England Pathology and Laboratory Medicine (PaLM) Technical Framework
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: Message - CRP-Report-Example

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="Message-CRP-Report-Example"/>
  <meta>
    <profile
             value="https://examplesihe.org.uk/StructureDefinition/BundleMessage"/>
  </meta>
  <language value="en"/>
  <identifier>
    <value value="NHSE-EX-0002"/>
  </identifier>
  <type value="message"/>
  <timestamp value="2022-03-08T12:09:00+00:00"/>
  <entry>
    <fullUrl value="urn:uuid:3a88677e-14b3-5361-a8ef-79d4fd6f5271"/>
    <resource>
      <MessageHeader>
        <id value="3a88677e-14b3-5361-a8ef-79d4fd6f5271"/>
        <meta>
          <lastUpdated value="2022-03-08T12:09:00+00:00"/>
          <profile
                   value="https://examplesihe.org.uk/StructureDefinition/MessageHeader"/>
        </meta>
        <language value="en"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="MessageHeader_3a88677e-14b3-5361-a8ef-79d4fd6f5271"> </a><p class="res-header-id"><b>Generated Narrative: MessageHeader 3a88677e-14b3-5361-a8ef-79d4fd6f5271</b></p><a name="3a88677e-14b3-5361-a8ef-79d4fd6f5271"> </a><a name="hc3a88677e-14b3-5361-a8ef-79d4fd6f5271"> </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: 2022-03-08 12:09:00+0000</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-MessageHeader.html">Document Message (MessageHeader)</a></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>urn:hl7-v2:GPSYSTEM</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>/B82033</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>/Y8J7D</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>urn:hl7-v2:LIMS</td></tr></table><p><b>focus</b>: <a href="Bundle-Document-CRP-Report-Example.html#urn-uuid-ca9ac56e-7305-5f9f-9e3e-01fd746b0384">Diagnostic Report for 'Diagnostic studies report' for '-&gt;ONE John EDITESTPATIENT  Male, DoB: 1925-01-27 ( Medical record number: RCB4719263)'</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="urn:hl7-v2:GPSYSTEM"/>
          <receiver>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="B82033"/>
            </identifier>
          </receiver>
        </destination>
        <sender>
          <identifier>
            <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
            <value value="Y8J7D"/>
          </identifier>
        </sender>
        <source>
          <name value="LIMS"/>
          <endpoint value="urn:hl7-v2:LIMS"/>
        </source>
        <focus>
          <reference value="urn:uuid:ca9ac56e-7305-5f9f-9e3e-01fd746b0384"/>
        </focus>
        <definition
                    value="https://examplesihe.org.uk/MessageDefinition/laboratory-result"/>
      </MessageHeader>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5"/>
    <resource>
      <Patient>
        <id value="bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5"/>
        <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_bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5"> </a><p class="res-header-id"><b>Generated Narrative: Patient bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5</b></p><a name="bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5"> </a><a name="hcbfe333d7-2a8c-5dae-a44a-5d3b120d2ef5"> </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;">ONE John EDITESTPATIENT  Male, DoB: 1925-01-27 ( Medical record number: RCB4719263)</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Other Ids (see the one above)">Other Ids:</td><td colspan="3"><ul><li>Patient internal identifier/Y8J7D0381527</li><li>National Health Plan Identifier/9999999468</li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3">B6 5RQ </td></tr></table></div>
        </text>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="MR"/>
            </coding>
          </type>
          <system value="https://examplesihe.org.uk/Id/mrn/RCB"/>
          <value value="RCB4719263"/>
          <assigner>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="RCB"/>
            </identifier>
          </assigner>
        </identifier>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="PI"/>
            </coding>
          </type>
          <system
                  value="https://examplesihe.org.uk/Id/patient-internal/Y8J7D"/>
          <value value="Y8J7D0381527"/>
          <assigner>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="Y8J7D"/>
            </identifier>
          </assigner>
        </identifier>
        <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="9999999468"/>
        </identifier>
        <name>
          <family value="EDITESTPATIENT"/>
          <given value="ONE"/>
          <given value="John"/>
        </name>
        <gender value="male"/>
        <birthDate value="1925-01-27"/>
        <address>
          <postalCode value="B6 5RQ"/>
        </address>
      </Patient>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:84c94bb1-4336-5607-9124-6b82052db22a"/>
    <resource>
      <PractitionerRole>
        <id value="84c94bb1-4336-5607-9124-6b82052db22a"/>
