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
Language: en
Profile: Bundle - FHIR Messaging
Bundle Message-LFT-UandE-Report-Example of type message
Entry 1 - fullUrl = urn:uuid:a6903ffe-dd38-58bb-9c02-6778576adeed
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 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:5034f823-2354-50e0-8023-1b3cf29cd7dc
Resource ServiceRequest:
Language: en
Profile: Laboratory Order
identifier: Placer Identifier/REQ-20220307-000046-001, Filler Identifier/REP-20220308-008902
status: Completed
intent: Order
code: No display for ServiceRequest.code (concept: Liver function tests)
subject: ONE John EDITESTPATIENT Male, DoB: 1925-01-27 ( Medical record number: RCB4719263)
authoredOn: 2022-03-07 09:48:00+0000
requester: Dr Gale GASKELL at PICKERING MEDICAL PRACTICE
performer: TD008362 PATH LAB 001 (Identifier: ODS Organisation Code/Y8J7D)
Entry 5 - fullUrl = urn:uuid:e1fae66a-128e-57f2-a3c0-41647ca6076b
Resource Specimen:
Language: en
Profile: Specimen
identifier: Placer Identifier/SPC-REQ-20220307-000014
status: Available
type: Venous blood specimen
subject: ONE John EDITESTPATIENT Male, DoB: 1925-01-27 ( Medical record number: RCB4719263)
receivedTime: 2022-03-07 14:54:00+0000
request: ServiceRequest Liver function tests
Collections
Collected[x] 2022-03-07 10:02:00+0000
Entry 6 - fullUrl = urn:uuid:a710f661-d19a-57c2-a0c2-41242f538809
Resource Observation:
Language: en
Profile: Laboratory Result
basedOn: ServiceRequest Liver function tests
status: Final
category: Laboratory
code: Serum total bilirubin level
subject: ONE John EDITESTPATIENT Male, DoB: 1925-01-27 ( Medical record number: RCB4719263)
effective: 2022-03-07 10:02:00+0000
issued: 2022-03-08 14:23:00+0000
performer: TD008362 PATH LAB 001 (Identifier: ODS Organisation Code/Y8J7D)
value: 6 umol/L (Details: UCUM codeumol/L = 'umol/L')
ReferenceRanges
High 21 umol/L (Details: UCUM codeumol/L = 'umol/L')
Entry 7 - fullUrl = urn:uuid:2fd38bf8-4ca6-5014-bce1-bbdc3d02b455
Resource Observation:
Language: en
Profile: Laboratory Result
basedOn: ServiceRequest Liver function tests
status: Final
category: Laboratory
code: Serum albumin level
subject: ONE John EDITESTPATIENT Male, DoB: 1925-01-27 ( Medical record number: RCB4719263)
effective: 2022-03-07 10:02:00+0000
issued: 2022-03-08 14:23:00+0000
performer: TD008362 PATH LAB 001 (Identifier: ODS Organisation Code/Y8J7D)
value: 47 g/L (Details: UCUM codeg/L = 'g/L')
ReferenceRanges
Low High 35 g/L (Details: UCUM codeg/L = 'g/L') 50 g/L (Details: UCUM codeg/L = 'g/L')
Entry 8 - fullUrl = urn:uuid:b2b377cb-8999-5ad4-a3a7-0ebf744f6385
Resource Observation:
Language: en
Profile: Laboratory Result
basedOn: ServiceRequest Liver function tests
status: Final
category: Laboratory
code: Serum alkaline phosphatase level
subject: ONE John EDITESTPATIENT Male, DoB: 1925-01-27 ( Medical record number: RCB4719263)
effective: 2022-03-07 10:02:00+0000
issued: 2022-03-08 14:23:00+0000
performer: TD008362 PATH LAB 001 (Identifier: ODS Organisation Code/Y8J7D)
value: 96 iu/L (Details: UCUM code[iU]/L = '[iU]/L')
ReferenceRanges
