England Pathology and Laboratory Medicine (PaLM) Technical Framework
0.1.0 - ci-build
England Pathology and Laboratory Medicine (PaLM) Technical Framework
0.1.0 - ci-build
England Pathology and Laboratory Medicine (PaLM) Technical Framework - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
<Bundle xmlns="http://hl7.org/fhir">
<id value="LaboratoryReportDocumentFBC"/>
<meta>
<profile
value="https://examplesihe.org.uk/StructureDefinition/BundleLaboratoryReportDocument"/>
</meta>
<language value="en"/>
<identifier>
<system value="https://fhir.mft.nhs.uk/Id/report-document"/>
<value value="26H012345-1"/>
</identifier>
<type value="document"/>
<timestamp value="2026-11-03T16:05:30Z"/>
<entry>
<fullUrl
value="https://fhir.example.nhs.uk/R4/Composition/CompositionFBC"/>
<resource>
<Composition>
<id value="CompositionFBC"/>
<language value="en"/>
<text>
<status value="extensions"/>
<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>
</text>
<extension
url="http://hl7.eu/fhir/extensions/StructureDefinition/composition-diagnosticReportReference">
<valueReference>
<reference value="DiagnosticReport/LaboratoryReportFBCDocument"/>
</valueReference>
</extension>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="FILL"/>
</coding>
</type>
<system value="https://fhir.mft.nhs.uk/Id/lims-order"/>
<value value="26H012345"/>
</identifier>
<status value="final"/>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="721981007"/>
<display value="Diagnostic studies report"/>
</coding>
<coding>
<system value="http://loinc.org"/>
<code value="11502-2"/>
<display value="Laboratory report"/>
</coding>
</type>
<category>
<coding>
<system value="http://loinc.org"/>
<code value="18723-7"/>
<display value="Hematology studies (set)"/>
</coding>
</category>
<subject>🔗
<reference value="Patient/PatientOctaviaCHISLETT"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9449305552"/>
</identifier>
</subject>
<date value="2026-11-03T16:05:00Z"/>
<author>🔗
<reference value="Organization/OrganizationMFT"/>
</author>
<title value="Laboratory Report - Full blood count"/>
<custodian>🔗
<reference value="Organization/OrganizationMFT"/>
</custodian>
<section>
<title value="Haematology"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="18723-7"/>
<display value="Hematology studies (set)"/>
</coding>
</code>
<text>
<status value="generated"/>
<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>
</text>
<entry>
<reference value="DiagnosticReport/LaboratoryReportFBCDocument"/>
</entry>
</section>
</Composition>
</resource>
</entry>
<entry>
<fullUrl
value="https://fhir.example.nhs.uk/R4/DiagnosticReport/LaboratoryReportFBCDocument"/>
<resource>
<DiagnosticReport>
<id value="LaboratoryReportFBCDocument"/>
<meta>
<profile
value="https://examplesihe.org.uk/StructureDefinition/LaboratoryReport"/>
<profile
value="http://hl7.eu/fhir/laboratory/StructureDefinition/DiagnosticReport-eu-lab"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</text>
<extension
url="http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition">
<valueReference>
<reference value="Composition/CompositionFBC"/>
</valueReference>
</extension>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="FILL"/>
</coding>
</type>
<system value="https://fhir.mft.nhs.uk/Id/lims-order"/>
<value value="26H012345"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="R0A"/>
</identifier>
</assigner>
</identifier>
<basedOn>🔗
<reference value="ServiceRequest/LaboratoryOrderFBC"/>
</basedOn>
<status value="final"/>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0074"/>
<code value="HM"/>
<display value="Hematology"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="721981007"/>
<display value="Diagnostic studies report"/>
</coding>
<coding>
<system value="http://loinc.org"/>
<code value="11502-2"/>
<display value="Laboratory report"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/PatientOctaviaCHISLETT"/>
</subject>
<effectiveDateTime value="2026-11-03T09:15:00Z"/>
<issued value="2026-11-03T16:05:00Z"/>
<performer>🔗
<reference value="Organization/OrganizationMFT"/>
</performer>
<resultsInterpreter>🔗
<reference value="PractitionerRole/PractitionerRoleHaematologist"/>
</resultsInterpreter>
<specimen>🔗
<reference value="Specimen/SpecimenFBC"/>
</specimen>
<result>🔗
<reference value="Observation/ResultFBC"/>
</result>
<conclusion
value="Mild anaemia with low white cell count. Suggest repeat in 4 weeks."/>
</DiagnosticReport>
</resource>
</entry>
<entry>
<fullUrl
value="https://fhir.example.nhs.uk/R4/Patient/PatientOctaviaCHISLETT"/>
<resource>
<Patient>
<id value="PatientOctaviaCHISLETT"/>