        <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_84c94bb1-4336-5607-9124-6b82052db22a"> </a><p class="res-header-id"><b>Generated Narrative: PractitionerRole 84c94bb1-4336-5607-9124-6b82052db22a</b></p><a name="84c94bb1-4336-5607-9124-6b82052db22a"> </a><a name="hc84c94bb1-4336-5607-9124-6b82052db22a"> </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;">Dr Gale GASKELL at PICKERING MEDICAL PRACTICE</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">Dr Gale GASKELL (Identifier: <a href="NamingSystem-gmcnumber-namingsystem.html" title="General Medical Council Consultant Code. For more details see: [NHS Data Model Dictionary](https://www.datadictionary.nhs.uk/attributes/general_medical_council_reference_number.html)">GMC Number</a>/C1008215)</td></tr><tr><td style="background-color: #f3f5da" title="The organization where the practitioner performs the roles">Organization:</td><td colspan="3">PICKERING MEDICAL PRACTICE (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>/B82033)</td></tr></table></div>
        </text>
        <practitioner>
          <type value="Practitioner"/>
          <identifier>
            <system value="https://fhir.hl7.org.uk/Id/gmc-number"/>
            <value value="C1008215"/>
          </identifier>
          <display value="Dr Gale GASKELL"/>
        </practitioner>
        <organization>
          <type value="Organization"/>
          <identifier>
            <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
            <value value="B82033"/>
          </identifier>
          <display value="PICKERING MEDICAL PRACTICE"/>
        </organization>
      </PractitionerRole>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:0cdeab88-67e7-5686-917c-8acdc1afea8d"/>
    <resource>
      <ServiceRequest>
        <id value="0cdeab88-67e7-5686-917c-8acdc1afea8d"/>
        <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_0cdeab88-67e7-5686-917c-8acdc1afea8d"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest 0cdeab88-67e7-5686-917c-8acdc1afea8d</b></p><a name="0cdeab88-67e7-5686-917c-8acdc1afea8d"> </a><a name="hc0cdeab88-67e7-5686-917c-8acdc1afea8d"> </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/REQ-20220307-000142, Filler Identifier/REP-20220308-004205</p><p><b>status</b>: Completed</p><p><b>intent</b>: Order</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 1001371000000100}, {http://snomed.info/sct 1106741000000105}">Serum CRP (C reactive protein) level</span></p><p><b>subject</b>: <a href="Bundle-Document-CRP-Report-Example.html#urn-uuid-bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5">ONE John EDITESTPATIENT  Male, DoB: 1925-01-27 ( Medical record number: RCB4719263)</a></p><p><b>authoredOn</b>: 2022-01-29 10:24:00+0000</p><p><b>requester</b>: <a href="Bundle-Document-CRP-Report-Example.html#urn-uuid-84c94bb1-4336-5607-9124-6b82052db22a">Dr Gale GASKELL at PICKERING MEDICAL PRACTICE</a></p><p><b>performer</b>: TD008362 PATH LAB 001 (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>/Y8J7D)</p><p><b>specimen</b>: <a href="Bundle-Document-CRP-Report-Example.html#urn-uuid-e1fae66a-128e-57f2-a3c0-41647ca6076b">Specimen: identifier = Placer Identifier: SPC-REQ-20220307-000105; accessionIdentifier = Accession ID: SPC-Lab-20220307-007856; status = available; type = Venous blood specimen; receivedTime = 2022-03-07 14:58:00+0000</a></p></div>
        </text>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="PLAC"/>
            </coding>
          </type>
          <system
                  value="http://B82033-pickeringmedicalpractice.com/labrequest"/>
          <value value="REQ-20220307-000142"/>
          <assigner>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="B82033"/>
            </identifier>
          </assigner>
        </identifier>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="FILL"/>
            </coding>
          </type>
          <system value="http://Y8J7D-pathlab001.com/report"/>
          <value value="REP-20220308-004205"/>
          <assigner>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="Y8J7D"/>
            </identifier>
          </assigner>
        </identifier>
        <status value="completed"/>
        <intent value="order"/>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="1001371000000100"/>
            <display value="Serum CRP (C reactive protein) level"/>
          </coding>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="1106741000000105"/>
            <display
                     value="CRP (C reactive protein) mass concentration in serum"/>
          </coding>
        </code>
        <subject>
          <reference value="urn:uuid:bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5"/>
          <identifier>
            <system value="https://fhir.nhs.uk/Id/nhs-number"/>
            <value value="9999999468"/>
          </identifier>
        </subject>
        <authoredOn value="2022-01-29T10:24:00+00:00"/>
        <requester>
          <reference value="urn:uuid:84c94bb1-4336-5607-9124-6b82052db22a"/>
        </requester>
        <performer>
          <type value="Organization"/>
          <identifier>
