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" : "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 '->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"
}
}
}
]
}
}
]
}