{
  "resourceType" : "Bundle",
  "id" : "LaboratoryReportDocumentFBC",
  "meta" : {
    "profile" : ["https://examplesihe.org.uk/StructureDefinition/BundleLaboratoryReportDocument"]
  },
  "language" : "en",
  "identifier" : {
    "system" : "https://fhir.mft.nhs.uk/Id/report-document",
    "value" : "26H012345-1"
  },
  "type" : "document",
  "timestamp" : "2026-11-03T16:05:30Z",
  "entry" : [{
    "fullUrl" : "https://fhir.example.nhs.uk/R4/Composition/CompositionFBC",
    "resource" : {
      "resourceType" : "Composition",
      "id" : "CompositionFBC",
      "language" : "en",
      "text" : {
        "status" : "extensions",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Composition_CompositionFBC\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Composition CompositionFBC</b></p><a name=\"CompositionFBC\"> </a><a name=\"hcCompositionFBC\"> </a><p><b>Document DiagnosticReport Reference</b>: <a href=\"Bundle-LaboratoryReportDocumentFBC.html#DiagnosticReport_LaboratoryReportFBCDocument\">Diagnostic Report for 'Diagnostic studies report' for '-&gt;Octavia CHISLETT  Female, DoB: 2008-09-20 ( National Health Plan Identifier: NHS Number#9449305552)'</a></p><p><b>identifier</b>: Filler Identifier/26H012345</p><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 721981007}, {http://loinc.org 11502-2}\">Diagnostic studies report</span></p><p><b>category</b>: <span title=\"Codes:{http://loinc.org 18723-7}\">Hematology studies (set)</span></p><p><b>date</b>: 2026-11-03 16:05:00+0000</p><p><b>author</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>title</b>: Laboratory Report - Full blood count</p><p><b>custodian</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></div>"
      },
      "extension" : [{
        "url" : "http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference",
        "valueReference" : {
          "reference" : "DiagnosticReport/LaboratoryReportFBCDocument"
        }
      }],
      "identifier" : {
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "FILL"
          }]
        },
        "system" : "https://fhir.mft.nhs.uk/Id/lims-order",
        "value" : "26H012345"
      },
      "status" : "final",
      "type" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "721981007",
          "display" : "Diagnostic studies report"
        },
        {
          "system" : "http://loinc.org",
          "code" : "11502-2",
          "display" : "Laboratory report"
        }]
      },
      "category" : [{
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "18723-7",
          "display" : "Hematology studies (set)"
        }]
      }],
      "subject" : {
        "reference" : "Patient/PatientOctaviaCHISLETT",
        "identifier" : {
          "system" : "https://fhir.nhs.uk/Id/nhs-number",
          "value" : "9449305552"
        }
      },
      "date" : "2026-11-03T16:05:00Z",
      "author" : [{
        "reference" : "Organization/OrganizationMFT"
      }],
      "title" : "Laboratory Report - Full blood count",
      "custodian" : {
        "reference" : "Organization/OrganizationMFT"
      },
      "section" : [{
        "title" : "Haematology",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "18723-7",
            "display" : "Hematology studies (set)"
          }]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Full blood count: white cell count 3.5 10*9/L (L), haemoglobin 112 g/L (L), platelets 250 10*9/L, red cell count 4.20 10*12/L, haematocrit 0.38 L/L, MCV 88 fL, MCH 29.0 pg.</p><p>Mild anaemia with low white cell count. Suggest repeat in 4 weeks.</p></div>"
        },
        "entry" : [{
          "reference" : "DiagnosticReport/LaboratoryReportFBCDocument"
        }]
      }]
    }
  },
  {
    "fullUrl" : "https://fhir.example.nhs.uk/R4/DiagnosticReport/LaboratoryReportFBCDocument",
    "resource" : {
      "resourceType" : "DiagnosticReport",
      "id" : "LaboratoryReportFBCDocument",
      "meta" : {
        "profile" : ["https://examplesihe.org.uk/StructureDefinition/LaboratoryReport",
        "http://hl7.eu/fhir/laboratory/StructureDefinition/DiagnosticReport-eu-lab"]
      },
      "language" : "en",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_LaboratoryReportFBCDocument\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport LaboratoryReportFBCDocument</b></p><a name=\"LaboratoryReportFBCDocument\"> </a><a name=\"hcLaboratoryReportFBCDocument\"> </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\">Profiles: <a href=\"StructureDefinition-LaboratoryReport.html\">Laboratory Report</a>, <a href=\"http://hl7.eu/fhir/laboratory/2.1.0/StructureDefinition-DiagnosticReport-eu-lab.html\">DiagnosticReport: Laboratory Report</a></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 HM}\">Hematology</span>) </h2><table class=\"grid\"><tr><td>Subject</td><td>Octavia CHISLETT  Female, DoB: 2008-09-20 ( National Health Plan Identifier: NHS Number#9449305552)</td></tr><tr><td>Relevant Time</td><td>2026-11-03 09:15:00+0000</td></tr><tr><td>Reported</td><td>2026-11-03 16:05:00+0000</td></tr><tr><td>Performer</td><td> <a href=\"Organization-OrganizationMFT.html\">Manchester University NHS Foundation Trust (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#R0A)</a></td></tr><tr><td>Identifier</td><td> Filler Identifier/26H012345</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></tr><tr><td><a href=\"Observation-ResultFBC.html\"><span title=\"Codes:{http://snomed.info/sct 1022441000000101}\">FBC - full blood count</span></a></td><td/><td>Final</td></tr></table><p>Mild anaemia with low white cell count. Suggest repeat in 4 weeks.</p></div>"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition",
