<?xml version="1.0" encoding="UTF-8"?>

<Bundle xmlns="http://hl7.org/fhir">
  <id value="LaboratoryResultMessage"/>
  <meta>
    <profile value="https://examplesihe.org.uk/StructureDefinition/BundleMessage"/>
  </meta>
  <language value="en"/>
  <identifier>
    <system value="https://fhir.mft.nhs.uk/Id/message"/>
    <value value="LIMS-MSG-000987"/>
  </identifier>
  <type value="message"/>
  <timestamp value="2026-11-03T16:05:30Z"/>
  <entry>
    <fullUrl value="https://fhir.example.nhs.uk/R4/MessageHeader/LaboratoryResultMessageHeader"/>
    <resource>
      <MessageHeader>
        <id value="LaboratoryResultMessageHeader"/>
        <meta>
          <lastUpdated value="2026-11-03T16:05:30Z"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="MessageHeader_LaboratoryResultMessageHeader"> </a><p class="res-header-id"><b>Generated Narrative: MessageHeader LaboratoryResultMessageHeader</b></p><a name="LaboratoryResultMessageHeader"> </a><a name="hcLaboratoryResultMessageHeader"> </a><div style="display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Last updated: 2026-11-03 16:05:30+0000</p></div><p><b>event</b>: <a href="http://terminology.hl7.org/7.5.0/CodeSystem-v2-0003.html#v2-0003-R01">event: R01</a> (ORU/ACK - Unsolicited transmission of an observation message)</p><h3>Destinations</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Name</b></td><td><b>Endpoint</b></td><td><b>Receiver</b></td></tr><tr><td style="display: none">*</td><td>GPSYSTEM</td><td><a href="https://gp.example.nhs.uk/R4/$process-message">https://gp.example.nhs.uk/R4/$process-message</a></td><td>Identifier: <a href="NamingSystem-ods-organization-code-namingsystem.html" title="The identifier system for an Organisation registered with the Organisation Data Service (ODS).">ODS Organisation Code</a>/A12345</td></tr></table><p><b>sender</b>: Identifier: <a href="NamingSystem-ods-organization-code-namingsystem.html" title="The identifier system for an Organisation registered with the Organisation Data Service (ODS).">ODS Organisation Code</a>/R0A</p><h3>Sources</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Name</b></td><td><b>Endpoint</b></td></tr><tr><td style="display: none">*</td><td>LIMS</td><td><a href="https://lims.example.nhs.uk/R4">https://lims.example.nhs.uk/R4</a></td></tr></table><p><b>focus</b>: <a href="DiagnosticReport-LaboratoryReportFBC.html">Diagnostic Report for 'Diagnostic studies report' for '-&gt;Octavia CHISLETT  Female, DoB: 2008-09-20 ( National Health Plan Identifier: NHS Number#9449305552)'</a></p><p><b>definition</b>: <a href="MessageDefinition-laboratory-result.html">Laboratory Result (R01)</a></p></div>
        </text>
        <eventCoding>
          <system value="http://terminology.hl7.org/CodeSystem/v2-0003"/>
          <code value="R01"/>
          <display value="ORU/ACK - Unsolicited transmission of an observation message"/>
        </eventCoding>
        <destination>
          <name value="GPSYSTEM"/>
          <endpoint value="https://gp.example.nhs.uk/R4/$process-message"/>
          <receiver>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="A12345"/>
            </identifier>
          </receiver>
        </destination>
        <sender>
          <identifier>
            <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
            <value value="R0A"/>
          </identifier>
        </sender>
        <source>
          <name value="LIMS"/>
          <endpoint value="https://lims.example.nhs.uk/R4"/>
        </source>
        <focus>
          <reference value="DiagnosticReport/LaboratoryReportFBC"/>
        </focus>
        <definition value="https://examplesihe.org.uk/MessageDefinition/laboratory-result"/>
      </MessageHeader>
    </resource>
  </entry>
  <entry>
    <fullUrl value="https://fhir.example.nhs.uk/R4/DiagnosticReport/LaboratoryReportFBC"/>
    <resource>
      <DiagnosticReport>
        <id value="LaboratoryReportFBC"/>
        <meta>
          <profile value="https://examplesihe.org.uk/StructureDefinition/LaboratoryReport"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="DiagnosticReport_LaboratoryReportFBC"> </a><p class="res-header-id"><b>Generated Narrative: DiagnosticReport LaboratoryReportFBC</b></p><a name="LaboratoryReportFBC"> </a><a name="hcLaboratoryReportFBC"> </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-LaboratoryReport.html">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>
        <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/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/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/Patient/PatientOctaviaCHISLETT"/>
    <resource>
      <Patient>
        <id value="PatientOctaviaCHISLETT"/>
        <meta>
