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

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{
  "resourceType" : "Bundle",
  "id" : "Message-GTT-Unstructured-Report-Example",
  "meta" : {
    "profile" : [
      🔗 "https://examplesihe.org.uk/StructureDefinition/BundleMessage"
    ]
  },
  "language" : "en",
  "identifier" : {
    "value" : "NHSE-EX-0008"
  },
  "type" : "message",
  "timestamp" : "2022-03-08T12:09:00+00:00",
  "entry" : [
    {
      "fullUrl" : "urn:uuid:44c65a02-e660-5eb4-88fa-b82e7fcb33be",
      "resource" : {
        "resourceType" : "MessageHeader",
        "id" : "44c65a02-e660-5eb4-88fa-b82e7fcb33be",
        "meta" : {
          "lastUpdated" : "2022-03-08T12:09:00+00:00",
          "profile" : [
            🔗 "https://examplesihe.org.uk/StructureDefinition/MessageHeader"
          ]
        },
        "language" : "en",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MessageHeader_44c65a02-e660-5eb4-88fa-b82e7fcb33be\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MessageHeader 44c65a02-e660-5eb4-88fa-b82e7fcb33be</b></p><a name=\"44c65a02-e660-5eb4-88fa-b82e7fcb33be\"> </a><a name=\"hc44c65a02-e660-5eb4-88fa-b82e7fcb33be\"> </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-GTT-Unstructured-Report-Example.html#urn-uuid-7f1074fc-8637-5a74-b278-f7ab2aea5cd4\">Diagnostic Report for 'Diagnostic studies report' for '-&gt;NINE EDITESTPATIENT  Female, DoB: 2002-02-02 ( Medical record number: RCB6052841)'</a></p><p><b>definition</b>: <a href=\"MessageDefinition-laboratory-result.html\">Laboratory Result (R01)</a></p></div>"
        },
        "eventCoding" : {
          "system" : "http://terminology.hl7.org/CodeSystem/v2-0003",
          "code" : "R01",
          "display" : "ORU/ACK - Unsolicited transmission of an observation message"
        },
        "destination" : [
          {
            "name" : "GPSYSTEM",
            "endpoint" : "urn:hl7-v2:GPSYSTEM",
            "receiver" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "B82033"
              }
            }
          }
        ],
        "sender" : {
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
            "value" : "Y8J7D"
          }
        },
        "source" : {
          "name" : "LIMS",
          "endpoint" : "urn:hl7-v2:LIMS"
        },
        "focus" : [
          {
            "reference" : "urn:uuid:7f1074fc-8637-5a74-b278-f7ab2aea5cd4"
          }
        ],
        "definition" : "https://examplesihe.org.uk/MessageDefinition/laboratory-result"
      }
    },
    {
      "fullUrl" : "urn:uuid:ce95bd35-3fbe-5e16-8275-54a730d8ee8b",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "ce95bd35-3fbe-5e16-8275-54a730d8ee8b",
        "meta" : {
          "profile" : [
            🔗 "https://examplesihe.org.uk/StructureDefinition/Patient"
          ]
        },
        "language" : "en",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_ce95bd35-3fbe-5e16-8275-54a730d8ee8b\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient ce95bd35-3fbe-5e16-8275-54a730d8ee8b</b></p><a name=\"ce95bd35-3fbe-5e16-8275-54a730d8ee8b\"> </a><a name=\"hcce95bd35-3fbe-5e16-8275-54a730d8ee8b\"> </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;\">NINE EDITESTPATIENT  Female, DoB: 2002-02-02 ( Medical record number: RCB6052841)</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/Y8J7D0592374</li><li>National Health Plan Identifier/9999999549</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\">EX1 2SS </td></tr></table></div>"
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "MR"
                }
              ]
            },
            "system" : "https://examplesihe.org.uk/Id/mrn/RCB",
            "value" : "RCB6052841",
            "assigner" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "RCB"
              }
            }
          },
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "PI"
                }
              ]
            },
            "system" : "https://examplesihe.org.uk/Id/patient-internal/Y8J7D",
            "value" : "Y8J7D0592374",
            "assigner" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "Y8J7D"
              }
            }
          },
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "NH"
                }
              ]
