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-R4-14: Bundle Example - Liver Function Tests and Urea and Electrolytes Report
- This is an example of a report that contains the results associated with multiple test groups.
- The test groups were requested as part of the same “event” (i.e. by the same practitioner at the same time for the same subject).
- An instance of
ServiceRequestis required for each requested test group. - Each
ServiceRequestwithin a set of related requests uses a common identifier,ServiceRequest.requisition, to link them together. For further information, refer to the description of the UKCore-ServiceRequest-Lab profile. - 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-LFT-UandE-Report-Example" /> <meta> <lastUpdated value="2022-03-08T14:23:00+00:00" /> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Bundle" /> </meta> <identifier> <system value="https://tools.ietf.org/html/rfc4122" /> <value value="d8d2d20e-8c44-466d-8640-7a516db7cd27" /> </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="9727710638" /> </identifier> <name> <use value="official" /> <family value="WELSH" /> <given value="Joel" /> </name> <gender value="male" /> <birthDate value="1972-08-23" /> <address> <line value="ACONBURY" /> <line value="LARPOOL DRIVE" /> <district value="NORTH YORKSHIRE" /> <postalCode value="YO22 4ND" /> </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-20220307-000046-001" /> </identifier> <requisition> <system value="http://B82033-pickeringmedicalpractice.com/labrequest" /> <value value="REQ-20220307-000046" /> </requisition> <status value="active" /> <intent value="order" /> <code> <coding> <!-- From PaLM procedure reference set --> <system value="http://snomed.info/sct" /> <code value="26958001" /> <display value="Hepatic function panel" /> </coding> </code> <subject> <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" /> <display value="WELSH, Joel" /> </subject> <authoredOn value="2022-03-07T09:48:00+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> </ServiceRequest> </resource> </entry> <entry> <fullUrl value="urn:uuid:8660ef6a-65ef-408f-92ce-b4d6d03d783c" /> <resource> <ServiceRequest> <id value="8660ef6a-65ef-408f-92ce-b4d6d03d783c" /> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-ServiceRequest-Lab" /> </meta> <identifier> <system value="http://B82033-pickeringmedicalpractice.com/labrequest" /> <value value="REQ-20220307-000046-002" /> </identifier> <requisition> <system value="http://B82033-pickeringmedicalpractice.com/labrequest" /> <value value="REQ-20220307-000046" /> </requisition> <status value="active" /> <intent value="order" /> <code> <coding> <!-- From PaLM procedure reference set --> <system value="http://snomed.info/sct" /> <code value="252167001" /> <display value="Urea and electrolytes" /> </coding> </code> <subject> <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" /> <display value="WELSH, Joel" /> </subject> <authoredOn value="2022-03-07T09:48:00+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> </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-20220308-008902" /> </identifier> <basedOn> <!-- Hepatic function panel request --> <reference value="urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac" /> </basedOn> <basedOn> <!-- Urea and electrolytes request --> <reference value="urn:uuid:8660ef6a-65ef-408f-92ce-b4d6d03d783c" /> </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="WELSH, Joel" /> </subject> <issued value="2022-03-08T14:23:00+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> <!-- Test group Observation for Hepatic function panel --> <reference value="urn:uuid:33a88119-6dbc-4bdf-809a-c1d822b74e90" /> </result> <result> <!-- Test group Observation for Urea and electrolytes --> <reference value="urn:uuid:a5c7f5e2-eb95-469b-b588-f7861c260ccb" /> </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-20220307-000014" /> </identifier> <accessionIdentifier> <system value="http://Y8J7D-pathlab001.com/specimen" /> <value value="SPC-LAB-20220307-007856" /> </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="WELSH, Joel" /> </subject> <receivedTime value="2022-03-07T14:54:00+00:00" /> <request> <reference value="urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac" /> </request> <collection> <collectedDateTime value="2022-03-07T10:02:00+00:00" /> </collection> </Specimen> </resource> </entry> <entry> <fullUrl value="urn:uuid:33a88119-6dbc-4bdf-809a-c1d822b74e90" /> <resource> <Observation> <!-- Test group Observation for Hepatic function panel --> <id value="33a88119-6dbc-4bdf-809a-c1d822b74e90" /> <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="9920b5d3-9f19-41df-8d5a-fd2d4288e305" /> </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="26958001" /> <display value="Hepatic function panel" /> </coding> </code> <subject> <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" /> <display value="WELSH, Joel" /> </subject> <issued value="2022-03-08T14:23:00+00:00" /> <performer> <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" /> <display value="TD008362 PATH LAB 001" /> </performer> <hasMember> <!