England Pathology and Laboratory Medicine (PaLM) Technical Framework
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: Document - HbA1c-Report-Example

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="Document-HbA1c-Report-Example"/>
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  <type value="document"/>
  <timestamp value="2022-03-08T12:09:00+00:00"/>
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          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Composition_b33000ab-a5bb-5889-924a-be6d69c1e6bc"> </a><table><tr><th>NHS Number</th><td>9999999468</td></tr><tr><th>Report number</th><td>REP-20220130-007843</td></tr><tr><th>Status</th><td>final</td></tr><tr><th>Requested by</th><td>Dr Gale GASKELL, PICKERING MEDICAL PRACTICE (B82033)</td></tr><tr><th>Laboratory</th><td>TD008362 PATH LAB 001 (Y8J7D)</td></tr><tr><th>Specimen</th><td>Venous blood specimen collected 2022-01-29T10:18:00+00:00</td></tr><tr><th>Issued</th><td>2022-01-30T12:48:00+00:00</td></tr></table></div>
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        <title value="Laboratory Report"/>
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            <value value="Y8J7D"/>
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          <display value="TD008362 PATH LAB 001"/>
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        <section>
          <title
                 value="Haemoglobin A1c level - International Federation of Clinical Chemistry and Laboratory Medicine standardised"/>
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            <coding>
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              <code value="999791000000106"/>
              <display
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          </code>
          <text>
            <status value="generated"/>
            <div xmlns="http://www.w3.org/1999/xhtml"><table><tr><th>Test</th><th>Result</th><th>Units</th><th>Reference range</th><th>Flag</th></tr><tr><td>Haemoglobin A1c level - International Federation of Clinical Chemistry and Laboratory Medicine standardised</td><td>54</td><td>mmol/mol</td><td/><td/></tr></table><p><i>Haemoglobin A1c level - International Federation of Clinical Chemistry and Laboratory Medicine standardised</i>: DIAGNOSIS OF DIABETES MELLITUS:<br/>HbA1c of 48 mmol/mol and above is diagnostic of DM (WHO 2011)<br/>42 - 47 mmol/mol indicates high risk of DM (NICE Guidance PH38 2012)<br/><br/>MONITORING OF DIABETES MELLITUS (ADULTS):<br/>Type 2 target values: 48 mmol/mol – 57 mmol/mol (NICE Guidelines NG28)<br/>Type 1 target values: 48 mmol/mol or lower (NICE Guidelines NG17)</p></div>
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                   value="http://hl7.eu/fhir/laboratory/StructureDefinition/DiagnosticReport-eu-lab|2.0.0-nhs-fix"/>
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          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="DiagnosticReport_73f36ee5-bd67-57cb-860a-d12690aa09ba"> </a><p class="res-header-id"><b>Generated Narrative: DiagnosticReport 73f36ee5-bd67-57cb-860a-d12690aa09ba</b></p><a name="73f36ee5-bd67-57cb-860a-d12690aa09ba"> </a><a name="hc73f36ee5-bd67-57cb-860a-d12690aa09ba"> </a><div style="display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <code>http://hl7.eu/fhir/laboratory/StructureDefinition/DiagnosticReport-eu-lab|2.0.0-nhs-fix</code></p></div><h2><span title="Codes:{http://snomed.info/sct 721981007}, {http://loinc.org 11502-2}">Diagnostic studies report</span> (<span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 CH}">Chemistry</span>, <span title="Codes:{http://snomed.info/sct 394915009}">General pathology (specialty)</span>) </h2><table class="grid"><tr><td>Subject</td><td>ONE John EDITESTPATIENT  Male, DoB: 1925-01-27 ( Medical record number: RCB4719263)</td></tr><tr><td>Relevant Time</td><td>2022-01-29 10:18:00+0000</td></tr><tr><td>Reported</td><td>2022-01-30 12:48:00+0000</td></tr><tr><td>Performer</td><td> <a href="Bundle-Document-CRP-Report-Example.html#urn-uuid-44b4c2c2-e882-59cb-bcab-4db2c6ed512b">TD008362 PATH LAB 001</a></td></tr><tr><td>Identifier</td><td> Filler Identifier/REP-20220130-007843</td></tr></table><p><b>Report Details</b></p><table class="grid"><tr><td><b>Code</b></td><td><b>Value</b></td><td><b>Flags</b></td><td><b>Note</b></td></tr><tr><td><a href="Bundle-Document-HbA1c-Report-Example.html#urn-uuid-f9469916-f829-5957-a478-acbef4b04196"><span title="Codes:{http://snomed.info/sct 999791000000106}">Haemoglobin A1c level - International Federation of Clinical Chemistry and Laboratory Medicine standardised</span></a></td><td>54 mmol/mol<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemmol/mol = 'mmol/mol')</span></td><td>Final</td><td><blockquote><div><p>DIAGNOSIS OF DIABETES MELLITUS:
HbA1c of 48 mmol/mol and above is diagnostic of DM (WHO 2011)
42 - 47 mmol/mol indicates high risk of DM (NICE Guidance PH38 2012)</p>
<p>MONITORING OF DIABETES MELLITUS (ADULTS):
Type 2 target values: 48 mmol/mol – 57 mmol/mol (NICE Guidelines NG28)
Type 1 target values: 48 mmol/mol or lower (NICE Guidelines NG17)</p>
</div></blockquote></td></tr></table></div>
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          <value value="REP-20220130-007843"/>
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        <code>
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            <code value="721981007"/>
            <display value="Diagnostic studies report"/>
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          <coding>
            <system value="http://loinc.org"/>
            <code value="11502-2"/>
            <display value="Laboratory report"/>
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        <subject>
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            <system value="https://fhir.nhs.uk/Id/nhs-number"/>
            <value value="9999999468"/>
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            <value value="Y8J7D"/>
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          <display value="TD008362 PATH LAB 001"/>
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          <div xmlns="http://www.w3.org/1999/xhtml"><a name="ServiceRequest_d722ddcf-b3da-51eb-b616-01d6c5f1eace"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest d722ddcf-b3da-51eb-b616-01d6c5f1eace</b></p><a name="d722ddcf-b3da-51eb-b616-01d6c5f1eace"> </a><a name="hcd722ddcf-b3da-51eb-b616-01d6c5f1eace"> </a><div style="display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <code>http://hl7.eu/fhir/laboratory/StructureDefinition/ServiceRequest-eu-lab|2.0.0</code></p></div><p><b>identifier</b>: Placer Identifier/REQ-20220129-000241, Filler Identifier/REP-20220130-007843</p><p><b>status</b>: Completed</p><p><b>intent</b>: Order</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 999791000000106}">Haemoglobin A1c level - International Federation of Clinical Chemistry and Laboratory Medicine standardised</span></p><p><b>subject</b>: <a href="Bundle-Document-CRP-Report-Example.html#urn-uuid-bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5">ONE John EDITESTPATIENT  Male, DoB: 1925-01-27 ( Medical record number: RCB4719263)</a></p><p><b>authoredOn</b>: 2022-01-29 10:24:00+0000</p><p><b>requester</b>: <a href="Bundle-Document-CRP-Report-Example.html#urn-uuid-84c94bb1-4336-5607-9124-6b82052db22a">Dr Gale GASKELL at PICKERING MEDICAL PRACTICE</a></p><p><b>performer</b>: <a href="Bundle-Document-CRP-Report-Example.html#urn-uuid-44b4c2c2-e882-59cb-bcab-4db2c6ed512b">TD008362 PATH LAB 001</a></p><p><b>specimen</b>: <a href="Bundle-Document-HbA1c-Report-Example.html#urn-uuid-c41f9657-4d5b-553e-97db-9caf4478d9ad">Specimen: identifier = Placer Identifier: SPC-REQ-20220129-000362; accessionIdentifier = Accession ID: SPC-Lab-20220129-008927; status = available; type = Venous blood specimen; receivedTime = 2022-01-29 15:14:00+0000</a></p></div>
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              <value value="B82033"/>
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              <code value="FILL"/>
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          <value value="REP-20220130-007843"/>
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            <value value="9999999468"/>
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            <value value="Y8J7D"/>
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          <display value="TD008362 PATH LAB 001"/>
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      <Patient>
        <id value="bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5"/>
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                   value="http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core|2.0.0"/>