            <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
            <value value="Y8J7D"/>
          </identifier>
          <display value="TD008362 PATH LAB 001"/>
        </performer>
        <specimen>
          <reference value="urn:uuid:e1fae66a-128e-57f2-a3c0-41647ca6076b"/>
        </specimen>
      </ServiceRequest>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:e1fae66a-128e-57f2-a3c0-41647ca6076b"/>
    <resource>
      <Specimen>
        <id value="e1fae66a-128e-57f2-a3c0-41647ca6076b"/>
        <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_e1fae66a-128e-57f2-a3c0-41647ca6076b"> </a><p class="res-header-id"><b>Generated Narrative: Specimen e1fae66a-128e-57f2-a3c0-41647ca6076b</b></p><a name="e1fae66a-128e-57f2-a3c0-41647ca6076b"> </a><a name="hce1fae66a-128e-57f2-a3c0-41647ca6076b"> </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/SPC-REQ-20220307-000105</p><p><b>accessionIdentifier</b>: Accession ID/SPC-Lab-20220307-007856</p><p><b>status</b>: Available</p><p><b>type</b>: <span title="Codes:">Venous blood specimen</span></p><p><b>subject</b>: <a href="Bundle-Document-CRP-Report-Example.html#urn-uuid-bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5">ONE John EDITESTPATIENT  Male, DoB: 1925-01-27 ( Medical record number: RCB4719263)</a></p><p><b>receivedTime</b>: 2022-03-07 14:58:00+0000</p><p><b>request</b>: <a href="Bundle-Document-CRP-Report-Example.html#urn-uuid-0cdeab88-67e7-5686-917c-8acdc1afea8d">ServiceRequest Serum CRP (C reactive protein) level</a></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>2022-03-07 11:42:00+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="http://B82033-pickeringmedicalpractice.com/specimen"/>
          <value value="SPC-REQ-20220307-000105"/>
        </identifier>
        <accessionIdentifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="ACSN"/>
            </coding>
          </type>
          <system value="http://Y8J7D-pathlab001.com/specimen"/>
          <value value="SPC-Lab-20220307-007856"/>
          <assigner>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="Y8J7D"/>
            </identifier>
          </assigner>
        </accessionIdentifier>
        <status value="available"/>
        <type>
          <text value="Venous blood specimen"/>
        </type>
        <subject>
          <reference value="urn:uuid:bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5"/>
          <identifier>
            <system value="https://fhir.nhs.uk/Id/nhs-number"/>
            <value value="9999999468"/>
          </identifier>
        </subject>
        <receivedTime value="2022-03-07T14:58:00+00:00"/>
        <request>
          <reference value="urn:uuid:0cdeab88-67e7-5686-917c-8acdc1afea8d"/>
        </request>
        <collection>
          <collectedDateTime value="2022-03-07T11:42:00+00:00"/>
        </collection>
      </Specimen>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:91ceb301-c1ed-55df-9a11-2210056014ee"/>
    <resource>
      <Observation>
        <id value="91ceb301-c1ed-55df-9a11-2210056014ee"/>
        <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_91ceb301-c1ed-55df-9a11-2210056014ee"> </a><p class="res-header-id"><b>Generated Narrative: Observation 91ceb301-c1ed-55df-9a11-2210056014ee</b></p><a name="91ceb301-c1ed-55df-9a11-2210056014ee"> </a><a name="hc91ceb301-c1ed-55df-9a11-2210056014ee"> </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="Bundle-Document-CRP-Report-Example.html#urn-uuid-0cdeab88-67e7-5686-917c-8acdc1afea8d">ServiceRequest Serum CRP (C reactive protein) level</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 1001371000000100}, {http://snomed.info/sct 1106741000000105}">Serum CRP (C reactive protein) level</span></p><p><b>subject</b>: <a href="Bundle-Document-CRP-Report-Example.html#urn-uuid-bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5">ONE John EDITESTPATIENT  Male, DoB: 1925-01-27 ( Medical record number: RCB4719263)</a></p><p><b>effective</b>: 2022-03-07 11:42:00+0000</p><p><b>issued</b>: 2022-03-08 12:09:00+0000</p><p><b>performer</b>: TD008362 PATH LAB 001 (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>/Y8J7D)</p><p><b>value</b>: 200 mg/L</p><p><b>interpretation</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation H}">High</span></p><p><b>specimen</b>: <a href="Bundle-Document-CRP-Report-Example.html#urn-uuid-e1fae66a-128e-57f2-a3c0-41647ca6076b">Specimen: identifier = Placer Identifier: SPC-REQ-20220307-000105; accessionIdentifier = Accession ID: SPC-Lab-20220307-007856; status = available; type = Venous blood specimen; receivedTime = 2022-03-07 14:58:00+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 mg/L</td><td>5 mg/L</td></tr></table></div>
        </text>
        <basedOn>
          <reference value="urn:uuid:0cdeab88-67e7-5686-917c-8acdc1afea8d"/>
        </basedOn>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="laboratory"/>
            <display value="Laboratory"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="1001371000000100"/>
            <display value="Serum CRP (C reactive protein) level"/>