        "valueReference" : {
          "reference" : "Composition/CompositionFBC"
        }
      }],
      "identifier" : [{
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "FILL"
          }]
        },
        "system" : "https://fhir.mft.nhs.uk/Id/lims-order",
        "value" : "26H012345",
        "assigner" : {
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
            "value" : "R0A"
          }
        }
      }],
      "basedOn" : [{
        "reference" : "ServiceRequest/LaboratoryOrderFBC"
      }],
      "status" : "final",
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
          "code" : "HM",
          "display" : "Hematology"
        }]
      }],
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "721981007",
          "display" : "Diagnostic studies report"
        },
        {
          "system" : "http://loinc.org",
          "code" : "11502-2",
          "display" : "Laboratory report"
        }]
      },
      "subject" : {
        "reference" : "Patient/PatientOctaviaCHISLETT"
      },
      "effectiveDateTime" : "2026-11-03T09:15:00Z",
      "issued" : "2026-11-03T16:05:00Z",
      "performer" : [{
        "reference" : "Organization/OrganizationMFT"
      }],
      "resultsInterpreter" : [{
        "reference" : "PractitionerRole/PractitionerRoleHaematologist"
      }],
      "specimen" : [{
        "reference" : "Specimen/SpecimenFBC"
      }],
      "result" : [{
        "reference" : "Observation/ResultFBC"
      }],
      "conclusion" : "Mild anaemia with low white cell count. Suggest repeat in 4 weeks."
    }
  },
  {
    "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/ServiceRequest/LaboratoryOrderFBC",
    "resource" : {
      "resourceType" : "ServiceRequest",
      "id" : "LaboratoryOrderFBC",
      "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_LaboratoryOrderFBC\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest LaboratoryOrderFBC</b></p><a name=\"LaboratoryOrderFBC\"> </a><a name=\"hcLaboratoryOrderFBC\"> </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, Filler Identifier/26H012345</p><p><b>requisition</b>: <code>https://fhir.examplesurgery.nhs.uk/Id/requisition</code>/GP-REQ-000045</p><p><b>status</b>: Completed</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>specimen</b>: <a href=\"Specimen-SpecimenFBC.html\">Specimen: identifier = Placer Identifier: GP-SPC-000123; accessionIdentifier = Accession ID: 26H012345; status = available; type = Blood specimen; receivedTime = 2026-11-03 13:40:00+0000</a></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"
          }
        }
      },
      {
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "FILL"
          }]
        },
        "system" : "https://fhir.mft.nhs.uk/Id/lims-order",
        "value" : "26H012345",
        "assigner" : {
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
            "value" : "R0A"
          }
        }
      }],
      "requisition" : {
        "system" : "https://fhir.examplesurgery.nhs.uk/Id/requisition",
        "value" : "GP-REQ-000045"
      },
      "status" : "completed",
      "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"
      }],
      "specimen" : [{
        "reference" : "Specimen/SpecimenFBC"
      }],
      "note" : [{
        "text" : "Tired all the time for 3 months. ? anaemia"
      }]
    }
  },
  {
    "fullUrl" : "https://fhir.example.nhs.uk/R4/Specimen/SpecimenFBC",
    "resource" : {
      "resourceType" : "Specimen",
      "id" : "SpecimenFBC",
      "meta" : {
        "profile" : ["https://examplesihe.org.uk/StructureDefinition/Specimen"]
      },
      "language" : "en",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Specimen_SpecimenFBC\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Specimen SpecimenFBC</b></p><a name=\"SpecimenFBC\"> </a><a name=\"hcSpecimenFBC\"> </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-Specimen.html\">Specimen</a></p></div><p><b>identifier</b>: Placer Identifier/GP-SPC-000123</p><p><b>accessionIdentifier</b>: Accession ID/26H012345</p><p><b>status</b>: Available</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 119297000}\">Blood specimen</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>receivedTime</b>: 2026-11-03 13:40:00+0000</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>2026-11-03 09:15:00+0000</td></tr></table></div>"
      },
      "identifier" : [{
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "PLAC"
          }]
        },
        "system" : "https://fhir.examplesurgery.nhs.uk/Id/specimen",
