Bundle Example - C-Reactive Protein Report

path-mockup-CRP-report

  • This is an example of a report that contains a single test result.
  • The test result is defined as an Observation and is referenced from DiagnosticReport using DiagnosticReport.result.
  • The test result type is numeric and is specified using Observation.valueQuantity.
  • The test result value is high (200 mg/L, compared to the standard reference range of 0-5 mg/L). This is indicated by populating Observation.interpretation with a code value of H for High.

The following is a simplified logical data model that illustrates the key references between the core FHIR profiles in the associated 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 Bundles.


path-data-model-CRP-report
{
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"value": "urn:uuid:1f859037-2942-4117-884a-f51b62db5a52"
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"type": "document",
"timestamp": "2022-03-08T12:09:00+00:00",
"entry": [
{
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"resource": {
"resourceType": "Composition",
"id": "ce2073cd-7f19-4fd8-9956-f30ef7b4bd44",
"extension": [
{
"url": "http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition",
"valueReference": {
"reference": "urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac"
}
},
{
"url": "http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference",
"valueReference": {
"reference": "urn:uuid:35d46ca1-f253-4c97-b7ee-fb5fccdf6c20"
}
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"identifier": {
"system": "https://tools.ietf.org/html/rfc4122",
"value": "c3d5e6f7-8901-2345-6789-0abcdef12345"
},
"status": "final",
"type": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "721981007",
"display": "Diagnostic studies report"
}
]
},
"category": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "394915009",
"display": "General pathology (specialty)"
}
]
}
],
"subject": {
"reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4",
"identifier": {
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9727710638"
}
},
"date": "2022-03-08T12:09:00+00:00",
"author": [
{
"reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338"
}
],
"title": "Laboratory Report",
"section": [
{
"title": "CRP (C reactive protein) mass concentration in serum",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "1106741000000105",
"display": "CRP (C reactive protein) mass concentration in serum"
}
]
},
"entry": [
{
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]
}
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{
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"resource": {
"resourceType": "Organization",
"id": "8a6d85b8-9837-4fed-a257-4cf207988338",
"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"
}
]
}
},
{
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"resource": {
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"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",
"identifier": [
{
"system": "https://fhir.hl7.org.uk/Id/gmc-number",
"value": "C1008215"
}
],
"name": [
{
"use": "official",
"family": "GASKELL",
"given": [
"Gale"
],
"prefix": [
"Dr"
]
}
]
}
},
{
"fullUrl": "urn:uuid:d4f5e6a1-2b3c-4d5e-9f6a-7b8c9d0e1f2a",
"resource": {
"resourceType": "PractitionerRole",
"id": "d4f5e6a1-2b3c-4d5e-9f6a-7b8c9d0e1f2a",
"practitioner": {
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"organization": {
"reference": "urn:uuid:3c43b5b3-06d6-445f-ae9a-48d5f05df434"
},
"code": [
{
"coding": [
{
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"code": "62247001",
"display": "General practitioner"
}
]
}
],
"specialty": [
{
"coding": [
{
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"code": "600",
"display": "General Medical Practice"
}
]
}
]
}
},
{
"fullUrl": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4",
"resource": {
"resourceType": "Patient",
"id": "ab87a3f8-1d37-44a9-804e-5e962598a6e4",
"identifier": [
{
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"value": "9727710638"
}
]
}
},
{
"fullUrl": "urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac",
"resource": {
"resourceType": "ServiceRequest",
"id": "1c38d507-9ad7-4b49-ba91-7da204842cac",
"identifier": [
{
"system": "http://B82033-pickeringmedicalpractice.com/labrequest",
"value": "REQ-20220307-000142"
}
],
"status": "active",
"intent": "order",
"category": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "108252007",
"display": "Laboratory procedure"
}
]
}
],
"subject": {
"reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4",
"identifier": {
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"value": "9727710638"
}
},
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"requester": {
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},
"performer": [
{
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}
],
"specimen": [
{
"reference": "urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d"
}
]
}
},
{
"fullUrl": "urn:uuid:35d46ca1-f253-4c97-b7ee-fb5fccdf6c20",
"resource": {
"resourceType": "DiagnosticReport",
"id": "35d46ca1-f253-4c97-b7ee-fb5fccdf6c20",
"identifier": [
{
"system": "http://Y8J7D-pathlab001.com/report",
"value": "REP-20220308-004205"
}
],
"basedOn": [
{
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}
],
"status": "final",
"category": [
{
"coding": [
{
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"code": "LAB",
"display": "Laboratory"
}
]
}
],
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "721981007",
"display": "Diagnostic studies report"
}
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},
"subject": {
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"identifier": {
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"value": "9727710638"
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},
"issued": "2022-03-08T12:09:00+00:00",
"performer": [
{
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],
"specimen": [
{
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}
],
"result": [
{
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}
]
}
},
{
"fullUrl": "urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d",
"resource": {
"resourceType": "Specimen",
