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-R4-10: 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. - 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. - An explanation that describes why the tests have been requested is carried in
ServiceRequest.reasonCode. In this example, clinical information is provided as free text (“Tired all the time, shortness of breath, arrhythmia") and so theCodeableConcept.textelement is used.
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.hl7.org.uk/Id/gmc-number" /> <value value="C1008215" /> </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> <reasonCode> <text value="Tired all the time, shortness of breath, arrhythmia" /> </reasonCode> </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> <!-- Equivalent codes from the PBCL and PaLM SNOMED CT reference sets are used in this example. --> <!-- In practice, it is likely that only a code from one reference set will be carried. --> <coding> <!-- From PBCL observable entity reference set --> <system value="http://snomed.info/sct" /> <code value="1022541000000102" /> <display value="Total white cell count" /> </coding> <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 PBCL and PaLM observable entity reference sets --> <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> <!-- Equivalent codes from the PBCL and PaLM SNOMED CT reference sets are used in this example. --> <!-- In practice, it is likely that only a code from one reference set will be carried. --> <coding> <!-- From PBCL observable entity reference set --> <system value="http://snomed.info/sct" /> <code value="1022431000000105" /> <display value="Haemoglobin estimation" /> </coding> <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> <!-- Equivalent codes from the PBCL and PaLM SNOMED CT reference sets are used in this example. --> <!-- In practice, it is likely that only a code from one reference set will be carried. --> <coding> <!-- From PBCL observable entity reference set --> <system value="http://snomed.info/sct" /> <code value="1022291000000105" /> <display value="Haematocrit" /> </coding> <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> <!-- Equivalent codes from the PBCL and PaLM SNOMED CT reference sets are used in this example. --> <!-- In practice, it is likely that only a code from one reference set will be carried. --> <coding> <!-- From PBCL observable entity reference set --> <system value="http://snomed.info/sct" /> <code value="1022491000000106" /> <display value="MCV - Mean corpuscular volume" /> </coding> <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 PBCL and PaLM observable entity reference sets --> <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 PBCL and PaLM observable entity reference sets --> <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> <!-- Equivalent codes from the PBCL and PaLM SNOMED CT reference sets are used in this example. --> <!-- In practice, it is likely that only a code from one reference set will be carried. --> <coding> <!-- From PBCL observable entity reference set --> <system value="http://snomed.info/sct" /> <code value="1022651000000100" /> <display value="Platelet count" /> </coding> <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> <!-- Equivalent codes from the PBCL and PaLM SNOMED CT reference sets are used in this example. --> <!-- In practice, it is likely that only a code from one reference set will be carried. --> <coding> <!-- From PBCL observable entity reference set --> <system value="http://snomed.info/sct" /> <code value="1022551000000104" /> <display value="Neutrophil count" /> </coding> <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> <!-- Equivalent codes from the PBCL and PaLM SNOMED CT reference sets are used in this example. --> <!-- In practice, it is likely that only a code from one reference set will be carried. --> <coding> <!-- From PBCL observable entity reference set --> <system value="http://snomed.info/sct" /> <code value="1022581000000105" /> <display value="Lymphocyte count" /> </coding> <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> <!-- Equivalent codes from the PBCL and PaLM SNOMED CT reference sets are used in this example. --> <!-- In practice, it is likely that only a code from one reference set will be carried. --> <coding> <!-- From PBCL observable entity reference set --> <system value="http://snomed.info/sct" /> <code value="1022591000000107" /> <display value="Monocyte count" /> </coding> <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> <!-- Equivalent codes from the PBCL and PaLM SNOMED CT reference sets are used in this example. --> <!-- In practice, it is likely that only a code from one reference set will be carried. --> <coding> <!-- From PBCL observable entity reference set --> <system value="http://snomed.info/sct" /> <code value="1022561000000101" /> <display value="Eosinophil count" /> </coding> <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> <!-- Equivalent codes from the PBCL and PaLM SNOMED CT reference sets are used in this example. --> <!-- In practice, it is likely that only a code from one reference set will be carried. --> <coding> <!-- From PBCL observable entity reference set --> <system value="http://snomed.info/sct" /> <code value="1022571000000108" /> <display value="Basophil count" /> </coding> <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", 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