WARNING
This guidance is under active development by NHS England and content may be added or updated on a regular basis. The implementation guide is currently in draft and SHOULD NOT be used for development or implementation without consulting the NHS England Pathology Standards and Implementation team.PATH-R4-08: Bundle Example - Full Blood Count Report
- This is an example of a report that contains the results associated with a single test group.
- Within the context of this specification a test group is defined as a set of related tests. Test groups are often referred to as batteries, panels or profiles.
- The test group is defined as an
Observationand is referenced fromDiagnosticReportusingDiagnosticReport.result. The test groupObservationreferences otherObservationsthat contain the associated test results. The references are defined usingObservation.hasMember. - Free text clinical information relating to the patient, as provided by the requester ("Tired all the time, shortness of breath, arrhythmia"), is carried in
ServiceRequest.note. - In this example, the specimen (venous blood) was collected after the request was made. The specimen is linked to the request within the
BundleusingSpecimen.request.
The following is a simplified logical data model that illustrates the key references between the FHIR profiles in the example message bundle. To aid clarity, not all of the references are shown. For a detailed description of the relationships between the FHIR profiles, and how they may be used, refer to How to Construct a Pathology Test Report Bundle.
<Bundle xmlns="http://hl7.org/fhir"> <id value="Pathology-Bundle-FBC-Report-Example" /> <meta> <lastUpdated value="2022-02-09T11:17:00+00:00" /> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Bundle" /> </meta> <identifier> <system value="https://tools.ietf.org/html/rfc4122" /> <value value="866e3e7a-2142-4af2-8461-2d2e876e8521" /> </identifier> <type value="message" /> <entry> <fullUrl value="urn:uuid:f18a2226-c0ab-480d-b80a-b6561fe8f9c4" /> <resource> <MessageHeader> <!-- TBC Review content of MessageHeader --> <id value="f18a2226-c0ab-480d-b80a-b6561fe8f9c4" /> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-MessageHeader" /> </meta> <eventCoding> <system value="http://snomed.info/sct" /> <code value="371528001" /> <display value="Pathology report" /> </eventCoding> <destination> <name value="PICKERING MEDICAL PRACTICE" /> <!-- TBC Update endpoint address --> <endpoint value="TBC" /> <!-- Requesting Organisation --> <receiver> <reference value="urn:uuid:3c43b5b3-06d6-445f-ae9a-48d5f05df434" /> </receiver> </destination> <sender> <!-- Performing Laboratory --> <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" /> </sender> <source> <!-- TBC Update endpoint address --> <endpoint value="TBC" /> </source> <focus> <!-- DiagnosticReport --> <reference value="urn:uuid:35d46ca1-f253-4c97-b7ee-fb5fccdf6c20" /> </focus> <definition value="https://fhir.nhs.uk/England/MessageDefinition/England-Pathology-Report" /> </MessageHeader> </resource> </entry> <entry> <fullUrl value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" /> <resource> <Organization> <!-- Performing Laboratory --> <id value="8a6d85b8-9837-4fed-a257-4cf207988338" /> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" /> </meta> <identifier> <system value="https://fhir.nhs.uk/Id/ods-organization-code" /> <value value="Y8J7D" /> </identifier> <name value="TD008362 PATH LAB 001" /> <address> <line value="PATHOLOGY LAB" /> <line value="7-8 WELLINGTON PLACE" /> <city value="LEEDS" /> <district value="WEST YORKSHIRE" /> <postalCode value="LS1 4AP" /> </address> </Organization> </resource> </entry> <entry> <fullUrl value="urn:uuid:3c43b5b3-06d6-445f-ae9a-48d5f05df434" /> <resource> <Organization> <!-- Requesting Organisation --> <id value="3c43b5b3-06d6-445f-ae9a-48d5f05df434" /> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" /> </meta> <identifier> <system value="https://fhir.nhs.uk/Id/ods-organization-code" /> <value value="B82033" /> </identifier> <name value="PICKERING MEDICAL PRACTICE" /> <address> <line value="SOUTHGATE" /> <city value="PICKERING" /> <district value="NORTH YORKSHIRE" /> <postalCode value="YO18 8BL" /> </address> </Organization> </resource> </entry> <entry> <fullUrl value="urn:uuid:9a835acf-d715-4d84-8dcf-a8435f6417fe" /> <resource> <Practitioner> <!-- Requesting Practitioner --> <id value="9a835acf-d715-4d84-8dcf-a8435f6417fe" /> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Practitioner" /> </meta> <identifier> <system value="https://fhir.nhs.uk/Id/sds-user-id" /> <!-- Confirm SDS user id --> <value value="TBC" /> </identifier> <name> <use value="official" /> <family value="GASKELL" /> <given value="Gale" /> <prefix value="Dr" /> </name> </Practitioner> </resource> </entry> <entry> <fullUrl value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" /> <resource> <Patient> <id value="ab87a3f8-1d37-44a9-804e-5e962598a6e4" /> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient" /> </meta> <identifier> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus"> <valueCodeableConcept> <coding> <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberVerificationStatusEngland" /> <code value="01" /> <display value="Number present and verified" /> </coding> </valueCodeableConcept> </extension> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="9727710859" /> </identifier> <name> <use value="official" /> <family value="MOXEY" /> <given value="Judy" /> </name> <gender value="female" /> <birthDate value="2004-05-06" /> <address> <line value="1 CASTLEGATE" /> <city value="PICKERING" /> <district value="NORTH YORKSHIRE" /> <postalCode value="YO18 7AY" /> </address> </Patient> </resource> </entry> <entry> <fullUrl value="urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac" /> <resource> <ServiceRequest> <id value="1c38d507-9ad7-4b49-ba91-7da204842cac" /> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-ServiceRequest-Lab" /> </meta> <identifier> <system value="http://B82033-pickeringmedicalpractice.com/labrequest" /> <value value="REQ-20220129-000012" /> </identifier> <status value="active" /> <intent value="order" /> <code> <coding> <!