Notice: This guidance is under active development by NHS England and content may be added or updated on a regular basis.
Bundle Example - Lipids Profile and Haemoglobin A1c (HbA1c) Report
- This is an example of a report that contains the results associated with a single test group and a single test.
- The tests were requested as part of the same “event” (i.e. by the same practitioner at the same time for the same subject).
- An instance of
ServiceRequestis required for the test group and a separate instance ofServiceRequestis required for the single test. - Each
ServiceRequestwithin a set of related requests uses a common identifier,ServiceRequest.requisition, to link them together. For further information, refer to the description of the ServiceRequest-eu-lab profile. - In this example, the specimen (venous blood) was collected after the request was made. The specimen is linked to the request within the
BundleusingSpecimen.request.
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.
{
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{
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],
{
"PATHOLOGY LAB",
"7-8 WELLINGTON PLACE"
],
}
]
}
},
{
},
],
{
"SOUTHGATE"
],
}
]
}
},
{
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]
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{
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{
]
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],
{
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]
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],
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{
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],
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{
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{
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]
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]
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{
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],
{
{
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]
},
{
{
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]
}
],
{
{
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],
},
{
{
"valueUri": "https://fhir.nhs.uk/England/ValueSet/England-PathologyAndLaboratoryMedicineObservables"
}
],
}
]
},
}
},
],
},
}
}
},
{
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],
{
{
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]
},
{
{
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]
}
],
{
{
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],
},
{
{
"valueUri": "https://fhir.nhs.uk/England/ValueSet/England-PathologyAndLaboratoryMedicineObservables"
}
],
}
]
},
}
},
],
},
}
}
},
{
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],
{
{
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]
},
{
{
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]
}
],
{
{
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],
},
{
{
"valueUri": "https://fhir.nhs.uk/England/ValueSet/England-PathologyAndLaboratoryMedicineObservables"
}
],
}
]
},
}
},
],
},
}
}
},
{
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],
{
{
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]
},
{
{
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]
}
],
{
{
}
],
},
{
{
"valueUri": "https://fhir.nhs.uk/England/ValueSet/England-PathologyAndLaboratoryMedicineObservables"
}
],
}
]
},
}
},
],
},
}
}
},
{
},
],
{
{
}
]
},
{
{
}
]
}
],
{
"display": "Haemoglobin A1c level - International Federation of Clinical Chemistry and Laboratory Medicine standardised"
}
]
},
}
},
],
},
}
}
}
]
}
| Bundle |
| id : 62a88f51-3be0-4e83-a77d-3094fed2fcb4 |
| meta |
| profile : http://hl7.eu/fhir/laboratory/StructureDefinition/Bundle-eu-lab |
| identifier |
| system : urn:ietf:rfc:3986 |
| value : urn:uuid:62a88f51-3be0-4e83-a77d-3094fed2fcb4 |
| type : document |
| timestamp : 2022-03-08T12:09:00+00:00 |
| entry |
| fullUrl : urn:uuid:ce2073cd-7f19-4fd8-9956-f30ef7b4bd44 |
| resource |
| id : ce2073cd-7f19-4fd8-9956-f30ef7b4bd44 |
| meta |
| profile : http://hl7.eu/fhir/laboratory/StructureDefinition/Composition-eu-lab |
| extension |
| url : http://hl7.eu/fhir/StructureDefinition/composition-basedOn-order-or-requisition |
| value |
| reference : urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac |
| extension |
| url : http://hl7.eu/fhir/laboratory/StructureDefinition/composition-diagnosticReportReference |
| value |
| reference : urn:uuid:35d46ca1-f253-4c97-b7ee-fb5fccdf6c20 |
| identifier |
| system : http://Y8J7D-pathlab001.com/report |
| value : REP-20220706-002378 |
| 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 : Measurement of serum lipid level |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 271244005 |
| display : Measurement of serum lipid level |
| entry |
| reference : urn:uuid:4e4410fd-27d3-413e-901a-380caa78b411 |
| 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:d4f5e6a1-2b3c-4d5e-9f6a-7b8c9d0e1f2a |
| resource |
| id : d4f5e6a1-2b3c-4d5e-9f6a-7b8c9d0e1f2a |
| practitioner |
| reference : urn:uuid:9a835acf-d715-4d84-8dcf-a8435f6417fe |
| organization |
| reference : urn:uuid:3c43b5b3-06d6-445f-ae9a-48d5f05df434 |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 62247001 |
| display : General practitioner |
| specialty |
| coding |
| system : https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode |
| code : 600 |
