PATH-R4-18b: Bundle Example - Urine Microscopy, Culture and Sensitivity Report (Structured)

path-mockup-MCS-01-report

  • This is an example of a complex report.
  • The results are represented using a set of structured, coded Observations.
  • It contains multiple levels of test group Observations and test result Observations. Two of the test groups are nested ("Urine Culture" and "Antimicrobial sensitivity").
  • The report includes a range of numeric, semi-quantitative and qualitative results.
  • In this example, the specimen (urine) was collected after the request was made. The specimen is linked to the request within the Bundle using Specimen.request.
  • 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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.


path-data-model-MCS-01-report
<Bundle xmlns="http://hl7.org/fhir">
<id value="Pathology-Bundle-Urine-MCS-01-Report-Example" />
<lastUpdated value="2022-02-25T13:47:00+00:00" />
<profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Bundle" />
</meta>
<system value="https://tools.ietf.org/html/rfc4122" />
<value value="86834956-dc57-4b90-8f1b-6174a887ca27" />
</identifier>
<type value="message" />
<fullUrl value="urn:uuid:f18a2226-c0ab-480d-b80a-b6561fe8f9c4" />
<MessageHeader>
<!-- TBC Review content of MessageHeader -->
<id value="f18a2226-c0ab-480d-b80a-b6561fe8f9c4" />
<profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-MessageHeader" />
</meta>
<system value="http://snomed.info/sct" />
<code value="371528001" />
<display value="Pathology report" />
</eventCoding>
<name value="PICKERING MEDICAL PRACTICE" />
<!-- TBC Update endpoint address -->
<endpoint value="TBC" />
<!-- Requesting Organisation -->
<reference value="urn:uuid:3c43b5b3-06d6-445f-ae9a-48d5f05df434" />
</receiver>
</destination>
<!-- Performing Laboratory -->
<reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
</sender>
<!-- TBC Update endpoint address -->
<endpoint value="TBC" />
</source>
<!-- 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>
<fullUrl value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
<Organization>
<!-- Performing Laboratory -->
<id value="8a6d85b8-9837-4fed-a257-4cf207988338" />
<profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" />
</meta>
<system value="https://fhir.nhs.uk/Id/ods-organization-code" />
<value value="Y8J7D" />
</identifier>
<name value="TD008362 PATH LAB 001" />
<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>
<fullUrl value="urn:uuid:3c43b5b3-06d6-445f-ae9a-48d5f05df434" />
<Organization>
<!-- Requesting Organisation -->
<id value="3c43b5b3-06d6-445f-ae9a-48d5f05df434" />
<profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" />
</meta>
<system value="https://fhir.nhs.uk/Id/ods-organization-code" />
<value value="B82033" />
</identifier>
<name value="PICKERING MEDICAL PRACTICE" />
<line value="SOUTHGATE" />
<city value="PICKERING" />
<district value="NORTH YORKSHIRE" />
<postalCode value="YO18 8BL" />
</address>
</Organization>
</resource>
</entry>
<fullUrl value="urn:uuid:9a835acf-d715-4d84-8dcf-a8435f6417fe" />
<Practitioner>
<!-- Requesting Practitioner -->
<id value="9a835acf-d715-4d84-8dcf-a8435f6417fe" />
<profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Practitioner" />
</meta>
<system value="https://fhir.hl7.org.uk/Id/gmc-number" />
<value value="C1008215" />
</identifier>
<use value="official" />
<family value="GASKELL" />
<given value="Gale" />
<prefix value="Dr" />
</name>
</Practitioner>
</resource>
</entry>
<fullUrl value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
<Patient>
<id value="ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
<profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient" />
</meta>
<extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus">
<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>
<use value="official" />
<family value="MOXEY" />
<given value="Judy" />
</name>
<gender value="female" />
<birthDate value="2004-05-06" />
<line value="1 CASTLEGATE" />
<city value="PICKERING" />
<district value="NORTH YORKSHIRE" />
<postalCode value="YO18 7AY" />
</address>
</Patient>
</resource>
</entry>
<fullUrl value="urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac" />
<ServiceRequest>
<id value="1c38d507-9ad7-4b49-ba91-7da204842cac" />
<profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-ServiceRequest-Lab" />
</meta>
<system value="http://B82033-pickeringmedicalpractice.com/labrequest" />
<value value="REQ-20220221-000018" />
</identifier>
<status value="active" />
