" : "EDITESTPATIENT",
"given" : [
"ONE",
"John"
]
}
],
"gender" : "male",
"birthDate" : "1925-01-27",
"address" : [
{
"postalCode" : "B6 5RQ"
}
]
}
},
{
"fullUrl" : "urn:uuid:44b4c2c2-e882-59cb-bcab-4db2c6ed512b",
"resource" : {
"resourceType" : "Organization",
"id" : "44b4c2c2-e882-59cb-bcab-4db2c6ed512b",
"meta" : {
"profile" : [
"https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization|2.5.0"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_44b4c2c2-e882-59cb-bcab-4db2c6ed512b\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization 44b4c2c2-e882-59cb-bcab-4db2c6ed512b</b></p><a name=\"44b4c2c2-e882-59cb-bcab-4db2c6ed512b\"> </a><a name=\"hc44b4c2c2-e882-59cb-bcab-4db2c6ed512b\"> </a><div style=\"display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <code>https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization|2.5.0</code></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">TD008362 PATH LAB 001 (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#Y8J7D)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the organization\">Contact Detail</td><td colspan=\"3\">PATHOLOGY LAB 7-8 WELLINGTON PLACE LEEDS LS1 4AP </td></tr></table></div>"
},
"identifier" : [
{
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "Y8J7D"
}
],
"name" : "TD008362 PATH LAB 001",
"address" : [
{
"line" : [
"PATHOLOGY LAB",
"7-8 WELLINGTON PLACE"
],
"city" : "LEEDS",
"district" : "WEST YORKSHIRE",
"postalCode" : "LS1 4AP"
}
]
}
},
{
"fullUrl" : "urn:uuid:e1fae66a-128e-57f2-a3c0-41647ca6076b",
"resource" : {
"resourceType" : "Specimen",
"id" : "e1fae66a-128e-57f2-a3c0-41647ca6076b",
"meta" : {
"profile" : [
"http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab|2.0.0"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Specimen_e1fae66a-128e-57f2-a3c0-41647ca6076b\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Specimen e1fae66a-128e-57f2-a3c0-41647ca6076b</b></p><a name=\"e1fae66a-128e-57f2-a3c0-41647ca6076b\"> </a><a name=\"hce1fae66a-128e-57f2-a3c0-41647ca6076b\"> </a><div style=\"display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <code>http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab|2.0.0</code></p></div><p><b>identifier</b>: Placer Identifier/SPC-REQ-20220307-000014</p><p><b>accessionIdentifier</b>: Accession ID/SPC-Lab-20220307-007856</p><p><b>status</b>: Available</p><p><b>type</b>: <span title=\"Codes:\">Venous blood specimen</span></p><p><b>subject</b>: <a href=\"Bundle-Document-CRP-Report-Example.html#urn-uuid-bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5\">ONE John EDITESTPATIENT Male, DoB: 1925-01-27 ( Medical record number: RCB4719263)</a></p><p><b>receivedTime</b>: 2022-03-07 14:54:00+0000</p><p><b>request</b>: <a href=\"Bundle-Document-LFT-UandE-Report-Example.html#urn-uuid-5034f823-2354-50e0-8023-1b3cf29cd7dc\">ServiceRequest Liver function tests</a></p><h3>Collections</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Collected[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>2022-03-07 10:02:00+0000</td></tr></table></div>"
},
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "PLAC"
}
]
},
"system" : "http://B82033-pickeringmedicalpractice.com/specimen",
"value" : "SPC-REQ-20220307-000014"
}
],
"accessionIdentifier" : {
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "ACSN"
}
]
},
"system" : "http://Y8J7D-pathlab001.com/specimen",
"value" : "SPC-Lab-20220307-007856",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "Y8J7D"
}
}
},
"status" : "available",
"type" : {
"text" : "Venous blood specimen"
},
"subject" : {
"reference" : "urn:uuid:bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9999999468"
}
},
"receivedTime" : "2022-03-07T14:54:00+00:00",
"request" : [
{
"reference" : "urn:uuid:5034f823-2354-50e0-8023-1b3cf29cd7dc"
}
],
"collection" : {
"collectedDateTime" : "2022-03-07T10:02:00+00:00"
}
}
},
{
"fullUrl" : "urn:uuid:32f8a5ae-c597-54ac-b65c-2d1edfc352f2",
"resource" : {
"resourceType" : "Observation",
"id" : "32f8a5ae-c597-54ac-b65c-2d1edfc352f2",
"meta" : {
"profile" : [
"https://fhir.nhs.uk/England/StructureDefinition/England-Observation-Lab-Pathology|0.2.1"
]
},
"language" : "en",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_32f8a5ae-c597-54ac-b65c-2d1edfc352f2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 32f8a5ae-c597-54ac-b65c-2d1edfc352f2</b></p><a name=\"32f8a5ae-c597-54ac-b65c-2d1edfc352f2\"> </a><a name=\"hc32f8a5ae-c597-54ac-b65c-2d1edfc352f2\"> </a><div style=\"display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <code>https://fhir.nhs.uk/England/StructureDefinition/England-Observation-Lab-Pathology|0.2.1</code></p></div><p><b>Extension UK Core Observation Organizer</b>: true</p><p><b>basedOn</b>: <a href=\"Bundle-Document-LFT-UandE-Report-Example.html#urn-uuid-5034f823-2354-50e0-8023-1b3cf29cd7dc\">ServiceRequest Liver function tests</a></p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span>, <span title=\"Codes:{http://snomed.info/sct 394915009}\">General pathology (specialty)</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 1031081000000108}\">Liver function tests</span></p><p><b>subject</b>: <a href=\"Bundle-Document-CRP-Report-Example.html#urn-uuid-bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5\">ONE John EDITESTPATIENT Male, DoB: 1925-01-27 ( Medical record number: RCB4719263)</a></p><p><b>effective</b>: 2022-03-07 10:02:00+0000</p><p><b>issued</b>: 2022-03-08 14:23:00+0000</p><p><b>performer</b>: <a href=\"Bundle-Document-CRP-Report-Example.html#urn-uuid-44b4c2c2-e882-59cb-bcab-4db2c6ed512b\">TD008362 PATH LAB 001</a></p><p><b>specimen</b>: <a href=\"Bundle-Document-CRP-Report-Example.html#urn-uuid-e1fae66a-128e-57f2-a3c0-41647ca6076b\">Specimen: identifier = Placer Identifier: SPC-REQ-20220307-000105; accessionIdentifier = Accession ID: SPC-Lab-20220307-007856; status = available; type = Venous blood specimen; receivedTime = 2022-03-07 14:58:00+0000</a></p><p><b>hasMember</b>: </p><ul><li><a href=\"Bundle-Document-LFT-UandE-Report-Example.html#urn-uuid-a710f661-d19a-57c2-a0c2-41242f538809\">Observation Serum total bilirubin level</a></li><li><a href=\"Bundle-Document-LFT-UandE-Report-Example.html#urn-uuid-2fd38bf8-4ca6-5014-bce1-bbdc3d02b455\">Observation Serum albumin level</a></li><li><a href=\"Bundle-Document-LFT-UandE-Report-Example.html#urn-uuid-b2b377cb-8999-5ad4-a3a7-0ebf744f6385\">Observation Serum alkaline phosphatase level</a></li><li><a href=\"Bundle-Document-LFT-UandE-Report-Example.html#urn-uuid-67f8aca5-cf0d-5db2-9338-98f605fc85bc\">Observation Serum alanine aminotransferase level</a></li></ul></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/6.0/StructureDefinition/extension-Observation.organizer",