-- Total bilirubin substance concentration in serum --> <reference value="urn:uuid:47faffbf-34c0-45b2-9c65-285f89fd1521" /> </hasMember> <hasMember> <!-- Albumin mass concentration in serum --> <reference value="urn:uuid:a0a65e1f-8aba-47a7-ab20-014f2943e7dd" /> </hasMember> <hasMember> <!-- Alkaline phosphatase enzyme activity in serum --> <reference value="urn:uuid:aa8aa37b-3a69-478f-a2be-947af624d7cb" /> </hasMember> <hasMember> <!-- Alanine aminotransferase enzyme activity in serum --> <reference value="urn:uuid:3f98327b-f215-4bc5-bd52-ed6477a3da4a" /> </hasMember> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:47faffbf-34c0-45b2-9c65-285f89fd1521" /> <resource> <Observation> <!-- Total bilirubin substance concentration in serum --> <id value="47faffbf-34c0-45b2-9c65-285f89fd1521" /> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" /> </meta> <identifier> <system value="https://tools.ietf.org/html/rfc4122" /> <value value="a26ada79-ac32-4ff8-a3e4-fb5950462271" /> </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="997591000000109" /> <display value="Serum total bilirubin level" /> </coding> <coding> <!-- From PaLM observable entity reference set --> <system value="http://snomed.info/sct" /> <code value="1107221000000109" /> <display value="Total bilirubin substance concentration in serum" /> </coding> </code> <subject> <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" /> <display value="WELSH, Joel" /> </subject> <issued value="2022-03-08T14:23:00+00:00" /> <performer> <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" /> <display value="TD008362 PATH LAB 001" /> </performer> <valueQuantity> <value value="6" /> <unit value="umol/L" /> <system value="http://unitsofmeasure.org" /> <code value="umol/L" /> </valueQuantity> <specimen> <reference value="urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" /> </specimen> <referenceRange> <high> <value value="21" /> <unit value="umol/L" /> <system value="http://unitsofmeasure.org" /> <code value="umol/L" /> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:a0a65e1f-8aba-47a7-ab20-014f2943e7dd" /> <resource> <Observation> <!-- Albumin mass concentration in serum --> <id value="a0a65e1f-8aba-47a7-ab20-014f2943e7dd" /> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" /> </meta> <identifier> <system value="https://tools.ietf.org/html/rfc4122" /> <value value="78443cb9-f248-44ef-9e6b-37fc4a592c1b" /> </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="1000821000000103" /> <display value="Serum albumin level" /> </coding> <coding> <!-- From PaLM observable entity reference set --> <system value="http://snomed.info/sct" /> <code value="1105861000000106" /> <display value="Albumin mass concentration in serum" /> </coding> </code> <subject> <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" /> <display value="WELSH, Joel" /> </subject> <issued value="2022-03-08T14:23:00+00:00" /> <performer> <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" /> <display value="TD008362 PATH LAB 001" /> </performer> <valueQuantity> <value value="47" /> <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="35" /> <unit value="g/L" /> <system value="http://unitsofmeasure.org" /> <code value="g/L" /> </low> <high> <value value="50" /> <unit value="g/L" /> <system value="http://unitsofmeasure.org" /> <code value="g/L" /> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:aa8aa37b-3a69-478f-a2be-947af624d7cb" /> <resource> <Observation> <!-- Alkaline phosphatase enzyme activity in serum --> <id value="aa8aa37b-3a69-478f-a2be-947af624d7cb" /> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" /> </meta> <identifier> <system value="https://tools.ietf.org/html/rfc4122" /> <value value="b9c64863-06b5-4e98-b226-8ef28059f238" /> </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="1000621000000104" /> <display value="Serum alkaline phosphatase level" /> </coding> <coding> <!-- From PaLM observable entity reference set --> <system value="http://snomed.info/sct" /> <code value="1106051000000106" /> <display value="Alkaline phosphatase enzyme activity in serum" /> </coding> </code> <subject> <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" /> <display value="WELSH, Joel" /> </subject> <issued value="2022-03-08T14:23:00+00:00" /> <performer> <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" /> <display value="TD008362 PATH LAB 001" /> </performer> <valueQuantity> <value value="96" /> <unit value="iu/L" /> <system value="http://unitsofmeasure.org" /> <code value="[iU]/L" /> </valueQuantity> <specimen> <reference value="urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" /> </specimen> <referenceRange> <low> <value value="30" /> <unit value="iu/L" /> <system value="http://unitsofmeasure.org" /> <code value="[iU]/L" /> </low> <high> <value value="130" /> <unit value="iu/L" /> <system value="http://unitsofmeasure.org" /> <code value="[iU]/L" /> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:3f98327b-f215-4bc5-bd52-ed6477a3da4a" /> <resource> <Observation> <!-- Alanine aminotransferase enzyme activity in serum --> <id value="3f98327b-f215-4bc5-bd52-ed6477a3da4a" /> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" /> </meta> <identifier> <system value="https://tools.ietf.org/html/rfc4122" /> <value value="9f022172-f721-4657-ab23-a28157e783af" /> </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="1018251000000107" /> <display value="Serum alanine aminotransferase level" /> </coding> <coding> <!