IMPORTANT
This guide has been deprecated and replaced with the Pathology FHIR Implementation Guide.Pathology Bundle Renal Function Tests Example
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<entry> <fullUrl value="urn:uuid:ffae5859-28df-4e7d-be91-6df56d8215f5" /> <resource> <DiagnosticReport> <id value="ffae5859-28df-4e7d-be91-6df56d8215f5" /> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-DiagnosticReport" /> </meta> <!-- Test Request Summary --> <identifier> <system value="http://acme.com/MidtownDHL/reports" /> <value value="5234355" /> </identifier> <basedOn> <reference value="urn:uuid:e1df1431-22ac-462a-946a-f195f6c640bh" /> </basedOn> <status value="final" /> <code> <coding> <system value="http://snomed.info/sct" /> <code value="721981007" /> <display value="Diagnostic studies report" /> </coding> </code> <subject> <reference value="urn:uuid:9d6c2cd5-0eec-496a-88d0-3785a135dg10" /> <display value="STANNER, Lisa" /> </subject> <issued value="2019-11-04T12:00:00+00:00" /> <performer> <reference value="urn:uuid:e6407de7-0e86-45eb-93cb-035094aaa50f" /> <display value="Midtown District Hospital (Blood Sciences)" /> </performer> <specimen> <reference value="urn:uuid:866a8361-79ce-4561-afcb-a91fe19dg234" /> </specimen> <result> <reference value="urn:uuid:ebcb177a-9501-4dcc-8b22-b941791ae1ec" /> </result> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="urn:uuid:866a8361-79ce-4561-afcb-a91fe19dg234" /> <resource> <Specimen> <id value="866a8361-79ce-4561-afcb-a91fe19dg234" /> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Specimen" /> </meta> <identifier> <system value="https://tools.ietf.org/html/rfc4122" /> <value value="2c663fc5-9dec-49c0-9eed-18a7cfa5a6c3" /> </identifier> <accessionIdentifier> <system value="http://lab.acme.org/specimens/2020/MidtownDHL" /> <value value="X352377" /> </accessionIdentifier> <status value="available" /> <type> <coding> <system value="http://snomed.info/sct" /> <code value="119361006" /> <display value="Plasma specimen" /> </coding> </type> <subject> <reference value="urn:uuid:9d6c2cd5-0eec-496a-88d0-3785a135dg10" /> <display value="STANNER, Lisa" /> </subject> <receivedTime value="2019-11-01T15:00:00+00:00" /> <collection> <collectedDateTime value="2019-11-01T11:00:00+00:00" /> </collection> </Specimen> </resource> </entry> <!-- Renal function tests --> <entry> <fullUrl value="urn:uuid:ebcb177a-9501-4dcc-8b22-b941791ae1ec" /> <resource> <Observation> <id value="ebcb177a-9501-4dcc-8b22-b941791ae1ec" /> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation" /> </meta> <identifier> <system value="https://tools.ietf.org/html/rfc4122" /> <value value="5ff46949-4938-4c57-bad4-c4363e1965g7" /> </identifier> <status value="final" /> <!-- Renal function tests --> <code> <coding> <system value="http://snomed.info/sct" /> <code value="1015971000000100" /> <display value="Renal function tests" /> </coding> </code> <subject> <reference value="urn:uuid:9d6c2cd5-0eec-496a-88d0-3785a135dg10" /> <display value="STANNER, Lisa" /> </subject> <effectiveDateTime value="2019-11-01T15:00:00+00:00" /> <performer> <reference value="urn:uuid:e6407de7-0e86-45eb-93cb-035094aaa50f" /> <display value="Midtown District Hospital (Blood Sciences)" /> </performer> <specimen> <reference value="urn:uuid:866a8361-79ce-4561-afcb-a91fe19dg234" /> </specimen> <!-- Component of Test of Battery 1 --> <hasMember> <!-- Sodium substance concentration in serum --> <reference value="urn:uuid:6c1be8a9-bba0-4941-bb77-93d9fd3b1gbc" /> </hasMember> <hasMember> <!-- Potassium substance concentration in serum --> <reference value="urn:uuid:bb99bda1-a118-4463-806d-c88681c842b9" /> </hasMember> <hasMember> <!-- Chloride substance concentration in serum --> <reference value="urn:uuid:5eda41b3-4f58-45e1-9854-458d89d38162" /> </hasMember> <hasMember> <!-- Creatinine substance concentration in serum --> <reference value="urn:uuid:b3751035-ee56-4135-a265-8dfa0e8b0683" /> </hasMember> <hasMember> <!-- Estimated glomerular filtration rate by laboratory calculation --> <reference value="urn:uuid:108a4300-b289-4806-add6-32aad4725370" /> </hasMember> </Observation> </resource> </entry> <!