PATH-R4-09: Bundle Example - Full Blood Count Request

path-mockup-FBC-request

  • This is an example of a request for 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.
  • ServiceRequest.code is used to specify the requested test group.
  • 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 the CodeableConcept.text element 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 Bundles.


path-data-model-FBC-request
<Bundle xmlns="http://hl7.org/fhir">
<id value="Pathology-Bundle-FBC-Request-Example" />
<meta>
<lastUpdated value="2022-02-07T09:17:00+00:00" />
</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" />
<eventCoding>
<system value="http://snomed.info/sct" />
<code value="371528001" />
<display value="Pathology report" />
</eventCoding>
<destination>
<name value="TD008362 PATH LAB 001" />
<!-- TBC Update endpoint address -->
<endpoint value="TBC" />
<!-- Performing Laboratory -->
<receiver>
<reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
</receiver>
</destination>
<sender>
<!-- Requesting Organisation -->
<reference value="urn:uuid:3c43b5b3-06d6-445f-ae9a-48d5f05df434" />
</sender>
<source>
<!-- TBC Update endpoint address -->
<endpoint value="TBC" />
</source>
<focus>
<!-- ServiceRequest -->
<reference value="urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac" />
</focus>
<definition value="https://fhir.nhs.uk/England/MessageDefinition/England-Pathology-Request" />
</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>
</Bundle>
{
"resourceType": "Bundle",
"id": "Pathology-Bundle-FBC-Request-Example",
"meta": {
"lastUpdated": "2022-02-07T09:17:00+00:00"
},
"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",
"eventCoding": {
"system": "http://snomed.info/sct",
"code": "371528001",
"display": "Pathology report"
},
"destination": [
{
"name": "TD008362 PATH LAB 001",
"endpoint": "TBC",
"receiver": {
"reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338"
}
}
],
"sender": {
"reference": "urn:uuid:3c43b5b3-06d6-445f-ae9a-48d5f05df434"
},
"source": {
"endpoint": "TBC"
},
"focus": [
{
"reference": "urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac"
}
],
"definition": "https://fhir.nhs.uk/England/MessageDefinition/England-Pathology-Request"
}
},
{
"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.hl7.org.uk/Id/gmc-number",
"value": "C1008215"
}
],
"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"
}
],
"reasonCode": [
{
"text": "Tired all the time, shortness of breath, arrhythmia"
}
]
}
}
]
}
Bundle
Bundle.id[0]Pathology-Bundle-FBC-Request-Example
Bundle.meta[0].lastUpdated[0]2022-02-07T09:17:00+00:00
Bundle.identifier[0].system[0]https://tools.ietf.org/html/rfc4122
Bundle.identifier[0].value[0]866e3e7a-2142-4af2-8461-2d2e876e8521
Bundle.type[0]message
Bundle.entry[0].fullUrl[0]urn:uuid:f18a2226-c0ab-480d-b80a-b6561fe8f9c4
Bundle.entry[0].resource[0].id[0]f18a2226-c0ab-480d-b80a-b6561fe8f9c4
Bundle.entry[0].resource[0].event[0].system[0]http://snomed.info/sct
Bundle.entry[0].resource[0].event[0].code[0]371528001
Bundle.entry[0].resource[0].event[0].display[0]Pathology report
Bundle.entry[0].resource[0].destination[0].name[0]TD008362 PATH LAB 001
Bundle.entry[0].resource[0].destination[0].endpoint[0]TBC
Bundle.entry[0].resource[0].destination[0].receiver[0].reference[0]urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338
Bundle.entry[0].resource[0].sender[0].reference[0]urn:uuid:3c43b5b3-06d6-445f-ae9a-48d5f05df434
Bundle.entry[0].resource[0].source[0].endpoint[0]TBC
Bundle.entry[0].resource[0].focus[0].reference[0]urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac
Bundle.entry[0].resource[0].definition[0]https://fhir.nhs.uk/England/MessageDefinition/England-Pathology-Request
Bundle.entry[1].fullUrl[0]urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338
Bundle.entry[1].resource[0].id[0]8a6d85b8-9837-4fed-a257-4cf207988338
Bundle.entry[1].resource[0].meta[0].profile[0]https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization
Bundle.entry[1].resource[0].identifier[0].system[0]https://fhir.nhs.uk/Id/ods-organization-code
Bundle.entry[1].resource[0].identifier[0].value[0]Y8J7D
Bundle.entry[1].resource[0].name[0]TD008362 PATH LAB 001
Bundle.entry[1].resource[0].address[0].line[0]PATHOLOGY LAB
Bundle.entry[1].resource[0].address[0].line[1]7-8 WELLINGTON PLACE