<meta>
<profile
value="https://examplesihe.org.uk/StructureDefinition/Patient"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_PatientOctaviaCHISLETT"> </a><p class="res-header-id"><b>Generated Narrative: Patient PatientOctaviaCHISLETT</b></p><a name="PatientOctaviaCHISLETT"> </a><a name="hcPatientOctaviaCHISLETT"> </a><div style="display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Patient.html">Patient</a></p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Octavia CHISLETT Female, DoB: 2008-09-20 ( National Health Plan Identifier: NHS Number#9449305552)</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Other Id (see the one above)">Other Id:</td><td colspan="3">Medical record number/633</td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3">1 RAVENSFIELD GARDENS EPSOM KT19 0ST </td></tr></table></div>
</text>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="NH"/>
</coding>
</type>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9449305552"/>
</identifier>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MR"/>
</coding>
</type>
<system value="https://fhir.mft.nhs.uk/Id/mrn"/>
<value value="633"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="R0A"/>
</identifier>
</assigner>
</identifier>
<name>
<family value="CHISLETT"/>
<given value="Octavia"/>
<prefix value="Miss"/>
</name>
<gender value="female"/>
<birthDate value="2008-09-20"/>
<address>
<line value="1 RAVENSFIELD GARDENS"/>
<city value="EPSOM"/>
<district value="SURREY"/>
<postalCode value="KT19 0ST"/>
</address>
</Patient>
</resource>
</entry>
<entry>
<fullUrl
value="https://fhir.example.nhs.uk/R4/ServiceRequest/LaboratoryOrderFBC"/>
<resource>
<ServiceRequest>
<id value="LaboratoryOrderFBC"/>
<meta>
<profile
value="https://examplesihe.org.uk/StructureDefinition/LaboratoryOrder"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="ServiceRequest_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>
</div></blockquote></div>
</text>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PLAC"/>
</coding>
</type>
<system value="https://fhir.examplesurgery.nhs.uk/Id/order"/>
<value value="GP-ORD-000123"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="A12345"/>
</identifier>
</assigner>
</identifier>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="FILL"/>
</coding>
</type>
<system value="https://fhir.mft.nhs.uk/Id/lims-order"/>
<value value="26H012345"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="R0A"/>
</identifier>
</assigner>
</identifier>
<requisition>
<system value="https://fhir.examplesurgery.nhs.uk/Id/requisition"/>
<value value="GP-REQ-000045"/>
</requisition>
<status value="completed"/>
<intent value="order"/>
<priority value="routine"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1022441000000101"/>
<display value="FBC - full blood count"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/PatientOctaviaCHISLETT"/>
</subject>
<authoredOn value="2026-11-03T09:10:00Z"/>
<requester>🔗
<reference value="PractitionerRole/PractitionerRoleGP"/>
</requester>
<performer>🔗
<reference value="Organization/OrganizationMFT"/>
</performer>
<reasonCode>
<text value="Tiredness"/>
</reasonCode>
<specimen>🔗
<reference value="Specimen/SpecimenFBC"/>
</specimen>
<note>
<text value="Tired all the time for 3 months. ? anaemia"/>
</note>
</ServiceRequest>
</resource>
</entry>
<entry>
<fullUrl value="https://fhir.example.nhs.uk/R4/Specimen/SpecimenFBC"/>
<resource>
<Specimen>
<id value="SpecimenFBC"/>
<meta>
<profile
value="https://examplesihe.org.uk/StructureDefinition/Specimen"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PLAC"/>
</coding>
</type>
<system value="https://fhir.examplesurgery.nhs.uk/Id/specimen"/>
<value value="GP-SPC-000123"/>
</identifier>
<accessionIdentifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="ACSN"/>
</coding>
</type>
<system value="https://fhir.mft.nhs.uk/Id/lims-accession"/>
<value value="26H012345"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="R0A"/>
</identifier>
</assigner>
</accessionIdentifier>
<status value="available"/>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="119297000"/>
<display value="Blood specimen"/>
</coding>
</type>
<subject>🔗
<reference value="Patient/PatientOctaviaCHISLETT"/>
</subject>
<receivedTime value="2026-11-03T13:40:00Z"/>
<collection>
<collectedDateTime value="2026-11-03T09:15:00Z"/>
</collection>
</Specimen>
</resource>
</entry>
<entry>
<fullUrl value="https://fhir.example.nhs.uk/R4/Observation/ResultFBC"/>
<resource>
<Observation>
<id value="ResultFBC"/>
<meta>
<profile