-- From PaLM procedure reference set --> <system value="http://snomed.info/sct" /> <code value="26604007" /> <display value="Full blood count" /> </coding> </code> <subject> <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" /> <display value="MOXEY, Judy" /> </subject> <authoredOn value="2022-02-07T09:17:00+00:00" /> <requester> <reference value="urn:uuid:9a835acf-d715-4d84-8dcf-a8435f6417fe" /> <display value="GASKELL, Dr Gale" /> </requester> <performer> <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" /> <display value="TD008362 PATH LAB 001" /> </performer> <note> <text value="Tired all the time, shortness of breath, arrhythmia" /> </note> </ServiceRequest> </resource> </entry> <entry> <fullUrl value="urn:uuid:35d46ca1-f253-4c97-b7ee-fb5fccdf6c20" /> <resource> <DiagnosticReport> <id value="35d46ca1-f253-4c97-b7ee-fb5fccdf6c20" /> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-DiagnosticReport-Lab" /> </meta> <identifier> <system value="http://Y8J7D-pathlab001.com/report" /> <value value="REP-20220209-001369" /> </identifier> <basedOn> <reference value="urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac" /> </basedOn> <status value="final" /> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0074" /> <code value="LAB" /> <display value="Laboratory" /> </coding> </category> <code> <coding> <system value="http://snomed.info/sct" /> <code value="721981007" /> <display value="Diagnostic studies report" /> </coding> </code> <subject> <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" /> <display value="MOXEY, Judy" /> </subject> <issued value="2022-02-09T11:17:00+00:00" /> <performer> <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" /> <display value="TD008362 PATH LAB 001" /> </performer> <specimen> <reference value="urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" /> </specimen> <result> <reference value="urn:uuid:ad717ae8-cb35-4d66-ba51-e22a76b1d158" /> </result> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" /> <resource> <Specimen> <id value="bab0eaec-1ec5-4598-b660-90bb38a1030d" /> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Specimen" /> </meta> <identifier> <system value="http://B82033-pickeringmedicalpractice.com/specimen" /> <value value="SPC-REQ-20220208-000016" /> </identifier> <accessionIdentifier> <system value="http://Y8J7D-pathlab001.com/specimen" /> <value value="SPC-LAB-20220208-001397" /> </accessionIdentifier> <status value="available" /> <type> <coding> <system value="http://snomed.info/sct" /> <code value="122555007" /> <display value="Venous blood specimen" /> </coding> </type> <subject> <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" /> <display value="MOXEY, Judy" /> </subject> <receivedTime value="2022-02-08T16:03:00+00:00" /> <request> <reference value="urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac" /> </request> <collection> <collectedDateTime value="2022-02-08T10:23:00+00:00" /> </collection> </Specimen> </resource> </entry> <entry> <fullUrl value="urn:uuid:ad717ae8-cb35-4d66-ba51-e22a76b1d158" /> <resource> <Observation> <!-- Test group Observation for Full Blood Count --> <id value="ad717ae8-cb35-4d66-ba51-e22a76b1d158" /> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Group-Lab" /> </meta> <identifier> <system value="https://tools.ietf.org/html/rfc4122" /> <value value="2af46949-4938-4c57-bad4-c4363e1965d5" /> </identifier> <status value="final" /> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category" /> <code value="laboratory" /> <display value="Laboratory" /> </coding> </category> <code> <coding> <!-- From PaLM procedure reference set --> <system value="http://snomed.info/sct" /> <code value="26604007" /> <display value="Full blood count" /> </coding> </code> <subject> <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" /> <display value="MOXEY, Judy" /> </subject> <issued value="2022-02-09T11:17:00+00:00" /> <performer> <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" /> <display value="TD008362 PATH LAB 001" /> </performer> <specimen> <reference value="urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" /> </specimen> <hasMember> <!-- White blood cell count in blood --> <reference value="urn:uuid:f8c185fc-0993-4b80-9d33-4c9ae11c3afe" /> </hasMember> <hasMember> <!-- Red blood cell count --> <reference value="urn:uuid:78afe41f-4689-41a2-b10d-351a991b261a" /> </hasMember> <hasMember> <!-- Haemoglobin mass concentration in blood --> <reference value="urn:uuid:b7849f25-3c44-4542-805f-ba769b7cfe04" /> </hasMember> <hasMember> <!-- Haematocrit volume fraction of blood --> <reference value="urn:uuid:b483a0bf-c332-4dde-b606-ec29aab33583" /> </hasMember> <hasMember> <!-- Erythrocytes MCV (mean corpuscular volume) in blood --> <reference value="urn:uuid:9e44a75d-e676-4497-aeb3-da72a08a3641" /> </hasMember> <hasMember> <!-- MCH - Mean corpuscular haemoglobin --> <reference value="urn:uuid:ba423cce-bf8c-440c-8061-086055a1799b" /> </hasMember> <hasMember> <!-- MCHC - Mean corpuscular haemoglobin concentration --> <reference value="urn:uuid:af52170f-763a-40a6-9363-dc58cd72602e" /> </hasMember> <hasMember> <!-- Platelet count in blood --> <reference value="urn:uuid:298306aa-4a5e-4442-8f60-9153c19c6333" /> </hasMember> <hasMember> <!-- Neutrophil count in blood --> <reference value="urn:uuid:69d08add-5ab8-46a3-be08-fb15e550da75" /> </hasMember> <hasMember> <!-- Lymphocyte count in blood --> <reference value="urn:uuid:d5995ac0-55d8-4f2f-9058-6235a13fc1fe" /> </hasMember> <hasMember> <!-- Monocyte count in blood --> <reference value="urn:uuid:42d1c079-777a-4878-b568-af6f297dbecb" /> </hasMember> <hasMember> <!-- Eosinophil count in blood --> <reference value="urn:uuid:56f9a606-221b-462b-b134-154c72db9c66" /> </hasMember> <hasMember> <!-- Basophil count in blood --> <reference value="urn:uuid:d719524b-993c-455c-9c18-36e3dfe6f71e" /> </hasMember> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:f8c185fc-0993-4b80-9d33-4c9ae11c3afe" /> <resource> <Observation> <!-- White blood cell count in blood --> <id value="f8c185fc-0993-4b80-9d33-4c9ae11c3afe" /> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" /> </meta> <identifier> <system value="https://tools.ietf.org/html/rfc4122" /> <value value="2af46949-4938-4c57-bad4-c4363e1965d5" /> </identifier> <status value="final" /> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category" /> <code value="laboratory" /> <display value="Laboratory" /> </coding> </category> <code> <coding> <!-- From PaLM observable entity reference set --> <system value="http://snomed.info/sct" /> <code value="1110441000000100" /> <display value="White blood cell count in blood" /> </coding> </code> <subject> <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" /> <display value="MOXEY, Judy" /> </subject> <issued value="2022-02-09T11:17:00+00:00" /> <performer> <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" /> <display value="TD008362 PATH LAB 001" /> </performer> <valueQuantity> <value value="4.76" /> <unit value="10*9/L" /> <system value="http://unitsofmeasure.org" /> <code value="10^9/L" /> </valueQuantity> <specimen> <reference value="urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" /> </specimen> <referenceRange> <low> <value value="4.00" /> <unit value="10*9/L" /> <system value="http://unitsofmeasure.org" /> <code value="10^9/L" /> </low> <high> <value value="11.00" /> <unit value="10*9/L" /> <system value="http://unitsofmeasure.org" /> <code value="10^9/L" /> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:78afe41f-4689-41a2-b10d-351a991b261a" /> <resource> <Observation> <!-- Red blood cell count --> <id value="78afe41f-4689-41a2-b10d-351a991b261a" /> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" /> </meta> <identifier> <system value="https://tools.ietf.org/html/rfc4122" /> <value value="2af46949-4938-4c57-bad4-c4363e1965d5" /> </identifier> <status value="final" /> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category" /> <code value="laboratory" /> <display value="Laboratory" /> </coding> </category> <code> <coding> <!