Pathology Prostrate-Specific Antigen Test Example

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"given": [
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"result": [
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<!-- Requesting Practitioner,The consultant, Dr Ibrahim Khan -->
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<name>
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</Practitioner>
</resource>
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<resource>
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<meta>
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<identifier>
<extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus">
<valueCodeableConcept>
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<given value="Michael" />
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<gender value="male" />
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<entry>
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<meta>
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</meta>
<!-- A business level identifier for the original test request.Set by the requesting organisation -->
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<system value="https://tools.ietf.org/html/rfc4122" />
<value value="7e9bbd01-4e52-420d-b05b-48bc671d6708" />
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<status value="active" />
<intent value="order" />
<code>
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<code value="63476009" />
<display value="Prostate specific antigen measurement" />
</coding>
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<subject>
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<entry>
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<id value="efae5859-28df-4e7d-be91-6df56d8215e4" />
<meta>
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<identifier>
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<basedOn>
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</basedOn>
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<status value="available" />
<type>
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<display value="Plasma specimen" />
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<!-- Observed test results -->
<entry>
<fullUrl value="urn:uuid:dacb177a-9501-4dcc-8b22-b941791ae0db" />
<resource>
<Observation>
<id value="dacb177a-9501-4dcc-8b22-b941791ae0db" />
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<value value="2af46949-4938-4c57-bad4-c4363e1965d5" />
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<status value="final" />
<!-- Prostate specific antigen mass concentration in plasma -->
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="1107801000000104" />
<display value="Prostate specific antigen mass concentration in plasma" />
</coding>
</code>
<subject>
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<display value="DAVIES, Michael" />
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<specimen>
<reference value="urn:uuid:756a8361-79ce-4561-afcb-a91fe19df123" />
</specimen>
<referenceRange>
<low>
<value value="0" />
</low>
<high>
<value value="4" />
</high>
</referenceRange>
</Observation>
</resource>
</entry>
</Bundle>

Scenario

This example is based on the following Pathology scenario

Description

Michael Davies, a 58 year old man, attends an appointment at an oncology outpatient clinic at Lingfield Royal Infirmary. The consultant, Dr Ibrahim Khan, gives Michael a blood test form for a prostate-specific antigen (PSA) test and asks him to attend the hospital’s phlebotomy clinic.

On the same day, Michael attends the phlebotomy clinic and hands in the blood test form. A blood sample is taken by one of the clinic phlebotomists, Juan Garcia, and sent to the laboratory based in the hospital.

The sample is received by the laboratory, checked and matched with the test request. The details are recorded on the Laboratory Information Management System (LIMS).

The test is performed, and the results are authorised for release. The following test results (and reference ranges) are sent electronically from the LIMS to the hospital’s Electronic Patient Record (EPR) system and the GP system at Michael’s GP surgery:

Test Result Reference Range
Prostate Specific Antigen 5.9 ug/L (0 to 4)

Named participants

  • Patient: Michael Davies – FHIR Resource: Patient
  • Requesting HCP: Dr Ibrahim Khan – FHIR Resource: Practitioner

Named Organisations

  • Requesting Organisation: Lingfield Royal Infirmary (Oncology) – FHIR Resource: Organization
  • Specimen Collecting Organisation: Lingfield Royal Infirmary (Oncology) – FHIR Resource: Organization
  • Performing Organisation: Lingfield Royal Infirmary (Blood Sciences) – FHIR Resource: Organization

Required Tests

Code Display
63476009 Prostate specific antigen measurement

Specimen(s)

Code Display
119361006 Plasma specimen

Test Report

Code Display
721981007 Diagnostic studies report

Test Results

Code Display Value Unit
1107801000000104 Prostate specific antigen mass concentration in plasma 5.9 ug/L