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
{
"resourceType" : "Bundle",
"id" : "Message-HbA1c-Report-Example",
"meta" : {
"profile" : [
🔗 "https://examplesihe.org.uk/StructureDefinition/BundleMessage"
]
},
"language" : "en",
"identifier" : {
"value" : "NHSE-EX-0001"
},
"type" : "message",
"timestamp" : "2022-03-08T12:09:00+00:00",
"entry" : [
{
"fullUrl" : "urn:uuid:92d17a28-d06d-55b6-b7f6-d3d9daebf9eb",
"resource" : {
"resourceType" : "MessageHeader",
"id" : "92d17a28-d06d-55b6-b7f6-d3d9daebf9eb",
"meta" : {
"lastUpdated" : "2022-03-08T12:09:00+00:00",
"profile" : [
🔗 "https://examplesihe.org.uk/StructureDefinition/MessageHeader"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MessageHeader_92d17a28-d06d-55b6-b7f6-d3d9daebf9eb\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MessageHeader 92d17a28-d06d-55b6-b7f6-d3d9daebf9eb</b></p><a name=\"92d17a28-d06d-55b6-b7f6-d3d9daebf9eb\"> </a><a name=\"hc92d17a28-d06d-55b6-b7f6-d3d9daebf9eb\"> </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\">Last updated: 2022-03-08 12:09:00+0000</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-MessageHeader.html\">Document Message (MessageHeader)</a></p></div><p><b>event</b>: <a href=\"http://terminology.hl7.org/7.5.0/CodeSystem-v2-0003.html#v2-0003-R01\">event: R01</a> (ORU/ACK - Unsolicited transmission of an observation message)</p><h3>Destinations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Name</b></td><td><b>Endpoint</b></td><td><b>Receiver</b></td></tr><tr><td style=\"display: none\">*</td><td>GPSYSTEM</td><td>urn:hl7-v2:GPSYSTEM</td><td>Identifier: <a href=\"NamingSystem-ods-organization-code-namingsystem.html\" title=\"The identifier system for an Organisation registered with the Organisation Data Service (ODS).\">ODS Organisation Code</a>/B82033</td></tr></table><p><b>sender</b>: Identifier: <a href=\"NamingSystem-ods-organization-code-namingsystem.html\" title=\"The identifier system for an Organisation registered with the Organisation Data Service (ODS).\">ODS Organisation Code</a>/Y8J7D</p><h3>Sources</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Name</b></td><td><b>Endpoint</b></td></tr><tr><td style=\"display: none\">*</td><td>LIMS</td><td>urn:hl7-v2:LIMS</td></tr></table><p><b>focus</b>: <a href=\"Bundle-Document-HbA1c-Report-Example.html#urn-uuid-73f36ee5-bd67-57cb-860a-d12690aa09ba\">Diagnostic Report for 'Diagnostic studies report' for '->ONE John EDITESTPATIENT Male, DoB: 1925-01-27 ( Medical record number: RCB4719263)'</a></p><p><b>definition</b>: <a href=\"MessageDefinition-laboratory-result.html\">Laboratory Result (R01)</a></p></div>"
},
"eventCoding" : {
"system" : "http://terminology.hl7.org/CodeSystem/v2-0003",
"code" : "R01",
"display" : "ORU/ACK - Unsolicited transmission of an observation message"
},
"destination" : [
{
"name" : "GPSYSTEM",
"endpoint" : "urn:hl7-v2:GPSYSTEM",
"receiver" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "B82033"
}
}
}
],
"sender" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "Y8J7D"
}
},
"source" : {
"name" : "LIMS",
"endpoint" : "urn:hl7-v2:LIMS"
},
"focus" : [
{
"reference" : "urn:uuid:73f36ee5-bd67-57cb-860a-d12690aa09ba"
}
],
"definition" : "https://examplesihe.org.uk/MessageDefinition/laboratory-result"
}
},
{
"fullUrl" : "urn:uuid:bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5",
"resource" : {
"resourceType" : "Patient",
"id" : "bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5",
"meta" : {
"profile" : [
🔗 "https://examplesihe.org.uk/StructureDefinition/Patient"
]
},
"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=\"StructureDefinition-Patient.html\">Patient</a></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:84c94bb1-4336-5607-9124-6b82052db22a",
"resource" : {
"resourceType" : "PractitionerRole",
"id" : "84c94bb1-4336-5607-9124-6b82052db22a",
"meta" : {
"profile" : [
🔗 "https://examplesihe.org.uk/StructureDefinition/PractitionerRole"
]
},
