England Pathology and Laboratory Medicine (PaLM) Technical Framework
0.1.0 - ci-build United Kingdom flag

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

Example Bundle: Bundle Message - Laboratory Result (R01) [LAB-3]

Language: en

Profile: Bundle - FHIR Messaging

Bundle LaboratoryResultMessage of type message

Entry 1 - fullUrl = https://fhir.example.nhs.uk/R4/MessageHeader/LaboratoryResultMessageHeader

Resource MessageHeader:

Last updated: 2026-11-03 16:05:30+0000; Language: en

event: event: R01 (ORU/ACK - Unsolicited transmission of an observation message)

Destinations

-NameReceiver
*GPSYSTEMIdentifier: ODS Organisation Code/A12345

Sources

-Name
*LIMS

focus: Diagnostic Report for 'Diagnostic studies report' for '->Octavia CHISLETT Female, DoB: 2008-09-20 ( National Health Plan Identifier: NHS Number#9449305552)'

definition: Laboratory Result (R01)

Entry 2 - fullUrl = https://fhir.example.nhs.uk/R4/DiagnosticReport/LaboratoryReportFBC

Resource DiagnosticReport:

Language: en

Profile: Laboratory Report

Diagnostic studies report (Hematology)

SubjectOctavia CHISLETT Female, DoB: 2008-09-20 ( National Health Plan Identifier: NHS Number#9449305552)
Relevant Time2026-11-03 09:15:00+0000
Reported2026-11-03 16:05:00+0000
Performer Manchester University NHS Foundation Trust (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#R0A)
Identifier Filler Identifier/26H012345

Report Details

CodeValueFlags
FBC - full blood countFinal

Mild anaemia with low white cell count. Suggest repeat in 4 weeks.

Entry 3 - fullUrl = https://fhir.example.nhs.uk/R4/Observation/ResultFBC

Resource Observation:

Language: en

Profile: Laboratory Result

basedOn: ServiceRequest FBC - full blood count

status: Final

category: Laboratory

code: FBC - full blood count

subject: Octavia CHISLETT Female, DoB: 2008-09-20 ( National Health Plan Identifier: NHS Number#9449305552)

effective: 2026-11-03 09:15:00+0000

issued: 2026-11-03 16:05:00+0000

performer: Manchester University NHS Foundation Trust (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#R0A)

specimen: Specimen: identifier = Placer Identifier: GP-SPC-000123; accessionIdentifier = Accession ID: 26H012345; status = available; type = Blood specimen; receivedTime = 2026-11-03 13:40:00+0000

hasMember:

Entry 4 - fullUrl = https://fhir.example.nhs.uk/R4/Observation/ResultFBCWhiteCellCount

Resource Observation:

Language: en

Profile: Laboratory Result

basedOn: ServiceRequest FBC - full blood count

status: Final

category: Laboratory

code: Total white cell count

subject: Octavia CHISLETT Female, DoB: 2008-09-20 ( National Health Plan Identifier: NHS Number#9449305552)

effective: 2026-11-03 09:15:00+0000

issued: 2026-11-03 16:05:00+0000

performer: Manchester University NHS Foundation Trust (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#R0A)

value: 3.5 10*9/L (Details: UCUM code10*9/L = '10*9/L')

interpretation: Low

specimen: Specimen: identifier = Placer Identifier: GP-SPC-000123; accessionIdentifier = Accession ID: 26H012345; status = available; type = Blood specimen; receivedTime = 2026-11-03 13:40:00+0000

ReferenceRanges

-LowHigh
*4 10*9/L (Details: UCUM code10*9/L = '10*9/L')11 10*9/L (Details: UCUM code10*9/L = '10*9/L')

Entry 5 - fullUrl = https://fhir.example.nhs.uk/R4/Observation/ResultFBCHaemoglobin

Resource Observation:

Language: en

Profile: Laboratory Result

basedOn: ServiceRequest FBC - full blood count

status: Final

category: Laboratory

code: Haemoglobin estimation

subject: Octavia CHISLETT Female, DoB: 2008-09-20 ( National Health Plan Identifier: NHS Number#9449305552)

effective: 2026-11-03 09:15:00+0000

issued: 2026-11-03 16:05:00+0000

performer: Manchester University NHS Foundation Trust (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#R0A)

value: 112 g/L (Details: UCUM codeg/L = 'g/L')

interpretation: Low

specimen: Specimen: identifier = Placer Identifier: GP-SPC-000123; accessionIdentifier = Accession ID: 26H012345; status = available; type = Blood specimen; receivedTime = 2026-11-03 13:40:00+0000