            },
            "system" : "https://fhir.nhs.uk/Id/nhs-number",
            "value" : "9999999549"
          }
        ],
        "name" : [
          {
            "family" : "EDITESTPATIENT",
            "given" : [
              "NINE"
            ]
          }
        ],
        "gender" : "female",
        "birthDate" : "2002-02-02",
        "address" : [
          {
            "postalCode" : "EX1 2SS"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:84c94bb1-4336-5607-9124-6b82052db22a",
      "resource" : {
        "resourceType" : "PractitionerRole",
        "id" : "84c94bb1-4336-5607-9124-6b82052db22a",
        "meta" : {
          "profile" : [
            🔗 "https://examplesihe.org.uk/StructureDefinition/PractitionerRole"
          ]
        },
        "language" : "en",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"PractitionerRole_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>"
        },
        "practitioner" : {
          "type" : "Practitioner",
          "identifier" : {
            "system" : "https://fhir.hl7.org.uk/Id/gmc-number",
            "value" : "C1008215"
          },
          "display" : "Dr Gale GASKELL"
        },
        "organization" : {
          "type" : "Organization",
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
            "value" : "B82033"
          },
          "display" : "PICKERING MEDICAL PRACTICE"
        }
      }
    },
    {
      "fullUrl" : "urn:uuid:d5de16d3-fd12-56b0-8978-d8272aa75dcf",
      "resource" : {
        "resourceType" : "ServiceRequest",
        "id" : "d5de16d3-fd12-56b0-8978-d8272aa75dcf",
        "meta" : {
          "profile" : [
            🔗 "https://examplesihe.org.uk/StructureDefinition/LaboratoryOrder"
          ]
        },
        "language" : "en",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_d5de16d3-fd12-56b0-8978-d8272aa75dcf\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest d5de16d3-fd12-56b0-8978-d8272aa75dcf</b></p><a name=\"d5de16d3-fd12-56b0-8978-d8272aa75dcf\"> </a><a name=\"hcd5de16d3-fd12-56b0-8978-d8272aa75dcf\"> </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-20220207-000013, Filler Identifier/REP-20220210-000218</p><p><b>status</b>: Completed</p><p><b>intent</b>: Order</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 1005711000000106}\">Glucose tolerance test</span></p><p><b>subject</b>: <a href=\"Bundle-Document-FBC-Report-Example.html#urn-uuid-ce95bd35-3fbe-5e16-8275-54a730d8ee8b\">NINE EDITESTPATIENT  Female, DoB: 2002-02-02 ( Medical record number: RCB6052841)</a></p><p><b>authoredOn</b>: 2022-02-07 09:20:00+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>: </p><ul><li><a href=\"Bundle-Document-GTT-Unstructured-Report-Example.html#urn-uuid-1af6c6d6-64c1-5acc-bac8-9c96d266f5e8\">Specimen: identifier = Placer Identifier: SPC-REQ-20220209-000082; accessionIdentifier = Accession ID: SPC-Lab-20220209-001531; status = available; type = Venous blood specimen; receivedTime = 2022-02-09 14:17:06+0000</a></li><li><a href=\"Bundle-Document-GTT-Unstructured-Report-Example.html#urn-uuid-c6d12c68-b7f5-58f2-a15f-fae8ed14bfef\">Specimen: identifier = Placer Identifier: SPC-REQ-20220209-000083; accessionIdentifier = Accession ID: SPC-Lab-20220209-001549; status = available; type = Venous blood specimen; receivedTime = 2022-02-09 14:17:06+0000</a></li><li><a href=\"Bundle-Document-GTT-Unstructured-Report-Example.html#urn-uuid-d4d97863-50e7-5114-a1af-c3d43e5f705d\">Specimen: identifier = Placer Identifier: SPC-REQ-20220209-000084; accessionIdentifier = Accession ID: SPC-Lab-20220209-001587; status = available; type = Venous blood specimen; receivedTime = 2022-02-09 14:17:06+0000</a></li></ul></div>"
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "PLAC"
                }
              ]
            },
            "system" : "http://B82033-pickeringmedicalpractice.com/labrequest",
            "value" : "REQ-20220207-000013",
            "assigner" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "B82033"
              }
            }
          },
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "FILL"
                }
              ]
            },
            "system" : "http://Y8J7D-pathlab001.com/report",
            "value" : "REP-20220210-000218",
