England Pathology and Laboratory Medicine (PaLM) Technical Framework
0.1.0 - ci-build
England Pathology and Laboratory Medicine (PaLM) Technical Framework
0.1.0 - ci-build
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
{
"resourceType" : "Bundle",
"id" : "LaboratoryOrderMessage",
"meta" : {
"profile" : [
🔗 "https://examplesihe.org.uk/StructureDefinition/BundleMessage"
]
},
"language" : "en",
"identifier" : {
"system" : "https://fhir.examplesurgery.nhs.uk/Id/message",
"value" : "GP-MSG-000501"
},
"type" : "message",
"timestamp" : "2026-11-03T09:10:05Z",
"entry" : [
{
"fullUrl" : "https://fhir.example.nhs.uk/R4/MessageHeader/LaboratoryOrderMessageHeader",
"resource" : {
"resourceType" : "MessageHeader",
"id" : "LaboratoryOrderMessageHeader",
"meta" : {
"lastUpdated" : "2026-11-03T09:10:05Z"
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MessageHeader_LaboratoryOrderMessageHeader\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MessageHeader LaboratoryOrderMessageHeader</b></p><a name=\"LaboratoryOrderMessageHeader\"> </a><a name=\"hcLaboratoryOrderMessageHeader\"> </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\">Last updated: 2026-11-03 09:10:05+0000</p></div><p><b>event</b>: <a href=\"http://terminology.hl7.org/7.5.0/CodeSystem-v2-0003.html#v2-0003-O21\">event: O21</a> (OML - Laboratory order)</p><h3>Destinations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Name</b></td><td><b>Endpoint</b></td><td><b>Receiver</b></td></tr><tr><td style=\"display: none\">*</td><td>LIMS</td><td><a href=\"https://lims.example.nhs.uk/R4/$process-message\">https://lims.example.nhs.uk/R4/$process-message</a></td><td>Identifier: <a href=\"NamingSystem-ods-organization-code-namingsystem.html\" title=\"The identifier system for an Organisation registered with the Organisation Data Service (ODS).\">ODS Organisation Code</a>/R0A</td></tr></table><p><b>sender</b>: Identifier: <a href=\"NamingSystem-ods-organization-code-namingsystem.html\" title=\"The identifier system for an Organisation registered with the Organisation Data Service (ODS).\">ODS Organisation Code</a>/A12345</p><h3>Sources</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Name</b></td><td><b>Endpoint</b></td></tr><tr><td style=\"display: none\">*</td><td>GPSYSTEM</td><td><a href=\"https://gp.example.nhs.uk/R4\">https://gp.example.nhs.uk/R4</a></td></tr></table><p><b>focus</b>: <a href=\"ServiceRequest-LaboratoryOrderFBCNew.html\">ServiceRequest FBC - full blood count</a></p><p><b>definition</b>: <a href=\"MessageDefinition-laboratory-order.html\">Laboratory Order (O21)</a></p></div>"
},
"eventCoding" : {
"system" : "http://terminology.hl7.org/CodeSystem/v2-0003",
"code" : "O21",
"display" : "OML - Laboratory order"
},
"destination" : [
{
"name" : "LIMS",
"endpoint" : "https://lims.example.nhs.uk/R4/$process-message",
"receiver" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "R0A"
}
}
}
],
"sender" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "A12345"
}
},
"source" : {
"name" : "GPSYSTEM",
"endpoint" : "https://gp.example.nhs.uk/R4"
},
"focus" : [
{
🔗 "reference" : "ServiceRequest/LaboratoryOrderFBCNew"
}
],
"definition" : "https://examplesihe.org.uk/MessageDefinition/laboratory-order"
}
},
{
"fullUrl" : "https://fhir.example.nhs.uk/R4/ServiceRequest/LaboratoryOrderFBCNew",
"resource" : {
"resourceType" : "ServiceRequest",
"id" : "LaboratoryOrderFBCNew",
"meta" : {
"profile" : [