ReferenceRanges

-LowHigh
*115 g/L (Details: UCUM codeg/L = 'g/L')165 g/L (Details: UCUM codeg/L = 'g/L')

Entry 6 - fullUrl = https://fhir.example.nhs.uk/R4/Observation/ResultFBCPlateletCount

Resource Observation:

Language: en

Profile: Laboratory Result

basedOn: ServiceRequest FBC - full blood count

status: Final

category: Laboratory

code: Platelet count

subject: Octavia CHISLETT Female, DoB: 2008-09-20 ( National Health Plan Identifier: NHS Number#9449305552)

effective: 2026-11-03 09:15:00+0000

issued: 2026-11-03 16:05:00+0000

performer: Manchester University NHS Foundation Trust (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#R0A)

value: 250 10*9/L (Details: UCUM code10*9/L = '10*9/L')

interpretation: Normal

specimen: Specimen: identifier = Placer Identifier: GP-SPC-000123; accessionIdentifier = Accession ID: 26H012345; status = available; type = Blood specimen; receivedTime = 2026-11-03 13:40:00+0000

ReferenceRanges

-LowHigh
*150 10*9/L (Details: UCUM code10*9/L = '10*9/L')400 10*9/L (Details: UCUM code10*9/L = '10*9/L')

Entry 7 - fullUrl = https://fhir.example.nhs.uk/R4/Observation/ResultFBCRedCellCount

Resource Observation:

Language: en

Profile: Laboratory Result

basedOn: ServiceRequest FBC - full blood count

status: Final

category: Laboratory

code: Red blood cell count

subject: Octavia CHISLETT Female, DoB: 2008-09-20 ( National Health Plan Identifier: NHS Number#9449305552)

effective: 2026-11-03 09:15:00+0000

issued: 2026-11-03 16:05:00+0000

performer: Manchester University NHS Foundation Trust (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#R0A)

value: 4.2 10*12/L (Details: UCUM code10*12/L = '10*12/L')

interpretation: Normal

specimen: Specimen: identifier = Placer Identifier: GP-SPC-000123; accessionIdentifier = Accession ID: 26H012345; status = available; type = Blood specimen; receivedTime = 2026-11-03 13:40:00+0000

ReferenceRanges

-LowHigh
*3.8 10*12/L (Details: UCUM code10*12/L = '10*12/L')5.8 10*12/L (Details: UCUM code10*12/L = '10*12/L')

Entry 8 - fullUrl = https://fhir.example.nhs.uk/R4/Observation/ResultFBCHaematocrit

Resource Observation:

Language: en

Profile: Laboratory Result

basedOn: ServiceRequest FBC - full blood count

status: Final

category: Laboratory

code: Haematocrit

subject: Octavia CHISLETT Female, DoB: 2008-09-20 ( National Health Plan Identifier: NHS Number#9449305552)

effective: 2026-11-03 09:15:00+0000

issued: 2026-11-03 16:05:00+0000

performer: Manchester University NHS Foundation Trust (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#R0A)

value: 0.38 L/L (Details: UCUM codeL/L = 'L/L')

interpretation: Normal

specimen: Specimen: identifier = Placer Identifier: GP-SPC-000123; accessionIdentifier = Accession ID: 26H012345; status = available; type = Blood specimen; receivedTime = 2026-11-03 13:40:00+0000

ReferenceRanges

-LowHigh
*0.37 L/L (Details: UCUM codeL/L = 'L/L')0.47 L/L (Details: UCUM codeL/L = 'L/L')

Entry 9 - fullUrl = https://fhir.example.nhs.uk/R4/Observation/ResultFBCMeanCellVolume

Resource Observation:

Language: en

Profile: Laboratory Result

basedOn: ServiceRequest FBC - full blood count

status: Final

category: Laboratory

code: Mean cell volume

subject: Octavia CHISLETT Female, DoB: 2008-09-20 ( National Health Plan Identifier: NHS Number#9449305552)

effective: 2026-11-03 09:15:00+0000

issued: 2026-11-03 16:05:00+0000

performer: Manchester University NHS Foundation Trust (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#R0A)

value: 88 fL (Details: UCUM codefL = 'fL')

interpretation: Normal

specimen: Specimen: identifier = Placer Identifier: GP-SPC-000123; accessionIdentifier = Accession ID: 26H012345; status = available; type = Blood specimen; receivedTime = 2026-11-03 13:40:00+0000

ReferenceRanges

-LowHigh
*80 fL (Details: UCUM codefL = 'fL')100 fL (Details: UCUM codefL = 'fL')