"valueBoolean" : true
}
],
"basedOn" : [
{
"reference" : "urn:uuid:5034f823-2354-50e0-8023-1b3cf29cd7dc"
}
],
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory",
"display" : "Laboratory"
}
]
},
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "394915009",
"display" : "General pathology (specialty)"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "1031081000000108",
"display" : "Liver function tests"
}
]
},
"subject" : {
"reference" : "urn:uuid:bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9999999468"
}
},
"effectiveDateTime" : "2022-03-07T10:02:00+00:00",
"issued" : "2022-03-08T14:23:00+00:00",
"performer" : [
{
"reference" : "urn:uuid:44b4c2c2-e882-59cb-bcab-4db2c6ed512b",
"type" : "Organization",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "Y8J7D"
},
"display" : "TD008362 PATH LAB 001"
}
],
"specimen" : {
"reference" : "urn:uuid:e1fae66a-128e-57f2-a3c0-41647ca6076b"
},
"hasMember" : [
{
"reference" : "urn:uuid:a710f661-d19a-57c2-a0c2-41242f538809"
},
{
"reference" : "urn:uuid:2fd38bf8-4ca6-5014-bce1-bbdc3d02b455"
},
{
"reference" : "urn:uuid:b2b377cb-8999-5ad4-a3a7-0ebf744f6385"
},
{
"reference" : "urn:uuid:67f8aca5-cf0d-5db2-9338-98f605fc85bc"
}
]
}
},
{
"fullUrl" : "urn:uuid:91b76c07-cbc7-5a01-9b90-e6b4eea3fd80",
"resource" : {
"resourceType" : "Observation",
"id" : "91b76c07-cbc7-5a01-9b90-e6b4eea3fd80",
"meta" : {
"profile" : [
"https://fhir.nhs.uk/England/StructureDefinition/England-Observation-Lab-Pathology|0.2.1"
]
},
"language" : "en",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_91b76c07-cbc7-5a01-9b90-e6b4eea3fd80\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 91b76c07-cbc7-5a01-9b90-e6b4eea3fd80</b></p><a name=\"91b76c07-cbc7-5a01-9b90-e6b4eea3fd80\"> </a><a name=\"hc91b76c07-cbc7-5a01-9b90-e6b4eea3fd80\"> </a><div style=\"display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <code>https://fhir.nhs.uk/England/StructureDefinition/England-Observation-Lab-Pathology|0.2.1</code></p></div><p><b>Extension UK Core Observation Organizer</b>: true</p><p><b>basedOn</b>: <a href=\"Bundle-Document-LFT-UandE-Report-Example.html#urn-uuid-e1a2c957-a745-501b-880c-358c673f2013\">ServiceRequest Urea and electrolytes level</a></p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span>, <span title=\"Codes:{http://snomed.info/sct 394915009}\">General pathology (specialty)</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 1000971000000107}\">Urea and electrolytes level</span></p><p><b>subject</b>: <a href=\"Bundle-Document-CRP-Report-Example.html#urn-uuid-bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5\">ONE John EDITESTPATIENT Male, DoB: 1925-01-27 ( Medical record number: RCB4719263)</a></p><p><b>effective</b>: 2022-03-07 10:02:00+0000</p><p><b>issued</b>: 2022-03-08 14:23:00+0000</p><p><b>performer</b>: <a href=\"Bundle-Document-CRP-Report-Example.html#urn-uuid-44b4c2c2-e882-59cb-bcab-4db2c6ed512b\">TD008362 PATH LAB 001</a></p><p><b>specimen</b>: <a href=\"Bundle-Document-CRP-Report-Example.html#urn-uuid-e1fae66a-128e-57f2-a3c0-41647ca6076b\">Specimen: identifier = Placer Identifier: SPC-REQ-20220307-000105; accessionIdentifier = Accession ID: SPC-Lab-20220307-007856; status = available; type = Venous blood specimen; receivedTime = 2022-03-07 14:58:00+0000</a></p><p><b>hasMember</b>: </p><ul><li><a href=\"Bundle-Document-LFT-UandE-Report-Example.html#urn-uuid-9667895d-62e6-54ac-9ae0-5a614c3aa4d4\">Observation Serum urea level</a></li><li><a href=\"Bundle-Document-LFT-UandE-Report-Example.html#urn-uuid-b454e50d-add5-5d43-bf30-3e74d00b748b\">Observation Serum sodium level</a></li><li><a href=\"Bundle-Document-LFT-UandE-Report-Example.html#urn-uuid-75268412-928e-5545-95f0-50dae673af89\">Observation Serum potassium level</a></li><li><a href=\"Bundle-Document-LFT-UandE-Report-Example.html#urn-uuid-f6f51c99-e09c-5d75-b6ba-c11787b54760\">Observation Serum creatinine level</a></li><li><a href=\"Bundle-Document-LFT-UandE-Report-Example.html#urn-uuid-b2e68e13-b395-5f61-b2c4-4aa8e4062edc\">Observation eGFR (estimated glomerular filtration rate) using creatinine Chronic Kidney Disease Epidemiology Collaboration equation per 1.73 square metres</a></li></ul></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/6.0/StructureDefinition/extension-Observation.organizer",
"valueBoolean" : true
}
],
"basedOn" : [
{
"reference" : "urn:uuid:e1a2c957-a745-501b-880c-358c673f2013"
}
],
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory",
"display" : "Laboratory"
}
]
},
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "394915009",
"display" : "General pathology (specialty)"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "1000971000000107",
"display" : "Urea and electrolytes level"
}
]
},
"subject" : {
"reference" : "urn:uuid:bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9999999468"
}
},
"effectiveDateTime" : "2022-03-07T10:02:00+00:00",
"issued" : "2022-03-08T14:23:00+00:00",
"performer" : [
{
"reference" : "urn:uuid:44b4c2c2-e882-59cb-bcab-4db2c6ed512b",
"type" : "Organization",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "Y8J7D"
},
"display" : "TD008362 PATH LAB 001"
}
],
"specimen" : {
"reference" : "urn:uuid:e1fae66a-128e-57f2-a3c0-41647ca6076b"
},
"hasMember" : [
{
"reference" : "urn:uuid:9667895d-62e6-54ac-9ae0-5a614c3aa4d4"
},
{
"reference" : "urn:uuid:b454e50d-add5-5d43-bf30-3e74d00b748b"
},
{
"reference" : "urn:uuid:75268412-928e-5545-95f0-50dae673af89"
},
{
"reference" : "urn:uuid:f6f51c99-e09c-5d75-b6ba-c11787b54760"
},
{
"reference" : "urn:uuid:b2e68e13-b395-5f61-b2c4-4aa8e4062edc"
}
]
}
},
{
"fullUrl" : "urn:uuid:84c94bb1-4336-5607-9124-6b82052db22a",
"resource" : {
"resourceType" : "PractitionerRole",
"id" : "84c94bb1-4336-5607-9124-6b82052db22a",
"meta" : {
"profile" : [