        "value" : "GP-SPC-000123"
      }],
      "accessionIdentifier" : {
        "type" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "ACSN"
          }]
        },
        "system" : "https://fhir.mft.nhs.uk/Id/lims-accession",
        "value" : "26H012345",
        "assigner" : {
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
            "value" : "R0A"
          }
        }
      },
      "status" : "available",
      "type" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "119297000",
          "display" : "Blood specimen"
        }]
      },
      "subject" : {
        "reference" : "Patient/PatientOctaviaCHISLETT"
      },
      "receivedTime" : "2026-11-03T13:40:00Z",
      "collection" : {
        "collectedDateTime" : "2026-11-03T09:15:00Z"
      }
    }
  },
  {
    "fullUrl" : "https://fhir.example.nhs.uk/R4/Observation/ResultFBC",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "ResultFBC",
      "meta" : {
        "profile" : ["https://examplesihe.org.uk/StructureDefinition/LaboratoryResult"]
      },
      "language" : "en",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_ResultFBC\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation ResultFBC</b></p><a name=\"ResultFBC\"> </a><a name=\"hcResultFBC\"> </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-LaboratoryResult.html\">Laboratory Result</a></p></div><p><b>basedOn</b>: <a href=\"ServiceRequest-LaboratoryOrderFBC.html\">ServiceRequest FBC - full blood count</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></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>effective</b>: 2026-11-03 09:15:00+0000</p><p><b>issued</b>: 2026-11-03 16:05:00+0000</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>specimen</b>: <a href=\"Specimen-SpecimenFBC.html\">Specimen: identifier = Placer Identifier: GP-SPC-000123; accessionIdentifier = Accession ID: 26H012345; status = available; type = Blood specimen; receivedTime = 2026-11-03 13:40:00+0000</a></p><p><b>hasMember</b>: </p><ul><li><a href=\"Observation-ResultFBCWhiteCellCount.html\">Observation Total white cell count</a></li><li><a href=\"Observation-ResultFBCHaemoglobin.html\">Observation Haemoglobin estimation</a></li><li><a href=\"Observation-ResultFBCPlateletCount.html\">Observation Platelet count</a></li><li><a href=\"Observation-ResultFBCRedCellCount.html\">Observation Red blood cell count</a></li><li><a href=\"Observation-ResultFBCHaematocrit.html\">Observation Haematocrit</a></li><li><a href=\"Observation-ResultFBCMeanCellVolume.html\">Observation Mean cell volume</a></li><li><a href=\"Observation-ResultFBCMeanCellHaemoglobin.html\">Observation Mean cell haemoglobin</a></li></ul></div>"
      },
      "basedOn" : [{
        "reference" : "ServiceRequest/LaboratoryOrderFBC"
      }],
      "status" : "final",
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "laboratory"
        }]
      }],
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "1022441000000101",
          "display" : "FBC - full blood count"
        }]
      },
      "subject" : {
        "reference" : "Patient/PatientOctaviaCHISLETT"
      },
      "effectiveDateTime" : "2026-11-03T09:15:00Z",
      "issued" : "2026-11-03T16:05:00Z",
      "performer" : [{
        "reference" : "Organization/OrganizationMFT"
      }],
      "specimen" : {
        "reference" : "Specimen/SpecimenFBC"
      },
      "hasMember" : [{
        "reference" : "Observation/ResultFBCWhiteCellCount"
      },
      {
        "reference" : "Observation/ResultFBCHaemoglobin"
      },
      {
        "reference" : "Observation/ResultFBCPlateletCount"
      },
      {
        "reference" : "Observation/ResultFBCRedCellCount"
      },
      {
        "reference" : "Observation/ResultFBCHaematocrit"
      },
      {
        "reference" : "Observation/ResultFBCMeanCellVolume"
      },
      {
        "reference" : "Observation/ResultFBCMeanCellHaemoglobin"
      }]
    }
  },
  {
    "fullUrl" : "https://fhir.example.nhs.uk/R4/Observation/ResultFBCWhiteCellCount",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "ResultFBCWhiteCellCount",
      "meta" : {
        "profile" : ["https://examplesihe.org.uk/StructureDefinition/LaboratoryResult"]
      },
      "language" : "en",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_ResultFBCWhiteCellCount\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation ResultFBCWhiteCellCount</b></p><a name=\"ResultFBCWhiteCellCount\"> </a><a name=\"hcResultFBCWhiteCellCount\"> </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-LaboratoryResult.html\">Laboratory Result</a></p></div><p><b>basedOn</b>: <a href=\"ServiceRequest-LaboratoryOrderFBC.html\">ServiceRequest FBC - full blood count</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></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 1022541000000102}, {http://loinc.org 6690-2}\">Total white cell 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>effective</b>: 2026-11-03 09:15:00+0000</p><p><b>issued</b>: 2026-11-03 16:05:00+0000</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>value</b>: 3.5 10*9/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*9/L = '10*9/L')</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation L}\">Low</span></p><p><b>specimen</b>: <a href=\"Specimen-SpecimenFBC.html\">Specimen: identifier = Placer Identifier: GP-SPC-000123; accessionIdentifier = Accession ID: 26H012345; status = available; type = Blood specimen; receivedTime = 2026-11-03 13:40:00+0000</a></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td style=\"display: none\">*</td><td>4 10*9/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*9/L = '10*9/L')</span></td><td>11 10*9/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*9/L = '10*9/L')</span></td></tr></table></div>"
