England Pathology and Laboratory Medicine (PaLM) Technical Framework
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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

Example Bundle: Message - Urine-MCS-Unstructured-Report-Example

Language: en

Profile: Bundle - FHIR Messaging

Bundle Message-Urine-MCS-Unstructured-Report-Example of type message


Entry 1 - fullUrl = urn:uuid:8100da70-e6bb-51ad-8d2d-ba73de3eb679

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

-NameReceiver
*GPSYSTEMIdentifier: ODS Organisation Code/B82033

Sources

-Name
*LIMS

focus: Diagnostic Report for 'Diagnostic studies report' for '->NINE EDITESTPATIENT Female, DoB: 2002-02-02 ( Medical record number: RCB6052841)'

definition: Laboratory Result (R01)


Entry 2 - fullUrl = urn:uuid:ce95bd35-3fbe-5e16-8275-54a730d8ee8b

Resource Patient:

Language: en

Profile: Patient

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 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:1e5cda28-2dc4-522e-b44e-8d744ffb1bb6

Resource ServiceRequest:

Language: en

Profile: Laboratory Order

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 (Identifier: ODS Organisation Code/Y8J7D)


Entry 5 - fullUrl = urn:uuid:94faba98-45af-533f-8368-d8e0f9d6f5a0

Resource Specimen:

Language: en

Profile: Specimen

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

Resource Observation:

Language: en

Profile: Laboratory Result

basedOn: ServiceRequest Urinary microscopy, culture and sensitivities

status: Final

category: Laboratory

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 (Identifier: ODS Organisation Code/Y8J7D)

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

Resource DiagnosticReport:

Language: en

Profile: Laboratory Report

Diagnostic studies report (Microbiology)

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: ODS Organisation Code/Y8J7D)
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.