-- Renal function test: Sodium substance concentration in serum --> <entry> <fullUrl value="urn:uuid:6c1be8a9-bba0-4941-bb77-93d9fd3b1gbc" /> <resource> <Observation> <id value="6c1be8a9-bba0-4941-bb77-93d9fd3b1gbc" /> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation" /> </meta> <identifier> <system value="https://tools.ietf.org/html/rfc4122" /> <value value="6gf46949-4938-4c57-bad4-c4363e1965h8" /> </identifier> <status value="final" /> <code> <coding> <system value="http://snomed.info/sct" /> <code value="1107871000000107" /> <display value="Sodium substance concentration in serum" /> </coding> </code> <subject> <reference value="urn:uuid:9d6c2cd5-0eec-496a-88d0-3785a135dg10" /> <display value="STANNER, Lisa" /> </subject> <effectiveDateTime value="2019-11-01T15:00:00+00:00" /> <performer> <reference value="urn:uuid:e6407de7-0e86-45eb-93cb-035094aaa50f" /> <display value="Midtown District Hospital (Blood Sciences)" /> </performer> <valueQuantity> <value value="142" /> <unit value="mmol/L" /> <system value="https://unitsofmeasure.org" /> <code value="mmol/L" /> </valueQuantity> <specimen> <reference value="urn:uuid:866a8361-79ce-4561-afcb-a91fe19dg234" /> </specimen> <referenceRange> <low> <value value="133" /> </low> <high> <value value="146" /> </high> </referenceRange> </Observation> </resource> </entry> <!-- Renal function test: Potassium substance concentration in serum --> <entry> <fullUrl value="urn:uuid:bb99bda1-a118-4463-806d-c88681c842b9" /> <resource> <Observation> <id value="bb99bda1-a118-4463-806d-c88681c842b9" /> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation" /> </meta> <identifier> <system value="https://tools.ietf.org/html/rfc4122" /> <value value="7if46949-4938-4c57-bad4-c4363e1965i8" /> </identifier> <status value="final" /> <code> <coding> <system value="http://snomed.info/sct" /> <code value="1107761000000109" /> <display value="Potassium substance concentration in serum" /> </coding> </code> <subject> <reference value="urn:uuid:9d6c2cd5-0eec-496a-88d0-3785a135dg10" /> <display value="STANNER, Lisa" /> </subject> <effectiveDateTime value="2019-11-01T15:00:00+00:00" /> <performer> <reference value="urn:uuid:e6407de7-0e86-45eb-93cb-035094aaa50f" /> <display value="Midtown District Hospital (Blood Sciences)" /> </performer> <valueQuantity> <value value="4.8" /> <unit value="mmol/L" /> <system value="https://unitsofmeasure.org" /> <code value="mmol/L" /> </valueQuantity> <specimen> <reference value="urn:uuid:866a8361-79ce-4561-afcb-a91fe19dg234" /> </specimen> <referenceRange> <low> <value value="3.5" /> </low> <high> <value value="5.3" /> </high> </referenceRange> </Observation> </resource> </entry> <!-- Renal function test: Chloride substance concentration in serum --> <entry> <fullUrl value="urn:uuid:5eda41b3-4f58-45e1-9854-458d89d38162" /> <resource> <Observation> <id value="5eda41b3-4f58-45e1-9854-458d89d38162" /> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation" /> </meta> <identifier> <system value="https://tools.ietf.org/html/rfc4122" /> <value value="8jf46949-4938-4c57-bad4-c4363e1965j8" /> </identifier> <status value="final" /> <code> <coding> <system value="http://snomed.info/sct" /> <code value="1106511000000102" /> <display value="Chloride substance concentration in serum" /> </coding> </code> <subject> <reference value="urn:uuid:9d6c2cd5-0eec-496a-88d0-3785a135dg10" /> <display value="STANNER, Lisa" /> </subject> <effectiveDateTime value="2019-11-01T15:00:00+00:00" /> <performer> <reference value="urn:uuid:e6407de7-0e86-45eb-93cb-035094aaa50f" /> <display value="Midtown District Hospital (Blood Sciences)" /> </performer> <valueQuantity> <value value="105" /> <unit value="mmol/L" /> <system value="https://unitsofmeasure.org" /> <code value="mmol/L" /> </valueQuantity> <specimen> <reference value="urn:uuid:866a8361-79ce-4561-afcb-a91fe19dg234" /> </specimen> <referenceRange> <low> <value value="95" /> </low> <high> <value value="108" /> </high> </referenceRange> </Observation> </resource> </entry> <!-- Renal function test: Creatinine substance concentration in serum --> <entry> <fullUrl value="urn:uuid:b3751035-ee56-4135-a265-8dfa0e8b0683" /> <resource> <Observation> <id value="b3751035-ee56-4135-a265-8dfa0e8b0683" /> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation" /> </meta> <identifier> <system value="https://tools.ietf.org/html/rfc4122" /> <value value="8kf46949-4938-4c57-bad4-c4363e1965k8" /> </identifier> <status value="final" /> <code> <coding> <system value="http://snomed.info/sct" /> <code value="1107001000000108" /> <display value="Creatinine substance concentration in serum" /> </coding> </code> <subject> <reference value="urn:uuid:9d6c2cd5-0eec-496a-88d0-3785a135dg10" /> <display value="STANNER, Lisa" /> </subject> <effectiveDateTime value="2019-11-01T15:00:00+00:00" /> <performer> <reference value="urn:uuid:e6407de7-0e86-45eb-93cb-035094aaa50f" /> <display value="Midtown District Hospital (Blood Sciences)" /> </performer> <valueQuantity> <value value="64" /> <unit value="umol/L" /> <system value="https://unitsofmeasure.org" /> <code value="umol/L" /> </valueQuantity> <specimen> <reference value="urn:uuid:866a8361-79ce-4561-afcb-a91fe19dg234" /> </specimen> <referenceRange> <low> <value value="48" /> </low> <high> <value value="128" /> </high> </referenceRange> </Observation> </resource> </entry> <!