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 Implementation team.PATH-R4-16b: Bundle Example - Glucose Tolerance Test Report (Structured)
- This is an example of a Glucose Tolerance Test (GTT) report, which is a type of dynamic function test.
- Dynamic function tests measure the outcome of certain stimulants (or suppressants) usually invoked on the endocrine system. A series of specimens is collected at defined time intervals and the results are reported together as a chronological sequence.
- Each specimen is represented as a separate
Specimeninstance. - In this example, the patient fasted before the first specimen was taken. This is indicated using
Specimen.collection.fastingStatus[x]. - The results are represented using a set of structured, coded
Observations. These are grouped using a parent level test groupObservation. - The core observation-sequelTo extension is used to link the test result
Observationsto one another in a chronological sequence. - The relative time interval associated with each test result
Observation(e.g. 30 minutes) is carried usingObservation.component. - A clinical interpretation/summary of the test results is carried in
DiagnosticReport.conclusion.
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
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.
</meta>
</identifier>
<MessageHeader>
<!-- TBC Review content of MessageHeader -->
</meta>
</eventCoding>
<!-- TBC Update endpoint address -->
<!-- Requesting Organisation -->
</receiver>
</destination>
<!-- Performing Laboratory -->
</sender>
<!-- TBC Update endpoint address -->
</source>
<!-- DiagnosticReport -->
</focus>
</MessageHeader>
</resource>
</entry>
<Organization>
<!-- Performing Laboratory -->
</meta>
</identifier>
</address>
</Organization>
</resource>
</entry>
<Organization>
<!-- Requesting Organisation -->
</meta>
</identifier>
</address>
</Organization>
</resource>
</entry>
<Practitioner>
<!-- Requesting Practitioner -->
</meta>
</identifier>
</name>
</Practitioner>
</resource>
</entry>
<Patient>
</meta>
<extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus">
</coding>
</valueCodeableConcept>
</extension>
</identifier>
</name>
</address>
</Patient>
</resource>
</entry>
<ServiceRequest>
</meta>
</identifier>
<!-- From PaLM procedure reference set -->
</coding>
</code>
</subject>
</requester>
</performer>
</ServiceRequest>
</resource>
</entry>
<DiagnosticReport>
</meta>
</identifier>
</basedOn>
</coding>
</category>
</coding>
</code>
</subject>
</performer>
</specimen>
</specimen>
</specimen>
</result>
<conclusion value="Fasting glucose below 5.1, 1hr below 10.0 and 2hr below 8.5 mmol/L. Normal response to glucose load, no further action required." />
</DiagnosticReport>
</resource>
</entry>
<Specimen>
</meta>
</identifier>
</accessionIdentifier>
</coding>
</type>
</subject>
</request>
</coding>
</fastingStatusCodeableConcept>
</collection>
</Specimen>
</resource>
</entry>
<Observation>
<!-- Test group Observation for Glucose Tolerance Test -->
</meta>
</identifier>
</coding>
</category>
<!-- From PaLM procedure reference set -->
</coding>
</code>
</subject>
</performer>
<!-- Glucose substance concentration at 0 minutes -->
</hasMember>
<!-- Glucose substance concentration at 60 minutes -->
</hasMember>
<!-- Glucose substance concentration at 120 minutes -->
</hasMember>
</Observation>
</resource>
</entry>
<Observation>
<!-- Glucose substance concentration at 0 minutes -->
</meta>
</identifier>
</coding>
</category>
<!-- From PaLM observable entity reference set -->
</coding>
</code>
</subject>
</performer>
</valueQuantity>
</specimen>
</coding>
</code>
</valueQuantity>
</component>
</Observation>
</resource>
</entry>
<Observation>
</meta>
<!-- Glucose substance concentration at 60 minutes -->
</valueReference>
</extension>
</identifier>
</coding>
</category>
<!-- From PaLM observable entity reference set -->
</coding>
</code>
</subject>
</performer>
</valueQuantity>
</specimen>
</coding>
</code>
</valueQuantity>
</component>
</Observation>
</resource>
</entry>
<Observation>
</meta>
<!-- Glucose substance concentration at 120 minutes -->
</valueReference>
</extension>
</identifier>
</coding>
</category>
<!-- From PaLM observable entity reference set -->
</coding>
</code>
</subject>
</performer>
</valueQuantity>
</specimen>
</coding>
</code>
</valueQuantity>
</component>
</Observation>
</resource>
</entry>
<Specimen>
</meta>
</identifier>
</accessionIdentifier>
</coding>
</type>
</subject>
</request>
</collection>
</Specimen>
</resource>
</entry>
<Specimen>
</meta>
</identifier>
</accessionIdentifier>
</coding>
</type>
</subject>
</request>
</collection>
</Specimen>
</resource>
</entry>
</Bundle>
{
"https://fhir.hl7.org.uk/StructureDefinition/UKCore-Bundle"
]
},
},
{
},
},
{
}
}
],
},
},
],
}
},
{
},
],
{
"PATHOLOGY LAB",
"7-8 WELLINGTON PLACE"
],
}
]
}
},
{
},
],
{
"SOUTHGATE"
],
}
]
}
},
{
},
],
]
}
},
{
},
{
{
{
}
]
}
}
],
}
],
],
{
"1 CASTLEGATE"
],
}
]
}
},
{
},
{
}
],
]
},
},
},
{
}
]
}
},
{
},
],
],
{
{
}
]
}
],
]
},
},
{
}
],
{
},
{
},
{
}
],
],
"conclusion": "Fasting glucose below 5.1, 1hr below 10.0 and 2hr below 8.5 mmol/L. Normal response to glucose load, no further action required."