Bundle.entry[1].resource[0].address[0].city[0]LEEDS
Bundle.entry[1].resource[0].address[0].district[0]WEST YORKSHIRE
Bundle.entry[1].resource[0].address[0].postalCode[0]LS1 4AP
Bundle.entry[2].fullUrl[0]urn:uuid:3c43b5b3-06d6-445f-ae9a-48d5f05df434
Bundle.entry[2].resource[0].id[0]3c43b5b3-06d6-445f-ae9a-48d5f05df434
Bundle.entry[2].resource[0].meta[0].profile[0]https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization
Bundle.entry[2].resource[0].identifier[0].system[0]https://fhir.nhs.uk/Id/ods-organization-code
Bundle.entry[2].resource[0].identifier[0].value[0]B82033
Bundle.entry[2].resource[0].name[0]PICKERING MEDICAL PRACTICE
Bundle.entry[2].resource[0].address[0].line[0]SOUTHGATE
Bundle.entry[2].resource[0].address[0].city[0]PICKERING
Bundle.entry[2].resource[0].address[0].district[0]NORTH YORKSHIRE
Bundle.entry[2].resource[0].address[0].postalCode[0]YO18 8BL
Bundle.entry[3].fullUrl[0]urn:uuid:9a835acf-d715-4d84-8dcf-a8435f6417fe
Bundle.entry[3].resource[0].id[0]9a835acf-d715-4d84-8dcf-a8435f6417fe
Bundle.entry[3].resource[0].meta[0].profile[0]https://fhir.hl7.org.uk/StructureDefinition/UKCore-Practitioner
Bundle.entry[3].resource[0].identifier[0].system[0]https://fhir.hl7.org.uk/Id/gmc-number
Bundle.entry[3].resource[0].identifier[0].value[0]C1008215
Bundle.entry[3].resource[0].name[0].use[0]official
Bundle.entry[3].resource[0].name[0].family[0]GASKELL
Bundle.entry[3].resource[0].name[0].given[0]Gale
Bundle.entry[3].resource[0].name[0].prefix[0]Dr
Bundle.entry[4].fullUrl[0]urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4
Bundle.entry[4].resource[0].id[0]ab87a3f8-1d37-44a9-804e-5e962598a6e4
Bundle.entry[4].resource[0].meta[0].profile[0]https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient
Bundle.entry[4].resource[0].identifier[0].extension[0].url[0]https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus
Bundle.entry[4].resource[0].identifier[0].extension[0].value[0].coding[0].system[0]https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberVerificationStatusEngland
Bundle.entry[4].resource[0].identifier[0].extension[0].value[0].coding[0].code[0]01
Bundle.entry[4].resource[0].identifier[0].extension[0].value[0].coding[0].display[0]Number present and verified
Bundle.entry[4].resource[0].identifier[0].system[0]https://fhir.nhs.uk/Id/nhs-number
Bundle.entry[4].resource[0].identifier[0].value[0]9727710859
Bundle.entry[4].resource[0].name[0].use[0]official
Bundle.entry[4].resource[0].name[0].family[0]MOXEY
Bundle.entry[4].resource[0].name[0].given[0]Judy
Bundle.entry[4].resource[0].gender[0]female
Bundle.entry[4].resource[0].birthDate[0]2004-05-06
Bundle.entry[4].resource[0].address[0].line[0]1 CASTLEGATE
Bundle.entry[4].resource[0].address[0].city[0]PICKERING
Bundle.entry[4].resource[0].address[0].district[0]NORTH YORKSHIRE
Bundle.entry[4].resource[0].address[0].postalCode[0]YO18 7AY
Bundle.entry[5].fullUrl[0]urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac
Bundle.entry[5].resource[0].id[0]1c38d507-9ad7-4b49-ba91-7da204842cac
Bundle.entry[5].resource[0].meta[0].profile[0]https://fhir.hl7.org.uk/StructureDefinition/UKCore-ServiceRequest-Lab
Bundle.entry[5].resource[0].identifier[0].system[0]http://B82033-pickeringmedicalpractice.com/labrequest
Bundle.entry[5].resource[0].identifier[0].value[0]REQ-20220129-000012
Bundle.entry[5].resource[0].status[0]active
Bundle.entry[5].resource[0].intent[0]order
Bundle.entry[5].resource[0].code[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[5].resource[0].code[0].coding[0].code[0]26604007
Bundle.entry[5].resource[0].code[0].coding[0].display[0]Full blood count
Bundle.entry[5].resource[0].subject[0].reference[0]urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4
Bundle.entry[5].resource[0].subject[0].display[0]MOXEY, Judy
Bundle.entry[5].resource[0].authoredOn[0]2022-02-07T09:17:00+00:00
Bundle.entry[5].resource[0].requester[0].reference[0]urn:uuid:9a835acf-d715-4d84-8dcf-a8435f6417fe
Bundle.entry[5].resource[0].requester[0].display[0]GASKELL, Dr Gale
Bundle.entry[5].resource[0].performer[0].reference[0]urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338
Bundle.entry[5].resource[0].performer[0].display[0]TD008362 PATH LAB 001
Bundle.entry[5].resource[0].reasonCode[0].text[0]Tired all the time, shortness of breath, arrhythmia