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        <language value="en"/>
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          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5"> </a><p class="res-header-id"><b>Generated Narrative: Patient bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5</b></p><a name="bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5"> </a><a name="hcbfe333d7-2a8c-5dae-a44a-5d3b120d2ef5"> </a><div style="display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="http://hl7.eu/fhir/base/2.0.1/StructureDefinition-patient-eu-core.html">Patient (EU core)</a> version: 2.0.1</p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">ONE John EDITESTPATIENT  Male, DoB: 1925-01-27 ( Medical record number: RCB4719263)</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Other Ids (see the one above)">Other Ids:</td><td colspan="3"><ul><li>Patient internal identifier/Y8J7D0381527</li><li>National Health Plan Identifier/9999999468</li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3">B6 5RQ </td></tr></table></div>
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              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="MR"/>
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          <system value="https://examplesihe.org.uk/Id/mrn/RCB"/>
          <value value="RCB4719263"/>
          <assigner>
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              <value value="RCB"/>
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              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="PI"/>
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          <system
                  value="https://examplesihe.org.uk/Id/patient-internal/Y8J7D"/>
          <value value="Y8J7D0381527"/>
          <assigner>
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              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="Y8J7D"/>
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              <code value="NH"/>
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          <system value="https://fhir.nhs.uk/Id/nhs-number"/>
          <value value="9999999468"/>
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        <name>
          <family value="EDITESTPATIENT"/>
          <given value="ONE"/>
          <given value="John"/>
        </name>
        <gender value="male"/>
        <birthDate value="1925-01-27"/>
        <address>
          <postalCode value="B6 5RQ"/>
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  <entry>
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        <meta>
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                   value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization|2.5.0"/>
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        <language value="en"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_44b4c2c2-e882-59cb-bcab-4db2c6ed512b"> </a><p class="res-header-id"><b>Generated Narrative: Organization 44b4c2c2-e882-59cb-bcab-4db2c6ed512b</b></p><a name="44b4c2c2-e882-59cb-bcab-4db2c6ed512b"> </a><a name="hc44b4c2c2-e882-59cb-bcab-4db2c6ed512b"> </a><div style="display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <code>https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization|2.5.0</code></p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">TD008362 PATH LAB 001 (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#Y8J7D)</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Ways to contact the organization">Contact Detail</td><td colspan="3">PATHOLOGY LAB 7-8 WELLINGTON PLACE LEEDS LS1 4AP </td></tr></table></div>
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          <value value="Y8J7D"/>
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        <address>
          <line value="PATHOLOGY LAB"/>
          <line value="7-8 WELLINGTON PLACE"/>
          <city value="LEEDS"/>
          <district value="WEST YORKSHIRE"/>
          <postalCode value="LS1 4AP"/>