      },
      "basedOn" : [{
        "reference" : "ServiceRequest/LaboratoryOrderFBC"
      }],
      "status" : "final",
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "laboratory"
        }]
      }],
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "1022541000000102",
          "display" : "Total white cell count"
        },
        {
          "system" : "http://loinc.org",
          "code" : "6690-2",
          "display" : "Leukocytes [#/volume] in Blood by Automated count"
        }]
      },
      "subject" : {
        "reference" : "Patient/PatientOctaviaCHISLETT"
      },
      "effectiveDateTime" : "2026-11-03T09:15:00Z",
      "issued" : "2026-11-03T16:05:00Z",
      "performer" : [{
        "reference" : "Organization/OrganizationMFT"
      }],
      "valueQuantity" : {
        "value" : 3.5,
        "unit" : "10*9/L",
        "system" : "http://unitsofmeasure.org",
        "code" : "10*9/L"
      },
      "interpretation" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code" : "L",
          "display" : "Low"
        }]
      }],
      "specimen" : {
        "reference" : "Specimen/SpecimenFBC"
      },
      "referenceRange" : [{
        "low" : {
          "value" : 4,
          "unit" : "10*9/L",
          "system" : "http://unitsofmeasure.org",
          "code" : "10*9/L"
        },
        "high" : {
          "value" : 11,
          "unit" : "10*9/L",
          "system" : "http://unitsofmeasure.org",
          "code" : "10*9/L"
        }
      }]
    }
  },
  {
    "fullUrl" : "https://fhir.example.nhs.uk/R4/Observation/ResultFBCHaemoglobin",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "ResultFBCHaemoglobin",
      "meta" : {
        "profile" : ["https://examplesihe.org.uk/StructureDefinition/LaboratoryResult"]
      },
      "language" : "en",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_ResultFBCHaemoglobin\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation ResultFBCHaemoglobin</b></p><a name=\"ResultFBCHaemoglobin\"> </a><a name=\"hcResultFBCHaemoglobin\"> </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-LaboratoryResult.html\">Laboratory Result</a></p></div><p><b>basedOn</b>: <a href=\"ServiceRequest-LaboratoryOrderFBC.html\">ServiceRequest FBC - full blood count</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></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 1022431000000105}, {http://loinc.org 718-7}\">Haemoglobin estimation</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>effective</b>: 2026-11-03 09:15:00+0000</p><p><b>issued</b>: 2026-11-03 16:05:00+0000</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>value</b>: 112 g/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeg/L = 'g/L')</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation L}\">Low</span></p><p><b>specimen</b>: <a href=\"Specimen-SpecimenFBC.html\">Specimen: identifier = Placer Identifier: GP-SPC-000123; accessionIdentifier = Accession ID: 26H012345; status = available; type = Blood specimen; receivedTime = 2026-11-03 13:40:00+0000</a></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td style=\"display: none\">*</td><td>115 g/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeg/L = 'g/L')</span></td><td>165 g/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeg/L = 'g/L')</span></td></tr></table></div>"
      },
      "basedOn" : [{
        "reference" : "ServiceRequest/LaboratoryOrderFBC"
      }],
      "status" : "final",
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "laboratory"
        }]
      }],
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "1022431000000105",
          "display" : "Haemoglobin estimation"
        },
        {
          "system" : "http://loinc.org",
          "code" : "718-7",
          "display" : "Hemoglobin [Mass/volume] in Blood"
        }]
      },
      "subject" : {
        "reference" : "Patient/PatientOctaviaCHISLETT"
      },
      "effectiveDateTime" : "2026-11-03T09:15:00Z",
      "issued" : "2026-11-03T16:05:00Z",
      "performer" : [{
        "reference" : "Organization/OrganizationMFT"
      }],
      "valueQuantity" : {
        "value" : 112,
        "unit" : "g/L",
        "system" : "http://unitsofmeasure.org",
        "code" : "g/L"
      },
      "interpretation" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code" : "L",
          "display" : "Low"
        }]