| display : General Medical Practice |
| entry |
| fullUrl : urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4 |
| resource |
| id : ab87a3f8-1d37-44a9-804e-5e962598a6e4 |
| meta |
| profile : http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9727710638 |
| name |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/data-absent-reason |
| value : unsupported |
| birthDate |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/data-absent-reason |
| value : unsupported |
| entry |
| fullUrl : urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac |
| resource |
| id : 1c38d507-9ad7-4b49-ba91-7da204842cac |
| meta |
| profile : http://hl7.eu/fhir/laboratory/StructureDefinition/ServiceRequest-eu-lab |
| identifier |
| system : http://B82033-pickeringmedicalpractice.com/labrequest |
| value : REQ-20220704-000027-001 |
| 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 |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9727710638 |
| authoredOn : 2022-07-04T11:05:00+00:00 |
| requester |
| reference : urn:uuid:d4f5e6a1-2b3c-4d5e-9f6a-7b8c9d0e1f2a |
| performer |
| reference : urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338 |
| entry |
| fullUrl : urn:uuid:8660ef6a-65ef-408f-92ce-b4d6d03d783c |
| resource |
| id : 8660ef6a-65ef-408f-92ce-b4d6d03d783c |
| meta |
| profile : http://hl7.eu/fhir/laboratory/StructureDefinition/ServiceRequest-eu-lab |
| identifier |
| system : http://B82033-pickeringmedicalpractice.com/labrequest |
| value : REQ-20220704-000027-002 |
| 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 |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9727710638 |
| authoredOn : 2022-07-04T11:05:00+00:00 |
| requester |
| reference : urn:uuid:9a835acf-d715-4d84-8dcf-a8435f6417fe |
| performer |
| reference : urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338 |
| entry |
| fullUrl : urn:uuid:35d46ca1-f253-4c97-b7ee-fb5fccdf6c20 |
| resource |
| id : 35d46ca1-f253-4c97-b7ee-fb5fccdf6c20 |
| meta |
| profile : http://hl7.eu/fhir/laboratory/StructureDefinition/DiagnosticReport-eu-lab |
| identifier |
| system : http://Y8J7D-pathlab001.com/report |
| value : REP-20220706-002378 |
| basedOn |
| reference : urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac |
| basedOn |
| reference : urn:uuid:8660ef6a-65ef-408f-92ce-b4d6d03d783c |
| status : final |
| category |
| coding |
| system : http://terminology.hl7.org/CodeSystem/observation-category |
| code : laboratory |
| display : Laboratory |
| coding |
| system : http://snomed.info/sct |
| code : 394915009 |
| display : General pathology (specialty) |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 721981007 |
| display : Diagnostic studies report |
| subject |
| reference : urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4 |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9727710638 |
| issued : 2022-07-06T10:49:00+00:00 |
| performer |
| reference : urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338 |
| specimen |
| reference : urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d |
| result |
| reference : urn:uuid:4e4410fd-27d3-413e-901a-380caa78b411 |
| result |
| reference : urn:uuid:efa161d2-5fe4-4c8c-8b0e-cc268c70be4f |
| entry |
| fullUrl : urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d |
| resource |
| id : bab0eaec-1ec5-4598-b660-90bb38a1030d |
| meta |
| profile : http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab |
| identifier |
| system : http://B82033-pickeringmedicalpractice.com/specimen |
| value : SPC-REQ-20220705-000004 |
| accessionIdentifier |
| system : http://Y8J7D-pathlab001.com/specimen |
| value : SPC-Lab-20220705-006215 |
| 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 : 2022-07-05T15:17:00+00:00 |
| request |
| reference : urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac |
| collection |
| collected : 2022-07-05T08:52:00+00:00 |
| entry |
| fullUrl : urn:uuid:4e4410fd-27d3-413e-901a-380caa78b411 |
| resource |
| id : 4e4410fd-27d3-413e-901a-380caa78b411 |
| meta |
| profile : https://fhir.nhs.uk/England/StructureDefinition/England-Observation-Lab-Pathology |
| extension |
| url : http://hl7.org/fhir/6.0/StructureDefinition/extension-Observation.organizer |
| value : True |
| identifier |
| system : urn:ietf:rfc:3986 |
| value : urn:uuid:ee1a61c2-9a65-4dcb-ba83-fb25e3df6e72 |
| status : final |
| category |
| coding |
| system : http://terminology.hl7.org/CodeSystem/observation-category |
| code : laboratory |
| display : Laboratory |
| category |
| coding |
| system : http://snomed.info/sct |
| code : 394915009 |
| display : General pathology (specialty) |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 1005661000000103 |
| display : Serum lipids level |
| subject |
| reference : urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4 |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9727710638 |
| effective : 2022-07-05T08:52:00+00:00 |
| issued : 2022-07-06T10:49:00+00:00 |
| performer |
| reference : urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338 |
| hasMember |
| reference : urn:uuid:7038e91e-ec48-4e5c-9e1b-7d5111599410 |
| hasMember |
| reference : urn:uuid:d1249582-ac45-43a7-8254-dbb10acff635 |
| hasMember |
| reference : urn:uuid:417dd1ff-90ac-4553-9688-4f5a409eee48 |
| hasMember |
| reference : urn:uuid:d6015a3f-2521-40db-b1e0-16ee53a23767 |
| entry |