-- From PaLM observable entity reference set --> <system value="http://snomed.info/sct" /> <code value="1022451000000103" /> <display value="Red blood cell count" /> </coding> </code> <subject> <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" /> <display value="MOXEY, Judy" /> </subject> <issued value="2022-02-09T11:17:00+00:00" /> <performer> <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" /> <display value="TD008362 PATH LAB 001" /> </performer> <valueQuantity> <value value="3.63" /> <unit value="10*12/L" /> <system value="http://unitsofmeasure.org" /> <code value="10^12/L" /> </valueQuantity> <specimen> <reference value="urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" /> </specimen> <referenceRange> <low> <value value="4.10" /> <unit value="10*12/L" /> <system value="http://unitsofmeasure.org" /> <code value="10^12/L" /> </low> <high> <value value="5.10" /> <unit value="10*12/L" /> <system value="http://unitsofmeasure.org" /> <code value="10^12/L" /> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:b7849f25-3c44-4542-805f-ba769b7cfe04" /> <resource> <Observation> <!-- Haemoglobin mass concentration in blood --> <id value="b7849f25-3c44-4542-805f-ba769b7cfe04" /> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" /> </meta> <identifier> <system value="https://tools.ietf.org/html/rfc4122" /> <value value="2af46949-4938-4c57-bad4-c4363e1965d5" /> </identifier> <status value="final" /> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category" /> <code value="laboratory" /> <display value="Laboratory" /> </coding> </category> <code> <coding> <!-- From PaLM observable entity reference set --> <system value="http://snomed.info/sct" /> <code value="1107511000000100" /> <display value="Haemoglobin mass concentration in blood" /> </coding> </code> <subject> <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" /> <display value="MOXEY, Judy" /> </subject> <issued value="2022-02-09T11:17:00+00:00" /> <performer> <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" /> <display value="TD008362 PATH LAB 001" /> </performer> <valueQuantity> <value value="108" /> <unit value="g/L" /> <system value="http://unitsofmeasure.org" /> <code value="g/L" /> </valueQuantity> <specimen> <reference value="urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" /> </specimen> <referenceRange> <low> <value value="120" /> <unit value="g/L" /> <system value="http://unitsofmeasure.org" /> <code value="g/L" /> </low> <high> <value value="150" /> <unit value="g/L" /> <system value="http://unitsofmeasure.org" /> <code value="g/L" /> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:b483a0bf-c332-4dde-b606-ec29aab33583" /> <resource> <Observation> <!-- Haematocrit volume fraction of blood --> <id value="b483a0bf-c332-4dde-b606-ec29aab33583" /> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" /> </meta> <identifier> <system value="https://tools.ietf.org/html/rfc4122" /> <value value="2af46949-4938-4c57-bad4-c4363e1965d5" /> </identifier> <status value="final" /> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category" /> <code value="laboratory" /> <display value="Laboratory" /> </coding> </category> <code> <coding> <!-- From PaLM observable entity reference set --> <system value="http://snomed.info/sct" /> <code value="1111571000000101" /> <display value="Haematocrit volume fraction of blood" /> </coding> </code> <subject> <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" /> <display value="MOXEY, Judy" /> </subject> <issued value="2022-02-09T11:17:00+00:00" /> <performer> <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" /> <display value="TD008362 PATH LAB 001" /> </performer> <valueQuantity> <value value="0.352" /> <unit value="l/l" /> <system value="http://unitsofmeasure.org" /> <code value="%" /> </valueQuantity> <specimen> <reference value="urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" /> </specimen> <referenceRange> <low> <value value="0.360" /> <unit value="l/l" /> <system value="http://unitsofmeasure.org" /> <code value="%" /> </low> <high> <value value="0.460" /> <unit value="l/l" /> <system value="http://unitsofmeasure.org" /> <code value="%" /> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:9e44a75d-e676-4497-aeb3-da72a08a3641" /> <resource> <Observation> <!-- Erythrocytes MCV (mean corpuscular volume) in blood --> <id value="9e44a75d-e676-4497-aeb3-da72a08a3641" /> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" /> </meta> <identifier> <system value="https://tools.ietf.org/html/rfc4122" /> <value value="2af46949-4938-4c57-bad4-c4363e1965d5" /> </identifier> <status value="final" /> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category" /> <code value="laboratory" /> <display value="Laboratory" /> </coding> </category> <code> <coding> <!-- From PaLM observable entity reference set --> <system value="http://snomed.info/sct" /> <code value="1491000237105" /> <display value="Erythrocytes MCV (mean corpuscular volume) in blood" /> </coding> </code> <subject> <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" /> <display value="MOXEY, Judy" /> </subject> <issued value="2022-02-09T11:17:00+00:00" /> <performer> <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" /> <display value="TD008362 PATH LAB 001" /> </performer> <valueQuantity> <value value="97.0" /> <unit value="fL" /> <system value="http://unitsofmeasure.org" /> <code value="fL" /> </valueQuantity> <specimen> <reference value="urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" /> </specimen> <referenceRange> <low> <value value="80.0" /> <unit value="fL" /> <system value="http://unitsofmeasure.org" /> <code value="fL" /> </low> <high> <value value="100.0" /> <unit value="fL" /> <system value="http://unitsofmeasure.org" /> <code value="fL" /> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:ba423cce-bf8c-440c-8061-086055a1799b" /> <resource> <Observation> <!-- MCH - Mean corpuscular haemoglobin --> <id value="ba423cce-bf8c-440c-8061-086055a1799b" /> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" /> </meta> <identifier> <system value="https://tools.ietf.org/html/rfc4122" /> <value value="2af46949-4938-4c57-bad4-c4363e1965d5" /> </identifier> <status value="final" /> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category" /> <code value="laboratory" /> <display value="Laboratory" /> </coding> </category> <code> <coding> <!-- From PaLM observable entity reference set --> <system value="http://snomed.info/sct" /> <code value="1022471000000107" /> <display value="MCH - Mean corpuscular haemoglobin" /> </coding> </code> <subject> <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" /> <display value="MOXEY, Judy" /> </subject> <issued value="2022-02-09T11:17:00+00:00" /> <performer> <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" /> <display value="TD008362 PATH LAB 001" /> </performer> <valueQuantity> <value value="29.8" /> <unit value="pg" /> <system value="http://unitsofmeasure.org" /> <code value="pg" /> </valueQuantity> <specimen> <reference value="urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" /> </specimen> <referenceRange> <low> <value value="27.0" /> <unit value="pg" /> <system value="http://unitsofmeasure.org" /> <code value="pg" /> </low> <high> <value value="32.0" /> <unit value="pg" /> <system value="http://unitsofmeasure.org" /> <code value="pg" /> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:af52170f-763a-40a6-9363-dc58cd72602e" /> <resource> <Observation> <!