      }],
      "specimen" : {
        "reference" : "Specimen/SpecimenFBC"
      },
      "referenceRange" : [{
        "low" : {
          "value" : 115,
          "unit" : "g/L",
          "system" : "http://unitsofmeasure.org",
          "code" : "g/L"
        },
        "high" : {
          "value" : 165,
          "unit" : "g/L",
          "system" : "http://unitsofmeasure.org",
          "code" : "g/L"
        }
      }]
    }
  },
  {
    "fullUrl" : "https://fhir.example.nhs.uk/R4/Observation/ResultFBCPlateletCount",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "ResultFBCPlateletCount",
      "meta" : {
        "profile" : ["https://examplesihe.org.uk/StructureDefinition/LaboratoryResult"]
      },
      "language" : "en",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_ResultFBCPlateletCount\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation ResultFBCPlateletCount</b></p><a name=\"ResultFBCPlateletCount\"> </a><a name=\"hcResultFBCPlateletCount\"> </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-LaboratoryResult.html\">Laboratory Result</a></p></div><p><b>basedOn</b>: <a href=\"ServiceRequest-LaboratoryOrderFBC.html\">ServiceRequest FBC - full blood count</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></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 1022651000000100}, {http://loinc.org 777-3}\">Platelet 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>effective</b>: 2026-11-03 09:15:00+0000</p><p><b>issued</b>: 2026-11-03 16:05:00+0000</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>value</b>: 250 10*9/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*9/L = '10*9/L')</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation N}\">Normal</span></p><p><b>specimen</b>: <a href=\"Specimen-SpecimenFBC.html\">Specimen: identifier = Placer Identifier: GP-SPC-000123; accessionIdentifier = Accession ID: 26H012345; status = available; type = Blood specimen; receivedTime = 2026-11-03 13:40:00+0000</a></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td style=\"display: none\">*</td><td>150 10*9/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*9/L = '10*9/L')</span></td><td>400 10*9/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*9/L = '10*9/L')</span></td></tr></table></div>"
      },
      "basedOn" : [{
        "reference" : "ServiceRequest/LaboratoryOrderFBC"
      }],
      "status" : "final",
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "laboratory"
        }]
      }],
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "1022651000000100",
          "display" : "Platelet count"
        },
        {
          "system" : "http://loinc.org",
          "code" : "777-3",
          "display" : "Platelets [#/volume] in Blood by Automated count"
        }]
      },
      "subject" : {
        "reference" : "Patient/PatientOctaviaCHISLETT"
      },
      "effectiveDateTime" : "2026-11-03T09:15:00Z",
      "issued" : "2026-11-03T16:05:00Z",
      "performer" : [{
        "reference" : "Organization/OrganizationMFT"
      }],
      "valueQuantity" : {
        "value" : 250,
        "unit" : "10*9/L",
        "system" : "http://unitsofmeasure.org",
        "code" : "10*9/L"
      },
      "interpretation" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code" : "N",
          "display" : "Normal"
        }]
      }],
      "specimen" : {
        "reference" : "Specimen/SpecimenFBC"
      },
      "referenceRange" : [{
        "low" : {
          "value" : 150,
          "unit" : "10*9/L",
          "system" : "http://unitsofmeasure.org",
          "code" : "10*9/L"
        },
        "high" : {
          "value" : 400,
          "unit" : "10*9/L",
          "system" : "http://unitsofmeasure.org",
          "code" : "10*9/L"
        }
      }]
    }
  },
  {
    "fullUrl" : "https://fhir.example.nhs.uk/R4/Observation/ResultFBCRedCellCount",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "ResultFBCRedCellCount",
      "meta" : {
        "profile" : ["https://examplesihe.org.uk/StructureDefinition/LaboratoryResult"]
      },
      "language" : "en",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_ResultFBCRedCellCount\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation ResultFBCRedCellCount</b></p><a name=\"ResultFBCRedCellCount\"> </a><a name=\"hcResultFBCRedCellCount\"> </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-LaboratoryResult.html\">Laboratory Result</a></p></div><p><b>basedOn</b>: <a href=\"ServiceRequest-LaboratoryOrderFBC.html\">ServiceRequest FBC - full blood count</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></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 1022451000000103}, {http://loinc.org 789-8}\">Red blood cell 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>effective</b>: 2026-11-03 09:15:00+0000</p><p><b>issued</b>: 2026-11-03 16:05:00+0000</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>value</b>: 4.2 10*12/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*12/L = '10*12/L')</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation N}\">Normal</span></p><p><b>specimen</b>: <a href=\"Specimen-SpecimenFBC.html\">Specimen: identifier = Placer Identifier: GP-SPC-000123; accessionIdentifier = Accession ID: 26H012345; status = available; type = Blood specimen; receivedTime = 2026-11-03 13:40:00+0000</a></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td style=\"display: none\">*</td><td>3.8 10*12/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*12/L = '10*12/L')</span></td><td>5.8 10*12/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code10*12/L = '10*12/L')</span></td></tr></table></div>"
