National Pathology FHIR Message Bundle Example

The following example contains a prostate-specific antigen (PSA) test. A single result is returned from this procedure request and is contained within the payload is sent as an ITK bundle. This example is closely related to Scenario 1 in this Implemenation guide.

<Bundle xmlns="http://hl7.org/fhir">
<id value="f862ec24-e05a-42d1-aea5-d0a9c092e6ae"/>
<meta>
<lastUpdated value="2015-04-07T19:30:00+00:00"/>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/ITK-Message-Bundle-1"/>
</meta>
<identifier>
<system value="https://tools.ietf.org/html/rfc4122"/>
<value value="f36927ef-7703-45ed-b0e5-6ec6723cf0f6"/>
</identifier>
<type value="message"/>
<entry>
<fullUrl value="urn:uuid:a4409d7c-b613-477c-b623-87e60406c2f0"/>
<resource>
<MessageHeader>
<id value="a4409d7c-b613-477c-b623-87e60406c2f0"/>
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/ITK-MessageHeader-2"/>
</meta>
<extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-ITK-MessageHandling-2">
<!--The value of this handling specification is dependant on the response pattern.-->
<extension url="BusAckRequested">
<valueBoolean value="true"/>
</extension>
<extension url="InfAckRequested">
<valueBoolean value="true"/>
</extension>
<extension url="RecipientType">
<valueCoding>
<system value="https://fhir.nhs.uk/STU3/CodeSystem/ITK-RecipientType-1"/>
<code value="FA"/>
<display value="For Action"/>
</valueCoding>
</extension>
<!-- <extension url="MessageDefinition">
<valueReference>
<reference value="https://fhir.nhs.uk/STU3/MessageDefinition/ITK-NP-MessageDefinition-1"/>
</valueReference>-->
</extension>
<extension url="SenderReference">
<valueString value="None"/>
</extension>
<extension url="LocalExtension">
<valueString value="None"/>
</extension>
<event>
<system value="https://fhir.nhs.uk/STU3/CodeSystem/ITK-MessageEvent-2"/>
<code value="ITK012M"/>
<display value="ITK National Pathology"/>
</event>
<receiver>
<reference value="urn:uuid:bf7a76d3-5b44-4194-a9e0-d1cc1ea5e50e"/>
</receiver>
<sender>
<reference value="urn:uuid:d6407de7-0e86-45eb-93cb-035094aaa49e"/>
</sender>
<timestamp value="2019-03-14T10:10:16+00:00"/>
<source>
<endpoint value="NOROT003"/>
</source>
<focus>
<reference value="urn:uuid:efae5859-28df-4e7d-be91-6df56d8215e4"/>
</focus>
</MessageHeader>
</resource>
</entry>
<!--Provider from result-->
<entry>
<fullUrl value="urn:uuid:d6407de7-0e86-45eb-93cb-035094aaa49e"/>
<resource>
<Organization>
<id value="d6407de7-0e86-45eb-93cb-035094aaa49e"/>
<meta>
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1"/>
</meta>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="RGD12"/>
</identifier>
<name value="LINGFIELD ROYAL INFIRMARY"/>
<address>
<line value="HEIGHTS LANE"/>
<city value="BRADFORD"/>
<district value="WEST YORKSHIRE"/>
<postalCode value="BD9 6DP"/>
</address>
</Organization>
</resource>
<!--Requesting Org-->
</entry>
<entry>
<fullUrl value="urn:uuid:bf7a76d3-5b44-4194-a9e0-d1cc1ea5e50e"/>
<resource>
<Organization>
<id value="bf7a76d3-5b44-4194-a9e0-d1cc1ea5e50e"/>
<meta>
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1"/>
</meta>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="D82015"/>
</identifier>
<name value="LINGFIELD ROYAL INFIRMARY"/>
<address>
<line value="HEIGHTS LANE"/>
<city value="BRADFORD"/>
<district value="WEST YORKSHIRE"/>
<postalCode value="BD9 6DP"/>
</address>
</Organization>
</resource>
</entry>
<!--Requesting Practitioner-->
<entry>
<fullUrl value="urn:uuid:f25e9d63-6a4e-4de6-b9dc-c912fda62b01"/>
<resource>
<Practitioner>
<id value="f25e9d63-6a4e-4de6-b9dc-c912fda62b01"/>
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-Practitioner-1"/>
</meta>
<!--where to store national code for GP ??-->
<identifier>
<system value="https://fhir.nhs.uk/Id/sds-user-id"/>
<value value="C8040642"/>
</identifier>
<name>
<family value="kahn"/>
<given value="Ibrahim"/>
</name>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:8d6c2cd5-0eec-496a-88d0-3785a135df09"/>
<resource>
<Patient>
<id value="8d6c2cd5-0eec-496a-88d0-3785a135df09"/>
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-Patient-1"/>
</meta>
<identifier>
<extension url="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-NHSNumberVerificationStatus-1">
<valueCodeableConcept>
<coding>
<system value="https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-NHSNumberVerificationStatus-1"/>
<code value="01"/>
<display value="Number present and verified"/>
</coding>
</valueCodeableConcept>
</extension>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9432003812"/>