"https://fhir.hl7.org.uk/StructureDefinition/UKCore-PractitionerRole|2.4.0"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"PractitionerRole_84c94bb1-4336-5607-9124-6b82052db22a\"> </a><p class=\"res-header-id\"><b>Generated Narrative: PractitionerRole 84c94bb1-4336-5607-9124-6b82052db22a</b></p><a name=\"84c94bb1-4336-5607-9124-6b82052db22a\"> </a><a name=\"hc84c94bb1-4336-5607-9124-6b82052db22a\"> </a><div style=\"display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <code>https://fhir.hl7.org.uk/StructureDefinition/UKCore-PractitionerRole|2.4.0</code></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Dr Gale GASKELL at PICKERING MEDICAL PRACTICE</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"The practitioner who is able to provide the services in this role\">Practitioner:</td><td colspan=\"3\"><a href=\"Bundle-Document-CRP-Report-Example.html#urn-uuid-73062312-924a-5a6d-972b-1a454bb5a8c6\">Dr Gale GASKELL</a></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"The organization where the practitioner performs the roles\">Organization:</td><td colspan=\"3\"><a href=\"Bundle-Document-CRP-Report-Example.html#urn-uuid-7f2280d3-a318-510e-98c8-389ad7c30671\">PICKERING MEDICAL PRACTICE</a></td></tr></table></div>"
},
"practitioner" : {
"reference" : "urn:uuid:73062312-924a-5a6d-972b-1a454bb5a8c6",
"type" : "Practitioner",
"identifier" : {
"system" : "https://fhir.hl7.org.uk/Id/gmc-number",
"value" : "C1008215"
},
"display" : "Dr Gale GASKELL"
},
"organization" : {
"reference" : "urn:uuid:7f2280d3-a318-510e-98c8-389ad7c30671",
"type" : "Organization",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "B82033"
},
"display" : "PICKERING MEDICAL PRACTICE"
}
}
},
{
"fullUrl" : "urn:uuid:a710f661-d19a-57c2-a0c2-41242f538809",
"resource" : {
"resourceType" : "Observation",
"id" : "a710f661-d19a-57c2-a0c2-41242f538809",
"meta" : {
"profile" : [
"https://fhir.nhs.uk/England/StructureDefinition/England-Observation-Lab-Pathology|0.2.1"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_a710f661-d19a-57c2-a0c2-41242f538809\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation a710f661-d19a-57c2-a0c2-41242f538809</b></p><a name=\"a710f661-d19a-57c2-a0c2-41242f538809\"> </a><a name=\"hca710f661-d19a-57c2-a0c2-41242f538809\"> </a><div style=\"display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <code>https://fhir.nhs.uk/England/StructureDefinition/England-Observation-Lab-Pathology|0.2.1</code></p></div><p><b>basedOn</b>: <a href=\"Bundle-Document-LFT-UandE-Report-Example.html#urn-uuid-5034f823-2354-50e0-8023-1b3cf29cd7dc\">ServiceRequest Liver function tests</a></p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span>, <span title=\"Codes:{http://snomed.info/sct 394915009}\">General pathology (specialty)</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 997591000000109}, {http://snomed.info/sct 1107221000000109}\">Serum total bilirubin level</span></p><p><b>subject</b>: <a href=\"Bundle-Document-CRP-Report-Example.html#urn-uuid-bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5\">ONE John EDITESTPATIENT Male, DoB: 1925-01-27 ( Medical record number: RCB4719263)</a></p><p><b>effective</b>: 2022-03-07 10:02:00+0000</p><p><b>issued</b>: 2022-03-08 14:23:00+0000</p><p><b>performer</b>: <a href=\"Bundle-Document-CRP-Report-Example.html#urn-uuid-44b4c2c2-e882-59cb-bcab-4db2c6ed512b\">TD008362 PATH LAB 001</a></p><p><b>value</b>: 6 umol/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codeumol/L = 'umol/L')</span></p><p><b>specimen</b>: <a href=\"Bundle-Document-CRP-Report-Example.html#urn-uuid-e1fae66a-128e-57f2-a3c0-41647ca6076b\">Specimen: identifier = Placer Identifier: SPC-REQ-20220307-000105; accessionIdentifier = Accession ID: SPC-Lab-20220307-007856; status = available; type = Venous blood specimen; receivedTime = 2022-03-07 14:58:00+0000</a></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>High</b></td></tr><tr><td style=\"display: none\">*</td><td>21 umol/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codeumol/L = 'umol/L')</span></td></tr></table></div>"
},
"basedOn" : [
{
"reference" : "urn:uuid:5034f823-2354-50e0-8023-1b3cf29cd7dc"
}
],
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory",
"display" : "Laboratory"
}
]
},
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "394915009",
"display" : "General pathology (specialty)"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "997591000000109",
"display" : "Serum total bilirubin level"
},
{
"system" : "http://snomed.info/sct",
"code" : "1107221000000109",
"display" : "Total bilirubin substance concentration in serum"
}
]
},
"subject" : {
"reference" : "urn:uuid:bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9999999468"
}
},
"effectiveDateTime" : "2022-03-07T10:02:00+00:00",
"issued" : "2022-03-08T14:23:00+00:00",
"performer" : [
{
"reference" : "urn:uuid:44b4c2c2-e882-59cb-bcab-4db2c6ed512b",
"type" : "Organization",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "Y8J7D"
},
"display" : "TD008362 PATH LAB 001"
}
],
"valueQuantity" : {
"value" : 6,
"unit" : "umol/L",
"system" : "http://unitsofmeasure.org",
"code" : "umol/L"
},
"specimen" : {
"reference" : "urn:uuid:e1fae66a-128e-57f2-a3c0-41647ca6076b"
},
"referenceRange" : [
{
"high" : {
"value" : 21,
"unit" : "umol/L",
"system" : "http://unitsofmeasure.org",
"code" : "umol/L"
}
}
]
}
},
{
"fullUrl" : "urn:uuid:2fd38bf8-4ca6-5014-bce1-bbdc3d02b455",
"resource" : {
"resourceType" : "Observation",
"id" : "2fd38bf8-4ca6-5014-bce1-bbdc3d02b455",
"meta" : {
"profile" : [
"https://fhir.nhs.uk/England/StructureDefinition/England-Observation-Lab-Pathology|0.2.1"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_2fd38bf8-4ca6-5014-bce1-bbdc3d02b455\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 2fd38bf8-4ca6-5014-bce1-bbdc3d02b455</b></p><a name=\"2fd38bf8-4ca6-5014-bce1-bbdc3d02b455\"> </a><a name=\"hc2fd38bf8-4ca6-5014-bce1-bbdc3d02b455\"> </a><div style=\"display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <code>https://fhir.nhs.uk/England/StructureDefinition/England-Observation-Lab-Pathology|0.2.1</code></p></div><p><b>basedOn</b>: <a href=\"Bundle-Document-LFT-UandE-Report-Example.html#urn-uuid-5034f823-2354-50e0-8023-1b3cf29cd7dc\">ServiceRequest Liver function tests</a></p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span>, <span title=\"Codes:{http://snomed.info/sct 394915009}\">General pathology (specialty)</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 1000821000000103}, {http://snomed.info/sct 1105861000000106}\">Serum albumin level</span></p><p><b>subject</b>: <a href=\"Bundle-Document-CRP-Report-Example.html#urn-uuid-bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5\">ONE John EDITESTPATIENT Male, DoB: 1925-01-27 ( Medical record number: RCB4719263)</a></p><p><b>effective</b>: 2022-03-07 10:02:00+0000</p><p><b>issued</b>: 2022-03-08 14:23:00+0000</p><p><b>performer</b>: <a href=\"Bundle-Document-CRP-Report-Example.html#urn-uuid-44b4c2c2-e882-59cb-bcab-4db2c6ed512b\">TD008362 PATH LAB 001</a></p><p><b>value</b>: 47 g/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codeg/L = 'g/L')</span></p><p><b>specimen</b>: <a href=\"Bundle-Document-CRP-Report-Example.html#urn-uuid-e1fae66a-128e-57f2-a3c0-41647ca6076b\">Specimen: identifier = Placer Identifier: SPC-REQ-20220307-000105; accessionIdentifier = Accession ID: SPC-Lab-20220307-007856; status = available; type = Venous blood specimen; receivedTime = 2022-03-07 14:58:00+0000</a></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td style=\"display: none\">*</td><td>35 g/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codeg/L = 'g/L')</span></td><td>50 g/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codeg/L = 'g/L')</span></td></tr></table></div>"