<intent value="order" />
<!-- From PaLM procedure reference set -->
<system value="http://snomed.info/sct" />
<code value="401324008" />
<display value="Urinary microscopy, culture and sensitivities" />
</coding>
</code>
<reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
<display value="MOXEY, Judy" />
</subject>
<authoredOn value="2022-02-21T10:29:00+00:00" />
<reference value="urn:uuid:9a835acf-d715-4d84-8dcf-a8435f6417fe" />
<display value="GASKELL, Dr Gale" />
</requester>
<reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
<display value="TD008362 PATH LAB 001" />
</performer>
</ServiceRequest>
</resource>
</entry>
<fullUrl value="urn:uuid:35d46ca1-f253-4c97-b7ee-fb5fccdf6c20" />
<DiagnosticReport>
<id value="35d46ca1-f253-4c97-b7ee-fb5fccdf6c20" />
<profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-DiagnosticReport-Lab" />
</meta>
<system value="http://Y8J7D-pathlab001.com/report" />
<value value="REP-20220225-006301" />
</identifier>
<reference value="urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac" />
</basedOn>
<status value="final" />
<system value="http://terminology.hl7.org/CodeSystem/v2-0074" />
<code value="LAB" />
<display value="Laboratory" />
</coding>
</category>
<system value="http://snomed.info/sct" />
<code value="721981007" />
<display value="Diagnostic studies report" />
</coding>
</code>
<reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
<display value="MOXEY, Judy" />
</subject>
<issued value="2022-02-25T13:47:00+00:00" />
<reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
<display value="TD008362 PATH LAB 001" />
</performer>
<reference value="urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006" />
</specimen>
<!-- Urine microscopy, culture and sensitivities group -->
<reference value="urn:uuid:724714a1-c3a3-48c0-87a3-8d3f6740d24c" />
</result>
<conclusion value="Likely to be clinically significant." />
</DiagnosticReport>
</resource>
</entry>
<fullUrl value="urn:uuid:724714a1-c3a3-48c0-87a3-8d3f6740d24c" />
<Observation>
<!-- Urine microscopy, culture and sensitivities group -->
<id value="724714a1-c3a3-48c0-87a3-8d3f6740d24c" />
<profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" />
</meta>
<system value="https://tools.ietf.org/html/rfc4122" />
<value value="7ba81e08-8099-4fdb-9b50-a3c11afb6c0b" />
</identifier>
<status value="final" />
<system value="http://terminology.hl7.org/CodeSystem/observation-category" />
<code value="laboratory" />
<display value="Laboratory" />
</coding>
</category>
<!-- From PaLM procedure reference set -->
<system value="http://snomed.info/sct" />
<code value="401324008" />
<display value="Urinary microscopy, culture and sensitivities" />
</coding>
</code>
<reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
<display value="MOXEY, Judy" />
</subject>
<issued value="2022-02-25T13:47:00+00:00" />
<reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
<display value="TD008362 PATH LAB 001" />
</performer>
<!-- Microscopy group -->
<reference value="urn:uuid:bd867909-49ca-4a4b-b02f-162790b6800f" />
</hasMember>
<!-- Staphylococcus aureus - culture and sensitivities group -->
<reference value="urn:uuid:70af0ca7-a77a-4daa-8aa2-1740433b1c3e" />
</hasMember>
</Observation>
</resource>
</entry>
<fullUrl value="urn:uuid:bd867909-49ca-4a4b-b02f-162790b6800f" />
<Observation>
<!-- Microscopy group -->
<id value="bd867909-49ca-4a4b-b02f-162790b6800f" />
<profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" />
</meta>
<system value="https://tools.ietf.org/html/rfc4122" />
<value value="02875aea-9815-4d1d-b34e-f9f29b859d02" />
</identifier>
<status value="final" />
<system value="http://terminology.hl7.org/CodeSystem/observation-category" />
<code value="laboratory" />
<display value="Laboratory" />
</coding>
</category>
<!-- From PaLM procedure reference set -->
<system value="http://snomed.info/sct" />
<code value="127800008" />
<display value="Microscopic urinalysis" />
</coding>
</code>
<reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
<display value="MOXEY, Judy" />
</subject>
<issued value="2022-02-25T13:47:00+00:00" />
<reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
<display value="TD008362 PATH LAB 001" />
</performer>
<!-- Casts in urine -->
<reference value="urn:uuid:17ec651c-1b6f-43e9-9033-cbb49dbac3db" />
</hasMember>
<!-- White blood cell count in urine -->
<reference value="urn:uuid:3dc8d5d8-90ef-485c-ad67-d2e3c83ed83f" />
</hasMember>
<!-- Red blood cell count in urine -->
<reference value="urn:uuid:fce26593-20ee-45b6-b805-7eb7d0f0a3fa" />