value="https://examplesihe.org.uk/StructureDefinition/LaboratoryResult"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</text>
<basedOn>🔗
<reference value="ServiceRequest/LaboratoryOrderFBC"/>
</basedOn>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1022441000000101"/>
<display value="FBC - full blood count"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/PatientOctaviaCHISLETT"/>
</subject>
<effectiveDateTime value="2026-11-03T09:15:00Z"/>
<issued value="2026-11-03T16:05:00Z"/>
<performer>🔗
<reference value="Organization/OrganizationMFT"/>
</performer>
<specimen>🔗
<reference value="Specimen/SpecimenFBC"/>
</specimen>
<hasMember>🔗
<reference value="Observation/ResultFBCWhiteCellCount"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/ResultFBCHaemoglobin"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/ResultFBCPlateletCount"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/ResultFBCRedCellCount"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/ResultFBCHaematocrit"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/ResultFBCMeanCellVolume"/>
</hasMember>
<hasMember>🔗
<reference value="Observation/ResultFBCMeanCellHaemoglobin"/>
</hasMember>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="https://fhir.example.nhs.uk/R4/Observation/ResultFBCWhiteCellCount"/>
<resource>
<Observation>
<id value="ResultFBCWhiteCellCount"/>
<meta>
<profile
value="https://examplesihe.org.uk/StructureDefinition/LaboratoryResult"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</text>
<basedOn>🔗
<reference value="ServiceRequest/LaboratoryOrderFBC"/>
</basedOn>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1022541000000102"/>
<display value="Total white cell count"/>
</coding>
<coding>
<system value="http://loinc.org"/>
<code value="6690-2"/>
<display
value="Leukocytes [#/volume] in Blood by Automated count"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/PatientOctaviaCHISLETT"/>
</subject>
<effectiveDateTime value="2026-11-03T09:15:00Z"/>
<issued value="2026-11-03T16:05:00Z"/>
<performer>🔗
<reference value="Organization/OrganizationMFT"/>
</performer>
<valueQuantity>
<value value="3.5"/>
<unit value="10*9/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="10*9/L"/>
</valueQuantity>
<interpretation>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
<code value="L"/>
<display value="Low"/>
</coding>
</interpretation>
<specimen>🔗
<reference value="Specimen/SpecimenFBC"/>
</specimen>
<referenceRange>
<low>
<value value="4"/>
<unit value="10*9/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="10*9/L"/>
</low>
<high>
<value value="11"/>
<unit value="10*9/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="10*9/L"/>
</high>
</referenceRange>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="https://fhir.example.nhs.uk/R4/Observation/ResultFBCHaemoglobin"/>
<resource>
<Observation>
<id value="ResultFBCHaemoglobin"/>
<meta>
<profile
value="https://examplesihe.org.uk/StructureDefinition/LaboratoryResult"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</text>
<basedOn>🔗
<reference value="ServiceRequest/LaboratoryOrderFBC"/>
</basedOn>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1022431000000105"/>
<display value="Haemoglobin estimation"/>
</coding>
<coding>
<system value="http://loinc.org"/>
<code value="718-7"/>
<display value="Hemoglobin [Mass/volume] in Blood"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/PatientOctaviaCHISLETT"/>
</subject>
<effectiveDateTime value="2026-11-03T09:15:00Z"/>
<issued value="2026-11-03T16:05:00Z"/>
<performer>🔗
<reference value="Organization/OrganizationMFT"/>
</performer>
<valueQuantity>
<value value="112"/>
<unit value="g/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="g/L"/>
</valueQuantity>
<interpretation>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
<code value="L"/>
<display value="Low"/>
</coding>
</interpretation>
<specimen>🔗
<reference value="Specimen/SpecimenFBC"/>
</specimen>
<referenceRange>
<low>
<value value="115"/>
<unit value="g/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="g/L"/>
</low>
<high>
<value value="165"/>
<unit value="g/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="g/L"/>
</high>
</referenceRange>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="https://fhir.example.nhs.uk/R4/Observation/ResultFBCPlateletCount"/>
<resource>
<Observation>
<id value="ResultFBCPlateletCount"/>
<meta>
<profile
value="https://examplesihe.org.uk/StructureDefinition/LaboratoryResult"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</text>
<basedOn>🔗
<reference value="ServiceRequest/LaboratoryOrderFBC"/>