"id": "bab0eaec-1ec5-4598-b660-90bb38a1030d",
"identifier": [
{
"system": "http://B82033-pickeringmedicalpractice.com/specimen",
"value": "SPC-REQ-20220307-000105"
}
],
"accessionIdentifier": {
"system": "http://Y8J7D-pathlab001.com/specimen",
"value": "SPC-Lab-20220307-007856"
},
"status": "available",
"type": {
"text": "Venous blood specimen"
},
"subject": {
"reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4",
"identifier": {
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9727710638"
}
},
"receivedTime": "2022-03-07T14:58:00+00:00",
"collection": {
"collectedDateTime": "2022-03-07T11:42:00+00:00"
}
}
},
{
"fullUrl": "urn:uuid:8697e1ea-a15d-4cab-95d9-7335f4b57e22",
"resource": {
"resourceType": "Observation",
"id": "8697e1ea-a15d-4cab-95d9-7335f4b57e22",
"identifier": [
{
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"value": "09fd65ba-4bbb-49dd-9d16-ca74f885db6c"
}
],
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
}
]
}
],
"code": {
"coding": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-reference",
"valueUri": "https://fhir.hl7.org.uk/ValueSet/UKCore-PathologyBoundedCodeListObservables"
}
],
"system": "http://snomed.info/sct",
"code": "1001371000000100",
"display": "Serum CRP (C reactive protein) level"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/valueset-reference",
"valueUri": "https://fhir.hl7.org.uk/ValueSet/UKCore-PathologyAndLaboratoryMedicineObservables"
}
],
"system": "http://snomed.info/sct",
"code": "1106741000000105",
"display": "CRP (C reactive protein) mass concentration in serum"
}
]
},
"subject": {
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"identifier": {
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9727710638"
}
},
"issued": "2022-03-08T12:09:00+00:00",
"performer": [
{
"reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338"
}
],
"valueQuantity": {
"value": 200,
"unit": "mg/L"
},
"interpretation": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code": "H",
"display": "High"
}
]
}
],
"specimen": {
"reference": "urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d"
},
"referenceRange": [
{
"low": {
"value": 0,
"unit": "mg/L"
},
"high": {
"value": 5,
"unit": "mg/L"
}
}
]
}
}
]
}
Bundle
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Bundle.meta[0].lastUpdated[0]2022-03-08T12:09:00+00:00
Bundle.identifier[0].system[0]urn:ietf:rfc:3986
Bundle.identifier[0].value[0]urn:uuid:1f859037-2942-4117-884a-f51b62db5a52
Bundle.type[0]document
Bundle.timestamp[0]2022-03-08T12:09:00+00:00
Bundle.entry[0].fullUrl[0]urn:uuid:ce2073cd-7f19-4fd8-9956-f30ef7b4bd44
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Bundle.entry[0].resource[0].extension[0].url[0]http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition
Bundle.entry[0].resource[0].extension[0].value[0].reference[0]urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac
Bundle.entry[0].resource[0].extension[1].url[0]http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference
Bundle.entry[0].resource[0].extension[1].value[0].reference[0]urn:uuid:35d46ca1-f253-4c97-b7ee-fb5fccdf6c20
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Bundle.entry[0].resource[0].type[0].coding[0].display[0]Diagnostic studies report
Bundle.entry[0].resource[0].category[0].coding[0].system[0]http://snomed.info/sct
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Bundle.entry[0].resource[0].category[0].coding[0].display[0]General pathology (specialty)
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Bundle.entry[0].resource[0].author[0].reference[0]urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338
Bundle.entry[0].resource[0].title[0]Laboratory Report
Bundle.entry[0].resource[0].section[0].title[0]CRP (C reactive protein) mass concentration in serum
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Bundle.entry[2].resource[0].name[0]PICKERING MEDICAL PRACTICE
Bundle.entry[2].resource[0].address[0].line[0]SOUTHGATE
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Bundle.entry[2].resource[0].address[0].district[0]NORTH YORKSHIRE
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Bundle.entry[3].resource[0].name[0].use[0]official
Bundle.entry[3].resource[0].name[0].family[0]GASKELL
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Bundle.entry[3].resource[0].name[0].prefix[0]Dr
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Bundle.entry[4].resource[0].specialty[0].coding[0].display[0]General Medical Practice
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Bundle.entry[5].resource[0].identifier[0].value[0]9727710638
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Bundle.entry[6].resource[0].id[0]1c38d507-9ad7-4b49-ba91-7da204842cac
Bundle.entry[6].resource[0].identifier[0].system[0]http://B82033-pickeringmedicalpractice.com/labrequest
Bundle.entry[6].resource[0].identifier[0].value[0]REQ-20220307-000142
Bundle.entry[6].resource[0].status[0]active
Bundle.entry[6].resource[0].intent[0]order
Bundle.entry[6].resource[0].category[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[6].resource[0].category[0].coding[0].code[0]108252007
Bundle.entry[6].resource[0].category[0].coding[0].display[0]Laboratory procedure
Bundle.entry[6].resource[0].subject[0].reference[0]urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4
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Bundle.entry[6].resource[0].specimen[0].reference[0]urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d
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Bundle.entry[7].resource[0].identifier[0].system[0]http://Y8J7D-pathlab001.com/report
Bundle.entry[7].resource[0].identifier[0].value[0]REP-20220308-004205
Bundle.entry[7].resource[0].basedOn[0].reference[0]urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac
Bundle.entry[7].resource[0].status[0]final
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Bundle.entry[7].resource[0].category[0].coding[0].code[0]LAB
Bundle.entry[7].resource[0].category[0].coding[0].display[0]Laboratory
Bundle.entry[7].resource[0].code[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[7].resource[0].code[0].coding[0].code[0]721981007
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