🔗 "https://examplesihe.org.uk/StructureDefinition/LaboratoryOrder"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_LaboratoryOrderFBCNew\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest LaboratoryOrderFBCNew</b></p><a name=\"LaboratoryOrderFBCNew\"> </a><a name=\"hcLaboratoryOrderFBCNew\"> </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=\"StructureDefinition-LaboratoryOrder.html\">Laboratory Order</a></p></div><p><b>identifier</b>: Placer Identifier/GP-ORD-000123</p><p><b>requisition</b>: <code>https://fhir.examplesurgery.nhs.uk/Id/requisition</code>/GP-REQ-000045</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>priority</b>: Routine</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 1022441000000101}\">FBC - full blood count</span></p><p><b>subject</b>: <a href=\"Patient-PatientOctaviaCHISLETT.html\">Octavia CHISLETT Female, DoB: 2008-09-20 ( National Health Plan Identifier: NHS Number#9449305552)</a></p><p><b>authoredOn</b>: 2026-11-03 09:10:00+0000</p><p><b>requester</b>: <a href=\"PractitionerRole-PractitionerRoleGP.html\">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)</a></p><p><b>performer</b>: <a href=\"Organization-OrganizationMFT.html\">Manchester University NHS Foundation Trust (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#R0A)</a></p><p><b>reasonCode</b>: <span title=\"Codes:\">Tiredness</span></p><p><b>note</b>: </p><blockquote><div><p>Tired all the time for 3 months. ? anaemia</p>\n</div></blockquote></div>"
},
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "PLAC"
}
]
},
"system" : "https://fhir.examplesurgery.nhs.uk/Id/order",
"value" : "GP-ORD-000123",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "A12345"
}
}
}
],
"requisition" : {
"system" : "https://fhir.examplesurgery.nhs.uk/Id/requisition",
"value" : "GP-REQ-000045"
},
"status" : "active",
"intent" : "order",
"priority" : "routine",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "1022441000000101",
"display" : "FBC - full blood count"
}
]
},
"subject" : {
🔗 "reference" : "Patient/PatientOctaviaCHISLETT"
},
"authoredOn" : "2026-11-03T09:10:00Z",
"requester" : {
🔗 "reference" : "PractitionerRole/PractitionerRoleGP"
},
"performer" : [
{
🔗 "reference" : "Organization/OrganizationMFT"
}
],
"reasonCode" : [
{
"text" : "Tiredness"
}
],
"note" : [
{
"text" : "Tired all the time for 3 months. ? anaemia"
}
]
}
},
{
"fullUrl" : "https://fhir.example.nhs.uk/R4/Patient/PatientOctaviaCHISLETT",
"resource" : {
"resourceType" : "Patient",
"id" : "PatientOctaviaCHISLETT",
"meta" : {
"profile" : [
🔗 "https://examplesihe.org.uk/StructureDefinition/Patient"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_PatientOctaviaCHISLETT\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient PatientOctaviaCHISLETT</b></p><a name=\"PatientOctaviaCHISLETT\"> </a><a name=\"hcPatientOctaviaCHISLETT\"> </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=\"StructureDefinition-Patient.html\">Patient</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Octavia CHISLETT Female, DoB: 2008-09-20 ( National Health Plan Identifier: NHS Number#9449305552)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Other Id (see the one above)\">Other Id:</td><td colspan=\"3\">Medical record number/633</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\">1 RAVENSFIELD GARDENS EPSOM KT19 0ST </td></tr></table></div>"
},
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "NH"
}
]
},
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9449305552"
},
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MR"
}
]
},
"system" : "https://fhir.mft.nhs.uk/Id/mrn",
"value" : "633",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "R0A"
}
}
}
],
"name" : [
{
"family" : "CHISLETT",
"given" : [
"Octavia"
],
"prefix" : [
"Miss"
]
}
],
"gender" : "female",
"birthDate" : "2008-09-20",
"address" : [
{
"line" : [
"1 RAVENSFIELD GARDENS"
],
"city" : "EPSOM",
"district" : "SURREY",
"postalCode" : "KT19 0ST"
}
]
}
},
{
"fullUrl" : "https://fhir.example.nhs.uk/R4/PractitionerRole/PractitionerRoleGP",
"resource" : {
"resourceType" : "PractitionerRole",
"id" : "PractitionerRoleGP",
"meta" : {
"profile" : [