</hasMember>
<!-- Epithelial cells in urine -->
<reference value="urn:uuid:a4b0fa1f-8679-45bb-82a2-85e4e1bd519a" />
</hasMember>
</Observation>
</resource>
</entry>
<fullUrl value="urn:uuid:17ec651c-1b6f-43e9-9033-cbb49dbac3db" />
<Observation>
<!-- Casts in urine -->
<id value="17ec651c-1b6f-43e9-9033-cbb49dbac3db" />
<profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" />
</meta>
<system value="https://tools.ietf.org/html/rfc4122" />
<value value="eab75d90-ce08-40a4-8247-34aad0d58873" />
</identifier>
<status value="final" />
<system value="http://terminology.hl7.org/CodeSystem/observation-category" />
<code value="laboratory" />
<display value="Laboratory" />
</coding>
</category>
<!-- From PaLM observable entity reference set -->
<system value="http://snomed.info/sct" />
<code value="51761000237101" />
<display value="Hyaline casts in mid-stream urine microscopy qualitative result" />
</coding>
</code>
<reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
<display value="MOXEY, Judy" />
</subject>
<issued value="2022-02-25T13:47:00+00:00" />
<reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
<display value="TD008362 PATH LAB 001" />
</performer>
<system value="http://snomed.info/sct" />
<code value="47492008" />
<display value="Not seen" />
</coding>
</valueCodeableConcept>
<reference value="urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006" />
</specimen>
</Observation>
</resource>
</entry>
<fullUrl value="urn:uuid:3dc8d5d8-90ef-485c-ad67-d2e3c83ed83f" />
<Observation>
<!-- White blood cell count in urine -->
<id value="3dc8d5d8-90ef-485c-ad67-d2e3c83ed83f" />
<profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" />
</meta>
<system value="https://tools.ietf.org/html/rfc4122" />
<value value="e644abd4-2587-486b-b6fe-ea3be866df29" />
</identifier>
<status value="final" />
<system value="http://terminology.hl7.org/CodeSystem/observation-category" />
<code value="laboratory" />
<display value="Laboratory" />
</coding>
</category>
<!-- From PaLM observable entity reference set -->
<system value="http://snomed.info/sct" />
<code value="42331000237103" />
<display value="White blood cell count in urine" />
</coding>
</code>
<reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
<display value="MOXEY, Judy" />
</subject>
<issued value="2022-02-25T13:47:00+00:00" />
<reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
<display value="TD008362 PATH LAB 001" />
</performer>
<value value="35" />
<comparator value=">" />
<unit value="x10*6/L" />
<system value="http://unitsofmeasure.org" />
<code value="10^6/L" />
</valueQuantity>
<reference value="urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006" />
</specimen>
</Observation>
</resource>
</entry>
<fullUrl value="urn:uuid:fce26593-20ee-45b6-b805-7eb7d0f0a3fa" />
<Observation>
<!-- Red blood cell count in urine -->
<id value="fce26593-20ee-45b6-b805-7eb7d0f0a3fa" />
<profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" />
</meta>
<system value="https://tools.ietf.org/html/rfc4122" />
<value value="fc9d8f93-5cc7-43e8-8816-f4f438221b9f" />
</identifier>
<status value="final" />
<system value="http://terminology.hl7.org/CodeSystem/observation-category" />
<code value="laboratory" />
<display value="Laboratory" />
</coding>
</category>
<!-- From PaLM observable entity reference set -->
<system value="http://snomed.info/sct" />
<code value="43331000237105" />
<display value="Red blood cell count in urine" />
</coding>
</code>
<reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
<display value="MOXEY, Judy" />
</subject>
<issued value="2022-02-25T13:47:00+00:00" />
<reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
<display value="TD008362 PATH LAB 001" />
</performer>
<low>
<value value="10" />
<unit value="x10*6/L" />
<system value="http://unitsofmeasure.org" />
<code value="10^6/L" />
</low>
<value value="35" />
<unit value="x10*6/L" />
<system value="http://unitsofmeasure.org" />
<code value="10^6/L" />
</high>
</valueRange>
<reference value="urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006" />
</specimen>
</Observation>
</resource>
</entry>
<fullUrl value="urn:uuid:a4b0fa1f-8679-45bb-82a2-85e4e1bd519a" />
<Observation>
<!-- Epithelial cells in urine -->
<id value="a4b0fa1f-8679-45bb-82a2-85e4e1bd519a" />
<profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" />
</meta>
<system value="https://tools.ietf.org/html/rfc4122" />
<value value="db372648-314a-481a-a793-736b0ec3be76" />
</identifier>
<status value="final" />