}
},
{
},
{
}
],
},
]
},
},
],
{
}
]
}
}
}
},
{
},
{
}
],
{
{
}
]
}
],
]
},
},
{
}
],
{
},
{
},
{
}
]
}
},
{
},
{
}
],
{
{
}
]
}
],
{
}
]
},
},
{
}
],
},
},
{
]
},
}
}
]
}
},
{
},
{
}
}
],
{
}
],
{
{
}
]
}
],
{
}
]
},
},
{
}
],
},
},
{
]
},
}
}
]
}
},
{
},
{
}
}
],
{
}
],
{
{
}
]
}
],
{
}
]
},
},
{
}
],
},
},
{
]
},
}
}
]
}
},
{
},
{
}
],
},
]
},
},
],
}
}
},
{
},
{
}
],
},
]
},
},
],
}
}
}
]
}
| Bundle |
| id : Pathology-Bundle-GTT-Report-Example |
| meta |
| lastUpdated : 2022-02-10T11:49:00+00:00 |
| profile : https://fhir.hl7.org.uk/StructureDefinition/UKCore-Bundle |
| identifier |
| system : https://tools.ietf.org/html/rfc4122 |
| value : ee9f668a-020b-480f-9e52-8f4ec29f97bf |
| type : message |
| entry |
| fullUrl : urn:uuid:324d9589-21eb-4852-af10-b8a656105b10 |
| resource |
| id : 324d9589-21eb-4852-af10-b8a656105b10 |
| meta |
| profile : https://fhir.hl7.org.uk/StructureDefinition/UKCore-MessageHeader |
| event |
| 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 |
| entry |
| fullUrl : urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338 |
| resource |
| 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 |
| line : 7-8 WELLINGTON PLACE |
| city : LEEDS |
| district : WEST YORKSHIRE |
| postalCode : LS1 4AP |
| entry |
| fullUrl : urn:uuid:3c43b5b3-06d6-445f-ae9a-48d5f05df434 |
| resource |
| 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 |
| entry |
| fullUrl : urn:uuid:9a835acf-d715-4d84-8dcf-a8435f6417fe |
| resource |
| 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 |
| entry |
| fullUrl : urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4 |
| resource |
| 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 |
| value |
| 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 |
| entry |
| fullUrl : urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac |
| resource |
| 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-20220207-000013 |
| status : active |
| intent : order |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 113076002 |
| display : Glucose tolerance test |
| subject |
| reference : urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4 |
| display : MOXEY, Judy |
| authoredOn : 2022-02-07T09:20:00+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 |
| entry |
| fullUrl : urn:uuid:35d46ca1-f253-4c97-b7ee-fb5fccdf6c20 |
| resource |
| id : 35d46ca1-f253-4c97-b7ee-fb5fccdf6c20 |
| meta |
| profile : https://fhir.hl7.org.uk/StructureDefinition/UKCore-DiagnosticReport-Lab |
| identifier |
| system : http://Y8J7D-pathlab001.com/report |
| value : REP-20220210-000218 |
| basedOn |
| reference : urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac |
| status : final |
| category |
| coding |
| system : http://terminology.hl7.org/CodeSystem/v2-0074 |
| code : LAB |
| display : Laboratory |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 721981007 |
| display : Diagnostic studies report |
| subject |
| reference : urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4 |
| display : MOXEY, Judy |
| issued : 2022-02-10T11:49:00+00:00 |
| performer |
| reference : urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338 |
| display : TD008362 PATH LAB 001 |
| specimen |
| reference : urn:uuid:bcee569d-c37d-4901-90b4-c9f27c4dafab |
| specimen |
| reference : urn:uuid:45f1e625-9af2-4920-9ac4-63b4d9d30bd0 |
| specimen |
| reference : urn:uuid:ad717ae8-cb35-4d66-ba51-e22a76b1d158 |
| result |
| reference : urn:uuid:2a48660b-8d45-4735-acaa-3d9918b6b902 |
| conclusion : Fasting glucose below 5.1, 1hr below 10.0 and 2hr below 8.5 mmol/L. Normal response to glucose load, no further action required. |
| entry |
| fullUrl : urn:uuid:bcee569d-c37d-4901-90b4-c9f27c4dafab |
| resource |
| id : bcee569d-c37d-4901-90b4-c9f27c4dafab |
| meta |
| profile : https://fhir.hl7.org.uk/StructureDefinition/UKCore-Specimen |
| identifier |
| system : http://B82033-pickeringmedicalpractice.com/specimen |
| value : SPC-REQ-20220209-000082 |