🔗 "https://examplesihe.org.uk/StructureDefinition/PractitionerRole"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"PractitionerRole_PractitionerRoleGP\"> </a><p class=\"res-header-id\"><b>Generated Narrative: PractitionerRole PractitionerRoleGP</b></p><a name=\"PractitionerRoleGP\"> </a><a name=\"hcPractitionerRoleGP\"> </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=\"StructureDefinition-PractitionerRole.html\">PractitionerRole</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">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)</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=\"Practitioner-PractitionerGP.html\">Alex GREEN (https://fhir.hl7.org.uk/Id/gmp-number#GMP Number#G1234567)</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=\"Organization-OrganizationExampleSurgery.html\">Example Surgery (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#A12345)</a></td></tr></table></div>"
},
"practitioner" : {
🔗 "reference" : "Practitioner/PractitionerGP"
},
"organization" : {
🔗 "reference" : "Organization/OrganizationExampleSurgery",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "A12345"
}
}
}
},
{
"fullUrl" : "https://fhir.example.nhs.uk/R4/Practitioner/PractitionerGP",
"resource" : {
"resourceType" : "Practitioner",
"id" : "PractitionerGP",
"meta" : {
"profile" : [
🔗 "https://examplesihe.org.uk/StructureDefinition/Practitioner"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_PractitionerGP\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner PractitionerGP</b></p><a name=\"PractitionerGP\"> </a><a name=\"hcPractitionerGP\"> </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=\"StructureDefinition-Practitioner.html\">Practitioner</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Alex GREEN (https://fhir.hl7.org.uk/Id/gmp-number#GMP Number#G1234567)</p><hr/></div>"
},
"identifier" : [
{
"system" : "https://fhir.hl7.org.uk/Id/gmp-number",
"value" : "G1234567"
}
],
"name" : [
{
"family" : "GREEN",
"given" : [
"Alex"
],
"prefix" : [
"Dr"
]
}
]
}
},
{
"fullUrl" : "https://fhir.example.nhs.uk/R4/Organization/OrganizationExampleSurgery",
"resource" : {
"resourceType" : "Organization",
"id" : "OrganizationExampleSurgery",
"meta" : {
"profile" : [
🔗 "https://examplesihe.org.uk/StructureDefinition/Organization"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_OrganizationExampleSurgery\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization OrganizationExampleSurgery</b></p><a name=\"OrganizationExampleSurgery\"> </a><a name=\"hcOrganizationExampleSurgery\"> </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=\"StructureDefinition-Organization.html\">Organization</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Example Surgery (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#A12345)</p><hr/></div>"
},
"identifier" : [
{
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "A12345"
}
],
"name" : "Example Surgery"
}
},
{
"fullUrl" : "https://fhir.example.nhs.uk/R4/Organization/OrganizationMFT",
"resource" : {
"resourceType" : "Organization",
"id" : "OrganizationMFT",
"meta" : {
"profile" : [
🔗 "https://examplesihe.org.uk/StructureDefinition/Organization"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_OrganizationMFT\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization OrganizationMFT</b></p><a name=\"OrganizationMFT\"> </a><a name=\"hcOrganizationMFT\"> </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=\"StructureDefinition-Organization.html\">Organization</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Manchester University NHS Foundation Trust (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#R0A)</p><hr/></div>"
},
"identifier" : [
{
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "R0A"
}
],
"name" : "Manchester University NHS Foundation Trust"
}
}
]
}