| fullUrl : urn:uuid:7038e91e-ec48-4e5c-9e1b-7d5111599410 |
| resource |
| id : 7038e91e-ec48-4e5c-9e1b-7d5111599410 |
| meta |
| profile : https://fhir.nhs.uk/England/StructureDefinition/England-Observation-Lab-Pathology |
| identifier |
| system : urn:ietf:rfc:3986 |
| value : urn:uuid:ec266e51-1144-445e-8e24-cb7aad39d52a |
| status : final |
| category |
| coding |
| system : http://terminology.hl7.org/CodeSystem/observation-category |
| code : laboratory |
| display : Laboratory |
| category |
| coding |
| system : http://snomed.info/sct |
| code : 394915009 |
| display : General pathology (specialty) |
| code |
| coding |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/valueset-reference |
| value : https://fhir.nhs.uk/England/ValueSet/England-PathologyBoundedCodeListObservables |
| system : http://snomed.info/sct |
| code : 1005671000000105 |
| display : Serum cholesterol level |
| coding |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/valueset-reference |
| value : https://fhir.nhs.uk/England/ValueSet/England-PathologyAndLaboratoryMedicineObservables |
| system : http://snomed.info/sct |
| code : 1106541000000101 |
| display : Cholesterol substance concentration in serum |
| subject |
| reference : urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4 |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9727710638 |
| effective : 2022-07-05T08:52:00+00:00 |
| issued : 2022-07-06T10:49:00+00:00 |
| performer |
| reference : urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338 |
| value |
| value : 6.1 |
| unit : mmol/L |
| system : http://unitsofmeasure.org |
| code : mmol/L |
| specimen |
| reference : urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d |
| entry |
| fullUrl : urn:uuid:d1249582-ac45-43a7-8254-dbb10acff635 |
| resource |
| id : d1249582-ac45-43a7-8254-dbb10acff635 |
| meta |
| profile : https://fhir.nhs.uk/England/StructureDefinition/England-Observation-Lab-Pathology |
| identifier |
| system : urn:ietf:rfc:3986 |
| value : urn:uuid:4722ed7d-da71-46c4-88c5-6bea8a442efd |
| status : final |
| category |
| coding |
| system : http://terminology.hl7.org/CodeSystem/observation-category |
| code : laboratory |
| display : Laboratory |
| category |
| coding |
| system : http://snomed.info/sct |
| code : 394915009 |
| display : General pathology (specialty) |
| code |
| coding |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/valueset-reference |
| value : https://fhir.nhs.uk/England/ValueSet/England-PathologyBoundedCodeListObservables |
| system : http://snomed.info/sct |
| code : 1005681000000107 |
| display : Serum high density lipoprotein cholesterol level |
| coding |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/valueset-reference |
| value : https://fhir.nhs.uk/England/ValueSet/England-PathologyAndLaboratoryMedicineObservables |
| system : http://snomed.info/sct |
| code : 1107681000000108 |
| display : HDL (high density lipoprotein) cholesterol substance concentration in serum |
| subject |
| reference : urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4 |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9727710638 |
| effective : 2022-07-05T08:52:00+00:00 |
| issued : 2022-07-06T10:49:00+00:00 |
| performer |
| reference : urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338 |
| value |
| value : 1.44 |
| unit : mmol/L |
| system : http://unitsofmeasure.org |
| code : mmol/L |
| specimen |
| reference : urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d |
| entry |
| fullUrl : urn:uuid:417dd1ff-90ac-4553-9688-4f5a409eee48 |
| resource |
| id : 417dd1ff-90ac-4553-9688-4f5a409eee48 |
| meta |
| profile : https://fhir.nhs.uk/England/StructureDefinition/England-Observation-Lab-Pathology |
| identifier |
| system : urn:ietf:rfc:3986 |
| value : urn:uuid:80b5e6d0-8b18-456e-b5a0-d4e986533655 |
| status : final |
| category |
| coding |
| system : http://terminology.hl7.org/CodeSystem/observation-category |
| code : laboratory |
| display : Laboratory |
| category |
| coding |
| system : http://snomed.info/sct |
| code : 394915009 |
| display : General pathology (specialty) |
| code |
| coding |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/valueset-reference |
| value : https://fhir.nhs.uk/England/ValueSet/England-PathologyBoundedCodeListObservables |
| system : http://snomed.info/sct |
| code : 1015681000000109 |
| display : Serum cholesterol/high density lipoprotein ratio |
| coding |
| extension |
| url : http://hl7.org/fhir/StructureDefinition/valueset-reference |
| value : https://fhir.nhs.uk/England/ValueSet/England-PathologyAndLaboratoryMedicineObservables |
| system : http://snomed.info/sct |
| code : 1107741000000108 |
| display : HDL (high density lipoprotein) cholesterol/total cholesterol ratio in serum |
| subject |
| reference : urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4 |
| identifier |
| system : https://fhir.nhs.uk/Id/nhs-number |
| value : 9727710638 |
| effective : 2022-07-05T08:52:00+00:00 |
| issued : 2022-07-06T10:49:00+00:00 |
| performer |
| reference : urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338 |
| value |
| value : 4.2 |
| unit : 1/1 |
| specimen |
| reference : urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d |
| entry |
| fullUrl : urn:uuid:d6015a3f-2521-40db-b1e0-16ee53a23767 |
| resource |
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