-- MCHC - Mean corpuscular haemoglobin concentration --> <id value="af52170f-763a-40a6-9363-dc58cd72602e" /> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" /> </meta> <identifier> <system value="https://tools.ietf.org/html/rfc4122" /> <value value="2af46949-4938-4c57-bad4-c4363e1965d5" /> </identifier> <status value="final" /> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category" /> <code value="laboratory" /> <display value="Laboratory" /> </coding> </category> <code> <coding> <!-- From PaLM observable entity reference set --> <system value="http://snomed.info/sct" /> <code value="1022481000000109" /> <display value="MCHC - Mean corpuscular haemoglobin concentration" /> </coding> </code> <subject> <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" /> <display value="MOXEY, Judy" /> </subject> <issued value="2022-02-09T11:17:00+00:00" /> <performer> <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" /> <display value="TD008362 PATH LAB 001" /> </performer> <valueQuantity> <value value="307" /> <unit value="g/L" /> <system value="http://unitsofmeasure.org" /> <code value="g/L" /> </valueQuantity> <specimen> <reference value="urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" /> </specimen> <referenceRange> <low> <value value="315" /> <unit value="g/L" /> <system value="http://unitsofmeasure.org" /> <code value="g/L" /> </low> <high> <value value="345" /> <unit value="g/L" /> <system value="http://unitsofmeasure.org" /> <code value="g/L" /> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:298306aa-4a5e-4442-8f60-9153c19c6333" /> <resource> <Observation> <!-- Platelet count in blood --> <id value="298306aa-4a5e-4442-8f60-9153c19c6333" /> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" /> </meta> <identifier> <system value="https://tools.ietf.org/html/rfc4122" /> <value value="2af46949-4938-4c57-bad4-c4363e1965d5" /> </identifier> <status value="final" /> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category" /> <code value="laboratory" /> <display value="Laboratory" /> </coding> </category> <code> <coding> <!-- From PaLM observable entity reference set --> <system value="http://snomed.info/sct" /> <code value="1108041000000107" /> <display value="Platelet count in blood" /> </coding> </code> <subject> <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" /> <display value="MOXEY, Judy" /> </subject> <issued value="2022-02-09T11:17:00+00:00" /> <performer> <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" /> <display value="TD008362 PATH LAB 001" /> </performer> <valueQuantity> <value value="143" /> <unit value="10*9/L" /> <system value="http://unitsofmeasure.org" /> <code value="10^9/L" /> </valueQuantity> <specimen> <reference value="urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" /> </specimen> <referenceRange> <low> <value value="140" /> <unit value="10*9/L" /> <system value="http://unitsofmeasure.org" /> <code value="10^9/L" /> </low> <high> <value value="400" /> <unit value="10*9/L" /> <system value="http://unitsofmeasure.org" /> <code value="10^9/L" /> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:69d08add-5ab8-46a3-be08-fb15e550da75" /> <resource> <Observation> <!-- Neutrophil count in blood --> <id value="69d08add-5ab8-46a3-be08-fb15e550da75" /> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" /> </meta> <identifier> <system value="https://tools.ietf.org/html/rfc4122" /> <value value="2af46949-4938-4c57-bad4-c4363e1965d5" /> </identifier> <status value="final" /> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category" /> <code value="laboratory" /> <display value="Laboratory" /> </coding> </category> <code> <coding> <!-- From PaLM observable entity reference set --> <system value="http://snomed.info/sct" /> <code value="1108071000000101" /> <display value="Neutrophil count in blood" /> </coding> </code> <subject> <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" /> <display value="MOXEY, Judy" /> </subject> <issued value="2022-02-09T11:17:00+00:00" /> <performer> <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" /> <display value="TD008362 PATH LAB 001" /> </performer> <valueQuantity> <value value="2.66" /> <unit value="10*9/L" /> <system value="http://unitsofmeasure.org" /> <code value="10^9/L" /> </valueQuantity> <specimen> <reference value="urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" /> </specimen> <referenceRange> <low> <value value="2.00" /> <unit value="10*9/L" /> <system value="http://unitsofmeasure.org" /> <code value="10^9/L" /> </low> <high> <value value="7.00" /> <unit value="10*9/L" /> <system value="http://unitsofmeasure.org" /> <code value="10^9/L" /> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:d5995ac0-55d8-4f2f-9058-6235a13fc1fe" /> <resource> <Observation> <!-- Lymphocyte count in blood --> <id value="d5995ac0-55d8-4f2f-9058-6235a13fc1fe" /> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" /> </meta> <identifier> <system value="https://tools.ietf.org/html/rfc4122" /> <value value="2af46949-4938-4c57-bad4-c4363e1965d5" /> </identifier> <status value="final" /> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category" /> <code value="laboratory" /> <display value="Laboratory" /> </coding> </category> <code> <coding> <!-- From PaLM observable entity reference set --> <system value="http://snomed.info/sct" /> <code value="67541000237108" /> <display value="Lymphocyte count in blood" /> </coding> </code> <subject> <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" /> <display value="MOXEY, Judy" /> </subject> <issued value="2022-02-09T11:17:00+00:00" /> <performer> <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" /> <display value="TD008362 PATH LAB 001" /> </performer> <valueQuantity> <value value="0.70" /> <unit value="10*9/L" /> <system value="http://unitsofmeasure.org" /> <code value="10^9/L" /> </valueQuantity> <specimen> <reference value="urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" /> </specimen> <referenceRange> <low> <value value="1.00" /> <unit value="10*9/L" /> <system value="http://unitsofmeasure.org" /> <code value="10^9/L" /> </low> <high> <value value="3.00" /> <unit value="10*9/L" /> <system value="http://unitsofmeasure.org" /> <code value="10^9/L" /> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:42d1c079-777a-4878-b568-af6f297dbecb" /> <resource> <Observation> <!-- Monocyte count in blood --> <id value="42d1c079-777a-4878-b568-af6f297dbecb" /> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" /> </meta> <identifier> <system value="https://tools.ietf.org/html/rfc4122" /> <value value="2af46949-4938-4c57-bad4-c4363e1965d5" /> </identifier> <status value="final" /> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category" /> <code value="laboratory" /> <display value="Laboratory" /> </coding> </category> <code> <coding> <!