</identifier>
<name>
<use value="official"/>
<family value="KAY"/>
<given value="Michael"/>
</name>
<gender value="female"/>
<birthDate value="1961-01-03"/>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:d9df1431-22ac-462a-946a-f195f6c639af"/>
<resource>
<ProcedureRequest>
<id value="d9df1431-22ac-462a-946a-f195f6c639af"/>
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ProcedureRequest-1"/>
</meta>
<identifier>
<system value="https://tools.ietf.org/html/rfc4122"/>
<value value="7e9bbd01-4e52-420d-b05b-48bc671d6708"/>
</identifier>
<status value="active"/>
<intent value="order"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="63476009"/>
<display value="Prostate specific antigen measurement (procedure)"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:8d6c2cd5-0eec-496a-88d0-3785a135df09"/>
<display value="KAY, Michael"/>
</subject>
<requester>
<agent>
<reference value="urn:uuid:f25e9d63-6a4e-4de6-b9dc-c912fda62b01"/>
<display value="SCOTT"/>
</agent>
</requester>
<performer>
<reference value="urn:uuid:d6407de7-0e86-45eb-93cb-035094aaa49e"/>
<display value="ST JAMES'S UNIVERSITY HOSPITAL"/>
</performer>
<note>
<text value="High Blood Sugar"/>
</note>
</ProcedureRequest>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:efae5859-28df-4e7d-be91-6df56d8215e4"/>
<resource>
<DiagnosticReport xmlns="http://hl7.org/fhir">
<id value="efae5859-28df-4e7d-be91-6df56d8215e4"/>
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-DiagnosticReport-1"/>
</meta>
<!--Test Request Summary-->
<basedOn>
<reference value="urn:uuid:d9df1431-22ac-462a-946a-f195f6c639af"/>
</basedOn>
<status value="final"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="721981007"/>
<display value="Diagnostic studies report"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:8d6c2cd5-0eec-496a-88d0-3785a135df09"/>
<display value="KAY, Michael"/>
</subject>
<issued value="2019-03-03T12:00:00+00:00"/>
<performer>
<actor>
<reference value="urn:uuid:d6407de7-0e86-45eb-93cb-035094aaa49e"/>
<display value="ST JAMES'S UNIVERSITY HOSPITAL"/>
</actor>
</performer>
<specimen>
<reference value="urn:uuid:756a8361-79ce-4561-afcb-a91fe19df123"/>
</specimen>
<result>
<reference value="urn:uuid:dacb177a-9501-4dcc-8b22-b941791ae0db"/>
</result>
</DiagnosticReport>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:756a8361-79ce-4561-afcb-a91fe19df123"/>
<resource>
<Specimen>
<id value="756a8361-79ce-4561-afcb-a91fe19df123"/>
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-Specimen-1"/>
</meta>
<identifier>
<system value="https://tools.ietf.org/html/rfc4122"/>
<value value="1b663fc5-9dec-49c0-9eed-18a7cfa5a6b2"/>
</identifier>
<status value="available"/>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="53130003"/>
<display value="Venous blood (substance)"/>
</coding>
</type>
<subject>
<reference value="urn:uuid:8d6c2cd5-0eec-496a-88d0-3785a135df09"/>
<display value="KAY, Michael"/>
</subject>
<receivedTime value="2019-01-29T15:00:00+00:00"/>
<collection>
<collectedDateTime value="2017-11-01T11:00:00+00:00"/>
<quantity>
<value value="11"/>
<unit value="ng/mL"/>
</quantity>
</collection>
</Specimen>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:dacb177a-9501-4dcc-8b22-b941791ae0db"/>
<resource>
<Observation>
<id value="dacb177a-9501-4dcc-8b22-b941791ae0db"/>
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-Observation-1"/>
</meta>
<identifier>
<system value="https://tools.ietf.org/html/rfc4122"/>
<value value="2af46949-4938-4c57-bad4-c4363e1965d5"/>
</identifier>
<status value="final"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="394595002 "/>
<display value="Pathology (qualifier value)"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1030791000000100"/>
<display value="Prostate specific antigen level (observable entity)"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:8d6c2cd5-0eec-496a-88d0-3785a135df09"/>
<display value="KAY, Michael"/>
</subject>
<!--Test performed date/time. Not in EdiFACT examples. Check spec-->
<effectiveDateTime value="2017-11-01T15:00:00+00:00"/>
<performer>
<reference value="urn:uuid:d6407de7-0e86-45eb-93cb-035094aaa49e"/>
<display value="ST JAMES'S UNIVERSITY HOSPITAL"/>
</performer>
<valueQuantity>
<value value="5.9"/>
<unit value="ug/L"/>
</valueQuantity>
<specimen>
<reference value="urn:uuid:756a8361-79ce-4561-afcb-a91fe19df123"/>
</specimen>
<referenceRange>
<low>
<value value="0/>
</low>
<high>
<value value="4"/>
</high>
</referenceRange>
</Observation>
</resource>
</entry>
</Bundle>
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Tags: fhir