"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: <a href=\"StructureDefinition-PractitionerRole.html\">PractitionerRole</a></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\">Dr Gale GASKELL (Identifier: <a href=\"NamingSystem-gmcnumber-namingsystem.html\" title=\"General Medical Council Consultant Code. For more details see: [NHS Data Model Dictionary](https://www.datadictionary.nhs.uk/attributes/general_medical_council_reference_number.html)\">GMC Number</a>/C1008215)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"The organization where the practitioner performs the roles\">Organization:</td><td colspan=\"3\">PICKERING MEDICAL PRACTICE (Identifier: <a href=\"NamingSystem-ods-organization-code-namingsystem.html\" title=\"The identifier system for an Organisation registered with the Organisation Data Service (ODS).\">ODS Organisation Code</a>/B82033)</td></tr></table></div>"
},
"practitioner" : {
"type" : "Practitioner",
"identifier" : {
"system" : "https://fhir.hl7.org.uk/Id/gmc-number",
"value" : "C1008215"
},
"display" : "Dr Gale GASKELL"
},
"organization" : {
"type" : "Organization",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "B82033"
},
"display" : "PICKERING MEDICAL PRACTICE"
}
}
},
{
"fullUrl" : "urn:uuid:d722ddcf-b3da-51eb-b616-01d6c5f1eace",
"resource" : {
"resourceType" : "ServiceRequest",
"id" : "d722ddcf-b3da-51eb-b616-01d6c5f1eace",
"meta" : {
"profile" : [
🔗 "https://examplesihe.org.uk/StructureDefinition/LaboratoryOrder"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_d722ddcf-b3da-51eb-b616-01d6c5f1eace\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest d722ddcf-b3da-51eb-b616-01d6c5f1eace</b></p><a name=\"d722ddcf-b3da-51eb-b616-01d6c5f1eace\"> </a><a name=\"hcd722ddcf-b3da-51eb-b616-01d6c5f1eace\"> </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=\"StructureDefinition-LaboratoryOrder.html\">Laboratory Order</a></p></div><p><b>identifier</b>: Placer Identifier/REQ-20220129-000241, Filler Identifier/REP-20220130-007843</p><p><b>status</b>: Completed</p><p><b>intent</b>: Order</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 999791000000106}\">Haemoglobin A1c level - International Federation of Clinical Chemistry and Laboratory Medicine standardised</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>: 2022-01-29 10:24:00+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>: TD008362 PATH LAB 001 (Identifier: <a href=\"NamingSystem-ods-organization-code-namingsystem.html\" title=\"The identifier system for an Organisation registered with the Organisation Data Service (ODS).\">ODS Organisation Code</a>/Y8J7D)</p><p><b>specimen</b>: <a href=\"Bundle-Document-HbA1c-Report-Example.html#urn-uuid-c41f9657-4d5b-553e-97db-9caf4478d9ad\">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</a></p></div>"
},
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "PLAC"
}
]
},
"system" : "http://B82033-pickeringmedicalpractice.com/labrequest",
"value" : "REQ-20220129-000241",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "B82033"
}
}
},
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "FILL"
}
]
},
"system" : "http://Y8J7D-pathlab001.com/report",
"value" : "REP-20220130-007843",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "Y8J7D"
}
}
}
],
"status" : "completed",
"intent" : "order",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "999791000000106",
"display" : "Haemoglobin A1c level - International Federation of Clinical Chemistry and Laboratory Medicine standardised"
}
]
},
"subject" : {
"reference" : "urn:uuid:bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9999999468"
}
},
"authoredOn" : "2022-01-29T10:24:00+00:00",
"requester" : {
"reference" : "urn:uuid:84c94bb1-4336-5607-9124-6b82052db22a"
},
"performer" : [
{
"type" : "Organization",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "Y8J7D"
},
"display" : "TD008362 PATH LAB 001"
}
],
"specimen" : [
{
"reference" : "urn:uuid:c41f9657-4d5b-553e-97db-9caf4478d9ad"
}
]
}
},
{
"fullUrl" : "urn:uuid:c41f9657-4d5b-553e-97db-9caf4478d9ad",
"resource" : {
"resourceType" : "Specimen",
"id" : "c41f9657-4d5b-553e-97db-9caf4478d9ad",
"meta" : {
"profile" : [
🔗 "https://examplesihe.org.uk/StructureDefinition/Specimen"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Specimen_c41f9657-4d5b-553e-97db-9caf4478d9ad\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Specimen c41f9657-4d5b-553e-97db-9caf4478d9ad</b></p><a name=\"c41f9657-4d5b-553e-97db-9caf4478d9ad\"> </a><a name=\"hcc41f9657-4d5b-553e-97db-9caf4478d9ad\"> </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=\"StructureDefinition-Specimen.html\">Specimen</a></p></div><p><b>identifier</b>: Placer Identifier/SPC-REQ-20220129-000362</p><p><b>accessionIdentifier</b>: Accession ID/SPC-Lab-20220129-008927</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>: 2022-01-29 15:14:00+0000</p><p><b>request</b>: <a href=\"Bundle-Document-HbA1c-Report-Example.html#urn-uuid-d722ddcf-b3da-51eb-b616-01d6c5f1eace\">ServiceRequest Haemoglobin A1c level - International Federation of Clinical Chemistry and Laboratory Medicine standardised</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>2022-01-29 10:18:00+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-20220129-000362"
}
],
"accessionIdentifier" : {
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "ACSN"
}
]
},
"system" : "http://Y8J7D-pathlab001.com/specimen",
"value" : "SPC-Lab-20220129-008927",
"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" : "2022-01-29T15:14:00+00:00",
"request" : [
{
"reference" : "urn:uuid:d722ddcf-b3da-51eb-b616-01d6c5f1eace"
}
],
"collection" : {
"collectedDateTime" : "2022-01-29T10:18:00+00:00"
}
}
},
{
"fullUrl" : "urn:uuid:f9469916-f829-5957-a478-acbef4b04196",
"resource" : {
"resourceType" : "Observation",
"id" : "f9469916-f829-5957-a478-acbef4b04196",
"meta" : {
"profile" : [
🔗 "https://examplesihe.org.uk/StructureDefinition/LaboratoryResult"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_f9469916-f829-5957-a478-acbef4b04196\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation f9469916-f829-5957-a478-acbef4b04196</b></p><a name=\"f9469916-f829-5957-a478-acbef4b04196\"> </a><a name=\"hcf9469916-f829-5957-a478-acbef4b04196\"> </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=\"StructureDefinition-LaboratoryResult.html\">Laboratory Result</a></p></div><p><b>basedOn</b>: <a href=\"Bundle-Document-HbA1c-Report-Example.html#urn-uuid-d722ddcf-b3da-51eb-b616-01d6c5f1eace\">ServiceRequest Haemoglobin A1c level - International Federation of Clinical Chemistry and Laboratory Medicine standardised</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></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 999791000000106}\">Haemoglobin A1c level - International Federation of Clinical Chemistry and Laboratory Medicine standardised</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>: 2022-01-29 10:18:00+0000</p><p><b>issued</b>: 2022-01-30 12:48:00+0000</p><p><b>performer</b>: TD008362 PATH LAB 001 (Identifier: <a href=\"NamingSystem-ods-organization-code-namingsystem.html\" title=\"The identifier system for an Organisation registered with the Organisation Data Service (ODS).\">ODS Organisation Code</a>/Y8J7D)</p><p><b>value</b>: 54 mmol/mol<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemmol/mol = 'mmol/mol')</span></p><p><b>note</b>: </p><blockquote><div><p>DIAGNOSIS OF DIABETES MELLITUS:\nHbA1c of 48 mmol/mol and above is diagnostic of DM (WHO 2011)\n42 - 47 mmol/mol indicates high risk of DM (NICE Guidance PH38 2012)</p>\n<p>MONITORING OF DIABETES MELLITUS (ADULTS):\nType 2 target values: 48 mmol/mol – 57 mmol/mol (NICE Guidelines NG28)\nType 1 target values: 48 mmol/mol or lower (NICE Guidelines NG17)</p>\n</div></blockquote><p><b>specimen</b>: <a href=\"Bundle-Document-HbA1c-Report-Example.html#urn-uuid-c41f9657-4d5b-553e-97db-9caf4478d9ad\">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</a></p></div>"
},
"basedOn" : [
{
"reference" : "urn:uuid:d722ddcf-b3da-51eb-b616-01d6c5f1eace"
}
],
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory",
"display" : "Laboratory"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "999791000000106",
"display" : "Haemoglobin A1c level - International Federation of Clinical Chemistry and Laboratory Medicine standardised"
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