| accessionIdentifier |
| system : http://Y8J7D-pathlab001.com/specimen |
| value : SPC-Lab-20220209-001531 |
| status : available |
| type |
| coding |
| system : http://snomed.info/sct |
| code : 122555007 |
| display : Venous blood specimen |
| subject |
| reference : urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4 |
| display : MOXEY, Judy |
| receivedTime : 2022-02-09T14:17:06+00:00 |
| request |
| reference : urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac |
| collection |
| collected : 2022-02-09T10:01:23+00:00 |
| fastingStatus |
| coding |
| system : http://terminology.hl7.org/CodeSystem/v2-0916 |
| code : F |
| display : Patient was fasting prior to the procedure. |
| entry |
| fullUrl : urn:uuid:2a48660b-8d45-4735-acaa-3d9918b6b902 |
| resource |
| id : 2a48660b-8d45-4735-acaa-3d9918b6b902 |
| meta |
| profile : https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab |
| identifier |
| system : https://tools.ietf.org/html/rfc4122 |
| value : df8fcad2-12f5-4f04-8b73-91dadc3120b9 |
| status : final |
| category |
| coding |
| system : http://terminology.hl7.org/CodeSystem/observation-category |
| code : laboratory |
| display : Laboratory |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 113076002 |
| display : Glucose tolerance test |
| subject |
| reference : urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4 |
| display : MOXEY, Judy |
| issued : 2022-02-10T11:49:00+00:00 |
| performer |
| reference : urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338 |
| display : TD008362 PATH LAB 001 |
| hasMember |
| reference : urn:uuid:6b64af83-2ea2-4b0f-a6a7-17e5a7b27a31 |
| hasMember |
| reference : urn:uuid:1dbcb7a9-4506-40f9-9908-fa0d32deeaa4 |
| hasMember |
| reference : urn:uuid:1346248c-8c09-4312-a0b9-898de1cc16f5 |
| entry |
| fullUrl : urn:uuid:6b64af83-2ea2-4b0f-a6a7-17e5a7b27a31 |
| resource |
| id : 6b64af83-2ea2-4b0f-a6a7-17e5a7b27a31 |
| meta |
| profile : https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab |
| identifier |
| system : https://tools.ietf.org/html/rfc4122 |
| value : ba7fa6e0-2170-4905-ac9f-e53970b17aed |
| status : final |
| category |
| coding |
| system : http://terminology.hl7.org/CodeSystem/observation-category |
| code : laboratory |
| display : Laboratory |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 1107451000000100 |
| display : Glucose substance concentration in serum |
| subject |
| reference : urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4 |
| display : MOXEY, Judy |
| effective : 2022-02-09T10:01:23+00:00 |
| issued : 2022-02-10T11:49:00+00:00 |
| performer |
| reference : urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338 |
| display : TD008362 PATH LAB 001 |
| value |
| value : 4.8 |
| unit : mmol/L |
| system : http://unitsofmeasure.org |
| code : mmol/L |
| specimen |
| reference : urn:uuid:bcee569d-c37d-4901-90b4-c9f27c4dafab |
| component |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 118578006 |
| display : Relative time |
| value |
| value : 0 |
| unit : min |
| system : http://unitsofmeasure.org |
| code : min |
| entry |
| fullUrl : urn:uuid:1dbcb7a9-4506-40f9-9908-fa0d32deeaa4 |
| resource |
| id : 1dbcb7a9-4506-40f9-9908-fa0d32deeaa4 |
| meta |
| profile : https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/observation-sequelTo |
| value |
| reference : urn:uuid:6b64af83-2ea2-4b0f-a6a7-17e5a7b27a31 |
| identifier |
| system : https://tools.ietf.org/html/rfc4122 |
| value : 9e1f413b-8242-4e37-b23c-233be79e75a6 |
| status : final |
| category |
| coding |
| system : http://terminology.hl7.org/CodeSystem/observation-category |
| code : laboratory |
| display : Laboratory |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 1107451000000100 |
| display : Glucose substance concentration in serum |
| subject |
| reference : urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4 |
| display : MOXEY, Judy |
| effective : 2022-02-09T11:03:07+00:00 |