      },
      "basedOn" : [{
        "reference" : "ServiceRequest/LaboratoryOrderFBC"
      }],
      "status" : "final",
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "laboratory"
        }]
      }],
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "1022451000000103",
          "display" : "Red blood cell count"
        },
        {
          "system" : "http://loinc.org",
          "code" : "789-8",
          "display" : "Erythrocytes [#/volume] in Blood by Automated count"
        }]
      },
      "subject" : {
        "reference" : "Patient/PatientOctaviaCHISLETT"
      },
      "effectiveDateTime" : "2026-11-03T09:15:00Z",
      "issued" : "2026-11-03T16:05:00Z",
      "performer" : [{
        "reference" : "Organization/OrganizationMFT"
      }],
      "valueQuantity" : {
        "value" : 4.2,
        "unit" : "10*12/L",
        "system" : "http://unitsofmeasure.org",
        "code" : "10*12/L"
      },
      "interpretation" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code" : "N",
          "display" : "Normal"
        }]
      }],
      "specimen" : {
        "reference" : "Specimen/SpecimenFBC"
      },
      "referenceRange" : [{
        "low" : {
          "value" : 3.8,
          "unit" : "10*12/L",
          "system" : "http://unitsofmeasure.org",
          "code" : "10*12/L"
        },
        "high" : {
          "value" : 5.8,
          "unit" : "10*12/L",
          "system" : "http://unitsofmeasure.org",
          "code" : "10*12/L"
        }
      }]
    }
  },
  {
    "fullUrl" : "https://fhir.example.nhs.uk/R4/Observation/ResultFBCHaematocrit",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "ResultFBCHaematocrit",
      "meta" : {
        "profile" : ["https://examplesihe.org.uk/StructureDefinition/LaboratoryResult"]
      },
      "language" : "en",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_ResultFBCHaematocrit\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation ResultFBCHaematocrit</b></p><a name=\"ResultFBCHaematocrit\"> </a><a name=\"hcResultFBCHaematocrit\"> </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-LaboratoryResult.html\">Laboratory Result</a></p></div><p><b>basedOn</b>: <a href=\"ServiceRequest-LaboratoryOrderFBC.html\">ServiceRequest FBC - full blood count</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></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 1022291000000105}, {http://loinc.org 4544-3}\">Haematocrit</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>effective</b>: 2026-11-03 09:15:00+0000</p><p><b>issued</b>: 2026-11-03 16:05:00+0000</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>value</b>: 0.38 L/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeL/L = 'L/L')</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation N}\">Normal</span></p><p><b>specimen</b>: <a href=\"Specimen-SpecimenFBC.html\">Specimen: identifier = Placer Identifier: GP-SPC-000123; accessionIdentifier = Accession ID: 26H012345; status = available; type = Blood specimen; receivedTime = 2026-11-03 13:40:00+0000</a></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td style=\"display: none\">*</td><td>0.37 L/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeL/L = 'L/L')</span></td><td>0.47 L/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeL/L = 'L/L')</span></td></tr></table></div>"
      },
      "basedOn" : [{
        "reference" : "ServiceRequest/LaboratoryOrderFBC"
      }],
      "status" : "final",
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "laboratory"
        }]
      }],
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "1022291000000105",
          "display" : "Haematocrit"
        },
        {
          "system" : "http://loinc.org",
          "code" : "4544-3",
          "display" : "Hematocrit [Volume Fraction] of Blood by Automated count"
        }]
      },
      "subject" : {
        "reference" : "Patient/PatientOctaviaCHISLETT"
      },
      "effectiveDateTime" : "2026-11-03T09:15:00Z",
      "issued" : "2026-11-03T16:05:00Z",
      "performer" : [{
        "reference" : "Organization/OrganizationMFT"
      }],
      "valueQuantity" : {
        "value" : 0.38,
        "unit" : "L/L",
        "system" : "http://unitsofmeasure.org",
        "code" : "L/L"
      },
      "interpretation" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code" : "N",
          "display" : "Normal"
        }]
      }],
      "specimen" : {
        "reference" : "Specimen/SpecimenFBC"
      },
      "referenceRange" : [{
        "low" : {