            "assigner" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "Y8J7D"
              }
            }
          }
        ],
        "status" : "completed",
        "intent" : "order",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "1005711000000106",
              "display" : "Glucose tolerance test"
            }
          ]
        },
        "subject" : {
          "reference" : "urn:uuid:ce95bd35-3fbe-5e16-8275-54a730d8ee8b",
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/nhs-number",
            "value" : "9999999549"
          }
        },
        "authoredOn" : "2022-02-07T09:20:00+00:00",
        "requester" : {
          "reference" : "urn:uuid:84c94bb1-4336-5607-9124-6b82052db22a"
        },
        "performer" : [
          {
            "type" : "Organization",
            "identifier" : {
              "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
              "value" : "Y8J7D"
            },
            "display" : "TD008362 PATH LAB 001"
          }
        ],
        "specimen" : [
          {
            "reference" : "urn:uuid:1af6c6d6-64c1-5acc-bac8-9c96d266f5e8"
          },
          {
            "reference" : "urn:uuid:c6d12c68-b7f5-58f2-a15f-fae8ed14bfef"
          },
          {
            "reference" : "urn:uuid:d4d97863-50e7-5114-a1af-c3d43e5f705d"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:1af6c6d6-64c1-5acc-bac8-9c96d266f5e8",
      "resource" : {
        "resourceType" : "Specimen",
        "id" : "1af6c6d6-64c1-5acc-bac8-9c96d266f5e8",
        "meta" : {
          "profile" : [
            🔗 "https://examplesihe.org.uk/StructureDefinition/Specimen"
          ]
        },
        "language" : "en",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Specimen_1af6c6d6-64c1-5acc-bac8-9c96d266f5e8\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Specimen 1af6c6d6-64c1-5acc-bac8-9c96d266f5e8</b></p><a name=\"1af6c6d6-64c1-5acc-bac8-9c96d266f5e8\"> </a><a name=\"hc1af6c6d6-64c1-5acc-bac8-9c96d266f5e8\"> </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-20220209-000082</p><p><b>accessionIdentifier</b>: Accession ID/SPC-Lab-20220209-001531</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-FBC-Report-Example.html#urn-uuid-ce95bd35-3fbe-5e16-8275-54a730d8ee8b\">NINE EDITESTPATIENT  Female, DoB: 2002-02-02 ( Medical record number: RCB6052841)</a></p><p><b>receivedTime</b>: 2022-02-09 14:17:06+0000</p><p><b>request</b>: <a href=\"Bundle-Document-GTT-Unstructured-Report-Example.html#urn-uuid-d5de16d3-fd12-56b0-8978-d8272aa75dcf\">ServiceRequest Glucose tolerance test</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>2022-02-09 10:01:23+0000</td></tr></table></div>"
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "PLAC"
                }
              ]
            },
            "system" : "http://B82033-pickeringmedicalpractice.com/specimen",
            "value" : "SPC-REQ-20220209-000082"
          }
        ],
        "accessionIdentifier" : {
          "type" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code" : "ACSN"
              }
            ]
          },
          "system" : "http://Y8J7D-pathlab001.com/specimen",
          "value" : "SPC-Lab-20220209-001531",
          "assigner" : {
            "identifier" : {
              "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
              "value" : "Y8J7D"
            }
          }
        },
        "status" : "available",
        "type" : {
          "text" : "Venous blood specimen"
        },
        "subject" : {
          "reference" : "urn:uuid:ce95bd35-3fbe-5e16-8275-54a730d8ee8b",
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/nhs-number",
            "value" : "9999999549"
          }
        },
        "receivedTime" : "2022-02-09T14:17:06+00:00",
        "request" : [
          {
            "reference" : "urn:uuid:d5de16d3-fd12-56b0-8978-d8272aa75dcf"
          }
        ],
        "collection" : {
          "collectedDateTime" : "2022-02-09T10:01:23+00:00"
        }
      }
    },
    {
      "fullUrl" : "urn:uuid:c6d12c68-b7f5-58f2-a15f-fae8ed14bfef",
      "resource" : {
        "resourceType" : "Specimen",
        "id" : "c6d12c68-b7f5-58f2-a15f-fae8ed14bfef",
        "meta" : {
          "profile" : [