},
"basedOn" : [
{
"reference" : "urn:uuid:5034f823-2354-50e0-8023-1b3cf29cd7dc"
}
],
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory",
"display" : "Laboratory"
}
]
},
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "394915009",
"display" : "General pathology (specialty)"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "1000821000000103",
"display" : "Serum albumin level"
},
{
"system" : "http://snomed.info/sct",
"code" : "1105861000000106",
"display" : "Albumin mass concentration in serum"
}
]
},
"subject" : {
"reference" : "urn:uuid:bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9999999468"
}
},
"effectiveDateTime" : "2022-03-07T10:02:00+00:00",
"issued" : "2022-03-08T14:23:00+00:00",
"performer" : [
{
"reference" : "urn:uuid:44b4c2c2-e882-59cb-bcab-4db2c6ed512b",
"type" : "Organization",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "Y8J7D"
},
"display" : "TD008362 PATH LAB 001"
}
],
"valueQuantity" : {
"value" : 47,
"unit" : "g/L",
"system" : "http://unitsofmeasure.org",
"code" : "g/L"
},
"specimen" : {
"reference" : "urn:uuid:e1fae66a-128e-57f2-a3c0-41647ca6076b"
},
"referenceRange" : [
{
"low" : {
"value" : 35,
"unit" : "g/L",
"system" : "http://unitsofmeasure.org",
"code" : "g/L"
},
"high" : {
"value" : 50,
"unit" : "g/L",
"system" : "http://unitsofmeasure.org",
"code" : "g/L"
}
}
]
}
},
{
"fullUrl" : "urn:uuid:b2b377cb-8999-5ad4-a3a7-0ebf744f6385",
"resource" : {
"resourceType" : "Observation",
"id" : "b2b377cb-8999-5ad4-a3a7-0ebf744f6385",
"meta" : {
"profile" : [
"https://fhir.nhs.uk/England/StructureDefinition/England-Observation-Lab-Pathology|0.2.1"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_b2b377cb-8999-5ad4-a3a7-0ebf744f6385\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation b2b377cb-8999-5ad4-a3a7-0ebf744f6385</b></p><a name=\"b2b377cb-8999-5ad4-a3a7-0ebf744f6385\"> </a><a name=\"hcb2b377cb-8999-5ad4-a3a7-0ebf744f6385\"> </a><div style=\"display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <code>https://fhir.nhs.uk/England/StructureDefinition/England-Observation-Lab-Pathology|0.2.1</code></p></div><p><b>basedOn</b>: <a href=\"Bundle-Document-LFT-UandE-Report-Example.html#urn-uuid-5034f823-2354-50e0-8023-1b3cf29cd7dc\">ServiceRequest Liver function tests</a></p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span>, <span title=\"Codes:{http://snomed.info/sct 394915009}\">General pathology (specialty)</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 1000621000000104}, {http://snomed.info/sct 1106051000000106}\">Serum alkaline phosphatase level</span></p><p><b>subject</b>: <a href=\"Bundle-Document-CRP-Report-Example.html#urn-uuid-bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5\">ONE John EDITESTPATIENT Male, DoB: 1925-01-27 ( Medical record number: RCB4719263)</a></p><p><b>effective</b>: 2022-03-07 10:02:00+0000</p><p><b>issued</b>: 2022-03-08 14:23:00+0000</p><p><b>performer</b>: <a href=\"Bundle-Document-CRP-Report-Example.html#urn-uuid-44b4c2c2-e882-59cb-bcab-4db2c6ed512b\">TD008362 PATH LAB 001</a></p><p><b>value</b>: 96 iu/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code[iU]/L = '[iU]/L')</span></p><p><b>specimen</b>: <a href=\"Bundle-Document-CRP-Report-Example.html#urn-uuid-e1fae66a-128e-57f2-a3c0-41647ca6076b\">Specimen: identifier = Placer Identifier: SPC-REQ-20220307-000105; accessionIdentifier = Accession ID: SPC-Lab-20220307-007856; status = available; type = Venous blood specimen; receivedTime = 2022-03-07 14:58:00+0000</a></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td style=\"display: none\">*</td><td>30 iu/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code[iU]/L = '[iU]/L')</span></td><td>130 iu/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code[iU]/L = '[iU]/L')</span></td></tr></table></div>"
},
"basedOn" : [
{
"reference" : "urn:uuid:5034f823-2354-50e0-8023-1b3cf29cd7dc"
}
],
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory",
"display" : "Laboratory"
}
]
},
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "394915009",
"display" : "General pathology (specialty)"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "1000621000000104",
"display" : "Serum alkaline phosphatase level"
},
{
"system" : "http://snomed.info/sct",
"code" : "1106051000000106",
"display" : "Alkaline phosphatase enzyme activity in serum"
}
]
},
"subject" : {
"reference" : "urn:uuid:bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9999999468"
}
},
"effectiveDateTime" : "2022-03-07T10:02:00+00:00",
"issued" : "2022-03-08T14:23:00+00:00",
"performer" : [
{
"reference" : "urn:uuid:44b4c2c2-e882-59cb-bcab-4db2c6ed512b",
"type" : "Organization",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "Y8J7D"
},
"display" : "TD008362 PATH LAB 001"
}
],
"valueQuantity" : {
"value" : 96,
"unit" : "iu/L",
"system" : "http://unitsofmeasure.org",
"code" : "[iU]/L"
},
"specimen" : {
"reference" : "urn:uuid:e1fae66a-128e-57f2-a3c0-41647ca6076b"
},
"referenceRange" : [
{
"low" : {
"value" : 30,
"unit" : "iu/L",
"system" : "http://unitsofmeasure.org",
"code" : "[iU]/L"
},
"high" : {
"value" : 130,
"unit" : "iu/L",
"system" : "http://unitsofmeasure.org",
"code" : "[iU]/L"
}
}
]
}
},
{
"fullUrl" : "urn:uuid:67f8aca5-cf0d-5db2-9338-98f605fc85bc",
"resource" : {
"resourceType" : "Observation",
"id" : "67f8aca5-cf0d-5db2-9338-98f605fc85bc",
"meta" : {
"profile" : [