-- From PaLM observable entity reference set --> <system value="http://snomed.info/sct" /> <code value="1106081000000100" /> <display value="Alanine aminotransferase enzyme activity in serum" /> </coding> </code> <subject> <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" /> <display value="WELSH, Joel" /> </subject> <issued value="2022-03-08T14:23:00+00:00" /> <performer> <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" /> <display value="TD008362 PATH LAB 001" /> </performer> <valueQuantity> <value value="15" /> <unit value="iu/L" /> <system value="http://unitsofmeasure.org" /> <code value="[iU]/L" /> </valueQuantity> <specimen> <reference value="urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" /> </specimen> <referenceRange> <high> <value value="40" /> <unit value="iu/L" /> <system value="http://unitsofmeasure.org" /> <code value="[iU]/L" /> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:a5c7f5e2-eb95-469b-b588-f7861c260ccb" /> <resource> <Observation> <!-- Test group Observation for Urea and electrolytes --> <id value="a5c7f5e2-eb95-469b-b588-f7861c260ccb" /> <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="c949a08a-49f9-4093-9f17-67d23ec92e46" /> </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="252167001" /> <display value="Urea and electrolytes" /> </coding> </code> <subject> <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" /> <display value="WELSH, Joel" /> </subject> <issued value="2022-03-08T14:23:00+00:00" /> <performer> <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" /> <display value="TD008362 PATH LAB 001" /> </performer> <hasMember> <!-- Urea substance concentration in serum --> <reference value="urn:uuid:c6989afa-156a-4f7e-ab91-d4249680d8bf" /> </hasMember> <hasMember> <!-- Sodium substance concentration in serum --> <reference value="urn:uuid:f5a0e88f-a76a-4526-8927-579771471c58" /> </hasMember> <hasMember> <!-- Potassium substance concentration in serum --> <reference value="urn:uuid:aa2151a3-3f5b-4f0d-9074-52563aa77c6c" /> </hasMember> <hasMember> <!-- Creatinine substance concentration in serum --> <reference value="urn:uuid:3c6b11c8-83b6-4402-90b9-2e1e7400d7cc" /> </hasMember> <hasMember> <!-- eGFR (estimated glomerular filtration rate) using CKD-Epi --> <reference value="urn:uuid:e6127f03-4a96-45d3-abd8-1adcf0189be4" /> </hasMember> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:c6989afa-156a-4f7e-ab91-d4249680d8bf" /> <resource> <Observation> <!-- Urea substance concentration in serum --> <id value="c6989afa-156a-4f7e-ab91-d4249680d8bf" /> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" /> </meta> <identifier> <system value="https://tools.ietf.org/html/rfc4122" /> <value value="ac255464-4557-40ee-8f53-ef3104b10872" /> </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="1000951000000103" /> <display value="Serum urea level" /> </coding> <coding> <!-- From PaLM observable entity reference set --> <system value="http://snomed.info/sct" /> <code value="1110281000000107" /> <display value="Urea substance concentration in serum" /> </coding> </code> <subject> <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" /> <display value="WELSH, Joel" /> </subject> <issued value="2022-03-08T14:23:00+00:00" /> <performer> <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" /> <display value="TD008362 PATH LAB 001" /> </performer> <valueQuantity> <value value="3.7" /> <unit value="mmol/L" /> <system value="http://unitsofmeasure.org" /> <code value="mmol/L" /> </valueQuantity> <specimen> <reference value="urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" /> </specimen> <referenceRange> <low> <value value="2.5" /> <unit value="mmol/L" /> <system value="http://unitsofmeasure.org" /> <code value="mmol/L" /> </low> <high> <value value="7.8" /> <unit value="mmol/L" /> <system value="http://unitsofmeasure.org" /> <code value="mmol/L" /> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:f5a0e88f-a76a-4526-8927-579771471c58" /> <resource> <Observation> <!-- Sodium substance concentration in serum --> <id value="f5a0e88f-a76a-4526-8927-579771471c58" /> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" /> </meta> <identifier> <system value="https://tools.ietf.org/html/rfc4122" /> <value value="b1890fe7-ef3b-4d74-bc2f-665059d0c9d7" /> </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="1000661000000107" /> <display value="Serum sodium level" /> </coding> <coding> <!