| issued : 2022-02-10T11:49:00+00:00 |
| performer |
| reference : urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338 |
| display : TD008362 PATH LAB 001 |
| value |
| value : 8.8 |
| unit : mmol/L |
| system : http://unitsofmeasure.org |
| code : mmol/L |
| specimen |
| reference : urn:uuid:45f1e625-9af2-4920-9ac4-63b4d9d30bd0 |
| component |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 118578006 |
| display : Relative time |
| value |
| value : 60 |
| unit : min |
| system : http://unitsofmeasure.org |
| code : min |
| entry |
| fullUrl : urn:uuid:1346248c-8c09-4312-a0b9-898de1cc16f5 |
| resource |
| id : 1346248c-8c09-4312-a0b9-898de1cc16f5 |
| meta |
| profile : https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/observation-sequelTo |
| value |
| reference : urn:uuid:1dbcb7a9-4506-40f9-9908-fa0d32deeaa4 |
| identifier |
| system : https://tools.ietf.org/html/rfc4122 |
| value : 4c66b23a-5c91-49fb-85b1-5073a88afc25 |
| status : final |
| category |
| coding |
| system : http://terminology.hl7.org/CodeSystem/observation-category |
| code : laboratory |
| display : Laboratory |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 1107451000000100 |
| display : Glucose substance concentration in serum |
| subject |
| reference : urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4 |
| display : MOXEY, Judy |
| effective : 2022-02-09T12:02:17+00:00 |
| issued : 2022-02-10T11:49:00+00:00 |
| performer |
| reference : urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338 |
| display : TD008362 PATH LAB 001 |
| value |
| value : 6.4 |
| unit : mmol/L |
| system : http://unitsofmeasure.org |
| code : mmol/L |
| specimen |
| reference : urn:uuid:ad717ae8-cb35-4d66-ba51-e22a76b1d158 |
| component |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 118578006 |
| display : Relative time |
| value |
| value : 120 |
| unit : min |
| system : http://unitsofmeasure.org |
| code : min |
| entry |
| fullUrl : urn:uuid:45f1e625-9af2-4920-9ac4-63b4d9d30bd0 |
| resource |
| id : 45f1e625-9af2-4920-9ac4-63b4d9d30bd0 |
| meta |
| profile : https://fhir.hl7.org.uk/StructureDefinition/UKCore-Specimen |
| identifier |
| system : http://B82033-pickeringmedicalpractice.com/specimen |
| value : SPC-REQ-20220209-000083 |
| accessionIdentifier |
| system : http://Y8J7D-pathlab001.com/specimen |
| value : SPC-Lab-20220209-001549 |
| status : available |
| type |
| coding |
| system : http://snomed.info/sct |
| code : 122555007 |
| display : Venous blood specimen |
| subject |
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| Bundle.entry[10].resource[0].component[0].value[0].code[0] | min |
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| Bundle.entry[11].resource[0].meta[0].profile[0] | https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab |
| Bundle.entry[11].resource[0].extension[0].url[0] | http://hl7.org/fhir/StructureDefinition/observation-sequelTo |
| Bundle.entry[11].resource[0].extension[0].value[0].reference[0] | urn:uuid:1dbcb7a9-4506-40f9-9908-fa0d32deeaa4 |
| Bundle.entry[11].resource[0].identifier[0].system[0] | https://tools.ietf.org/html/rfc4122 |
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| Bundle.entry[11].resource[0].status[0] | final |
| Bundle.entry[11].resource[0].category[0].coding[0].system[0] | http://terminology.hl7.org/CodeSystem/observation-category |
| Bundle.entry[11].resource[0].category[0].coding[0].code[0] | laboratory |
| Bundle.entry[11].resource[0].category[0].coding[0].display[0] | Laboratory |
| Bundle.entry[11].resource[0].code[0].coding[0].system[0] | http://snomed.info/sct |
| Bundle.entry[11].resource[0].code[0].coding[0].code[0] | 1107451000000100 |
| Bundle.entry[11].resource[0].code[0].coding[0].display[0] | Glucose substance concentration in serum |
| Bundle.entry[11].resource[0].subject[0].reference[0] | urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4 |
| Bundle.entry[11].resource[0].subject[0].display[0] | MOXEY, Judy |