"https://fhir.nhs.uk/England/StructureDefinition/England-Observation-Lab-Pathology|0.2.1"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_67f8aca5-cf0d-5db2-9338-98f605fc85bc\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 67f8aca5-cf0d-5db2-9338-98f605fc85bc</b></p><a name=\"67f8aca5-cf0d-5db2-9338-98f605fc85bc\"> </a><a name=\"hc67f8aca5-cf0d-5db2-9338-98f605fc85bc\"> </a><div style=\"display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <code>https://fhir.nhs.uk/England/StructureDefinition/England-Observation-Lab-Pathology|0.2.1</code></p></div><p><b>basedOn</b>: <a href=\"Bundle-Document-LFT-UandE-Report-Example.html#urn-uuid-5034f823-2354-50e0-8023-1b3cf29cd7dc\">ServiceRequest Liver function tests</a></p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span>, <span title=\"Codes:{http://snomed.info/sct 394915009}\">General pathology (specialty)</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 1018251000000107}, {http://snomed.info/sct 1106081000000100}\">Serum alanine aminotransferase level</span></p><p><b>subject</b>: <a href=\"Bundle-Document-CRP-Report-Example.html#urn-uuid-bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5\">ONE John EDITESTPATIENT Male, DoB: 1925-01-27 ( Medical record number: RCB4719263)</a></p><p><b>effective</b>: 2022-03-07 10:02:00+0000</p><p><b>issued</b>: 2022-03-08 14:23:00+0000</p><p><b>performer</b>: <a href=\"Bundle-Document-CRP-Report-Example.html#urn-uuid-44b4c2c2-e882-59cb-bcab-4db2c6ed512b\">TD008362 PATH LAB 001</a></p><p><b>value</b>: 15 iu/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code[iU]/L = '[iU]/L')</span></p><p><b>specimen</b>: <a href=\"Bundle-Document-CRP-Report-Example.html#urn-uuid-e1fae66a-128e-57f2-a3c0-41647ca6076b\">Specimen: identifier = Placer Identifier: SPC-REQ-20220307-000105; accessionIdentifier = Accession ID: SPC-Lab-20220307-007856; status = available; type = Venous blood specimen; receivedTime = 2022-03-07 14:58:00+0000</a></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>High</b></td></tr><tr><td style=\"display: none\">*</td><td>40 iu/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code[iU]/L = '[iU]/L')</span></td></tr></table></div>"
},
"basedOn" : [
{
"reference" : "urn:uuid:5034f823-2354-50e0-8023-1b3cf29cd7dc"
}
],
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory",
"display" : "Laboratory"
}
]
},
{
"coding" : [
{
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"code" : "394915009",
"display" : "General pathology (specialty)"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "1018251000000107",
"display" : "Serum alanine aminotransferase level"
},
{
"system" : "http://snomed.info/sct",
"code" : "1106081000000100",
"display" : "Alanine aminotransferase enzyme activity in serum"
}
]
},
"subject" : {
"reference" : "urn:uuid:bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9999999468"
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},
"effectiveDateTime" : "2022-03-07T10:02:00+00:00",
"issued" : "2022-03-08T14:23:00+00:00",
"performer" : [
{
"reference" : "urn:uuid:44b4c2c2-e882-59cb-bcab-4db2c6ed512b",
"type" : "Organization",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "Y8J7D"
},
"display" : "TD008362 PATH LAB 001"
}
],
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"value" : 15,
"unit" : "iu/L",
"system" : "http://unitsofmeasure.org",
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},
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},
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{
"high" : {
"value" : 40,
"unit" : "iu/L",
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}
]
}
},
{
"fullUrl" : "urn:uuid:9667895d-62e6-54ac-9ae0-5a614c3aa4d4",
"resource" : {
"resourceType" : "Observation",
"id" : "9667895d-62e6-54ac-9ae0-5a614c3aa4d4",
"meta" : {
"profile" : [
"https://fhir.nhs.uk/England/StructureDefinition/England-Observation-Lab-Pathology|0.2.1"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_9667895d-62e6-54ac-9ae0-5a614c3aa4d4\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 9667895d-62e6-54ac-9ae0-5a614c3aa4d4</b></p><a name=\"9667895d-62e6-54ac-9ae0-5a614c3aa4d4\"> </a><a name=\"hc9667895d-62e6-54ac-9ae0-5a614c3aa4d4\"> </a><div style=\"display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <code>https://fhir.nhs.uk/England/StructureDefinition/England-Observation-Lab-Pathology|0.2.1</code></p></div><p><b>basedOn</b>: <a href=\"Bundle-Document-LFT-UandE-Report-Example.html#urn-uuid-e1a2c957-a745-501b-880c-358c673f2013\">ServiceRequest Urea and electrolytes level</a></p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span>, <span title=\"Codes:{http://snomed.info/sct 394915009}\">General pathology (specialty)</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 1000951000000103}, {http://snomed.info/sct 1110281000000107}\">Serum urea level</span></p><p><b>subject</b>: <a href=\"Bundle-Document-CRP-Report-Example.html#urn-uuid-bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5\">ONE John EDITESTPATIENT Male, DoB: 1925-01-27 ( Medical record number: RCB4719263)</a></p><p><b>effective</b>: 2022-03-07 10:02:00+0000</p><p><b>issued</b>: 2022-03-08 14:23:00+0000</p><p><b>performer</b>: <a href=\"Bundle-Document-CRP-Report-Example.html#urn-uuid-44b4c2c2-e882-59cb-bcab-4db2c6ed512b\">TD008362 PATH LAB 001</a></p><p><b>value</b>: 3.7 mmol/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemmol/L = 'mmol/L')</span></p><p><b>specimen</b>: <a href=\"Bundle-Document-CRP-Report-Example.html#urn-uuid-e1fae66a-128e-57f2-a3c0-41647ca6076b\">Specimen: identifier = Placer Identifier: SPC-REQ-20220307-000105; accessionIdentifier = Accession ID: SPC-Lab-20220307-007856; status = available; type = Venous blood specimen; receivedTime = 2022-03-07 14:58:00+0000</a></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td style=\"display: none\">*</td><td>2.5 mmol/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemmol/L = 'mmol/L')</span></td><td>7.8 mmol/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemmol/L = 'mmol/L')</span></td></tr></table></div>"
},
"basedOn" : [
{
"reference" : "urn:uuid:e1a2c957-a745-501b-880c-358c673f2013"
}
],
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory",
"display" : "Laboratory"
}
]
},
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "394915009",
"display" : "General pathology (specialty)"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "1000951000000103",
"display" : "Serum urea level"
},
{
"system" : "http://snomed.info/sct",
"code" : "1110281000000107",
"display" : "Urea substance concentration in serum"
}
]
},
"subject" : {
"reference" : "urn:uuid:bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9999999468"
}
},
"effectiveDateTime" : "2022-03-07T10:02:00+00:00",
"issued" : "2022-03-08T14:23:00+00:00",
