Bundle Message-HbA1c-Report-Example of type message

Entry 1 - fullUrl = urn:uuid:92d17a28-d06d-55b6-b7f6-d3d9daebf9eb

Resource MessageHeader:

Last updated: 2022-03-08 12:09:00+0000; Language: en

Profile: Document Message (MessageHeader)

event: event: R01 (ORU/ACK - Unsolicited transmission of an observation message)

Destinations

-	Name	Receiver
*	GPSYSTEM	Identifier: ODS Organisation Code/B82033

Sources

-	Name
*	LIMS

focus: Diagnostic Report for 'Diagnostic studies report' for '->ONE John EDITESTPATIENT Male, DoB: 1925-01-27 ( Medical record number: RCB4719263)'

definition: Laboratory Result (R01)

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

Resource Patient:

Language: en

Profile: Patient

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

---

Other Ids:	Patient internal identifier/Y8J7D0381527 National Health Plan Identifier/9999999468
Contact Detail	B6 5RQ

Entry 3 - fullUrl = urn:uuid:84c94bb1-4336-5607-9124-6b82052db22a

Resource PractitionerRole:

Language: en

Profile: PractitionerRole

Dr Gale GASKELL at PICKERING MEDICAL PRACTICE

---

Practitioner:	Dr Gale GASKELL (Identifier: GMC Number/C1008215)
Organization:	PICKERING MEDICAL PRACTICE (Identifier: ODS Organisation Code/B82033)

Entry 4 - fullUrl = urn:uuid:d722ddcf-b3da-51eb-b616-01d6c5f1eace

Resource ServiceRequest:

Language: en

Profile: Laboratory Order

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 (Identifier: ODS Organisation Code/Y8J7D)

Entry 5 - fullUrl = urn:uuid:c41f9657-4d5b-553e-97db-9caf4478d9ad

Resource Specimen:

Language: en

Profile: Specimen

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 6 - fullUrl = urn:uuid:f9469916-f829-5957-a478-acbef4b04196

Resource Observation:

Language: en

Profile: Laboratory Result

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

status: Final

category: Laboratory

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 (Identifier: ODS Organisation Code/Y8J7D)

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

Resource DiagnosticReport:

Language: en

Profile: Laboratory Report

Diagnostic studies report (Chemistry)

Subject	ONE John EDITESTPATIENT Male, DoB: 1925-01-27 ( Medical record number: RCB4719263)
Relevant Time	2022-01-29 10:18:00+0000
Reported	2022-01-30 12:48:00+0000
Performer	TD008362 PATH LAB 001 (Identifier: ODS Organisation Code/Y8J7D)
Identifier	Filler Identifier/REP-20220130-007843

Report Details

Code	Value	Flags	Note
Haemoglobin A1c level - International Federation of Clinical Chemistry and Laboratory Medicine standardised	54 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)