| Bundle.entry[11].resource[0].effective[0] | 2022-02-09T12:02:17+00:00 |
| Bundle.entry[11].resource[0].issued[0] | 2022-02-10T11:49:00+00:00 |
| Bundle.entry[11].resource[0].performer[0].reference[0] | urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338 |
| Bundle.entry[11].resource[0].performer[0].display[0] | TD008362 PATH LAB 001 |
| Bundle.entry[11].resource[0].value[0].value[0] | 6.4 |
| Bundle.entry[11].resource[0].value[0].unit[0] | mmol/L |
| Bundle.entry[11].resource[0].value[0].system[0] | http://unitsofmeasure.org |
| Bundle.entry[11].resource[0].value[0].code[0] | mmol/L |
| Bundle.entry[11].resource[0].specimen[0].reference[0] | urn:uuid:ad717ae8-cb35-4d66-ba51-e22a76b1d158 |
| Bundle.entry[11].resource[0].component[0].code[0].coding[0].system[0] | http://snomed.info/sct |
| Bundle.entry[11].resource[0].component[0].code[0].coding[0].code[0] | 118578006 |
| Bundle.entry[11].resource[0].component[0].code[0].coding[0].display[0] | Relative time |
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| Bundle.entry[11].resource[0].component[0].value[0].unit[0] | min |
| Bundle.entry[11].resource[0].component[0].value[0].system[0] | http://unitsofmeasure.org |
| Bundle.entry[11].resource[0].component[0].value[0].code[0] | min |
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| Bundle.entry[12].resource[0].meta[0].profile[0] | https://fhir.hl7.org.uk/StructureDefinition/UKCore-Specimen |
| Bundle.entry[12].resource[0].identifier[0].system[0] | http://B82033-pickeringmedicalpractice.com/specimen |
| Bundle.entry[12].resource[0].identifier[0].value[0] | SPC-REQ-20220209-000083 |
| Bundle.entry[12].resource[0].accessionIdentifier[0].system[0] | http://Y8J7D-pathlab001.com/specimen |
| Bundle.entry[12].resource[0].accessionIdentifier[0].value[0] | SPC-Lab-20220209-001549 |
| Bundle.entry[12].resource[0].status[0] | available |
| Bundle.entry[12].resource[0].type[0].coding[0].system[0] | http://snomed.info/sct |
| Bundle.entry[12].resource[0].type[0].coding[0].code[0] | 122555007 |
| Bundle.entry[12].resource[0].type[0].coding[0].display[0] | Venous blood specimen |
| Bundle.entry[12].resource[0].subject[0].reference[0] | urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4 |
| Bundle.entry[12].resource[0].subject[0].display[0] | MOXEY, Judy |
| Bundle.entry[12].resource[0].receivedTime[0] | 2022-02-09T14:17:06+00:00 |
| Bundle.entry[12].resource[0].request[0].reference[0] | urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac |
| Bundle.entry[12].resource[0].collection[0].collected[0] | 2022-02-09T11:03:07+00:00 |
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| Bundle.entry[13].resource[0].id[0] | ad717ae8-cb35-4d66-ba51-e22a76b1d158 |
| Bundle.entry[13].resource[0].meta[0].profile[0] | https://fhir.hl7.org.uk/StructureDefinition/UKCore-Specimen |
| Bundle.entry[13].resource[0].identifier[0].system[0] | http://B82033-pickeringmedicalpractice.com/specimen |
| Bundle.entry[13].resource[0].identifier[0].value[0] | SPC-REQ-20220209-000084 |
| Bundle.entry[13].resource[0].accessionIdentifier[0].system[0] | http://Y8J7D-pathlab001.com/specimen |
| Bundle.entry[13].resource[0].accessionIdentifier[0].value[0] | SPC-Lab-20220209-001587 |
| Bundle.entry[13].resource[0].status[0] | available |
| Bundle.entry[13].resource[0].type[0].coding[0].system[0] | http://snomed.info/sct |
| Bundle.entry[13].resource[0].type[0].coding[0].code[0] | 122555007 |
| Bundle.entry[13].resource[0].type[0].coding[0].display[0] | Venous blood specimen |
| Bundle.entry[13].resource[0].subject[0].reference[0] | urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4 |
| Bundle.entry[13].resource[0].subject[0].display[0] | MOXEY, Judy |
| Bundle.entry[13].resource[0].receivedTime[0] | 2022-02-09T14:17:06+00:00 |
| Bundle.entry[13].resource[0].request[0].reference[0] | urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac |
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