            🔗 "https://examplesihe.org.uk/StructureDefinition/Specimen"
          ]
        },
        "language" : "en",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Specimen_c6d12c68-b7f5-58f2-a15f-fae8ed14bfef\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Specimen c6d12c68-b7f5-58f2-a15f-fae8ed14bfef</b></p><a name=\"c6d12c68-b7f5-58f2-a15f-fae8ed14bfef\"> </a><a name=\"hcc6d12c68-b7f5-58f2-a15f-fae8ed14bfef\"> </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-20220209-000083</p><p><b>accessionIdentifier</b>: Accession ID/SPC-Lab-20220209-001549</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-FBC-Report-Example.html#urn-uuid-ce95bd35-3fbe-5e16-8275-54a730d8ee8b\">NINE EDITESTPATIENT  Female, DoB: 2002-02-02 ( Medical record number: RCB6052841)</a></p><p><b>receivedTime</b>: 2022-02-09 14:17:06+0000</p><p><b>request</b>: <a href=\"Bundle-Document-GTT-Unstructured-Report-Example.html#urn-uuid-d5de16d3-fd12-56b0-8978-d8272aa75dcf\">ServiceRequest Glucose tolerance test</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>2022-02-09 11:03:07+0000</td></tr></table></div>"
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "PLAC"
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              ]
            },
            "system" : "http://B82033-pickeringmedicalpractice.com/specimen",
            "value" : "SPC-REQ-20220209-000083"
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        ],
        "accessionIdentifier" : {
          "type" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code" : "ACSN"
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          },
          "system" : "http://Y8J7D-pathlab001.com/specimen",
          "value" : "SPC-Lab-20220209-001549",
          "assigner" : {
            "identifier" : {
              "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
              "value" : "Y8J7D"
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          }
        },
        "status" : "available",
        "type" : {
          "text" : "Venous blood specimen"
        },
        "subject" : {
          "reference" : "urn:uuid:ce95bd35-3fbe-5e16-8275-54a730d8ee8b",
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/nhs-number",
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        "receivedTime" : "2022-02-09T14:17:06+00:00",
        "request" : [
          {
            "reference" : "urn:uuid:d5de16d3-fd12-56b0-8978-d8272aa75dcf"
          }
        ],
        "collection" : {
          "collectedDateTime" : "2022-02-09T11:03:07+00:00"
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      }
    },
    {
      "fullUrl" : "urn:uuid:d4d97863-50e7-5114-a1af-c3d43e5f705d",
      "resource" : {
        "resourceType" : "Specimen",
        "id" : "d4d97863-50e7-5114-a1af-c3d43e5f705d",
        "meta" : {
          "profile" : [
            🔗 "https://examplesihe.org.uk/StructureDefinition/Specimen"
          ]
        },
        "language" : "en",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Specimen_d4d97863-50e7-5114-a1af-c3d43e5f705d\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Specimen d4d97863-50e7-5114-a1af-c3d43e5f705d</b></p><a name=\"d4d97863-50e7-5114-a1af-c3d43e5f705d\"> </a><a name=\"hcd4d97863-50e7-5114-a1af-c3d43e5f705d\"> </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-20220209-000084</p><p><b>accessionIdentifier</b>: Accession ID/SPC-Lab-20220209-001587</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-FBC-Report-Example.html#urn-uuid-ce95bd35-3fbe-5e16-8275-54a730d8ee8b\">NINE EDITESTPATIENT  Female, DoB: 2002-02-02 ( Medical record number: RCB6052841)</a></p><p><b>receivedTime</b>: 2022-02-09 14:17:06+0000</p><p><b>request</b>: <a href=\"Bundle-Document-GTT-Unstructured-Report-Example.html#urn-uuid-d5de16d3-fd12-56b0-8978-d8272aa75dcf\">ServiceRequest Glucose tolerance test</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>2022-02-09 12:02:17+0000</td></tr></table></div>"
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        "identifier" : [
          {
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              "coding" : [
                {
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            "system" : "http://B82033-pickeringmedicalpractice.com/specimen",