-- From PaLM observable entity reference set --> <system value="http://snomed.info/sct" /> <code value="1107991000000100" /> <display value="Monocyte count in blood" /> </coding> </code> <subject> <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" /> <display value="MOXEY, Judy" /> </subject> <issued value="2022-02-09T11:17:00+00:00" /> <performer> <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" /> <display value="TD008362 PATH LAB 001" /> </performer> <valueQuantity> <value value="1.30" /> <unit value="10*9/L" /> <system value="http://unitsofmeasure.org" /> <code value="10^9/L" /> </valueQuantity> <specimen> <reference value="urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" /> </specimen> <referenceRange> <low> <value value="0.20" /> <unit value="10*9/L" /> <system value="http://unitsofmeasure.org" /> <code value="10^9/L" /> </low> <high> <value value="1.00" /> <unit value="10*9/L" /> <system value="http://unitsofmeasure.org" /> <code value="10^9/L" /> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:56f9a606-221b-462b-b134-154c72db9c66" /> <resource> <Observation> <!-- Eosinophil count in blood --> <id value="56f9a606-221b-462b-b134-154c72db9c66" /> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" /> </meta> <identifier> <system value="https://tools.ietf.org/html/rfc4122" /> <value value="2af46949-4938-4c57-bad4-c4363e1965d5" /> </identifier> <status value="final" /> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category" /> <code value="laboratory" /> <display value="Laboratory" /> </coding> </category> <code> <coding> <!-- From PaLM observable entity reference set --> <system value="http://snomed.info/sct" /> <code value="1107391000000104" /> <display value="Eosinophil count in blood" /> </coding> </code> <subject> <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" /> <display value="MOXEY, Judy" /> </subject> <issued value="2022-02-09T11:17:00+00:00" /> <performer> <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" /> <display value="TD008362 PATH LAB 001" /> </performer> <valueQuantity> <value value="0.07" /> <unit value="10*9/L" /> <system value="http://unitsofmeasure.org" /> <code value="10^9/L" /> </valueQuantity> <specimen> <reference value="urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" /> </specimen> <referenceRange> <low> <value value="0.02" /> <unit value="10*9/L" /> <system value="http://unitsofmeasure.org" /> <code value="10^9/L" /> </low> <high> <value value="0.50" /> <unit value="10*9/L" /> <system value="http://unitsofmeasure.org" /> <code value="10^9/L" /> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:d719524b-993c-455c-9c18-36e3dfe6f71e" /> <resource> <Observation> <!-- Basophil count in blood --> <id value="d719524b-993c-455c-9c18-36e3dfe6f71e" /> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" /> </meta> <identifier> <system value="https://tools.ietf.org/html/rfc4122" /> <value value="2af46949-4938-4c57-bad4-c4363e1965d5" /> </identifier> <status value="final" /> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category" /> <code value="laboratory" /> <display value="Laboratory" /> </coding> </category> <code> <coding> <!-- From PaLM observable entity reference set --> <system value="http://snomed.info/sct" /> <code value="1106091000000103" /> <display value="Basophil count in blood" /> </coding> </code> <subject> <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" /> <display value="MOXEY, Judy" /> </subject> <issued value="2022-02-09T11:17:00+00:00" /> <performer> <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" /> <display value="TD008362 PATH LAB 001" /> </performer> <valueQuantity> <value value="0.03" /> <unit value="10*9/L" /> <system value="http://unitsofmeasure.org" /> <code value="10^9/L" /> </valueQuantity> <specimen> <reference value="urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" /> </specimen> <referenceRange> <low> <value value="0.01" /> <unit value="10*9/L" /> <system value="http://unitsofmeasure.org" /> <code value="10^9/L" /> </low> <high> <value value="0.10" /> <unit value="10*9/L" /> <system value="http://unitsofmeasure.org" /> <code value="10^9/L" /> </high> </referenceRange> </Observation> </resource> </entry> </Bundle>
{ "resourceType": "Bundle", "id": "Pathology-Bundle-FBC-Report-Example", "meta": { "lastUpdated": "2022-02-09T11:17:00+00:00", "profile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Bundle" ] }, "identifier": { "system": "https://tools.ietf.org/html/rfc4122", "value": "866e3e7a-2142-4af2-8461-2d2e876e8521" }, "type": "message", "entry": [ { "fullUrl": "urn:uuid:f18a2226-c0ab-480d-b80a-b6561fe8f9c4", "resource": { "resourceType": "MessageHeader", "id": "f18a2226-c0ab-480d-b80a-b6561fe8f9c4", "meta": { "profile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-MessageHeader" ] }, "eventCoding": { "system": "http://snomed.info/sct", "code": "371528001", "display": "Pathology report" }, "destination": [ { "name": "PICKERING MEDICAL PRACTICE", "endpoint": "TBC", "receiver": { "reference": "urn:uuid:3c43b5b3-06d6-445f-ae9a-48d5f05df434" } } ], "sender": { "reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" }, "source": { "endpoint": "TBC" }, "focus": [ { "reference": "urn:uuid:35d46ca1-f253-4c97-b7ee-fb5fccdf6c20" } ], "definition": "https://fhir.nhs.uk/England/MessageDefinition/England-Pathology-Report" } }, { "fullUrl": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338", "resource": { "resourceType": "Organization", "id": "8a6d85b8-9837-4fed-a257-4cf207988338", "meta": { "profile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" ] }, "identifier": [ { "system": "https://fhir.nhs.uk/Id/ods-organization-code", "value": "Y8J7D" } ], "name": "TD008362 PATH LAB 001", "address": [ { "line": [ "PATHOLOGY LAB", "7-8 WELLINGTON PLACE" ], "city": "LEEDS", "district": "WEST YORKSHIRE", "postalCode": "LS1 4AP" } ] } }, { "fullUrl": "urn:uuid:3c43b5b3-06d6-445f-ae9a-48d5f05df434", "resource": { "resourceType": "Organization", "id": "3c43b5b3-06d6-445f-ae9a-48d5f05df434", "meta": { "profile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" ] }, "identifier": [ { "system": "https://fhir.nhs.uk/Id/ods-organization-code", "value": "B82033" } ], "name": "PICKERING MEDICAL PRACTICE", "address": [ { "line": [ "SOUTHGATE" ], "city": "PICKERING", "district": "NORTH YORKSHIRE", "postalCode": "YO18 8BL" } ] } }, { "fullUrl": "urn:uuid:9a835acf-d715-4d84-8dcf-a8435f6417fe", "resource": { "resourceType": "Practitioner", "id": "9a835acf-d715-4d84-8dcf-a8435f6417fe", "meta": { "profile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Practitioner" ] }, "identifier": [ { "system": "https://fhir.nhs.uk/Id/sds-user-id", "value": "TBC" } ], "name": [ { "use": "official", "family": "GASKELL", "given": [ "Gale" ], "prefix": [ "Dr" ] } ] } }, { "fullUrl": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4", "resource": { "resourceType": "Patient", "id": "ab87a3f8-1d37-44a9-804e-5e962598a6e4", "meta": { "profile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient" ] }, "identifier": [ { "extension": [ { "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberVerificationStatusEngland", "code": "01", "display": "Number