</basedOn>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1022651000000100"/>
<display value="Platelet count"/>
</coding>
<coding>
<system value="http://loinc.org"/>
<code value="777-3"/>
<display
value="Platelets [#/volume] in Blood by Automated count"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/PatientOctaviaCHISLETT"/>
</subject>
<effectiveDateTime value="2026-11-03T09:15:00Z"/>
<issued value="2026-11-03T16:05:00Z"/>
<performer>🔗
<reference value="Organization/OrganizationMFT"/>
</performer>
<valueQuantity>
<value value="250"/>
<unit value="10*9/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="10*9/L"/>
</valueQuantity>
<interpretation>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
<code value="N"/>
<display value="Normal"/>
</coding>
</interpretation>
<specimen>🔗
<reference value="Specimen/SpecimenFBC"/>
</specimen>
<referenceRange>
<low>
<value value="150"/>
<unit value="10*9/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="10*9/L"/>
</low>
<high>
<value value="400"/>
<unit value="10*9/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="10*9/L"/>
</high>
</referenceRange>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="https://fhir.example.nhs.uk/R4/Observation/ResultFBCRedCellCount"/>
<resource>
<Observation>
<id value="ResultFBCRedCellCount"/>
<meta>
<profile
value="https://examplesihe.org.uk/StructureDefinition/LaboratoryResult"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</text>
<basedOn>🔗
<reference value="ServiceRequest/LaboratoryOrderFBC"/>
</basedOn>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1022451000000103"/>
<display value="Red blood cell count"/>
</coding>
<coding>
<system value="http://loinc.org"/>
<code value="789-8"/>
<display
value="Erythrocytes [#/volume] in Blood by Automated count"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/PatientOctaviaCHISLETT"/>
</subject>
<effectiveDateTime value="2026-11-03T09:15:00Z"/>
<issued value="2026-11-03T16:05:00Z"/>
<performer>🔗
<reference value="Organization/OrganizationMFT"/>
</performer>
<valueQuantity>
<value value="4.2"/>
<unit value="10*12/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="10*12/L"/>
</valueQuantity>
<interpretation>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
<code value="N"/>
<display value="Normal"/>
</coding>
</interpretation>
<specimen>🔗
<reference value="Specimen/SpecimenFBC"/>
</specimen>
<referenceRange>
<low>
<value value="3.8"/>
<unit value="10*12/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="10*12/L"/>
</low>
<high>
<value value="5.8"/>
<unit value="10*12/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="10*12/L"/>
</high>
</referenceRange>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="https://fhir.example.nhs.uk/R4/Observation/ResultFBCHaematocrit"/>
<resource>
<Observation>
<id value="ResultFBCHaematocrit"/>
<meta>
<profile
value="https://examplesihe.org.uk/StructureDefinition/LaboratoryResult"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</text>
<basedOn>🔗
<reference value="ServiceRequest/LaboratoryOrderFBC"/>
</basedOn>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1022291000000105"/>
<display value="Haematocrit"/>
</coding>
<coding>
<system value="http://loinc.org"/>
<code value="4544-3"/>
<display
value="Hematocrit [Volume Fraction] of Blood by Automated count"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/PatientOctaviaCHISLETT"/>
</subject>
<effectiveDateTime value="2026-11-03T09:15:00Z"/>
<issued value="2026-11-03T16:05:00Z"/>
<performer>🔗
<reference value="Organization/OrganizationMFT"/>
</performer>
<valueQuantity>
<value value="0.38"/>
<unit value="L/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="L/L"/>
</valueQuantity>
<interpretation>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
<code value="N"/>
<display value="Normal"/>
</coding>
</interpretation>
<specimen>🔗
<reference value="Specimen/SpecimenFBC"/>
</specimen>
<referenceRange>
<low>
<value value="0.37"/>
<unit value="L/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="L/L"/>
</low>
<high>
<value value="0.47"/>
<unit value="L/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="L/L"/>
</high>
</referenceRange>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="https://fhir.example.nhs.uk/R4/Observation/ResultFBCMeanCellVolume"/>
<resource>
<Observation>
<id value="ResultFBCMeanCellVolume"/>
<meta>
<profile
value="https://examplesihe.org.uk/StructureDefinition/LaboratoryResult"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</text>
<basedOn>🔗
<reference value="ServiceRequest/LaboratoryOrderFBC"/>