"performer" : [
{
"reference" : "urn:uuid:44b4c2c2-e882-59cb-bcab-4db2c6ed512b",
"type" : "Organization",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "Y8J7D"
},
"display" : "TD008362 PATH LAB 001"
}
],
"valueQuantity" : {
"value" : 3.7,
"unit" : "mmol/L",
"system" : "http://unitsofmeasure.org",
"code" : "mmol/L"
},
"specimen" : {
"reference" : "urn:uuid:e1fae66a-128e-57f2-a3c0-41647ca6076b"
},
"referenceRange" : [
{
"low" : {
"value" : 2.5,
"unit" : "mmol/L",
"system" : "http://unitsofmeasure.org",
"code" : "mmol/L"
},
"high" : {
"value" : 7.8,
"unit" : "mmol/L",
"system" : "http://unitsofmeasure.org",
"code" : "mmol/L"
}
}
]
}
},
{
"fullUrl" : "urn:uuid:b454e50d-add5-5d43-bf30-3e74d00b748b",
"resource" : {
"resourceType" : "Observation",
"id" : "b454e50d-add5-5d43-bf30-3e74d00b748b",
"meta" : {
"profile" : [
"https://fhir.nhs.uk/England/StructureDefinition/England-Observation-Lab-Pathology|0.2.1"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_b454e50d-add5-5d43-bf30-3e74d00b748b\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation b454e50d-add5-5d43-bf30-3e74d00b748b</b></p><a name=\"b454e50d-add5-5d43-bf30-3e74d00b748b\"> </a><a name=\"hcb454e50d-add5-5d43-bf30-3e74d00b748b\"> </a><div style=\"display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <code>https://fhir.nhs.uk/England/StructureDefinition/England-Observation-Lab-Pathology|0.2.1</code></p></div><p><b>basedOn</b>: <a href=\"Bundle-Document-LFT-UandE-Report-Example.html#urn-uuid-e1a2c957-a745-501b-880c-358c673f2013\">ServiceRequest Urea and electrolytes level</a></p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span>, <span title=\"Codes:{http://snomed.info/sct 394915009}\">General pathology (specialty)</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 1000661000000107}, {http://snomed.info/sct 1107871000000107}\">Serum sodium level</span></p><p><b>subject</b>: <a href=\"Bundle-Document-CRP-Report-Example.html#urn-uuid-bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5\">ONE John EDITESTPATIENT Male, DoB: 1925-01-27 ( Medical record number: RCB4719263)</a></p><p><b>effective</b>: 2022-03-07 10:02:00+0000</p><p><b>issued</b>: 2022-03-08 14:23:00+0000</p><p><b>performer</b>: <a href=\"Bundle-Document-CRP-Report-Example.html#urn-uuid-44b4c2c2-e882-59cb-bcab-4db2c6ed512b\">TD008362 PATH LAB 001</a></p><p><b>value</b>: 139 mmol/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemmol/L = 'mmol/L')</span></p><p><b>specimen</b>: <a href=\"Bundle-Document-CRP-Report-Example.html#urn-uuid-e1fae66a-128e-57f2-a3c0-41647ca6076b\">Specimen: identifier = Placer Identifier: SPC-REQ-20220307-000105; accessionIdentifier = Accession ID: SPC-Lab-20220307-007856; status = available; type = Venous blood specimen; receivedTime = 2022-03-07 14:58:00+0000</a></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td style=\"display: none\">*</td><td>133 mmol/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemmol/L = 'mmol/L')</span></td><td>146 mmol/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemmol/L = 'mmol/L')</span></td></tr></table></div>"
},
"basedOn" : [
{
"reference" : "urn:uuid:e1a2c957-a745-501b-880c-358c673f2013"
}
],
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory",
"display" : "Laboratory"
}
]
},
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "394915009",
"display" : "General pathology (specialty)"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "1000661000000107",
"display" : "Serum sodium level"
},
{
"system" : "http://snomed.info/sct",
"code" : "1107871000000107",
"display" : "Sodium substance concentration in serum"
}
]
},
"subject" : {
"reference" : "urn:uuid:bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9999999468"
}
},
"effectiveDateTime" : "2022-03-07T10:02:00+00:00",
"issued" : "2022-03-08T14:23:00+00:00",
"performer" : [
{
"reference" : "urn:uuid:44b4c2c2-e882-59cb-bcab-4db2c6ed512b",
"type" : "Organization",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "Y8J7D"
},
"display" : "TD008362 PATH LAB 001"
}
],
"valueQuantity" : {
"value" : 139,
"unit" : "mmol/L",
"system" : "http://unitsofmeasure.org",
"code" : "mmol/L"
},
"specimen" : {
"reference" : "urn:uuid:e1fae66a-128e-57f2-a3c0-41647ca6076b"
},
"referenceRange" : [
{
"low" : {
"value" : 133,
"unit" : "mmol/L",
"system" : "http://unitsofmeasure.org",
"code" : "mmol/L"
},
"high" : {
"value" : 146,
"unit" : "mmol/L",
"system" : "http://unitsofmeasure.org",
"code" : "mmol/L"
}
}
]
}
},
{
"fullUrl" : "urn:uuid:75268412-928e-5545-95f0-50dae673af89",
"resource" : {
"resourceType" : "Observation",
"id" : "75268412-928e-5545-95f0-50dae673af89",
"meta" : {
"profile" : [
"https://fhir.nhs.uk/England/StructureDefinition/England-Observation-Lab-Pathology|0.2.1"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_75268412-928e-5545-95f0-50dae673af89\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 75268412-928e-5545-95f0-50dae673af89</b></p><a name=\"75268412-928e-5545-95f0-50dae673af89\"> </a><a name=\"hc75268412-928e-5545-95f0-50dae673af89\"> </a><div style=\"display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <code>https://fhir.nhs.uk/England/StructureDefinition/England-Observation-Lab-Pathology|0.2.1</code></p></div><p><b>basedOn</b>: <a href=\"Bundle-Document-LFT-UandE-Report-Example.html#urn-uuid-e1a2c957-a745-501b-880c-358c673f2013\">ServiceRequest Urea and electrolytes level</a></p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span>, <span title=\"Codes:{http://snomed.info/sct 394915009}\">General pathology (specialty)</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 1000651000000109}, {http://snomed.info/sct 1107761000000109}\">Serum potassium level</span></p><p><b>subject</b>: <a href=\"Bundle-Document-CRP-Report-Example.html#urn-uuid-bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5\">ONE John EDITESTPATIENT Male, DoB: 1925-01-27 ( Medical record number: RCB4719263)</a></p><p><b>effective</b>: 2022-03-07 10:02:00+0000</p><p><b>issued</b>: 2022-03-08 14:23:00+0000</p><p><b>performer</b>: <a href=\"Bundle-Document-CRP-Report-Example.html#urn-uuid-44b4c2c2-e882-59cb-bcab-4db2c6ed512b\">TD008362 PATH LAB 001</a></p><p><b>value</b>: 4.7 mmol/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemmol/L = 'mmol/L')</span></p><p><b>specimen</b>: <a href=\"Bundle-Document-CRP-Report-Example.html#urn-uuid-e1fae66a-128e-57f2-a3c0-41647ca6076b\">Specimen: identifier = Placer Identifier: SPC-REQ-20220307-000105; accessionIdentifier = Accession ID: SPC-Lab-20220307-007856; status = available; type = Venous blood specimen; receivedTime = 2022-03-07 14:58:00+0000</a></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td style=\"display: none\">*</td><td>3.5 mmol/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemmol/L = 'mmol/L')</span></td><td>5.3 mmol/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemmol/L = 'mmol/L')</span></td></tr></table></div>"
},
"basedOn" : [
{
"reference" : "urn:uuid:e1a2c957-a745-501b-880c-358c673f2013"
}
],
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory",
"display" : "Laboratory"
}
]
},
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "394915009",
"display" : "General pathology (specialty)"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "1000651000000109",
"display" : "Serum potassium level"
},
{
"system" : "http://snomed.info/sct",
"code" : "1107761000000109",
"display" : "Potassium substance concentration in serum"
}
]
},
"subject" : {
"reference" : "urn:uuid:bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9999999468"
}
},
"effectiveDateTime" : "2022-03-07T10:02:00+00:00",
"issued" : "2022-03-08T14:23:00+00:00",
"performer" : [
{
"reference" : "urn:uuid:44b4c2c2-e882-59cb-bcab-4db2c6ed512b",
"type" : "Organization",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "Y8J7D"
},
"display" : "TD008362 PATH LAB 001"
}
],
"valueQuantity" : {
"value" : 4.7,
"unit" : "mmol/L",
"system" : "http://unitsofmeasure.org",
"code" : "mmol/L"
},
"specimen" : {
"reference" : "urn:uuid:e1fae66a-128e-57f2-a3c0-41647ca6076b"
},
"referenceRange" : [
{
"low" : {
"value" : 3.5,
"unit" : "mmol/L",
"system" : "http://unitsofmeasure.org",
"code" : "mmol/L"
},
"high" : {
"value" : 5.3,
"unit" : "mmol/L",
"system" : "http://unitsofmeasure.org",
"code" : "mmol/L"
}
}
]
}
},
{
"fullUrl" : "urn:uuid:f6f51c99-e09c-5d75-b6ba-c11787b54760",
"resource" : {
"resourceType" : "Observation",
"id" : "f6f51c99-e09c-5d75-b6ba-c11787b54760",
"meta" : {
"profile" : [
"https://fhir.nhs.uk/England/StructureDefinition/England-Observation-Lab-Pathology|0.2.1"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_f6f51c99-e09c-5d75-b6ba-c11787b54760\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation f6f51c99-e09c-5d75-b6ba-c11787b54760</b></p><a name=\"f6f51c99-e09c-5d75-b6ba-c11787b54760\"> </a><a name=\"hcf6f51c99-e09c-5d75-b6ba-c11787b54760\"> </a><div style=\"display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <code>https://fhir.nhs.uk/England/StructureDefinition/England-Observation-Lab-Pathology|0.2.1</code></p></div><p><b>basedOn</b>: <a href=\"Bundle-Document-LFT-UandE-Report-Example.html#urn-uuid-e1a2c957-a745-501b-880c-358c673f2013\">ServiceRequest Urea and electrolytes level</a></p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span>, <span title=\"Codes:{http://snomed.info/sct 394915009}\">General pathology (specialty)</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 1000731000000107}, {http://snomed.info/sct 1107001000000108}\">Serum creatinine level</span></p><p><b>subject</b>: <a href=\"Bundle-Document-CRP-Report-Example.html#urn-uuid-bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5\">ONE John EDITESTPATIENT Male, DoB: 1925-01-27 ( Medical record number: RCB4719263)</a></p><p><b>effective</b>: 2022-03-07 10:02:00+0000</p><p><b>issued</b>: 2022-03-08 14:23:00+0000</p><p><b>performer</b>: <a href=\"Bundle-Document-CRP-Report-Example.html#urn-uuid-44b4c2c2-e882-59cb-bcab-4db2c6ed512b\">TD008362 PATH LAB 001</a></p><p><b>value</b>: 73 umol/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codeumol/L = 'umol/L')</span></p><p><b>specimen</b>: <a href=\"Bundle-Document-CRP-Report-Example.html#urn-uuid-e1fae66a-128e-57f2-a3c0-41647ca6076b\">Specimen: identifier = Placer Identifier: SPC-REQ-20220307-000105; accessionIdentifier = Accession ID: SPC-Lab-20220307-007856; status = available; type = Venous blood specimen; receivedTime = 2022-03-07 14:58:00+0000</a></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td style=\"display: none\">*</td><td>59 umol/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codeumol/L = 'umol/L')</span></td><td>104 umol/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codeumol/L = 'umol/L')</span></td></tr></table></div>"
},
"basedOn" : [
{
"reference" : "urn:uuid:e1a2c957-a745-501b-880c-358c673f2013"
}
],
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory",
"display" : "Laboratory"
}
]
},
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "394915009",
"display" : "General pathology (specialty)"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "1000731000000107",
"display" : "Serum creatinine level"
},
{
"system" : "http://snomed.info/sct",
"code" : "1107001000000108",
"display" : "Creatinine substance concentration in serum"
}
]
},
"subject" : {
"reference" : "urn:uuid:bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9999999468"
}
},
"effectiveDateTime" : "2022-03-07T10:02:00+00:00",
"issued" : "2022-03-08T14:23:00+00:00",
"performer" : [
{
"reference" : "urn:uuid:44b4c2c2-e882-59cb-bcab-4db2c6ed512b",
"type" : "Organization",
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"value" : "Y8J7D"
},
"display" : "TD008362 PATH LAB 001"
}
],
"valueQuantity" : {
"value" : 73,
"unit" : "umol/L",
"system" : "http://unitsofmeasure.org",
"code" : "umol/L"
},
"specimen" : {
"reference" : "urn:uuid:e1fae66a-128e-57f2-a3c0-41647ca6076b"
},
"referenceRange" : [
{
"low" : {
"value" : 59,
"unit" : "umol/L",
"system" : "http://unitsofmeasure.org",
"code" : "umol/L"
},
"high" : {
"value" : 104,
"unit" : "umol/L",
"system" : "http://unitsofmeasure.org",
"code" : "umol/L"
}
}
]
}
},
{
"fullUrl" : "urn:uuid:b2e68e13-b395-5f61-b2c4-4aa8e4062edc",
"resource" : {
"resourceType" : "Observation",
"id" : "b2e68e13-b395-5f61-b2c4-4aa8e4062edc",
"meta" : {
"profile" : [