present and verified" } ] } } ], "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "9727710859" } ], "name": [ { "use": "official", "family": "MOXEY", "given": [ "Judy" ] } ], "gender": "female", "birthDate": "2004-05-06", "address": [ { "line": [ "1 CASTLEGATE" ], "city": "PICKERING", "district": "NORTH YORKSHIRE", "postalCode": "YO18 7AY" } ] } }, { "fullUrl": "urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac", "resource": { "resourceType": "ServiceRequest", "id": "1c38d507-9ad7-4b49-ba91-7da204842cac", "meta": { "profile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-ServiceRequest-Lab" ] }, "identifier": [ { "system": "http://B82033-pickeringmedicalpractice.com/labrequest", "value": "REQ-20220129-000012" } ], "status": "active", "intent": "order", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "26604007", "display": "Full blood count" } ] }, "subject": { "reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4", "display": "MOXEY, Judy" }, "authoredOn": "2022-02-07T09:17:00+00:00", "requester": { "reference": "urn:uuid:9a835acf-d715-4d84-8dcf-a8435f6417fe", "display": "GASKELL, Dr Gale" }, "performer": [ { "reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338", "display": "TD008362 PATH LAB 001" } ], "note": [ { "text": "Tired all the time, shortness of breath, arrhythmia" } ] } }, { "fullUrl": "urn:uuid:35d46ca1-f253-4c97-b7ee-fb5fccdf6c20", "resource": { "resourceType": "DiagnosticReport", "id": "35d46ca1-f253-4c97-b7ee-fb5fccdf6c20", "meta": { "profile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-DiagnosticReport-Lab" ] }, "identifier": [ { "system": "http://Y8J7D-pathlab001.com/report", "value": "REP-20220209-001369" } ], "basedOn": [ { "reference": "urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac" } ], "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0074", "code": "LAB", "display": "Laboratory" } ] } ], "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "721981007", "display": "Diagnostic studies report" } ] }, "subject": { "reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4", "display": "MOXEY, Judy" }, "issued": "2022-02-09T11:17:00+00:00", "performer": [ { "reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338", "display": "TD008362 PATH LAB 001" } ], "specimen": [ { "reference": "urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" } ], "result": [ { "reference": "urn:uuid:ad717ae8-cb35-4d66-ba51-e22a76b1d158" } ] } }, { "fullUrl": "urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d", "resource": { "resourceType": "Specimen", "id": "bab0eaec-1ec5-4598-b660-90bb38a1030d", "meta": { "profile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Specimen" ] }, "identifier": [ { "system": "http://B82033-pickeringmedicalpractice.com/specimen", "value": "SPC-REQ-20220208-000016" } ], "accessionIdentifier": { "system": "http://Y8J7D-pathlab001.com/specimen", "value": "SPC-LAB-20220208-001397" }, "status": "available", "type": { "coding": [ { "system": "http://snomed.info/sct", "code": "122555007", "display": "Venous blood specimen" } ] }, "subject": { "reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4", "display": "MOXEY, Judy" }, "receivedTime": "2022-02-08T16:03:00+00:00", "request": [ { "reference": "urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac" } ], "collection": { "collectedDateTime": "2022-02-08T10:23:00+00:00" } } }, { "fullUrl": "urn:uuid:ad717ae8-cb35-4d66-ba51-e22a76b1d158", "resource": { "resourceType": "Observation", "id": "ad717ae8-cb35-4d66-ba51-e22a76b1d158", "meta": { "profile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Group-Lab" ] }, "identifier": [ { "system": "https://tools.ietf.org/html/rfc4122", "value": "2af46949-4938-4c57-bad4-c4363e1965d5" } ], "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory", "display": "Laboratory" } ] } ], "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "26604007", "display": "Full blood count" } ] }, "subject": { "reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4", "display": "MOXEY, Judy" }, "issued": "2022-02-09T11:17:00+00:00", "performer": [ { "reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338", "display": "TD008362 PATH LAB 001" } ], "specimen": { "reference": "urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" }, "hasMember": [ { "reference": "urn:uuid:f8c185fc-0993-4b80-9d33-4c9ae11c3afe" }, { "reference": "urn:uuid:78afe41f-4689-41a2-b10d-351a991b261a" }, { "reference": "urn:uuid:b7849f25-3c44-4542-805f-ba769b7cfe04" }, { "reference": "urn:uuid:b483a0bf-c332-4dde-b606-ec29aab33583" }, { "reference": "urn:uuid:9e44a75d-e676-4497-aeb3-da72a08a3641" }, { "reference": "urn:uuid:ba423cce-bf8c-440c-8061-086055a1799b" }, { "reference": "urn:uuid:af52170f-763a-40a6-9363-dc58cd72602e" }, { "reference": "urn:uuid:298306aa-4a5e-4442-8f60-9153c19c6333" }, { "reference": "urn:uuid:69d08add-5ab8-46a3-be08-fb15e550da75" }, { "reference": "urn:uuid:d5995ac0-55d8-4f2f-9058-6235a13fc1fe" }, { "reference": "urn:uuid:42d1c079-777a-4878-b568-af6f297dbecb" }, { "reference": "urn:uuid:56f9a606-221b-462b-b134-154c72db9c66" }, { "reference": "urn:uuid:d719524b-993c-455c-9c18-36e3dfe6f71e" } ] } }, { "fullUrl": "urn:uuid:f8c185fc-0993-4b80-9d33-4c9ae11c3afe", "resource": { "resourceType": "Observation", "id": "f8c185fc-0993-4b80-9d33-4c9ae11c3afe", "meta": { "profile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" ] }, "identifier": [ { "system": "https://tools.ietf.org/html/rfc4122", "value": "2af46949-4938-4c57-bad4-c4363e1965d5" } ], "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory", "display": "Laboratory" } ] } ], "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "1110441000000100", "display": "White blood cell count in blood" } ] }, "subject": { "reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4", "display": "MOXEY, Judy" }, "issued": "2022-02-09T11:17:00+00:00", "performer": [ { "reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338", "display": "TD008362 PATH LAB 001" } ], "valueQuantity": { "value": 4.76, "unit": "10*9/L", "system": "http://unitsofmeasure.org", "code": "10^9/L" }, "specimen": { "reference": "urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" }, "referenceRange": [ { "low": { "value": 4.00, "unit": "10*9/L", "system": "http://unitsofmeasure.org", "code": "10^9/L" }, "high": { "value": 11.00, "unit": "10*9/L", "system": "http://unitsofmeasure.org", "code": "10^9/L" } } ] } }, { "fullUrl": "urn:uuid:78afe41f-4689-41a2-b10d-351a991b261a", "resource": { "resourceType": "Observation", "id": "78afe41f-4689-41a2-b10d-351a991b261a", "meta": { "profile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" ] }, "identifier": [ { "system": "https://tools.ietf.org/html/rfc4122", "value": "2af46949-4938-4c57-bad4-c4363e1965d5" } ], "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory", "display": "Laboratory" } ] } ], "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "1022451000000103", "display": "Red blood cell count" } ] }, "subject": { "reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4", "display": "MOXEY, Judy" }, "issued": "2022-02-09T11:17:00+00:00", "performer": [ { "reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338", "display": "TD008362 PATH LAB 001" } ], "valueQuantity": { "value": 3.63, "unit": "10*12/L", "system": "http://unitsofmeasure.org", "code": "10^12/L" }, "specimen": { "reference": "urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" }, "referenceRange": [ { "low": { "value": 4.10, "unit": "10*12/L", "system": "http://unitsofmeasure.org", "code": "10^12/L" }, "high": { "value": 5.10, "unit": "10*12/L", "system": "http://unitsofmeasure.org", "code": "10^12/L" } } ] } }, { "fullUrl": "urn:uuid:b7849f25-3c44-4542-805f-ba769b7cfe04", "resource": { "resourceType": "Observation", "id": "b7849f25-3c44-4542-805f-ba769b7cfe04", "meta": { "profile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" ] }, "identifier": [ { "system": "https://tools.ietf.org/html/rfc4122", "value": "2af46949-4938-4c57-bad4-c4363e1965d5" } ], "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory", "display": "Laboratory" } ] } ], "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "1107511000000100", "display": "Haemoglobin mass concentration in blood" } ] }, "subject": { "reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4", "display": "MOXEY, Judy" }, "issued": "2022-02-09T11:17:00+00:00", "performer": [ { "reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338", "display": "TD008362 PATH LAB 001" } ], "valueQuantity": { "value": 108, "unit": "g/L", "system": "http://unitsofmeasure.org", "code": "g/L" }, "specimen": { "reference": "urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" }, "referenceRange": [ { "low": { "value": 120, "unit": "g/L", "system": "http://unitsofmeasure.org", "code": "g/L" }, "high": { "value": 150, "unit": "g/L", "system": "http://unitsofmeasure.org", "code": "g/L" } } ] } }, { "fullUrl": "urn:uuid:b483a0bf-c332-4dde-b606-ec29aab33583", "resource": { "resourceType": "Observation", "id": "b483a0bf-c332-4dde-b606-ec29aab33583", "meta": { "profile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" ] }, "identifier": [ { "system": "https://tools.ietf.org/html/rfc4122", "value": "2af46949-4938-4c57-bad4-c4363e1965d5" } ], "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory", "display": "Laboratory" } ] } ], "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "1111571000000101", "display": "Haematocrit volume fraction of blood" } ] }, "subject": { "reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4", "display": "MOXEY, Judy" }, "issued": "2022-02-09T11:17:00+00:00", "performer": [ { "reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338", "display": "TD008362 PATH LAB 001" } ], "valueQuantity": { "value": 0.352, "unit": "l/l", "system": "http://unitsofmeasure.org", "code": "%" }, "specimen": { "reference": "urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" }, "referenceRange": [ { "low": { "value": 0.360, "unit": "l/l", "system": "http://unitsofmeasure.org", "code": "%" }, "high": { "value": 0.460, "unit": "l/l", "system": "http://unitsofmeasure.org", "code": "%" } } ] } }, { "fullUrl": "urn:uuid:9e44a75d-e676-4497-aeb3-da72a08a3641", "resource": { "resourceType": "Observation", "id": "9e44a75d-e676-4497-aeb3-da72a08a3641", "meta": { "profile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" ] }, "identifier": [ { "system": "https://tools.ietf.org/html/rfc4122", "value": "2af46949-4938-4c57-bad4-c4363e1965d5" } ], "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory", "display": "Laboratory" } ] } ], "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "1491000237105", "display": "Erythrocytes MCV (mean corpuscular volume) in blood" } ] }, "subject": { "reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4", "display": "MOXEY, Judy" }, "issued": "2022-02-09T11:17:00+00:00", "performer": [ { "reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338", "display": "TD008362 PATH LAB 001" } ], "valueQuantity": { "value": 97.0, "unit": "fL", "system": "http://unitsofmeasure.org", "code": "fL" }, "specimen": { "reference": "urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" }, "referenceRange": [ { "low": { "value": 80.0, "unit": "fL", "system": "http://unitsofmeasure.org", "code": "fL" }, "high": { "value": 100.0, "unit": "fL", "system": "http://unitsofmeasure.org", "code": "fL" } } ] } }, { "fullUrl": "urn:uuid:ba423cce-bf8c-440c-8061-086055a1799b", "resource": { "resourceType": "Observation", "id": "ba423cce-bf8c-440c-8061-086055a1799b", "meta": { "profile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" ] }, "identifier": [ { "system": "https://tools.ietf.org/html/rfc4122", "value": "2af46949-4938-4c57-bad4-c4363e1965d5" } ], "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory", "display": "Laboratory" } ] } ], "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "1022471000000107", "display": "MCH - Mean corpuscular haemoglobin" } ] }, "subject": { "reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4", "display": "MOXEY, Judy" }, "issued": "2022-02-09T11:17:00+00:00", "performer": [ { "reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338", "display": "TD008362 PATH LAB 001" } ], "valueQuantity": { "value": 29.8, "unit": "pg", "system": "http://unitsofmeasure.org", "code": "pg" }, "specimen": { "reference": "urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" }, "referenceRange": [ { "low": { "value": 27.0, "unit": "pg", "system": "http://unitsofmeasure.org", "code": "pg" }, "high": { "value": 32.0, "unit": "pg", "system": "http://unitsofmeasure.org", "code": "pg" } } ] } }, { "fullUrl": "urn:uuid:af52170f-763a-40a6-9363-dc58cd72602e", "resource": { "resourceType": "Observation", "id": "af52170f-763a-40a6-9363-dc58cd72602e", "meta": { "profile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" ] }, "identifier": [ { "system": "https://tools.ietf.org/html/rfc4122", "value": "2af46949-4938-4c57-bad4-c4363e1965d5" } ], "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory", "display": "Laboratory" } ] } ], "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "1022481000000109", "display": "MCHC - Mean corpuscular haemoglobin concentration" } ] }, "subject": { "reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4", "display": "MOXEY, Judy" }, "issued": "2022-02-09T11:17:00+00:00", "performer": [ { "reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338", "display": "TD008362 PATH LAB 001" } ], "valueQuantity": { "value": 307, "unit": "g/L", "system": "http://unitsofmeasure.org", "code": "g/L" }, "specimen": { "reference": "urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" }, "referenceRange": [ { "low": { "value": 315, "unit": "g/L", "system": "http://unitsofmeasure.org", "code": "g/L" }, "high": { "value": 345, "unit": "g/L", "system": "http://unitsofmeasure.org", "code": "g/L" } } ] } }, { "fullUrl": "urn:uuid:298306aa-4a5e-4442-8f60-9153c19c6333", "resource": { "resourceType": "Observation", "id": "298306aa-4a5e-4442-8f60-9153c19c6333", "meta": { "profile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" ] }, "identifier": [ { "system": "https://tools.ietf.org/html/rfc4122", "value": "2af46949-4938-4c57-bad4-c4363e1965d5" } ], "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory", "display": "Laboratory" } ] } ], "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "1108041000000107", "display": "Platelet count in blood" } ] }, "subject": { "reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4", "display": "MOXEY, Judy" }, "issued": "2022-02-09T11:17:00+00:00", "performer": [ { "reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338", "display": "TD008362 PATH LAB 001" } ], "valueQuantity": { "value": 143, "unit": "10*9/L", "system": "http://unitsofmeasure.org", "code": "10^9/L" }, "specimen": { "reference": "urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" }, "referenceRange": [ { "low": { "value": 140, "unit": "10*9/L", "system": "http://unitsofmeasure.org", "code": "10^9/L" }, "high": { "value": 400, "unit": "10*9/L", "system": "http://unitsofmeasure.org", "code": "10^9/L" } } ] } }, { "fullUrl": "urn:uuid:69d08add-5ab8-46a3-be08-fb15e550da75", "resource": { "resourceType": "Observation", "id": "69d08add-5ab8-46a3-be08-fb15e550da75", "meta": { "profile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" ] }, "identifier": [ { "system": "https://tools.ietf.org/html/rfc4122", "value": "2af46949-4938-4c57-bad4-c4363e1965d5" } ], "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory", "display": "Laboratory" } ] } ], "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "1108071000000101", "display": "Neutrophil count in blood" } ] }, "subject": { "reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4", "display": "MOXEY, Judy" }, "issued": "2022-02-09T11:17:00+00:00", "performer": [ { "reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338", "display": "TD008362 PATH LAB 001" } ], "valueQuantity": { "value": 2.66, "unit": "10*9/L", "system": "http://unitsofmeasure.org", "code": "10^9/L" }, "specimen": { "reference": "urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" }, "referenceRange": [ { "low": { "value": 2.00, "unit": "10*9/L", "system": "http://unitsofmeasure.org", "code": "10^9/L" }, "high": { "value": 7.00, "unit": "10*9/L", "system": "http://unitsofmeasure.org", "code": "10^9/L" } } ] } }, { "fullUrl": "urn:uuid:d5995ac0-55d8-4f2f-9058-6235a13fc1fe", "resource": { "resourceType": "Observation", "id": "d5995ac0-55d8-4f2f-9058-6235a13fc1fe", "meta": { "profile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" ] }, "identifier": [ { "system": "https://tools.ietf.org/html/rfc4122", "value": "2af46949-4938-4c57-bad4-c4363e1965d5" } ], "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory", "display": "Laboratory" } ] } ], "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "67541000237108", "display": "Lymphocyte count in blood" } ] }, "subject": { "reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4", "display": "MOXEY, Judy" }, "issued": "2022-02-09T11:17:00+00:00", "performer": [ { "reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338", "display": "TD008362 PATH LAB 001" } ], "valueQuantity": { "value": 0.70, "unit": "10*9/L", "system": "http://unitsofmeasure.org", "code": "10^9/L" }, "specimen": { "reference": "urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" }, "referenceRange": [ { "low": { "value": 1.00, "unit": "10*9/L", "system": "http://unitsofmeasure.org", "code": "10^9/L" }, "high": { "value": 3.00, "unit": "10*9/L", "system": "http://unitsofmeasure.org", "code": "10^9/L" } } ] } }, { "fullUrl": "urn:uuid:42d1c079-777a-4878-b568-af6f297dbecb", "resource": { "resourceType": "Observation", "id": "42d1c079-777a-4878-b568-af6f297dbecb", "meta": { "profile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" ] }, "identifier": [ { "system": "https://tools.ietf.org/html/rfc4122", "value": "2af46949-4938-4c57-bad4-c4363e1965d5" } ], "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory", "display": "Laboratory" } ] } ], "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "1107991000000100", "display": "Monocyte count in blood" } ] }, "subject": { "reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4", "display": "MOXEY, Judy" }, "issued": "2022-02-09T11:17:00+00:00", "performer": [ { "reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338", "display": "TD008362 PATH LAB 001" } ], "valueQuantity": { "value": 1.30, "unit": "10*9/L", "system": "http://unitsofmeasure.org", "code": "10^9/L" }, "specimen": { "reference": "urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" }, "referenceRange": [ { "low": { "value": 0.20, "unit": "10*9/L", "system": "http://unitsofmeasure.org", "code": "10^9/L" }, "high": { "value": 1.00, "unit": "10*9/L", "system": "http://unitsofmeasure.org", "code": "10^9/L" } } ] } }, { "fullUrl": "urn:uuid:56f9a606-221b-462b-b134-154c72db9c66", "resource": { "resourceType": "Observation", "id": "56f9a606-221b-462b-b134-154c72db9c66", "meta": { "profile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" ] }, "identifier": [ { "system": "https://tools.ietf.org/html/rfc4122", "value": "2af46949-4938-4c57-bad4-c4363e1965d5" } ], "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory", "display": "Laboratory" } ] } ], "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "1107391000000104", "display": "Eosinophil count in blood" } ] }, "subject": { "reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4", "display": "MOXEY, Judy" }, "issued": "2022-02-09T11:17:00+00:00", "performer": [ { "reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338", "display": "TD008362 PATH LAB 001" } ], "valueQuantity": { "value": 0.07, "unit": "10*9/L", "system": "http://unitsofmeasure.org", "code": "10^9/L" }, "specimen": { "reference": "urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" }, "referenceRange": [ { "low": { "value": 0.02, "unit": "10*9/L", "system": "http://unitsofmeasure.org", "code": "10^9/L" }, "high": { "value": 0.50, "unit": "10*9/L", "system": "http://unitsofmeasure.org", "code": "10^9/L" } } ] } }, { "fullUrl": "urn:uuid:d719524b-993c-455c-9c18-36e3dfe6f71e", "resource": { "resourceType": "Observation", "id": "d719524b-993c-455c-9c18-36e3dfe6f71e", "meta": { "profile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" ] }, "identifier": [ { "system": "https://tools.ietf.org/html/rfc4122", "value": "2af46949-4938-4c57-bad4-c4363e1965d5" } ], "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory", "display": "Laboratory" } ] } ], "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "1106091000000103", "display": "Basophil count in blood" } ] }, "subject": { "reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4", "display": "MOXEY, Judy" }, "issued": "2022-02-09T11:17:00+00:00", "performer": [ { "reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338", "display": "TD008362 PATH LAB 001" } ], "valueQuantity": { "value": 0.03, "unit": "10*9/L", "system": "http://unitsofmeasure.org", "code": "10^9/L" }, "specimen": { "reference": "urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" }, "referenceRange": [ { "low": { "value": 0.01, "unit": "10*9/L", "system": "http://unitsofmeasure.org", "code": "10^9/L" }, "high": { "value": 0.10, "unit": "10*9/L", "system": "http://unitsofmeasure.org", "code": "10^9/L" } } ] } } ] }