-- Renal function test: Estimated glomerular filtration rate by laboratory calculation --> <entry> <fullUrl value="urn:uuid:108a4300-b289-4806-add6-32aad4725370" /> <resource> <Observation> <id value="108a4300-b289-4806-add6-32aad4725370" /> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation" /> </meta> <identifier> <system value="https://tools.ietf.org/html/rfc4122" /> <value value="9lf46949-4938-4c57-bad4-c4363e1965l9" /> </identifier> <status value="final" /> <code> <coding> <system value="http://snomed.info/sct" /> <code value="1107411000000104" /> <display value="Estimated glomerular filtration rate by laboratory calculation" /> </coding> </code> <subject> <reference value="urn:uuid:9d6c2cd5-0eec-496a-88d0-3785a135dg10" /> <display value="STANNER, Lisa" /> </subject> <effectiveDateTime value="2019-11-01T15:00:00+00:00" /> <performer> <reference value="urn:uuid:e6407de7-0e86-45eb-93cb-035094aaa50f" /> <display value="Midtown District Hospital (Blood Sciences)" /> </performer> <valueQuantity> <value value="87" /> <unit value="mL/min/1.73m2" /> <system value="https://unitsofmeasure.org" /> <code value="mL/min/((173/100).m2)" /> </valueQuantity> <note> <text value="The EGFR quoted must be multiplied by 1.2 if the patient is of Afro-Caribbean origin." /> </note> <specimen> <reference value="urn:uuid:866a8361-79ce-4561-afcb-a91fe19dg234" /> </specimen> </Observation> </resource> </entry> </Bundle>
Clinical Scenario
This example is based on the following Pathology scenario
Description
Lisa Stanner, a 60 year old woman, attends Manor GP Practice for monitoring her hypertension. Lisa’s GP, Dr Jane Green, requests renal function tests (electrolytes and creatinine profile). The request is sent electronically using an order comms system (accessed via the GP practice system) to the pathology laboratory based in the local hospital, Midtown District Hospital.
Dr Green books an appointment with the practice nurse, Alice Jones. Lisa attends the appointment the following day where the blood sample is taken and sent to the laboratory.
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 tests are performed, and the results are authorised for release. The following test results (and reference ranges) are sent electronically from the LIMS to the GP practice system:
Electrolytes and Creatinine Profile
Type | Units | Range |
---|---|---|
Sodium | 142 mmol/L | (133 to 146) |
Potassium | 4.8 mmol/L | (3.5 to 5.3) |
Chloride | 105 mmol/L | (95 to 108) |
Creatinine | 64 umol/L | (48 to 128) |
EGFR | 87 mL/min/1.73m2 | |
Comments | The EGFR quoted above must be multiplied by 1.2 if the patient is of Afro-Caribbean origin. |
Named participants
- Patient: Patient: Lisa Stanner – FHIR Resource: Patient
- Requesting HCP: Dr Jane Green – FHIR Resource: Practitioner
Named Organisations
- Requesting Organisation: Manor GP Practice – FHIR Resource: Organization
- Specimen Collecting Organisation: Manor GP Practice – FHIR Resource: Organization
- Performing Organisation: Midtown District Hospital (Blood Sciences) – FHIR Resource: Organization
Required Tests
- Electrolytes and creatinine – FHIR Resource: ServiceRequest
Code | Display |
---|---|
54610007 | Kidney panel |
Specimen(s)
- Blood – FHIR Resource: Specimen
Code | Display |
---|---|
119361006 | Plasma specimen |
Test Report
- FHIR Resource: DiagnosticReport
Code | Display |
---|---|
721981007 | Diagnostic studies report |
Test Results
- FHIR Resource: Observation
Code | Display | Value | Unit |
---|---|---|---|
1015971000000100 | Renal function tests | - | - |
1107871000000107 | Sodium substance concentration in serum | 142 | mmol/L |
1107761000000109 | Potassium substance concentration in serum | 4.8 | mmol/L |
1106511000000102 | Chloride substance concentration in serum | 105 | mmol/L |
1107001000000108 | Creatinine substance concentration in serum | 64 | umol/L |
1107411000000104 | Estimated glomerular filtration rate by laboratory calculation | 87 | mL/min/1.73m2 |