</basedOn>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1022491000000106"/>
<display value="Mean cell volume"/>
</coding>
<coding>
<system value="http://loinc.org"/>
<code value="787-2"/>
<display
value="MCV [Entitic mean volume] in Red Blood Cells by Automated count"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/PatientOctaviaCHISLETT"/>
</subject>
<effectiveDateTime value="2026-11-03T09:15:00Z"/>
<issued value="2026-11-03T16:05:00Z"/>
<performer>🔗
<reference value="Organization/OrganizationMFT"/>
</performer>
<valueQuantity>
<value value="88"/>
<unit value="fL"/>
<system value="http://unitsofmeasure.org"/>
<code value="fL"/>
</valueQuantity>
<interpretation>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
<code value="N"/>
<display value="Normal"/>
</coding>
</interpretation>
<specimen>🔗
<reference value="Specimen/SpecimenFBC"/>
</specimen>
<referenceRange>
<low>
<value value="80"/>
<unit value="fL"/>
<system value="http://unitsofmeasure.org"/>
<code value="fL"/>
</low>
<high>
<value value="100"/>
<unit value="fL"/>
<system value="http://unitsofmeasure.org"/>
<code value="fL"/>
</high>
</referenceRange>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="https://fhir.example.nhs.uk/R4/Observation/ResultFBCMeanCellHaemoglobin"/>
<resource>
<Observation>
<id value="ResultFBCMeanCellHaemoglobin"/>
<meta>
<profile
value="https://examplesihe.org.uk/StructureDefinition/LaboratoryResult"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</text>
<basedOn>🔗
<reference value="ServiceRequest/LaboratoryOrderFBC"/>
</basedOn>
<status value="final"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1022471000000107"/>
<display value="Mean cell haemoglobin"/>
</coding>
<coding>
<system value="http://loinc.org"/>
<code value="785-6"/>
<display value="MCH [Entitic mass] by Automated count"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/PatientOctaviaCHISLETT"/>
</subject>
<effectiveDateTime value="2026-11-03T09:15:00Z"/>
<issued value="2026-11-03T16:05:00Z"/>
<performer>🔗
<reference value="Organization/OrganizationMFT"/>
</performer>
<valueQuantity>
<value value="29"/>
<unit value="pg"/>
<system value="http://unitsofmeasure.org"/>
<code value="pg"/>
</valueQuantity>
<interpretation>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
<code value="N"/>
<display value="Normal"/>
</coding>
</interpretation>
<specimen>🔗
<reference value="Specimen/SpecimenFBC"/>
</specimen>
<referenceRange>
<low>
<value value="27"/>
<unit value="pg"/>
<system value="http://unitsofmeasure.org"/>
<code value="pg"/>
</low>
<high>
<value value="33"/>
<unit value="pg"/>
<system value="http://unitsofmeasure.org"/>
<code value="pg"/>
</high>
</referenceRange>
</Observation>
</resource>
</entry>
<entry>
<fullUrl
value="https://fhir.example.nhs.uk/R4/PractitionerRole/PractitionerRoleGP"/>
<resource>
<PractitionerRole>
<id value="PractitionerRoleGP"/>
<meta>
<profile
value="https://examplesihe.org.uk/StructureDefinition/PractitionerRole"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="PractitionerRole_PractitionerRoleGP"> </a><p class="res-header-id"><b>Generated Narrative: PractitionerRole PractitionerRoleGP</b></p><a name="PractitionerRoleGP"> </a><a name="hcPractitionerRoleGP"> </a><div style="display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-PractitionerRole.html">PractitionerRole</a></p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Alex GREEN (https://fhir.hl7.org.uk/Id/gmp-number#GMP Number#G1234567) at Example Surgery (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#A12345)</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="The practitioner who is able to provide the services in this role">Practitioner:</td><td colspan="3"><a href="Practitioner-PractitionerGP.html">Alex GREEN (https://fhir.hl7.org.uk/Id/gmp-number#GMP Number#G1234567)</a></td></tr><tr><td style="background-color: #f3f5da" title="The organization where the practitioner performs the roles">Organization:</td><td colspan="3"><a href="Organization-OrganizationExampleSurgery.html">Example Surgery (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#A12345)</a></td></tr></table></div>
</text>
<practitioner>🔗
<reference value="Practitioner/PractitionerGP"/>
</practitioner>
<organization>🔗
<reference value="Organization/OrganizationExampleSurgery"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="A12345"/>
</identifier>
</organization>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl
value="https://fhir.example.nhs.uk/R4/PractitionerRole/PractitionerRoleHaematologist"/>
<resource>
<PractitionerRole>
