England Pathology and Laboratory Medicine (PaLM) Technical Framework
0.1.0 - ci-build
England Pathology and Laboratory Medicine (PaLM) Technical Framework - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
<Bundle xmlns="http://hl7.org/fhir">
<id value="Message-GTT-Unstructured-Report-Example"/>
<meta>
<profile
value="https://examplesihe.org.uk/StructureDefinition/BundleMessage"/>
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<language value="en"/>
<identifier>
<value value="NHSE-EX-0008"/>
</identifier>
<type value="message"/>
<timestamp value="2022-03-08T12:09:00+00:00"/>
<entry>
<fullUrl value="urn:uuid:44c65a02-e660-5eb4-88fa-b82e7fcb33be"/>
<resource>
<MessageHeader>
<id value="44c65a02-e660-5eb4-88fa-b82e7fcb33be"/>
<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_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 '->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>
</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:7f1074fc-8637-5a74-b278-f7ab2aea5cd4"/>
</focus>
<definition
value="https://examplesihe.org.uk/MessageDefinition/laboratory-result"/>
</MessageHeader>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:ce95bd35-3fbe-5e16-8275-54a730d8ee8b"/>
<resource>
<Patient>
<id value="ce95bd35-3fbe-5e16-8275-54a730d8ee8b"/>
<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_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>
</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="RCB6052841"/>
<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="Y8J7D0592374"/>
<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="9999999549"/>
</identifier>
<name>
<family value="EDITESTPATIENT"/>
<given value="NINE"/>
</name>
<gender value="female"/>
<birthDate value="2002-02-02"/>
<address>
<postalCode value="EX1 2SS"/>
</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:d5de16d3-fd12-56b0-8978-d8272aa75dcf"/>
<resource>
<ServiceRequest>
<id value="d5de16d3-fd12-56b0-8978-d8272aa75dcf"/>
<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_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>
</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-20220207-000013"/>
<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-20220210-000218"/>
<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="1005711000000106"/>
<display value="Glucose tolerance test"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:ce95bd35-3fbe-5e16-8275-54a730d8ee8b"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9999999549"/>
</identifier>
</subject>
<authoredOn value="2022-02-07T09:20:00+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:1af6c6d6-64c1-5acc-bac8-9c96d266f5e8"/>
</specimen>
<specimen>
<reference value="urn:uuid:c6d12c68-b7f5-58f2-a15f-fae8ed14bfef"/>
</specimen>
<specimen>
<reference value="urn:uuid:d4d97863-50e7-5114-a1af-c3d43e5f705d"/>
</specimen>
</ServiceRequest>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:1af6c6d6-64c1-5acc-bac8-9c96d266f5e8"/>
<resource>
<Specimen>
<id value="1af6c6d6-64c1-5acc-bac8-9c96d266f5e8"/>
<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_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>
</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-20220209-000082"/>
</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-20220209-001531"/>
<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:ce95bd35-3fbe-5e16-8275-54a730d8ee8b"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9999999549"/>
</identifier>
</subject>
<receivedTime value="2022-02-09T14:17:06+00:00"/>
<request>
<reference value="urn:uuid:d5de16d3-fd12-56b0-8978-d8272aa75dcf"/>
</request>
<collection>
<collectedDateTime value="2022-02-09T10:01:23+00:00"/>
</collection>
</Specimen>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:c6d12c68-b7f5-58f2-a15f-fae8ed14bfef"/>
<resource>
<Specimen>
<id value="c6d12c68-b7f5-58f2-a15f-fae8ed14bfef"/>
<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_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>
</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-20220209-000083"/>
</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-20220209-001549"/>
<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:ce95bd35-3fbe-5e16-8275-54a730d8ee8b"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9999999549"/>
</identifier>
</subject>
<receivedTime value="2022-02-09T14:17:06+00:00"/>
<request>
<reference value="urn:uuid:d5de16d3-fd12-56b0-8978-d8272aa75dcf"/>
</request>
<collection>
<collectedDateTime value="2022-02-09T11:03:07+00:00"/>
</collection>
</Specimen>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:d4d97863-50e7-5114-a1af-c3d43e5f705d"/>
<resource>
<Specimen>
<id value="d4d97863-50e7-5114-a1af-c3d43e5f705d"/>
<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_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>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PLAC"/>
</coding>
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<system
value="http://B82033-pickeringmedicalpractice.com/specimen"/>
<value value="SPC-REQ-20220209-000084"/>
</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-20220209-001587"/>
<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:ce95bd35-3fbe-5e16-8275-54a730d8ee8b"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9999999549"/>
</identifier>
</subject>
<receivedTime value="2022-02-09T14:17:06+00:00"/>
<request>
<reference value="urn:uuid:d5de16d3-fd12-56b0-8978-d8272aa75dcf"/>
</request>
<collection>
<collectedDateTime value="2022-02-09T12:02:17+00:00"/>
</collection>
</Specimen>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:95c09825-169a-524a-9569-f08c5f288ca4"/>
<resource>
<Observation>
<id value="95c09825-169a-524a-9569-f08c5f288ca4"/>
<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_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
GTT Glucose 60 min 8.8 mmol/L
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>
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<reference value="urn:uuid:d5de16d3-fd12-56b0-8978-d8272aa75dcf"/>
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<status value="final"/>
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<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="1005711000000106"/>
<display value="Glucose tolerance test"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:ce95bd35-3fbe-5e16-8275-54a730d8ee8b"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9999999549"/>
</identifier>
</subject>
<effectiveDateTime value="2022-02-09T10:01:23+00:00"/>
<issued value="2022-02-10T11:49:00+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"/>
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<valueString
value="GTT Fasting Glucose 4.8 mmol/L
GTT Glucose 60 min 8.8 mmol/L
GTT Glucose 120 min 6.4 mmol/L"/>
<specimen>
<reference value="urn:uuid:1af6c6d6-64c1-5acc-bac8-9c96d266f5e8"/>
</specimen>
</Observation>
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<entry>
<fullUrl value="urn:uuid:7f1074fc-8637-5a74-b278-f7ab2aea5cd4"/>
<resource>
<DiagnosticReport>
<id value="7f1074fc-8637-5a74-b278-f7ab2aea5cd4"/>
<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_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
GTT Glucose 60 min 8.8 mmol/L
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>
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<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="FILL"/>
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<system value="http://Y8J7D-pathlab001.com/report"/>
<value value="REP-20220210-000218"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="Y8J7D"/>
</identifier>
</assigner>
</identifier>
<basedOn>
<reference value="urn:uuid:d5de16d3-fd12-56b0-8978-d8272aa75dcf"/>
</basedOn>
<status value="final"/>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0074"/>
<code value="CH"/>
<display value="Chemistry"/>
</coding>
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<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="urn:uuid:ce95bd35-3fbe-5e16-8275-54a730d8ee8b"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9999999549"/>
</identifier>
</subject>
<effectiveDateTime value="2022-02-09T10:01:23+00:00"/>
<issued value="2022-02-10T11:49:00+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"/>
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<specimen>
<reference value="urn:uuid:1af6c6d6-64c1-5acc-bac8-9c96d266f5e8"/>
</specimen>
<specimen>
<reference value="urn:uuid:c6d12c68-b7f5-58f2-a15f-fae8ed14bfef"/>
</specimen>
<specimen>
<reference value="urn:uuid:d4d97863-50e7-5114-a1af-c3d43e5f705d"/>
</specimen>
<result>
<reference value="urn:uuid:95c09825-169a-524a-9569-f08c5f288ca4"/>
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<conclusion
value="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."/>
</DiagnosticReport>
</resource>
</entry>
</Bundle>