England Pathology and Laboratory Medicine (PaLM) Technical Framework
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England Pathology and Laboratory Medicine (PaLM) Technical Framework - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Example Bundle: Bundle Message - Laboratory Order (O21) [LAB-1]

Language: en

Profile: Bundle - FHIR Messaging

Bundle LaboratoryOrderMessage of type message

Entry 1 - fullUrl = https://fhir.example.nhs.uk/R4/MessageHeader/LaboratoryOrderMessageHeader

Resource MessageHeader:

Last updated: 2026-11-03 09:10:05+0000; Language: en

event: event: O21 (OML - Laboratory order)

Destinations

-NameReceiver
*LIMSIdentifier: ODS Organisation Code/R0A

Sources

-Name
*GPSYSTEM

focus: ServiceRequest FBC - full blood count

definition: Laboratory Order (O21)

Entry 2 - fullUrl = https://fhir.example.nhs.uk/R4/ServiceRequest/LaboratoryOrderFBCNew

Resource ServiceRequest:

Language: en

Profile: Laboratory Order

identifier: Placer Identifier/GP-ORD-000123

requisition: https://fhir.examplesurgery.nhs.uk/Id/requisition/GP-REQ-000045

status: Active

intent: Order

priority: Routine

code: No display for ServiceRequest.code (concept: FBC - full blood count)

subject: Octavia CHISLETT Female, DoB: 2008-09-20 ( National Health Plan Identifier: NHS Number#9449305552)

authoredOn: 2026-11-03 09:10:00+0000

requester: Alex GREEN (https://fhir.hl7.org.uk/Id/gmp-number#GMP Number#G1234567) at Example Surgery (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#A12345)

performer: Manchester University NHS Foundation Trust (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#R0A)

note:

Tired all the time for 3 months. ? anaemia

Entry 3 - fullUrl = https://fhir.example.nhs.uk/R4/Patient/PatientOctaviaCHISLETT

Resource Patient:

Language: en

Profile: Patient

Octavia CHISLETT Female, DoB: 2008-09-20 ( National Health Plan Identifier: NHS Number#9449305552)

Other Id:Medical record number/633
Contact Detail1 RAVENSFIELD GARDENS EPSOM KT19 0ST

Entry 4 - fullUrl = https://fhir.example.nhs.uk/R4/PractitionerRole/PractitionerRoleGP

Resource PractitionerRole:

Language: en

Profile: PractitionerRole

Alex GREEN (https://fhir.hl7.org.uk/Id/gmp-number#GMP Number#G1234567) at Example Surgery (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#A12345)

Practitioner:Alex GREEN (https://fhir.hl7.org.uk/Id/gmp-number#GMP Number#G1234567)
Organization:Example Surgery (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#A12345)

Entry 5 - fullUrl = https://fhir.example.nhs.uk/R4/Practitioner/PractitionerGP

Resource Practitioner:

Language: en

Profile: Practitioner

Alex GREEN (https://fhir.hl7.org.uk/Id/gmp-number#GMP Number#G1234567)

Entry 6 - fullUrl = https://fhir.example.nhs.uk/R4/Organization/OrganizationExampleSurgery

Resource Organization:

Language: en

Profile: Organization

Example Surgery (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#A12345)

Entry 7 - fullUrl = https://fhir.example.nhs.uk/R4/Organization/OrganizationMFT

Resource Organization:

Language: en

Profile: Organization

Manchester University NHS Foundation Trust (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#R0A)