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        "accessionIdentifier" : {
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              {
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          },
          "system" : "http://Y8J7D-pathlab001.com/specimen",
          "value" : "SPC-Lab-20220209-001587",
          "assigner" : {
            "identifier" : {
              "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
              "value" : "Y8J7D"
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          }
        },
        "status" : "available",
        "type" : {
          "text" : "Venous blood specimen"
        },
        "subject" : {
          "reference" : "urn:uuid:ce95bd35-3fbe-5e16-8275-54a730d8ee8b",
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/nhs-number",
            "value" : "9999999549"
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        },
        "receivedTime" : "2022-02-09T14:17:06+00:00",
        "request" : [
          {
            "reference" : "urn:uuid:d5de16d3-fd12-56b0-8978-d8272aa75dcf"
          }
        ],
        "collection" : {
          "collectedDateTime" : "2022-02-09T12:02:17+00:00"
        }
      }
    },
    {
      "fullUrl" : "urn:uuid:95c09825-169a-524a-9569-f08c5f288ca4",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "95c09825-169a-524a-9569-f08c5f288ca4",
        "meta" : {
          "profile" : [
            🔗 "https://examplesihe.org.uk/StructureDefinition/LaboratoryResult"
          ]
        },
        "language" : "en",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_95c09825-169a-524a-9569-f08c5f288ca4\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 95c09825-169a-524a-9569-f08c5f288ca4</b></p><a name=\"95c09825-169a-524a-9569-f08c5f288ca4\"> </a><a name=\"hc95c09825-169a-524a-9569-f08c5f288ca4\"> </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-GTT-Unstructured-Report-Example.html#urn-uuid-d5de16d3-fd12-56b0-8978-d8272aa75dcf\">ServiceRequest Glucose tolerance test</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 1005711000000106}\">Glucose tolerance test</span></p><p><b>subject</b>: <a href=\"Bundle-Document-FBC-Report-Example.html#urn-uuid-ce95bd35-3fbe-5e16-8275-54a730d8ee8b\">NINE EDITESTPATIENT  Female, DoB: 2002-02-02 ( Medical record number: RCB6052841)</a></p><p><b>effective</b>: 2022-02-09 10:01:23+0000</p><p><b>issued</b>: 2022-02-10 11:49:00+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>: GTT Fasting Glucose   4.8 mmol/L \n GTT Glucose 60 min    8.8 mmol/L\n GTT Glucose 120 min   6.4 mmol/L</p><p><b>specimen</b>: <a href=\"Bundle-Document-GTT-Unstructured-Report-Example.html#urn-uuid-1af6c6d6-64c1-5acc-bac8-9c96d266f5e8\">Specimen: identifier = Placer Identifier: SPC-REQ-20220209-000082; accessionIdentifier = Accession ID: SPC-Lab-20220209-001531; status = available; type = Venous blood specimen; receivedTime = 2022-02-09 14:17:06+0000</a></p></div>"
        },
        "basedOn" : [
          {
            "reference" : "urn:uuid:d5de16d3-fd12-56b0-8978-d8272aa75dcf"
          }
        ],
        "status" : "final",
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                "code" : "laboratory",
                "display" : "Laboratory"
              }
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        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "1005711000000106",
              "display" : "Glucose tolerance test"
            }
          ]
        },
        "subject" : {
          "reference" : "urn:uuid:ce95bd35-3fbe-5e16-8275-54a730d8ee8b",
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/nhs-number",
            "value" : "9999999549"
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        "effectiveDateTime" : "2022-02-09T10:01:23+00:00",
        "issued" : "2022-02-10T11:49:00+00:00",
        "performer" : [
          {
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            "identifier" : {
              "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
              "value" : "Y8J7D"
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            "display" : "TD008362 PATH LAB 001"
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        "valueString" : "GTT Fasting Glucose   4.8 mmol/L \n GTT Glucose 60 min    8.8 mmol/L\n GTT Glucose 120 min   6.4 mmol/L",
