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

Document Details

Language: en

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

Final Document at 2022-02-25 13:47:00+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-20220225-006301
Statusfinal
Requested byDr Gale GASKELL, PICKERING MEDICAL PRACTICE (B82033)
LaboratoryTD008362 PATH LAB 001 (Y8J7D)
SpecimenUrine specimen collected 2022-02-21T11:07:00+00:00
Issued2022-02-25T13:47:00+00:00

Urinary microscopy, culture and sensitivities

TestResultUnitsReference rangeFlag
Urinary microscopy, culture and sensitivitiesMicroscopy
Casts None seen
White cells >35 x10*6/L
Red cells 10-35 x10*6/L
Epithelial cells +

Culture
1. Staphylococcus aureus Scanty growth

Sensitivities 1
Flucloxacillin S
Trimethoprim S
Nitrofurantoin R

Report comment

Likely to be clinically significant.


Additional Resources Included in Document


Entry 2 - fullUrl = urn:uuid:a11b0a76-81f5-5a71-ac29-7ae5f3d3d90c

Resource DiagnosticReport:

Language: en

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

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

SubjectNINE EDITESTPATIENT Female, DoB: 2002-02-02 ( Medical record number: RCB6052841)
Relevant Time2022-02-21 11:07:00+0000
Reported2022-02-25 13:47:00+0000
Performer TD008362 PATH LAB 001
Identifier Filler Identifier/REP-20220225-006301

Report Details

CodeValueFlags
Urinary microscopy, culture and sensitivitiesMicroscopy Casts None seen White cells >35 x10*6/L Red cells 10-35 x10*6/L Epithelial cells + Culture 1. Staphylococcus aureus Scanty growth Sensitivities 1 Flucloxacillin S Trimethoprim S Nitrofurantoin RFinal

Likely to be clinically significant.


Entry 3 - fullUrl = urn:uuid:1e5cda28-2dc4-522e-b44e-8d744ffb1bb6

Resource ServiceRequest:

Language: en

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

identifier: Placer Identifier/REQ-20220221-000018, Filler Identifier/REP-20220225-006301

status: Completed

intent: Order

code: No display for ServiceRequest.code (concept: Urinary microscopy, culture and sensitivities)

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

authoredOn: 2022-02-21 10:29:00+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:94faba98-45af-533f-8368-d8e0f9d6f5a0

Resource Specimen:

Language: en

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

identifier: Placer Identifier/SPC-REQ-20220221-000024

status: Available

type: Urine specimen

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

receivedTime: 2022-02-21 14:58:00+0000

request: ServiceRequest Urinary microscopy, culture and sensitivities

Collections

-Collected[x]
*2022-02-21 11:07:00+0000

Entry 7 - fullUrl = urn:uuid:15604bfd-37f1-5404-bb09-45c3950eac21

Resource Observation:

Language: en

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

basedOn: ServiceRequest Urinary microscopy, culture and sensitivities

status: Final

category: Laboratory, General pathology (specialty)

code: Urinary microscopy, culture and sensitivities

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

effective: 2022-02-21 11:07:00+0000

issued: 2022-02-25 13:47:00+0000

performer: TD008362 PATH LAB 001

value: Microscopy Casts None seen White cells >35 x10*6/L Red cells 10-35 x10*6/L Epithelial cells + Culture 1. Staphylococcus aureus Scanty growth Sensitivities 1 Flucloxacillin S Trimethoprim S Nitrofurantoin R

specimen: Specimen: identifier = Placer Identifier: SPC-REQ-20220221-000024; accessionIdentifier = Accession ID: SPC-Lab-20220221-004306; status = available; type = Urine specimen; receivedTime = 2022-02-21 14:58:00+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:3c414698-a169-5781-afea-0be53c3dfa40

Resource Provenance:

Laboratory report REP-20220225-006301 sent by product EXAMPLE-PRODUCT:Y8J7D.