          "value" : 0.37,
          "unit" : "L/L",
          "system" : "http://unitsofmeasure.org",
          "code" : "L/L"
        },
        "high" : {
          "value" : 0.47,
          "unit" : "L/L",
          "system" : "http://unitsofmeasure.org",
          "code" : "L/L"
        }
      }]
    }
  },
  {
    "fullUrl" : "https://fhir.example.nhs.uk/R4/Observation/ResultFBCMeanCellVolume",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "ResultFBCMeanCellVolume",
      "meta" : {
        "profile" : ["https://examplesihe.org.uk/StructureDefinition/LaboratoryResult"]
      },
      "language" : "en",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_ResultFBCMeanCellVolume\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation ResultFBCMeanCellVolume</b></p><a name=\"ResultFBCMeanCellVolume\"> </a><a name=\"hcResultFBCMeanCellVolume\"> </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-LaboratoryResult.html\">Laboratory Result</a></p></div><p><b>basedOn</b>: <a href=\"ServiceRequest-LaboratoryOrderFBC.html\">ServiceRequest FBC - full blood count</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></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 1022491000000106}, {http://loinc.org 787-2}\">Mean cell volume</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>effective</b>: 2026-11-03 09:15:00+0000</p><p><b>issued</b>: 2026-11-03 16:05:00+0000</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>value</b>: 88 fL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codefL = 'fL')</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation N}\">Normal</span></p><p><b>specimen</b>: <a href=\"Specimen-SpecimenFBC.html\">Specimen: identifier = Placer Identifier: GP-SPC-000123; accessionIdentifier = Accession ID: 26H012345; status = available; type = Blood specimen; receivedTime = 2026-11-03 13:40:00+0000</a></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td style=\"display: none\">*</td><td>80 fL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codefL = 'fL')</span></td><td>100 fL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codefL = 'fL')</span></td></tr></table></div>"
      },
      "basedOn" : [{
        "reference" : "ServiceRequest/LaboratoryOrderFBC"
      }],
      "status" : "final",
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "laboratory"
        }]
      }],
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "1022491000000106",
          "display" : "Mean cell volume"
        },
        {
          "system" : "http://loinc.org",
          "code" : "787-2",
          "display" : "MCV [Entitic mean volume] in Red Blood Cells by Automated count"
        }]
      },
      "subject" : {
        "reference" : "Patient/PatientOctaviaCHISLETT"
      },
      "effectiveDateTime" : "2026-11-03T09:15:00Z",
      "issued" : "2026-11-03T16:05:00Z",
      "performer" : [{
        "reference" : "Organization/OrganizationMFT"
      }],
      "valueQuantity" : {
        "value" : 88,
        "unit" : "fL",
        "system" : "http://unitsofmeasure.org",
        "code" : "fL"
      },
      "interpretation" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code" : "N",
          "display" : "Normal"
        }]
      }],
      "specimen" : {
        "reference" : "Specimen/SpecimenFBC"
      },
      "referenceRange" : [{
        "low" : {
          "value" : 80,
          "unit" : "fL",
          "system" : "http://unitsofmeasure.org",
          "code" : "fL"
        },
        "high" : {
          "value" : 100,
          "unit" : "fL",
          "system" : "http://unitsofmeasure.org",
          "code" : "fL"
        }
      }]
    }
  },
  {
    "fullUrl" : "https://fhir.example.nhs.uk/R4/Observation/ResultFBCMeanCellHaemoglobin",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "ResultFBCMeanCellHaemoglobin",
      "meta" : {
        "profile" : ["https://examplesihe.org.uk/StructureDefinition/LaboratoryResult"]
      },
      "language" : "en",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_ResultFBCMeanCellHaemoglobin\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation ResultFBCMeanCellHaemoglobin</b></p><a name=\"ResultFBCMeanCellHaemoglobin\"> </a><a name=\"hcResultFBCMeanCellHaemoglobin\"> </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-LaboratoryResult.html\">Laboratory Result</a></p></div><p><b>basedOn</b>: <a href=\"ServiceRequest-LaboratoryOrderFBC.html\">ServiceRequest FBC - full blood count</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></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 1022471000000107}, {http://loinc.org 785-6}\">Mean cell haemoglobin</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>effective</b>: 2026-11-03 09:15:00+0000</p><p><b>issued</b>: 2026-11-03 16:05:00+0000</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>value</b>: 29 pg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codepg = 'pg')</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation N}\">Normal</span></p><p><b>specimen</b>: <a href=\"Specimen-SpecimenFBC.html\">Specimen: identifier = Placer Identifier: GP-SPC-000123; accessionIdentifier = Accession ID: 26H012345; status = available; type = Blood specimen; receivedTime = 2026-11-03 13:40:00+0000</a></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td style=\"display: none\">*</td><td>27 pg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codepg = 'pg')</span></td><td>33 pg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codepg = 'pg')</span></td></tr></table></div>"