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        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Specimen_c41f9657-4d5b-553e-97db-9caf4478d9ad"> </a><p class="res-header-id"><b>Generated Narrative: Specimen c41f9657-4d5b-553e-97db-9caf4478d9ad</b></p><a name="c41f9657-4d5b-553e-97db-9caf4478d9ad"> </a><a name="hcc41f9657-4d5b-553e-97db-9caf4478d9ad"> </a><div style="display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <code>http://hl7.eu/fhir/laboratory/StructureDefinition/Specimen-eu-lab|2.0.0</code></p></div><p><b>identifier</b>: Placer Identifier/SPC-REQ-20220129-000362</p><p><b>accessionIdentifier</b>: Accession ID/SPC-Lab-20220129-008927</p><p><b>status</b>: Available</p><p><b>type</b>: <span title="Codes:">Venous blood specimen</span></p><p><b>subject</b>: <a href="Bundle-Document-CRP-Report-Example.html#urn-uuid-bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5">ONE John EDITESTPATIENT  Male, DoB: 1925-01-27 ( Medical record number: RCB4719263)</a></p><p><b>receivedTime</b>: 2022-01-29 15:14:00+0000</p><p><b>request</b>: <a href="Bundle-Document-HbA1c-Report-Example.html#urn-uuid-d722ddcf-b3da-51eb-b616-01d6c5f1eace">ServiceRequest Haemoglobin A1c level - International Federation of Clinical Chemistry and Laboratory Medicine standardised</a></p><h3>Collections</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Collected[x]</b></td></tr><tr><td style="display: none">*</td><td>2022-01-29 10:18:00+0000</td></tr></table></div>
        </text>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="PLAC"/>
            </coding>
          </type>
          <system
                  value="http://B82033-pickeringmedicalpractice.com/specimen"/>
          <value value="SPC-REQ-20220129-000362"/>
        </identifier>
        <accessionIdentifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="ACSN"/>
            </coding>
          </type>
          <system value="http://Y8J7D-pathlab001.com/specimen"/>
          <value value="SPC-Lab-20220129-008927"/>
          <assigner>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="Y8J7D"/>
            </identifier>
          </assigner>
        </accessionIdentifier>
        <status value="available"/>
        <type>
          <text value="Venous blood specimen"/>
        </type>
        <subject>
          <reference value="urn:uuid:bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5"/>
          <identifier>
            <system value="https://fhir.nhs.uk/Id/nhs-number"/>
            <value value="9999999468"/>
          </identifier>
        </subject>
        <receivedTime value="2022-01-29T15:14:00+00:00"/>
        <request>
          <reference value="urn:uuid:d722ddcf-b3da-51eb-b616-01d6c5f1eace"/>
        </request>
        <collection>
          <collectedDateTime value="2022-01-29T10:18:00+00:00"/>
        </collection>
      </Specimen>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:f9469916-f829-5957-a478-acbef4b04196"/>
    <resource>
      <Observation>
        <id value="f9469916-f829-5957-a478-acbef4b04196"/>
        <meta>
          <profile
                   value="https://fhir.nhs.uk/England/StructureDefinition/England-Observation-Lab-Pathology|0.2.1"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_f9469916-f829-5957-a478-acbef4b04196"> </a><p class="res-header-id"><b>Generated Narrative: Observation f9469916-f829-5957-a478-acbef4b04196</b></p><a name="f9469916-f829-5957-a478-acbef4b04196"> </a><a name="hcf9469916-f829-5957-a478-acbef4b04196"> </a><div style="display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <code>https://fhir.nhs.uk/England/StructureDefinition/England-Observation-Lab-Pathology|0.2.1</code></p></div><p><b>basedOn</b>: <a href="Bundle-Document-HbA1c-Report-Example.html#urn-uuid-d722ddcf-b3da-51eb-b616-01d6c5f1eace">ServiceRequest Haemoglobin A1c level - International Federation of Clinical Chemistry and Laboratory Medicine standardised</a></p><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}">Laboratory</span>, <span title="Codes:{http://snomed.info/sct 394915009}">General pathology (specialty)</span></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 999791000000106}">Haemoglobin A1c level - International Federation of Clinical Chemistry and Laboratory Medicine standardised</span></p><p><b>subject</b>: <a href="Bundle-Document-CRP-Report-Example.html#urn-uuid-bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5">ONE John EDITESTPATIENT  Male, DoB: 1925-01-27 ( Medical record number: RCB4719263)</a></p><p><b>effective</b>: 2022-01-29 10:18:00+0000</p><p><b>issued</b>: 2022-01-30 12:48:00+0000</p><p><b>performer</b>: <a href="Bundle-Document-CRP-Report-Example.html#urn-uuid-44b4c2c2-e882-59cb-bcab-4db2c6ed512b">TD008362 PATH LAB 001</a></p><p><b>value</b>: 54 mmol/mol<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemmol/mol = 'mmol/mol')</span></p><p><b>note</b>: </p><blockquote><div><p>DIAGNOSIS OF DIABETES MELLITUS:
HbA1c of 48 mmol/mol and above is diagnostic of DM (WHO 2011)
42 - 47 mmol/mol indicates high risk of DM (NICE Guidance PH38 2012)</p>
<p>MONITORING OF DIABETES MELLITUS (ADULTS):
Type 2 target values: 48 mmol/mol – 57 mmol/mol (NICE Guidelines NG28)
Type 1 target values: 48 mmol/mol or lower (NICE Guidelines NG17)</p>
</div></blockquote><p><b>specimen</b>: <a href="Bundle-Document-HbA1c-Report-Example.html#urn-uuid-c41f9657-4d5b-553e-97db-9caf4478d9ad">Specimen: identifier = Placer Identifier: SPC-REQ-20220129-000362; accessionIdentifier = Accession ID: SPC-Lab-20220129-008927; status = available; type = Venous blood specimen; receivedTime = 2022-01-29 15:14:00+0000</a></p></div>
        </text>
        <basedOn>
          <reference value="urn:uuid:d722ddcf-b3da-51eb-b616-01d6c5f1eace"/>
        </basedOn>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="laboratory"/>
            <display value="Laboratory"/>
          </coding>
        </category>
        <category>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="394915009"/>
            <display value="General pathology (specialty)"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="999791000000106"/>
            <display
                     value="Haemoglobin A1c level - International Federation of Clinical Chemistry and Laboratory Medicine standardised"/>
          </coding>
        </code>
        <subject>
          <reference value="urn:uuid:bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5"/>
          <identifier>
            <system value="https://fhir.nhs.uk/Id/nhs-number"/>
            <value value="9999999468"/>
          </identifier>
        </subject>
        <effectiveDateTime value="2022-01-29T10:18:00+00:00"/>
        <issued value="2022-01-30T12:48:00+00:00"/>
        <performer>
          <reference value="urn:uuid:44b4c2c2-e882-59cb-bcab-4db2c6ed512b"/>
          <type value="Organization"/>
          <identifier>
            <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
            <value value="Y8J7D"/>
          </identifier>
          <display value="TD008362 PATH LAB 001"/>
        </performer>
        <valueQuantity>
          <value value="54"/>
          <unit value="mmol/mol"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="mmol/mol"/>
        </valueQuantity>
        <note>
          <text
                value="DIAGNOSIS OF DIABETES MELLITUS:
HbA1c of 48 mmol/mol and above is diagnostic of DM (WHO 2011)
42 - 47 mmol/mol indicates high risk of DM (NICE Guidance PH38 2012)

MONITORING OF DIABETES MELLITUS (ADULTS):
Type 2 target values: 48 mmol/mol – 57 mmol/mol (NICE Guidelines NG28)
Type 1 target values: 48 mmol/mol or lower (NICE Guidelines NG17)"/>
        </note>
        <specimen>
          <reference value="urn:uuid:c41f9657-4d5b-553e-97db-9caf4478d9ad"/>
        </specimen>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:84c94bb1-4336-5607-9124-6b82052db22a"/>
    <resource>
      <PractitionerRole>
        <id value="84c94bb1-4336-5607-9124-6b82052db22a"/>
        <meta>
          <profile
                   value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-PractitionerRole|2.4.0"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="PractitionerRole_84c94bb1-4336-5607-9124-6b82052db22a"> </a><p class="res-header-id"><b>Generated Narrative: PractitionerRole 84c94bb1-4336-5607-9124-6b82052db22a</b></p><a name="84c94bb1-4336-5607-9124-6b82052db22a"> </a><a name="hc84c94bb1-4336-5607-9124-6b82052db22a"> </a><div style="display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <code>https://fhir.hl7.org.uk/StructureDefinition/UKCore-PractitionerRole|2.4.0</code></p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Dr Gale GASKELL at PICKERING MEDICAL PRACTICE</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="The practitioner who is able to provide the services in this role">Practitioner:</td><td colspan="3"><a href="Bundle-Document-CRP-Report-Example.html#urn-uuid-73062312-924a-5a6d-972b-1a454bb5a8c6">Dr Gale GASKELL</a></td></tr><tr><td style="background-color: #f3f5da" title="The organization where the practitioner performs the roles">Organization:</td><td colspan="3"><a href="Bundle-Document-CRP-Report-Example.html#urn-uuid-7f2280d3-a318-510e-98c8-389ad7c30671">PICKERING MEDICAL PRACTICE</a></td></tr></table></div>