Low High 30 iu/L (Details: UCUM code[iU]/L = '[iU]/L') 130 iu/L (Details: UCUM code[iU]/L = '[iU]/L')
Entry 9 - fullUrl = urn:uuid:67f8aca5-cf0d-5db2-9338-98f605fc85bc
Resource Observation:
Language: en
Profile: Laboratory Result
basedOn: ServiceRequest Liver function tests
status: Final
category: Laboratory
code: Serum alanine aminotransferase level
subject: ONE John EDITESTPATIENT Male, DoB: 1925-01-27 ( Medical record number: RCB4719263)
effective: 2022-03-07 10:02:00+0000
issued: 2022-03-08 14:23:00+0000
performer: TD008362 PATH LAB 001 (Identifier: ODS Organisation Code/Y8J7D)
value: 15 iu/L (Details: UCUM code[iU]/L = '[iU]/L')
ReferenceRanges
High 40 iu/L (Details: UCUM code[iU]/L = '[iU]/L')
Entry 10 - fullUrl = urn:uuid:32f8a5ae-c597-54ac-b65c-2d1edfc352f2
Resource Observation:
Language: en
Profile: Laboratory Result
basedOn: ServiceRequest Liver function tests
status: Final
category: Laboratory
code: Liver function tests
subject: ONE John EDITESTPATIENT Male, DoB: 1925-01-27 ( Medical record number: RCB4719263)
effective: 2022-03-07 10:02:00+0000
issued: 2022-03-08 14:23:00+0000
performer: TD008362 PATH LAB 001 (Identifier: ODS Organisation Code/Y8J7D)
hasMember:
Entry 11 - fullUrl = urn:uuid:f4ce5504-3821-5939-8131-96727eda4722
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 2022-03-07 10:02:00+0000 Reported 2022-03-08 14:23:00+0000 Performer TD008362 PATH LAB 001 (Identifier: ODS Organisation Code/Y8J7D) Identifier Filler Identifier/REP-20220308-008902 Report Details
Code Value Flags Liver function tests Final Urea and electrolytes level Final
Entry 12 - fullUrl = urn:uuid:e1a2c957-a745-501b-880c-358c673f2013
Resource ServiceRequest:
Language: en
Profile: Laboratory Order
identifier: Placer Identifier/REQ-20220307-000046-002, Filler Identifier/REP-20220308-008902
status: Completed
intent: Order
code: No display for ServiceRequest.code (concept: Urea and electrolytes level)
subject: ONE John EDITESTPATIENT Male, DoB: 1925-01-27 ( Medical record number: RCB4719263)
authoredOn: 2022-03-07 09:48:00+0000
requester: Dr Gale GASKELL at PICKERING MEDICAL PRACTICE
performer: TD008362 PATH LAB 001 (Identifier: ODS Organisation Code/Y8J7D)
Entry 13 - fullUrl = urn:uuid:9667895d-62e6-54ac-9ae0-5a614c3aa4d4
Resource Observation:
Language: en
Profile: Laboratory Result
basedOn: ServiceRequest Urea and electrolytes level
status: Final
category: Laboratory
code: Serum urea level
subject: ONE John EDITESTPATIENT Male, DoB: 1925-01-27 ( Medical record number: RCB4719263)
effective: 2022-03-07 10:02:00+0000
issued: 2022-03-08 14:23:00+0000
performer: TD008362 PATH LAB 001 (Identifier: ODS Organisation Code/Y8J7D)
value: 3.7 mmol/L (Details: UCUM codemmol/L = 'mmol/L')
ReferenceRanges
Low High 2.5 mmol/L (Details: UCUM codemmol/L = 'mmol/L') 7.8 mmol/L (Details: UCUM codemmol/L = 'mmol/L')
Entry 14 - fullUrl = urn:uuid:b454e50d-add5-5d43-bf30-3e74d00b748b
Resource Observation:
Language: en
Profile: Laboratory Result
basedOn: ServiceRequest Urea and electrolytes level
status: Final
category: Laboratory
code: Serum sodium level
subject: ONE John EDITESTPATIENT Male, DoB: 1925-01-27 ( Medical record number: RCB4719263)