<system value="http://terminology.hl7.org/CodeSystem/observation-category" />
<code value="laboratory" />
<display value="Laboratory" />
</coding>
</category>
<!-- From PaLM observable entity reference set -->
<system value="http://snomed.info/sct" />
<code value="49941000237104" />
<display value="Epithelial cells in mid-stream urine microscopy qualitative result" />
</coding>
</code>
<reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
<display value="MOXEY, Judy" />
</subject>
<issued value="2022-02-25T13:47:00+00:00" />
<reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
<display value="TD008362 PATH LAB 001" />
</performer>
<system value="http://snomed.info/sct" />
<code value="260347006" />
<display value="Present + out of ++++" />
</coding>
</valueCodeableConcept>
<reference value="urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006" />
</specimen>
</Observation>
</resource>
</entry>
<fullUrl value="urn:uuid:70af0ca7-a77a-4daa-8aa2-1740433b1c3e" />
<Observation>
<!-- Staphylococcus aureus - culture and sensitivities group -->
<id value="70af0ca7-a77a-4daa-8aa2-1740433b1c3e" />
<profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" />
</meta>
<system value="https://tools.ietf.org/html/rfc4122" />
<value value="147dbdea-22e1-4327-8407-b92bf362e115" />
</identifier>
<status value="final" />
<system value="http://terminology.hl7.org/CodeSystem/observation-category" />
<code value="laboratory" />
<display value="Laboratory" />
</coding>
</category>
<!-- From PaLM procedure reference set -->
<system value="http://snomed.info/sct" />
<code value="117010004" />
<display value="Urine culture" />
</coding>
</code>
<reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
<display value="MOXEY, Judy" />
</subject>
<issued value="2022-02-25T13:47:00+00:00" />
<reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
<display value="TD008362 PATH LAB 001" />
</performer>
<!-- Staphylococcus aureus - culture result -->
<reference value="urn:uuid:25ab7b5f-a888-4928-8195-e4153f5f909b" />
</hasMember>
<!-- Staphylococcus aureus - sensitivities group -->
<reference value="urn:uuid:329c8c3f-461f-4b61-b93d-374d354d0c98" />
</hasMember>
</Observation>
</resource>
</entry>
<fullUrl value="urn:uuid:25ab7b5f-a888-4928-8195-e4153f5f909b" />
<Observation>
<!-- Staphylococcus aureus - culture result -->
<id value="25ab7b5f-a888-4928-8195-e4153f5f909b" />
<profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" />
</meta>
<system value="https://tools.ietf.org/html/rfc4122" />
<value value="83f33ad5-caf9-42f1-b85e-3382fd1718b8" />
</identifier>
<status value="final" />
<system value="http://terminology.hl7.org/CodeSystem/observation-category" />
<code value="laboratory" />
<display value="Laboratory" />
</coding>
</category>
<!-- From PaLM observable entity reference set -->
<system value="http://snomed.info/sct" />
<code value="42881000237105" />
<display value="Staphylococcus aureus culture qualitative result" />
</coding>
</code>
<reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
<display value="MOXEY, Judy" />
</subject>
<issued value="2022-02-25T13:47:00+00:00" />
<reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
<display value="TD008362 PATH LAB 001" />
</performer>
<system value="http://snomed.info/sct" />
<code value="263866000" />
<display value="Scanty growth" />
</coding>
</valueCodeableConcept>
<reference value="urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006" />
</specimen>
</Observation>
</resource>
</entry>
<fullUrl value="urn:uuid:329c8c3f-461f-4b61-b93d-374d354d0c98" />
<Observation>
<!-- Staphylococcus aureus - sensitivities group -->
<id value="329c8c3f-461f-4b61-b93d-374d354d0c98" />
<profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" />
</meta>
<system value="https://tools.ietf.org/html/rfc4122" />
<value value="4e505253-f4f4-4624-8348-e961ba157c88" />
</identifier>
<status value="final" />
<system value="http://terminology.hl7.org/CodeSystem/observation-category" />
<code value="laboratory" />
<display value="Laboratory" />
</coding>
</category>
<!-- From PaLM procedure reference set -->
<system value="http://snomed.info/sct" />
<code value="14788002" />
<display value="Antimicrobial susceptibility test" />
</coding>
</code>
<reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
<display value="MOXEY, Judy" />
</subject>
<issued value="2022-02-25T13:47:00+00:00" />
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<!-- Staphylococcus aureus - sensitivity result - nitrofurantoin -->
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