          <profile value="https://examplesihe.org.uk/StructureDefinition/Patient"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_PatientOctaviaCHISLETT"> </a><p class="res-header-id"><b>Generated Narrative: Patient PatientOctaviaCHISLETT</b></p><a name="PatientOctaviaCHISLETT"> </a><a name="hcPatientOctaviaCHISLETT"> </a><div style="display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Patient.html">Patient</a></p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Octavia CHISLETT  Female, DoB: 2008-09-20 ( National Health Plan Identifier: NHS Number#9449305552)</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Other Id (see the one above)">Other Id:</td><td colspan="3">Medical record number/633</td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3">1 RAVENSFIELD GARDENS EPSOM KT19 0ST </td></tr></table></div>
        </text>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="NH"/>
            </coding>
          </type>
          <system value="https://fhir.nhs.uk/Id/nhs-number"/>
          <value value="9449305552"/>
        </identifier>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="MR"/>
            </coding>
          </type>
          <system value="https://fhir.mft.nhs.uk/Id/mrn"/>
          <value value="633"/>
          <assigner>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="R0A"/>
            </identifier>
          </assigner>
        </identifier>
        <name>
          <family value="CHISLETT"/>
          <given value="Octavia"/>
          <prefix value="Miss"/>
        </name>
        <gender value="female"/>
        <birthDate value="2008-09-20"/>
        <address>
          <line value="1 RAVENSFIELD GARDENS"/>
          <city value="EPSOM"/>
          <district value="SURREY"/>
          <postalCode value="KT19 0ST"/>
        </address>
      </Patient>
    </resource>
  </entry>
  <entry>
    <fullUrl value="https://fhir.example.nhs.uk/R4/PractitionerRole/PractitionerRoleGP"/>
    <resource>
      <PractitionerRole>
        <id value="PractitionerRoleGP"/>
        <meta>
          <profile value="https://examplesihe.org.uk/StructureDefinition/PractitionerRole"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="PractitionerRole_PractitionerRoleGP"> </a><p class="res-header-id"><b>Generated Narrative: PractitionerRole PractitionerRoleGP</b></p><a name="PractitionerRoleGP"> </a><a name="hcPractitionerRoleGP"> </a><div style="display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-PractitionerRole.html">PractitionerRole</a></p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Alex GREEN (https://fhir.hl7.org.uk/Id/gmp-number#GMP Number#G1234567) at Example Surgery (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#A12345)</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="The practitioner who is able to provide the services in this role">Practitioner:</td><td colspan="3"><a href="Practitioner-PractitionerGP.html">Alex GREEN (https://fhir.hl7.org.uk/Id/gmp-number#GMP Number#G1234567)</a></td></tr><tr><td style="background-color: #f3f5da" title="The organization where the practitioner performs the roles">Organization:</td><td colspan="3"><a href="Organization-OrganizationExampleSurgery.html">Example Surgery (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#A12345)</a></td></tr></table></div>
        </text>
        <practitioner>
          <reference value="Practitioner/PractitionerGP"/>
        </practitioner>
        <organization>
          <reference value="Organization/OrganizationExampleSurgery"/>
          <identifier>
            <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
            <value value="A12345"/>
          </identifier>
        </organization>
      </PractitionerRole>
    </resource>
  </entry>
  <entry>
    <fullUrl value="https://fhir.example.nhs.uk/R4/Practitioner/PractitionerGP"/>
    <resource>
      <Practitioner>
        <id value="PractitionerGP"/>
        <meta>
          <profile value="https://examplesihe.org.uk/StructureDefinition/Practitioner"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_PractitionerGP"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner PractitionerGP</b></p><a name="PractitionerGP"> </a><a name="hcPractitionerGP"> </a><div style="display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-Practitioner.html">Practitioner</a></p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Alex GREEN (https://fhir.hl7.org.uk/Id/gmp-number#GMP Number#G1234567)</p><hr/></div>
        </text>
        <identifier>
          <system value="https://fhir.hl7.org.uk/Id/gmp-number"/>
          <value value="G1234567"/>
        </identifier>
        <name>
          <family value="GREEN"/>
          <given value="Alex"/>
          <prefix value="Dr"/>
        </name>
      </Practitioner>
    </resource>
  </entry>
  <entry>
    <fullUrl value="https://fhir.example.nhs.uk/R4/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/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>
</Bundle>