effective: 2022-03-07 10:02:00+0000
issued: 2022-03-08 14:23:00+0000
performer: TD008362 PATH LAB 001 (Identifier: ODS Organisation Code/Y8J7D)
value: 139 mmol/L (Details: UCUM codemmol/L = 'mmol/L')
ReferenceRanges
Low High 133 mmol/L (Details: UCUM codemmol/L = 'mmol/L') 146 mmol/L (Details: UCUM codemmol/L = 'mmol/L')
Entry 15 - fullUrl = urn:uuid:75268412-928e-5545-95f0-50dae673af89
Resource Observation:
Language: en
Profile: Laboratory Result
basedOn: ServiceRequest Urea and electrolytes level
status: Final
category: Laboratory
code: Serum potassium level
subject: ONE John EDITESTPATIENT Male, DoB: 1925-01-27 ( Medical record number: RCB4719263)
effective: 2022-03-07 10:02:00+0000
issued: 2022-03-08 14:23:00+0000
performer: TD008362 PATH LAB 001 (Identifier: ODS Organisation Code/Y8J7D)
value: 4.7 mmol/L (Details: UCUM codemmol/L = 'mmol/L')
ReferenceRanges
Low High 3.5 mmol/L (Details: UCUM codemmol/L = 'mmol/L') 5.3 mmol/L (Details: UCUM codemmol/L = 'mmol/L')
Entry 16 - fullUrl = urn:uuid:f6f51c99-e09c-5d75-b6ba-c11787b54760
Resource Observation:
Language: en
Profile: Laboratory Result
basedOn: ServiceRequest Urea and electrolytes level
status: Final
category: Laboratory
code: Serum creatinine level
subject: ONE John EDITESTPATIENT Male, DoB: 1925-01-27 ( Medical record number: RCB4719263)
effective: 2022-03-07 10:02:00+0000
issued: 2022-03-08 14:23:00+0000
performer: TD008362 PATH LAB 001 (Identifier: ODS Organisation Code/Y8J7D)
value: 73 umol/L (Details: UCUM codeumol/L = 'umol/L')
ReferenceRanges
Low High 59 umol/L (Details: UCUM codeumol/L = 'umol/L') 104 umol/L (Details: UCUM codeumol/L = 'umol/L')
Entry 17 - fullUrl = urn:uuid:b2e68e13-b395-5f61-b2c4-4aa8e4062edc
Resource Observation:
Language: en
Profile: Laboratory Result
basedOn: ServiceRequest Urea and electrolytes level
status: Final
category: Laboratory
code: eGFR (estimated glomerular filtration rate) using creatinine Chronic Kidney Disease Epidemiology Collaboration equation per 1.73 square metres
subject: ONE John EDITESTPATIENT Male, DoB: 1925-01-27 ( Medical record number: RCB4719263)
effective: 2022-03-07 10:02:00+0000
issued: 2022-03-08 14:23:00+0000
performer: TD008362 PATH LAB 001 (Identifier: ODS Organisation Code/Y8J7D)
value: 100 mL/min/1.73m2 (Details: UCUM codemL/min/((173/100).m2) = 'mL/min/((173/100).m2)')
note:
Calculated eGFR is not valid in children or pregnancy. Less accurate with acute change in creatinine (AKI). Caution with high or low muscle mass or amputation. Avoid blood sampling within 12 hours of eating meat. Ethnicity factor comment removed Dec21 NG203.
Entry 18 - fullUrl = urn:uuid:91b76c07-cbc7-5a01-9b90-e6b4eea3fd80
Resource Observation:
Language: en
Profile: Laboratory Result
basedOn: ServiceRequest Urea and electrolytes level
status: Final
category: Laboratory
code: Urea and electrolytes level
subject: ONE John EDITESTPATIENT Male, DoB: 1925-01-27 ( Medical record number: RCB4719263)
effective: 2022-03-07 10:02:00+0000
issued: 2022-03-08 14:23:00+0000
performer: TD008362 PATH LAB 001 (Identifier: ODS Organisation Code/Y8J7D)
hasMember: