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

Document Details

Language: en

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

Final Document at 2022-07-06 10:49:00+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-20220706-002378
Statusfinal
Requested byDr Gale GASKELL, PICKERING MEDICAL PRACTICE (B82033)
LaboratoryTD008362 PATH LAB 001 (Y8J7D)
SpecimenVenous blood specimen collected 2022-07-05T08:52:00+00:00
Issued2022-07-06T10:49:00+00:00

Serum lipids level

TestResultUnitsReference rangeFlag
Serum cholesterol level6.1mmol/L
Serum high density lipoprotein cholesterol level1.44mmol/L
Serum cholesterol/high density lipoprotein ratio4.21/1
Serum non high density lipoprotein cholesterol level4.7mmol/L

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 standardised38mmol/mol

Additional Resources Included in Document

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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 Time2022-07-05 08:52:00+0000
Reported2022-07-06 10:49:00+0000
Performer TD008362 PATH LAB 001
Identifier Filler Identifier/REP-20220706-002378

Report Details

CodeValueFlags
Serum lipids levelFinal
Haemoglobin A1c level - International Federation of Clinical Chemistry and Laboratory Medicine standardised38 mmol/mol (Details: UCUM codemmol/mol = 'mmol/mol')Final

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Resource ServiceRequest:

Language: en

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

identifier: Placer Identifier/REQ-20220704-000027-001, Filler Identifier/REP-20220706-002378

status: Completed

intent: Order

code: No display for ServiceRequest.code (concept: Serum lipids level)

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

authoredOn: 2022-07-04 11:05:00+0000

requester: Dr Gale GASKELL at PICKERING MEDICAL PRACTICE

performer: TD008362 PATH LAB 001

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Resource ServiceRequest:

Language: en

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

identifier: Placer Identifier/REQ-20220704-000027-002, Filler Identifier/REP-20220706-002378

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: 2022-07-04 11:05:00+0000

requester: Dr Gale GASKELL at PICKERING MEDICAL PRACTICE

performer: TD008362 PATH LAB 001

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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

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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 7 - fullUrl = urn:uuid:eec04ca4-d7ea-543f-a826-a8562e794b7e

Resource Specimen:

Language: en

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

identifier: Placer Identifier/SPC-REQ-20220705-000004

status: Available

type: Venous blood specimen

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

receivedTime: 2022-07-05 15:17:00+0000

request: ServiceRequest Serum lipids level

Collections

-Collected[x]
*2022-07-05 08:52:00+0000

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Resource Observation:

Language: en

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

Extension UK Core Observation Organizer: true

basedOn: ServiceRequest Serum lipids level

status: Final

category: Laboratory, General pathology (specialty)

code: Serum lipids level

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

effective: 2022-07-05 08:52:00+0000

issued: 2022-07-06 10:49:00+0000

performer: TD008362 PATH LAB 001

specimen: Specimen: identifier = Placer Identifier: SPC-REQ-20220705-000004; accessionIdentifier = Accession ID: SPC-Lab-20220705-006215; status = available; type = Venous blood specimen; receivedTime = 2022-07-05 15:17:00+0000

hasMember:

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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: 2022-07-05 08:52:00+0000

issued: 2022-07-06 10:49:00+0000

performer: TD008362 PATH LAB 001

value: 38 mmol/mol (Details: UCUM codemmol/mol = 'mmol/mol')

specimen: Specimen: identifier = Placer Identifier: SPC-REQ-20220705-000004; accessionIdentifier = Accession ID: SPC-Lab-20220705-006215; status = available; type = Venous blood specimen; receivedTime = 2022-07-05 15:17:00+0000

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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

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Resource Observation:

Language: en

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

basedOn: ServiceRequest Serum lipids level

status: Final

category: Laboratory, General pathology (specialty)

code: Serum cholesterol level

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

effective: 2022-07-05 08:52:00+0000

issued: 2022-07-06 10:49:00+0000

performer: TD008362 PATH LAB 001

value: 6.1 mmol/L (Details: UCUM codemmol/L = 'mmol/L')

specimen: Specimen: identifier = Placer Identifier: SPC-REQ-20220705-000004; accessionIdentifier = Accession ID: SPC-Lab-20220705-006215; status = available; type = Venous blood specimen; receivedTime = 2022-07-05 15:17:00+0000

Entry 12 - fullUrl = urn:uuid:7b38426e-471d-549c-957e-38611e2bb056

Resource Observation:

Language: en

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

basedOn: ServiceRequest Serum lipids level

status: Final

category: Laboratory, General pathology (specialty)

code: Serum high density lipoprotein cholesterol level

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

effective: 2022-07-05 08:52:00+0000

issued: 2022-07-06 10:49:00+0000

performer: TD008362 PATH LAB 001

value: 1.44 mmol/L (Details: UCUM codemmol/L = 'mmol/L')

specimen: Specimen: identifier = Placer Identifier: SPC-REQ-20220705-000004; accessionIdentifier = Accession ID: SPC-Lab-20220705-006215; status = available; type = Venous blood specimen; receivedTime = 2022-07-05 15:17:00+0000

Entry 13 - fullUrl = urn:uuid:2ea95ee8-4ab2-5f1c-b5ef-95039610e986

Resource Observation:

Language: en

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

basedOn: ServiceRequest Serum lipids level

status: Final

category: Laboratory, General pathology (specialty)

code: Serum cholesterol/high density lipoprotein ratio

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

effective: 2022-07-05 08:52:00+0000

issued: 2022-07-06 10:49:00+0000

performer: TD008362 PATH LAB 001

value: 4.2 1/1

specimen: Specimen: identifier = Placer Identifier: SPC-REQ-20220705-000004; accessionIdentifier = Accession ID: SPC-Lab-20220705-006215; status = available; type = Venous blood specimen; receivedTime = 2022-07-05 15:17:00+0000

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Resource Observation:

Language: en

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

basedOn: ServiceRequest Serum lipids level

status: Final

category: Laboratory, General pathology (specialty)

code: Serum non high density lipoprotein cholesterol level

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

effective: 2022-07-05 08:52:00+0000

issued: 2022-07-06 10:49:00+0000

performer: TD008362 PATH LAB 001

value: 4.7 mmol/L (Details: UCUM codemmol/L = 'mmol/L')

specimen: Specimen: identifier = Placer Identifier: SPC-REQ-20220705-000004; accessionIdentifier = Accession ID: SPC-Lab-20220705-006215; status = available; type = Venous blood specimen; receivedTime = 2022-07-05 15:17:00+0000

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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)

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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 17 - fullUrl = urn:uuid:812a1bbd-27e7-5345-bc78-7f3e1128cf5e

Resource Provenance:

Laboratory report REP-20220706-002378 sent by product EXAMPLE-PRODUCT:Y8J7D.