Entry 10 - fullUrl = https://fhir.example.nhs.uk/R4/Observation/ResultFBCMeanCellHaemoglobin

Resource Observation:

Language: en

Profile: Laboratory Result

basedOn: ServiceRequest FBC - full blood count

status: Final

category: Laboratory

code: Mean cell haemoglobin

subject: Octavia CHISLETT Female, DoB: 2008-09-20 ( National Health Plan Identifier: NHS Number#9449305552)

effective: 2026-11-03 09:15:00+0000

issued: 2026-11-03 16:05:00+0000

performer: Manchester University NHS Foundation Trust (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#R0A)

value: 29 pg (Details: UCUM codepg = 'pg')

interpretation: Normal

specimen: Specimen: identifier = Placer Identifier: GP-SPC-000123; accessionIdentifier = Accession ID: 26H012345; status = available; type = Blood specimen; receivedTime = 2026-11-03 13:40:00+0000

ReferenceRanges

-LowHigh
*27 pg (Details: UCUM codepg = 'pg')33 pg (Details: UCUM codepg = 'pg')

Entry 11 - fullUrl = https://fhir.example.nhs.uk/R4/ServiceRequest/LaboratoryOrderFBC

Resource ServiceRequest:

Language: en

Profile: Laboratory Order

identifier: Placer Identifier/GP-ORD-000123, Filler Identifier/26H012345

requisition: https://fhir.examplesurgery.nhs.uk/Id/requisition/GP-REQ-000045

status: Completed

intent: Order

priority: Routine

code: No display for ServiceRequest.code (concept: FBC - full blood count)

subject: Octavia CHISLETT Female, DoB: 2008-09-20 ( National Health Plan Identifier: NHS Number#9449305552)

authoredOn: 2026-11-03 09:10:00+0000

requester: 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)

performer: Manchester University NHS Foundation Trust (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#R0A)

note:

Tired all the time for 3 months. ? anaemia

Entry 12 - fullUrl = https://fhir.example.nhs.uk/R4/Specimen/SpecimenFBC

Resource Specimen:

Language: en

Profile: Specimen

identifier: Placer Identifier/GP-SPC-000123

status: Available

type: Blood specimen

subject: Octavia CHISLETT Female, DoB: 2008-09-20 ( National Health Plan Identifier: NHS Number#9449305552)

receivedTime: 2026-11-03 13:40:00+0000

Collections

-Collected[x]
*2026-11-03 09:15:00+0000

Entry 13 - fullUrl = https://fhir.example.nhs.uk/R4/Patient/PatientOctaviaCHISLETT

Resource Patient:

Language: en

Profile: Patient

Octavia CHISLETT Female, DoB: 2008-09-20 ( National Health Plan Identifier: NHS Number#9449305552)

Other Id:Medical record number/633
Contact Detail1 RAVENSFIELD GARDENS EPSOM KT19 0ST

Entry 14 - fullUrl = https://fhir.example.nhs.uk/R4/PractitionerRole/PractitionerRoleGP

Resource PractitionerRole:

Language: en

Profile: PractitionerRole

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)

Practitioner:Alex GREEN (https://fhir.hl7.org.uk/Id/gmp-number#GMP Number#G1234567)
Organization:Example Surgery (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#A12345)

Entry 15 - fullUrl = https://fhir.example.nhs.uk/R4/Practitioner/PractitionerGP

Resource Practitioner:

Language: en

Profile: Practitioner

Alex GREEN (https://fhir.hl7.org.uk/Id/gmp-number#GMP Number#G1234567)

Entry 16 - fullUrl = https://fhir.example.nhs.uk/R4/PractitionerRole/PractitionerRoleHaematologist

Resource PractitionerRole:

Language: en

Profile: PractitionerRole

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)

Practitioner:Sam HUGHES (https://fhir.hl7.org.uk/Id/gmc-number#GMC Number#7654321)
Organization:Manchester University NHS Foundation Trust (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#R0A)

Entry 17 - fullUrl = https://fhir.example.nhs.uk/R4/Practitioner/PractitionerHaematologist

Resource Practitioner:

Language: en

Profile: Practitioner

Sam HUGHES (https://fhir.hl7.org.uk/Id/gmc-number#GMC Number#7654321)

Entry 18 - fullUrl = https://fhir.example.nhs.uk/R4/Organization/OrganizationExampleSurgery

Resource Organization:

Language: en

Profile: Organization

Example Surgery (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#A12345)

Entry 19 - fullUrl = https://fhir.example.nhs.uk/R4/Organization/OrganizationMFT

Resource Organization:

Language: en

Profile: Organization

Manchester University NHS Foundation Trust (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#R0A)