-- From PaLM observable entity reference set --> <system value="http://snomed.info/sct" /> <code value="1107871000000107" /> <display value="Sodium substance concentration in serum" /> </coding> </code> <subject> <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" /> <display value="WELSH, Joel" /> </subject> <issued value="2022-03-08T14:23:00+00:00" /> <performer> <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" /> <display value="TD008362 PATH LAB 001" /> </performer> <valueQuantity> <value value="139" /> <unit value="mmol/L" /> <system value="http://unitsofmeasure.org" /> <code value="mmol/L" /> </valueQuantity> <specimen> <reference value="urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" /> </specimen> <referenceRange> <low> <value value="133" /> <unit value="mmol/L" /> <system value="http://unitsofmeasure.org" /> <code value="mmol/L" /> </low> <high> <value value="146" /> <unit value="mmol/L" /> <system value="http://unitsofmeasure.org" /> <code value="mmol/L" /> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:aa2151a3-3f5b-4f0d-9074-52563aa77c6c" /> <resource> <Observation> <!-- Potassium substance concentration in serum --> <id value="aa2151a3-3f5b-4f0d-9074-52563aa77c6c" /> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" /> </meta> <identifier> <system value="https://tools.ietf.org/html/rfc4122" /> <value value="b88011a3-e10b-4f35-b388-5622c4e8d808" /> </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="1000651000000109" /> <display value="Serum potassium level" /> </coding> <coding> <!-- From PaLM observable entity reference set --> <system value="http://snomed.info/sct" /> <code value="1107761000000109" /> <display value="Potassium substance concentration in serum" /> </coding> </code> <subject> <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" /> <display value="WELSH, Joel" /> </subject> <issued value="2022-03-08T14:23:00+00:00" /> <performer> <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" /> <display value="TD008362 PATH LAB 001" /> </performer> <valueQuantity> <value value="4.7" /> <unit value="mmol/L" /> <system value="http://unitsofmeasure.org" /> <code value="mmol/L" /> </valueQuantity> <specimen> <reference value="urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" /> </specimen> <referenceRange> <low> <value value="3.5" /> <unit value="mmol/L" /> <system value="http://unitsofmeasure.org" /> <code value="mmol/L" /> </low> <high> <value value="5.3" /> <unit value="mmol/L" /> <system value="http://unitsofmeasure.org" /> <code value="mmol/L" /> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:3c6b11c8-83b6-4402-90b9-2e1e7400d7cc" /> <resource> <Observation> <!-- Creatinine substance concentration in serum --> <id value="3c6b11c8-83b6-4402-90b9-2e1e7400d7cc" /> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" /> </meta> <identifier> <system value="https://tools.ietf.org/html/rfc4122" /> <value value="86fb479a-ab58-4f99-81de-af848d9af40c" /> </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="1000731000000107" /> <display value="Serum creatinine level" /> </coding> <coding> <!-- From PaLM observable entity reference set --> <system value="http://snomed.info/sct" /> <code value="1107001000000108" /> <display value="Creatinine substance concentration in serum" /> </coding> </code> <subject> <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" /> <display value="WELSH, Joel" /> </subject> <issued value="2022-03-08T14:23:00+00:00" /> <performer> <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" /> <display value="TD008362 PATH LAB 001" /> </performer> <valueQuantity> <value value="73" /> <unit value="umol/L" /> <system value="http://unitsofmeasure.org" /> <code value="umol/L" /> </valueQuantity> <specimen> <reference value="urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" /> </specimen> <referenceRange> <low> <value value="59" /> <unit value="umol/L" /> <system value="http://unitsofmeasure.org" /> <code value="umol/L" /> </low> <high> <value value="104" /> <unit value="umol/L" /> <system value="http://unitsofmeasure.org" /> <code value="umol/L" /> </high> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:e6127f03-4a96-45d3-abd8-1adcf0189be4" /> <resource> <Observation> <!-- eGFR (estimated glomerular filtration rate) using CKD-Epi --> <id value="e6127f03-4a96-45d3-abd8-1adcf0189be4" /> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" /> </meta> <identifier> <system value="https://tools.ietf.org/html/rfc4122" /> <value value="c6d25926-fb74-400b-98b8-47ae7393f127" /> </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="1011481000000105" /> <display value="eGFR (estimated glomerular filtration rate) using creatinine Chronic Kidney Disease Epidemiology Collaboration equation per 1.73 square metres" /> </coding> </code> <subject> <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" /> <display value="WELSH, Joel" /> </subject> <issued value="2022-03-08T14:23:00+00:00" /> <performer> <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" /> <display value="TD008362 PATH LAB 001" /> </performer> <valueQuantity> <value value="100" /> <unit value="mL/min/1.73m2" /> <system value="http://unitsofmeasure.org" /> <code value="mL/min/((173/100).m2)" /> </valueQuantity> <note> <text value="Calculated eGFR is not valid in children or pregnancy.\nLess accurate with acute change in creatinine (AKI).\nCaution with high or low muscle mass or amputation.\nAvoid blood sampling within 12 hours of eating meat.\nEthnicity factor comment removed Dec21 NG203." /> </note> <specimen> <reference value="urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" /> </specimen> </Observation> </resource> </entry> </Bundle>
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