        </text>
        <practitioner>
          <reference value="urn:uuid:73062312-924a-5a6d-972b-1a454bb5a8c6"/>
          <type value="Practitioner"/>
          <identifier>
            <system value="https://fhir.hl7.org.uk/Id/gmc-number"/>
            <value value="C1008215"/>
          </identifier>
          <display value="Dr Gale GASKELL"/>
        </practitioner>
        <organization>
          <reference value="urn:uuid:7f2280d3-a318-510e-98c8-389ad7c30671"/>
          <type value="Organization"/>
          <identifier>
            <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
            <value value="B82033"/>
          </identifier>
          <display value="PICKERING MEDICAL PRACTICE"/>
        </organization>
      </PractitionerRole>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:73062312-924a-5a6d-972b-1a454bb5a8c6"/>
    <resource>
      <Practitioner>
        <id value="73062312-924a-5a6d-972b-1a454bb5a8c6"/>
        <meta>
          <profile
                   value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Practitioner|2.4.0"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_73062312-924a-5a6d-972b-1a454bb5a8c6"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner 73062312-924a-5a6d-972b-1a454bb5a8c6</b></p><a name="73062312-924a-5a6d-972b-1a454bb5a8c6"> </a><a name="hc73062312-924a-5a6d-972b-1a454bb5a8c6"> </a><div style="display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <code>https://fhir.hl7.org.uk/StructureDefinition/UKCore-Practitioner|2.4.0</code></p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Gale GASKELL (official) (https://fhir.hl7.org.uk/Id/gmc-number#GMC Number#C1008215)</p><hr/></div>
        </text>
        <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:7f2280d3-a318-510e-98c8-389ad7c30671"/>
    <resource>
      <Organization>
        <id value="7f2280d3-a318-510e-98c8-389ad7c30671"/>
        <meta>
          <profile
                   value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization|2.5.0"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_7f2280d3-a318-510e-98c8-389ad7c30671"> </a><p class="res-header-id"><b>Generated Narrative: Organization 7f2280d3-a318-510e-98c8-389ad7c30671</b></p><a name="7f2280d3-a318-510e-98c8-389ad7c30671"> </a><a name="hc7f2280d3-a318-510e-98c8-389ad7c30671"> </a><div style="display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <code>https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization|2.5.0</code></p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">PICKERING MEDICAL PRACTICE (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#B82033)</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Ways to contact the organization">Contact Detail</td><td colspan="3">SOUTHGATE PICKERING YO18 8BL </td></tr></table></div>
        </text>
        <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:5031da0d-bfe7-5667-84a3-a65a2e34d04a"/>
    <resource>
      <Provenance>
        <id value="5031da0d-bfe7-5667-84a3-a65a2e34d04a"/>
        <meta>
          <profile
                   value="https://fhir.nhs.uk/England/StructureDefinition/England-Provenance-Lab-Pathology|0.1.0"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Provenance_5031da0d-bfe7-5667-84a3-a65a2e34d04a"> </a><p>Laboratory report REP-20220130-007843 sent by product EXAMPLE-PRODUCT:Y8J7D.</p></div>
        </text>
        <target>
          <reference value="urn:uuid:b33000ab-a5bb-5889-924a-be6d69c1e6bc"/>
        </target>
        <recorded value="2022-03-08T12:09:00+00:00"/>
        <activity>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/iso-21089-lifecycle"/>
            <code value="transform"/>
          </coding>
        </activity>
        <agent>
          <who>
            <identifier>
              <system
                      value="https://api.service.nhs.uk/pathology-laboratory-reporting/test-reporting-system"/>
              <value value="EXAMPLE-PRODUCT:Y8J7D"/>
            </identifier>
          </who>
        </agent>
      </Provenance>
    </resource>
  </entry>
</Bundle>