"https://fhir.nhs.uk/England/StructureDefinition/England-Observation-Lab-Pathology|0.2.1"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_b2e68e13-b395-5f61-b2c4-4aa8e4062edc\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation b2e68e13-b395-5f61-b2c4-4aa8e4062edc</b></p><a name=\"b2e68e13-b395-5f61-b2c4-4aa8e4062edc\"> </a><a name=\"hcb2e68e13-b395-5f61-b2c4-4aa8e4062edc\"> </a><div style=\"display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <code>https://fhir.nhs.uk/England/StructureDefinition/England-Observation-Lab-Pathology|0.2.1</code></p></div><p><b>basedOn</b>: <a href=\"Bundle-Document-LFT-UandE-Report-Example.html#urn-uuid-e1a2c957-a745-501b-880c-358c673f2013\">ServiceRequest Urea and electrolytes level</a></p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span>, <span title=\"Codes:{http://snomed.info/sct 394915009}\">General pathology (specialty)</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 1011481000000105}\">eGFR (estimated glomerular filtration rate) using creatinine Chronic Kidney Disease Epidemiology Collaboration equation per 1.73 square metres</span></p><p><b>subject</b>: <a href=\"Bundle-Document-CRP-Report-Example.html#urn-uuid-bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5\">ONE John EDITESTPATIENT Male, DoB: 1925-01-27 ( Medical record number: RCB4719263)</a></p><p><b>effective</b>: 2022-03-07 10:02:00+0000</p><p><b>issued</b>: 2022-03-08 14:23:00+0000</p><p><b>performer</b>: <a href=\"Bundle-Document-CRP-Report-Example.html#urn-uuid-44b4c2c2-e882-59cb-bcab-4db2c6ed512b\">TD008362 PATH LAB 001</a></p><p><b>value</b>: 100 mL/min/1.73m2<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemL/min/((173/100).m2) = 'mL/min/((173/100).m2)')</span></p><p><b>note</b>: </p><blockquote><div><p>Calculated eGFR is not valid in children or pregnancy.\nLess accurate with acute change in creatinine (AKI).\nCaution with high or low muscle mass or amputation.\nAvoid blood sampling within 12 hours of eating meat.\nEthnicity factor comment removed Dec21 NG203.</p>\n</div></blockquote><p><b>specimen</b>: <a href=\"Bundle-Document-CRP-Report-Example.html#urn-uuid-e1fae66a-128e-57f2-a3c0-41647ca6076b\">Specimen: identifier = Placer Identifier: SPC-REQ-20220307-000105; accessionIdentifier = Accession ID: SPC-Lab-20220307-007856; status = available; type = Venous blood specimen; receivedTime = 2022-03-07 14:58:00+0000</a></p></div>"
},
"basedOn" : [
{
"reference" : "urn:uuid:e1a2c957-a745-501b-880c-358c673f2013"
}
],
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory",
"display" : "Laboratory"
}
]
},
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "394915009",
"display" : "General pathology (specialty)"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "1011481000000105",
"display" : "eGFR (estimated glomerular filtration rate) using creatinine Chronic Kidney Disease Epidemiology Collaboration equation per 1.73 square metres"
}
]
},
"subject" : {
"reference" : "urn:uuid:bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9999999468"
}
},
"effectiveDateTime" : "2022-03-07T10:02:00+00:00",
"issued" : "2022-03-08T14:23:00+00:00",
"performer" : [
{
"reference" : "urn:uuid:44b4c2c2-e882-59cb-bcab-4db2c6ed512b",
"type" : "Organization",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "Y8J7D"
},
"display" : "TD008362 PATH LAB 001"
}
],
"valueQuantity" : {
"value" : 100,
"unit" : "mL/min/1.73m2",
"system" : "http://unitsofmeasure.org",
"code" : "mL/min/((173/100).m2)"
},
"note" : [
{
"text" : "Calculated eGFR is not valid in children or pregnancy.\nLess accurate with acute change in creatinine (AKI).\nCaution with high or low muscle mass or amputation.\nAvoid blood sampling within 12 hours of eating meat.\nEthnicity factor comment removed Dec21 NG203.\n"
}
],
"specimen" : {
"reference" : "urn:uuid:e1fae66a-128e-57f2-a3c0-41647ca6076b"
}
}
},
{
"fullUrl" : "urn:uuid:73062312-924a-5a6d-972b-1a454bb5a8c6",
"resource" : {
"resourceType" : "Practitioner",
"id" : "73062312-924a-5a6d-972b-1a454bb5a8c6",
"meta" : {
"profile" : [
"https://fhir.hl7.org.uk/StructureDefinition/UKCore-Practitioner|2.4.0"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_73062312-924a-5a6d-972b-1a454bb5a8c6\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner 73062312-924a-5a6d-972b-1a454bb5a8c6</b></p><a name=\"73062312-924a-5a6d-972b-1a454bb5a8c6\"> </a><a name=\"hc73062312-924a-5a6d-972b-1a454bb5a8c6\"> </a><div style=\"display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <code>https://fhir.hl7.org.uk/StructureDefinition/UKCore-Practitioner|2.4.0</code></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Gale GASKELL (official) (https://fhir.hl7.org.uk/Id/gmc-number#GMC Number#C1008215)</p><hr/></div>"
},
"identifier" : [
{
"system" : "https://fhir.hl7.org.uk/Id/gmc-number",
"value" : "C1008215"
}
],
"name" : [
{
"use" : "official",
"family" : "GASKELL",
"given" : [
"Gale"
],
"prefix" : [
"Dr"
]
}
]
}
},
{
"fullUrl" : "urn:uuid:7f2280d3-a318-510e-98c8-389ad7c30671",
"resource" : {
"resourceType" : "Organization",
"id" : "7f2280d3-a318-510e-98c8-389ad7c30671",
"meta" : {
"profile" : [
"https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization|2.5.0"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_7f2280d3-a318-510e-98c8-389ad7c30671\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization 7f2280d3-a318-510e-98c8-389ad7c30671</b></p><a name=\"7f2280d3-a318-510e-98c8-389ad7c30671\"> </a><a name=\"hc7f2280d3-a318-510e-98c8-389ad7c30671\"> </a><div style=\"display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <code>https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization|2.5.0</code></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">PICKERING MEDICAL PRACTICE (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#B82033)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the organization\">Contact Detail</td><td colspan=\"3\">SOUTHGATE PICKERING YO18 8BL </td></tr></table></div>"
},
"identifier" : [
{
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "B82033"
}
],
"name" : "PICKERING MEDICAL PRACTICE",
"address" : [
{
"line" : [
"SOUTHGATE"
],
"city" : "PICKERING",
"district" : "NORTH YORKSHIRE",
"postalCode" : "YO18 8BL"
}
]
}
},
{
"fullUrl" : "urn:uuid:25caa3c2-2abe-5027-95a5-902232469a2f",
"resource" : {
"resourceType" : "Provenance",
"id" : "25caa3c2-2abe-5027-95a5-902232469a2f",
"meta" : {
"profile" : [
"https://fhir.nhs.uk/England/StructureDefinition/England-Provenance-Lab-Pathology|0.1.0"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Provenance_25caa3c2-2abe-5027-95a5-902232469a2f\"> </a><p>Laboratory report REP-20220308-008902 sent by product EXAMPLE-PRODUCT:Y8J7D.</p></div>"
},
"target" : [
{
"reference" : "urn:uuid:c678e649-7cf0-585a-a74d-726ef113d86e"
}
],
"recorded" : "2022-03-08T12:09:00+00:00",
"activity" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/iso-21089-lifecycle",
"code" : "transform"
}
]
},
"agent" : [
{
"who" : {
"identifier" : {
"system" : "https://api.service.nhs.uk/pathology-laboratory-reporting/test-reporting-system",
"value" : "EXAMPLE-PRODUCT:Y8J7D"
}
}
}
]
}
}
]
}