<id value="PractitionerRoleHaematologist"/>
<meta>
<profile
value="https://examplesihe.org.uk/StructureDefinition/PractitionerRole"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="PractitionerRole_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>
</text>
<practitioner>🔗
<reference value="Practitioner/PractitionerHaematologist"/>
</practitioner>
<organization>🔗
<reference value="Organization/OrganizationMFT"/>
</organization>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl
value="https://fhir.example.nhs.uk/R4/Practitioner/PractitionerGP"/>
<resource>
<Practitioner>
<id value="PractitionerGP"/>
<meta>
<profile
value="https://examplesihe.org.uk/StructureDefinition/Practitioner"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_PractitionerGP"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner PractitionerGP</b></p><a name="PractitionerGP"> </a><a name="hcPractitionerGP"> </a><div style="display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Practitioner.html">Practitioner</a></p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Alex GREEN (https://fhir.hl7.org.uk/Id/gmp-number#GMP Number#G1234567)</p><hr/></div>
</text>
<identifier>
<system value="https://fhir.hl7.org.uk/Id/gmp-number"/>
<value value="G1234567"/>
</identifier>
<name>
<family value="GREEN"/>
<given value="Alex"/>
<prefix value="Dr"/>
</name>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl
value="https://fhir.example.nhs.uk/R4/Practitioner/PractitionerHaematologist"/>
<resource>
<Practitioner>
<id value="PractitionerHaematologist"/>
<meta>
<profile
value="https://examplesihe.org.uk/StructureDefinition/Practitioner"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_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>
</text>
<identifier>
<system value="https://fhir.hl7.org.uk/Id/gmc-number"/>
<value value="7654321"/>
</identifier>
<name>
<family value="HUGHES"/>
<given value="Sam"/>
<prefix value="Dr"/>
</name>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl
value="https://fhir.example.nhs.uk/R4/Organization/OrganizationExampleSurgery"/>
<resource>
<Organization>
<id value="OrganizationExampleSurgery"/>
<meta>
<profile
value="https://examplesihe.org.uk/StructureDefinition/Organization"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_OrganizationExampleSurgery"> </a><p class="res-header-id"><b>Generated Narrative: Organization OrganizationExampleSurgery</b></p><a name="OrganizationExampleSurgery"> </a><a name="hcOrganizationExampleSurgery"> </a><div style="display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Organization.html">Organization</a></p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Example Surgery (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#A12345)</p><hr/></div>
</text>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="A12345"/>
</identifier>
<name value="Example Surgery"/>
</Organization>
</resource>
</entry>
<entry>
<fullUrl
value="https://fhir.example.nhs.uk/R4/Organization/OrganizationMFT"/>
<resource>
<Organization>
<id value="OrganizationMFT"/>
<meta>
<profile
value="https://examplesihe.org.uk/StructureDefinition/Organization"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_OrganizationMFT"> </a><p class="res-header-id"><b>Generated Narrative: Organization OrganizationMFT</b></p><a name="OrganizationMFT"> </a><a name="hcOrganizationMFT"> </a><div style="display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Organization.html">Organization</a></p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Manchester University NHS Foundation Trust (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#R0A)</p><hr/></div>
</text>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="R0A"/>
</identifier>
<name value="Manchester University NHS Foundation Trust"/>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="https://fhir.example.nhs.uk/R4/Provenance/ProvenanceFBC"/>
<resource>
<Provenance>
<id value="ProvenanceFBC"/>
<language value="en"/>
<text>
<status value="additional"/>
<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>
</text>
<target>
<reference value="Composition/CompositionFBC"/>
</target>
<recorded value="2026-11-03T16:05:30Z"/>
<activity>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/iso-21089-lifecycle"/>
<code value="transform"/>
<display value="Transform/Translate Record Lifecycle Event"/>
</coding>
</activity>
<agent>
<who>
<identifier>
<system
value="https://api.service.nhs.uk/pathology-laboratory-reporting/test-reporting-system"/>
<value value="P.GH7-4TY"/>
</identifier>
</who>
</agent>
</Provenance>
</resource>
</entry>
</Bundle>