PATH-R4-13: Bundle Example - Liver Function Tests and Urea and Electrolytes Request

path-mockup-LFT-UandE-request

  • This is an example of a request for multiple test groups.
  • In this example, multiple test groups are being requested as part of the same “event” (i.e. by the same practitioner at the same time for the same subject).
  • An instance of ServiceRequest is required for each requested test group. Note: ServiceRequest.code, which is used to specify the requested test, has a cardinality of 0..1.
  • Each ServiceRequest within 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.

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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path-data-model-LFT-UandE-request
<Bundle xmlns="http://hl7.org/fhir">
<id value="Pathology-Bundle-LFT-UandE-Request-Example" />
<meta>
<lastUpdated value="2022-03-07T09:48:00+00:00" />
<profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Bundle" />
</meta>
<identifier>
<system value="https://tools.ietf.org/html/rfc4122" />
<value value="c2f8848f-a3f3-4018-861f-b369244ed101" />
</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="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="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" />
<city value="WHITBY" />
<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>
</Bundle>
{
"resourceType": "Bundle",
"id": "Pathology-Bundle-LFT-UandE-Request-Example",
"meta": {
"lastUpdated": "2022-03-07T09:48:00+00:00",
"profile": [
"https://fhir.hl7.org.uk/StructureDefinition/UKCore-Bundle"
]
},
"identifier": {
"system": "https://tools.ietf.org/html/rfc4122",
"value": "c2f8848f-a3f3-4018-861f-b369244ed101"
},
"type": "message",
"entry": [
{
"fullUrl": "urn:uuid:f18a2226-c0ab-480d-b80a-b6561fe8f9c4",
"resource": {
"resourceType": "MessageHeader",
"id": "f18a2226-c0ab-480d-b80a-b6561fe8f9c4",
"meta": {
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]
},
"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"
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"sender": {
"reference": "urn:uuid:3c43b5b3-06d6-445f-ae9a-48d5f05df434"
},
"source": {
"endpoint": "TBC"
},
"focus": [
{
"reference": "urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac"
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"definition": "https://fhir.nhs.uk/England/MessageDefinition/England-Pathology-Request"
}
},
{
"fullUrl": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338",
"resource": {
"resourceType": "Organization",
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"meta": {
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"identifier": [
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"value": "Y8J7D"
}
],
"name": "TD008362 PATH LAB 001",
"address": [
{
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"identifier": [
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"name": "PICKERING MEDICAL PRACTICE",
"address": [
{
"line": [
"SOUTHGATE"
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"city": "PICKERING",
"district": "NORTH YORKSHIRE",
"postalCode": "YO18 8BL"
}
]
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},
{
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"prefix": [
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{
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},
"identifier": [
{
"extension": [
{
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"valueCodeableConcept": {
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"system": "https://fhir.nhs.uk/Id/nhs-number",
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"name": [
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"meta": {
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"value": "REQ-20220307-000046"
},
"status": "active",
"intent": "order",
"code": {
"coding": [
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"code": "26958001",
"display": "Hepatic function panel"
}
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},
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"display": "WELSH, Joel"
},
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"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"
}
]
}
},
{
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"id": "8660ef6a-65ef-408f-92ce-b4d6d03d783c",
"meta": {
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}
],
"requisition": {
"system": "http://B82033-pickeringmedicalpractice.com/labrequest",
"value": "REQ-20220307-000046"
},
"status": "active",
"intent": "order",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "252167001",
"display": "Urea and electrolytes"
}
]
},
"subject": {
"reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4",
"display": "WELSH, Joel"
},
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"requester": {
"reference": "urn:uuid:9a835acf-d715-4d84-8dcf-a8435f6417fe",
"display": "GASKELL, Dr Gale"
},
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{
"reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338",
"display": "TD008362 PATH LAB 001"
}
]
}
}
]
}
Bundle
Bundle.id[0]Pathology-Bundle-LFT-UandE-Request-Example
Bundle.meta[0].lastUpdated[0]2022-03-07T09:48:00+00:00
Bundle.meta[0].profile[0]https://fhir.hl7.org.uk/StructureDefinition/UKCore-Bundle
Bundle.identifier[0].system[0]https://tools.ietf.org/html/rfc4122
Bundle.identifier[0].value[0]c2f8848f-a3f3-4018-861f-b369244ed101
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].meta[0].profile[0]https://fhir.hl7.org.uk/StructureDefinition/UKCore-MessageHeader
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]9727710638
Bundle.entry[4].resource[0].name[0].use[0]official
Bundle.entry[4].resource[0].name[0].family[0]WELSH
Bundle.entry[4].resource[0].name[0].given[0]Joel
Bundle.entry[4].resource[0].gender[0]male
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