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
<Bundle xmlns="http://hl7.org/fhir">
<id value="LaboratoryOrderMessage"/>
<meta>
<profile
value="https://examplesihe.org.uk/StructureDefinition/BundleMessage"/>
</meta>
<language value="en"/>
<identifier>
<system value="https://fhir.examplesurgery.nhs.uk/Id/message"/>
<value value="GP-MSG-000501"/>
</identifier>
<type value="message"/>
<timestamp value="2026-11-03T09:10:05Z"/>
<entry>
<fullUrl
value="https://fhir.example.nhs.uk/R4/MessageHeader/LaboratoryOrderMessageHeader"/>
<resource>
<MessageHeader>
<id value="LaboratoryOrderMessageHeader"/>
<meta>
<lastUpdated value="2026-11-03T09:10:05Z"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</text>
<eventCoding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0003"/>
<code value="O21"/>
<display value="OML - Laboratory order"/>
</eventCoding>
<destination>
<name value="LIMS"/>
<endpoint value="https://lims.example.nhs.uk/R4/$process-message"/>
<receiver>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="R0A"/>
</identifier>
</receiver>
</destination>
<sender>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="A12345"/>
</identifier>
</sender>
<source>
<name value="GPSYSTEM"/>
<endpoint value="https://gp.example.nhs.uk/R4"/>
</source>
<focus>🔗
<reference value="ServiceRequest/LaboratoryOrderFBCNew"/>
</focus>
<definition
value="https://examplesihe.org.uk/MessageDefinition/laboratory-order"/>
</MessageHeader>
</resource>
</entry>
<entry>
<fullUrl
value="https://fhir.example.nhs.uk/R4/ServiceRequest/LaboratoryOrderFBCNew"/>
<resource>
<ServiceRequest>
<id value="LaboratoryOrderFBCNew"/>
<meta>
<profile
value="https://examplesihe.org.uk/StructureDefinition/LaboratoryOrder"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</div></blockquote></div>
</text>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PLAC"/>
</coding>
</type>
<system value="https://fhir.examplesurgery.nhs.uk/Id/order"/>
<value value="GP-ORD-000123"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="A12345"/>
</identifier>
</assigner>
</identifier>
<requisition>
<system value="https://fhir.examplesurgery.nhs.uk/Id/requisition"/>
<value value="GP-REQ-000045"/>
</requisition>
<status value="active"/>
<intent value="order"/>
<priority value="routine"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1022441000000101"/>
<display value="FBC - full blood count"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/PatientOctaviaCHISLETT"/>
</subject>
<authoredOn value="2026-11-03T09:10:00Z"/>
<requester>🔗
<reference value="PractitionerRole/PractitionerRoleGP"/>
</requester>
<performer>🔗
<reference value="Organization/OrganizationMFT"/>
</performer>
<reasonCode>
<text value="Tiredness"/>
</reasonCode>
<note>
<text value="Tired all the time for 3 months. ? anaemia"/>
</note>
</ServiceRequest>
</resource>
</entry>
<entry>
<fullUrl
value="https://fhir.example.nhs.uk/R4/Patient/PatientOctaviaCHISLETT"/>
<resource>
<Patient>
<id value="PatientOctaviaCHISLETT"/>
<meta>
<profile
value="https://examplesihe.org.uk/StructureDefinition/Patient"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="NH"/>
</coding>
</type>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9449305552"/>
</identifier>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MR"/>
</coding>
</type>
<system value="https://fhir.mft.nhs.uk/Id/mrn"/>
<value value="633"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="R0A"/>
</identifier>
</assigner>
</identifier>
<name>
<family value="CHISLETT"/>
<given value="Octavia"/>
<prefix value="Miss"/>
</name>
<gender value="female"/>
<birthDate value="2008-09-20"/>
<address>
<line value="1 RAVENSFIELD GARDENS"/>
<city value="EPSOM"/>
<district value="SURREY"/>
<postalCode value="KT19 0ST"/>
</address>
</Patient>
</resource>
</entry>
<entry>
<fullUrl
value="https://fhir.example.nhs.uk/R4/PractitionerRole/PractitionerRoleGP"/>
<resource>
<PractitionerRole>
<id value="PractitionerRoleGP"/>
<meta>
<profile
value="https://examplesihe.org.uk/StructureDefinition/PractitionerRole"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</text>
<practitioner>🔗
<reference value="Practitioner/PractitionerGP"/>
</practitioner>
<organization>🔗
<reference value="Organization/OrganizationExampleSurgery"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="A12345"/>
</identifier>
</organization>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl
value="https://fhir.example.nhs.uk/R4/Practitioner/PractitionerGP"/>
<resource>
<Practitioner>
<id value="PractitionerGP"/>
<meta>
<profile
value="https://examplesihe.org.uk/StructureDefinition/Practitioner"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<system value="https://fhir.hl7.org.uk/Id/gmp-number"/>
<value value="G1234567"/>
</identifier>
<name>
<family value="GREEN"/>
<given value="Alex"/>
<prefix value="Dr"/>
</name>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl
value="https://fhir.example.nhs.uk/R4/Organization/OrganizationExampleSurgery"/>
<resource>
<Organization>
<id value="OrganizationExampleSurgery"/>
<meta>
<profile
value="https://examplesihe.org.uk/StructureDefinition/Organization"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="A12345"/>
</identifier>
<name value="Example Surgery"/>
</Organization>
</resource>
</entry>
<entry>
<fullUrl
value="https://fhir.example.nhs.uk/R4/Organization/OrganizationMFT"/>
<resource>
<Organization>
<id value="OrganizationMFT"/>
<meta>
<profile
value="https://examplesihe.org.uk/StructureDefinition/Organization"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="R0A"/>
</identifier>
<name value="Manchester University NHS Foundation Trust"/>
</Organization>
</resource>
</entry>
</Bundle>