        "specimen" : {
          "reference" : "urn:uuid:1af6c6d6-64c1-5acc-bac8-9c96d266f5e8"
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    },
    {
      "fullUrl" : "urn:uuid:7f1074fc-8637-5a74-b278-f7ab2aea5cd4",
      "resource" : {
        "resourceType" : "DiagnosticReport",
        "id" : "7f1074fc-8637-5a74-b278-f7ab2aea5cd4",
        "meta" : {
          "profile" : [
            🔗 "https://examplesihe.org.uk/StructureDefinition/LaboratoryReport"
          ]
        },
        "language" : "en",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_7f1074fc-8637-5a74-b278-f7ab2aea5cd4\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport 7f1074fc-8637-5a74-b278-f7ab2aea5cd4</b></p><a name=\"7f1074fc-8637-5a74-b278-f7ab2aea5cd4\"> </a><a name=\"hc7f1074fc-8637-5a74-b278-f7ab2aea5cd4\"> </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>NINE EDITESTPATIENT  Female, DoB: 2002-02-02 ( Medical record number: RCB6052841)</td></tr><tr><td>Relevant Time</td><td>2022-02-09 10:01:23+0000</td></tr><tr><td>Reported</td><td>2022-02-10 11:49:00+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-20220210-000218</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=\"Bundle-Document-GTT-Unstructured-Report-Example.html#urn-uuid-95c09825-169a-524a-9569-f08c5f288ca4\"><span title=\"Codes:{http://snomed.info/sct 1005711000000106}\">Glucose tolerance test</span></a></td><td>GTT Fasting Glucose   4.8 mmol/L \n GTT Glucose 60 min    8.8 mmol/L\n GTT Glucose 120 min   6.4 mmol/L</td><td>Final</td></tr></table><p>Fasting glucose below 5.1, 1hr below 10.0 and 2hr below 8.5 mmol/L. Normal response to glucose load, no further action required.</p></div>"
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "FILL"
                }
              ]
            },
            "system" : "http://Y8J7D-pathlab001.com/report",
            "value" : "REP-20220210-000218",
            "assigner" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "Y8J7D"
              }
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          }
        ],
        "basedOn" : [
          {
            "reference" : "urn:uuid:d5de16d3-fd12-56b0-8978-d8272aa75dcf"
          }
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        "status" : "final",
        "category" : [
          {
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              {
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
                "code" : "CH",
                "display" : "Chemistry"
              }
            ]
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        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "721981007",
              "display" : "Diagnostic studies report"
            },
            {
              "system" : "http://loinc.org",
              "code" : "11502-2",
              "display" : "Laboratory report"
            }
          ]
        },
        "subject" : {
          "reference" : "urn:uuid:ce95bd35-3fbe-5e16-8275-54a730d8ee8b",
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/nhs-number",
            "value" : "9999999549"
          }
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        "effectiveDateTime" : "2022-02-09T10:01:23+00:00",
        "issued" : "2022-02-10T11:49:00+00:00",
        "performer" : [
          {
            "type" : "Organization",
            "identifier" : {
              "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
              "value" : "Y8J7D"
            },
            "display" : "TD008362 PATH LAB 001"
          }
        ],
        "specimen" : [
          {
            "reference" : "urn:uuid:1af6c6d6-64c1-5acc-bac8-9c96d266f5e8"
          },
          {
            "reference" : "urn:uuid:c6d12c68-b7f5-58f2-a15f-fae8ed14bfef"
          },
          {
            "reference" : "urn:uuid:d4d97863-50e7-5114-a1af-c3d43e5f705d"
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        ],
        "result" : [
          {
            "reference" : "urn:uuid:95c09825-169a-524a-9569-f08c5f288ca4"
          }
        ],
        "conclusion" : "Fasting glucose below 5.1, 1hr below 10.0 and 2hr below 8.5 mmol/L. Normal response to glucose load, no further action required."
      }
    }
  ]
}