          </coding>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="1106741000000105"/>
            <display
                     value="CRP (C reactive protein) mass concentration in serum"/>
          </coding>
        </code>
        <subject>
          <reference value="urn:uuid:bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5"/>
          <identifier>
            <system value="https://fhir.nhs.uk/Id/nhs-number"/>
            <value value="9999999468"/>
          </identifier>
        </subject>
        <effectiveDateTime value="2022-03-07T11:42:00+00:00"/>
        <issued value="2022-03-08T12:09:00+00:00"/>
        <performer>
          <type value="Organization"/>
          <identifier>
            <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
            <value value="Y8J7D"/>
          </identifier>
          <display value="TD008362 PATH LAB 001"/>
        </performer>
        <valueQuantity>
          <value value="200"/>
          <unit value="mg/L"/>
        </valueQuantity>
        <interpretation>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
            <code value="H"/>
            <display value="High"/>
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        <specimen>
          <reference value="urn:uuid:e1fae66a-128e-57f2-a3c0-41647ca6076b"/>
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          <low>
            <value value="0"/>
            <unit value="mg/L"/>
          </low>
          <high>
            <value value="5"/>
            <unit value="mg/L"/>
          </high>
        </referenceRange>
      </Observation>
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  <entry>
    <fullUrl value="urn:uuid:ca9ac56e-7305-5f9f-9e3e-01fd746b0384"/>
    <resource>
      <DiagnosticReport>
        <id value="ca9ac56e-7305-5f9f-9e3e-01fd746b0384"/>
        <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_ca9ac56e-7305-5f9f-9e3e-01fd746b0384"> </a><p class="res-header-id"><b>Generated Narrative: DiagnosticReport ca9ac56e-7305-5f9f-9e3e-01fd746b0384</b></p><a name="ca9ac56e-7305-5f9f-9e3e-01fd746b0384"> </a><a name="hcca9ac56e-7305-5f9f-9e3e-01fd746b0384"> </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 CH}">Chemistry</span>) </h2><table class="grid"><tr><td>Subject</td><td>ONE John EDITESTPATIENT  Male, DoB: 1925-01-27 ( Medical record number: RCB4719263)</td></tr><tr><td>Relevant Time</td><td>2022-03-07 11:42:00+0000</td></tr><tr><td>Reported</td><td>2022-03-08 12:09:00+0000</td></tr><tr><td>Performer</td><td> TD008362 PATH LAB 001 (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>/Y8J7D)</td></tr><tr><td>Identifier</td><td> Filler Identifier/REP-20220308-004205</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>Reference Range</b></td><td><b>Flags</b></td></tr><tr><td><a href="Bundle-Document-CRP-Report-Example.html#urn-uuid-91ceb301-c1ed-55df-9a11-2210056014ee"><span title="Codes:{http://snomed.info/sct 1001371000000100}, {http://snomed.info/sct 1106741000000105}">Serum CRP (C reactive protein) level</span></a></td><td>200 mg/L</td><td>0 mg/L - 5 mg/L</td><td>Final, <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation H}">High</span></td></tr></table></div>
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              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="FILL"/>
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          <assigner>
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              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="Y8J7D"/>
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        <status value="final"/>
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            <system value="http://terminology.hl7.org/CodeSystem/v2-0074"/>
            <code value="CH"/>
            <display value="Chemistry"/>
          </coding>
        </category>
        <code>
          <coding>
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            <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="urn:uuid:bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5"/>
          <identifier>
            <system value="https://fhir.nhs.uk/Id/nhs-number"/>
            <value value="9999999468"/>
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        <effectiveDateTime value="2022-03-07T11:42:00+00:00"/>
        <issued value="2022-03-08T12:09:00+00:00"/>
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          <type value="Organization"/>
          <identifier>
            <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
            <value value="Y8J7D"/>
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          <display value="TD008362 PATH LAB 001"/>
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        <specimen>
          <reference value="urn:uuid:e1fae66a-128e-57f2-a3c0-41647ca6076b"/>
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        <result>
          <reference value="urn:uuid:91ceb301-c1ed-55df-9a11-2210056014ee"/>
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      </DiagnosticReport>
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</Bundle>