      },
      "basedOn" : [{
        "reference" : "ServiceRequest/LaboratoryOrderFBC"
      }],
      "status" : "final",
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "laboratory"
        }]
      }],
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "1022471000000107",
          "display" : "Mean cell haemoglobin"
        },
        {
          "system" : "http://loinc.org",
          "code" : "785-6",
          "display" : "MCH [Entitic mass] by Automated count"
        }]
      },
      "subject" : {
        "reference" : "Patient/PatientOctaviaCHISLETT"
      },
      "effectiveDateTime" : "2026-11-03T09:15:00Z",
      "issued" : "2026-11-03T16:05:00Z",
      "performer" : [{
        "reference" : "Organization/OrganizationMFT"
      }],
      "valueQuantity" : {
        "value" : 29,
        "unit" : "pg",
        "system" : "http://unitsofmeasure.org",
        "code" : "pg"
      },
      "interpretation" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code" : "N",
          "display" : "Normal"
        }]
      }],
      "specimen" : {
        "reference" : "Specimen/SpecimenFBC"
      },
      "referenceRange" : [{
        "low" : {
          "value" : 27,
          "unit" : "pg",
          "system" : "http://unitsofmeasure.org",
          "code" : "pg"
        },
        "high" : {
          "value" : 33,
          "unit" : "pg",
          "system" : "http://unitsofmeasure.org",
          "code" : "pg"
        }
      }]
    }
  },
  {
    "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/PractitionerRole/PractitionerRoleHaematologist",
    "resource" : {
      "resourceType" : "PractitionerRole",
      "id" : "PractitionerRoleHaematologist",
      "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_PractitionerRoleHaematologist\"> </a><p class=\"res-header-id\"><b>Generated Narrative: PractitionerRole PractitionerRoleHaematologist</b></p><a name=\"PractitionerRoleHaematologist\"> </a><a name=\"hcPractitionerRoleHaematologist\"> </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;\">Sam HUGHES (https://fhir.hl7.org.uk/Id/gmc-number#GMC Number#7654321) at Manchester University NHS Foundation Trust (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#R0A)</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-PractitionerHaematologist.html\">Sam HUGHES (https://fhir.hl7.org.uk/Id/gmc-number#GMC Number#7654321)</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-OrganizationMFT.html\">Manchester University NHS Foundation Trust (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#R0A)</a></td></tr></table></div>"
      },
      "practitioner" : {
        "reference" : "Practitioner/PractitionerHaematologist"
      },
      "organization" : {
        "reference" : "Organization/OrganizationMFT"
      }
    }
  },
  {
    "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/Practitioner/PractitionerHaematologist",
    "resource" : {
      "resourceType" : "Practitioner",
      "id" : "PractitionerHaematologist",
      "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_PractitionerHaematologist\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner PractitionerHaematologist</b></p><a name=\"PractitionerHaematologist\"> </a><a name=\"hcPractitionerHaematologist\"> </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;\">Sam HUGHES (https://fhir.hl7.org.uk/Id/gmc-number#GMC Number#7654321)</p><hr/></div>"
      },
      "identifier" : [{
        "system" : "https://fhir.hl7.org.uk/Id/gmc-number",
        "value" : "7654321"
      }],
      "name" : [{
        "family" : "HUGHES",
        "given" : ["Sam"],
        "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"
    }
  },
  {
    "fullUrl" : "https://fhir.example.nhs.uk/R4/Provenance/ProvenanceFBC",
    "resource" : {
      "resourceType" : "Provenance",
      "id" : "ProvenanceFBC",
      "language" : "en",
      "text" : {
        "status" : "additional",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Provenance_ProvenanceFBC\"> </a><p>Laboratory report 26H012345 sent by product P.GH7-4TY.</p></div>"
      },
      "target" : [{
        "reference" : "Composition/CompositionFBC"
      }],
      "recorded" : "2026-11-03T16:05:30Z",
      "activity" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/iso-21089-lifecycle",
          "code" : "transform",
          "display" : "Transform/Translate Record Lifecycle Event"
        }]
      },
      "agent" : [{
        "who" : {
          "identifier" : {
            "system" : "https://api.service.nhs.uk/pathology-laboratory-reporting/test-reporting-system",
            "value" : "P.GH7-4TY"
          }
        }
      }]
    }
  }]
}