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

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="Message-GTT-Unstructured-Report-Example"/>
  <meta>
    <profile
             value="https://examplesihe.org.uk/StructureDefinition/BundleMessage"/>
  </meta>
  <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 '-&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>
        </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"/>
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        <subject>
          <reference value="urn:uuid:ce95bd35-3fbe-5e16-8275-54a730d8ee8b"/>
          <identifier>
            <system value="https://fhir.nhs.uk/Id/nhs-number"/>
            <value value="9999999549"/>
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        <receivedTime value="2022-02-09T14:17:06+00:00"/>
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          <reference value="urn:uuid:d5de16d3-fd12-56b0-8978-d8272aa75dcf"/>
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        <collection>
          <collectedDateTime value="2022-02-09T11:03:07+00:00"/>
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  <entry>
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    <resource>
      <Specimen>
        <id value="d4d97863-50e7-5114-a1af-c3d43e5f705d"/>
        <meta>
          <profile
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        </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>
        </text>
        <identifier>
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              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="PLAC"/>
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          </type>
          <system
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          <value value="SPC-REQ-20220209-000084"/>
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        <accessionIdentifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="ACSN"/>
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          <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"/>
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        <subject>
          <reference value="urn:uuid:ce95bd35-3fbe-5e16-8275-54a730d8ee8b"/>
          <identifier>
            <system value="https://fhir.nhs.uk/Id/nhs-number"/>
            <value value="9999999549"/>
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        <receivedTime value="2022-02-09T14:17:06+00:00"/>
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          <reference value="urn:uuid:d5de16d3-fd12-56b0-8978-d8272aa75dcf"/>
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        <collection>
          <collectedDateTime value="2022-02-09T12:02:17+00:00"/>
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  </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
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            <code value="laboratory"/>
            <display value="Laboratory"/>
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        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="1005711000000106"/>
            <display value="Glucose tolerance test"/>
          </coding>
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        <subject>
          <reference value="urn:uuid:ce95bd35-3fbe-5e16-8275-54a730d8ee8b"/>
          <identifier>
            <system value="https://fhir.nhs.uk/Id/nhs-number"/>
            <value value="9999999549"/>
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        <effectiveDateTime value="2022-02-09T10:01:23+00:00"/>
        <issued value="2022-02-10T11:49:00+00:00"/>
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          <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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 GTT Glucose 60 min    8.8 mmol/L
 GTT Glucose 120 min   6.4 mmol/L"/>
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          <reference value="urn:uuid:1af6c6d6-64c1-5acc-bac8-9c96d266f5e8"/>
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  <entry>
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        <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"/>
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        <basedOn>
          <reference value="urn:uuid:d5de16d3-fd12-56b0-8978-d8272aa75dcf"/>
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        <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"/>
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        <effectiveDateTime value="2022-02-09T10:01:23+00:00"/>
        <issued value="2022-02-10T11:49:00+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:1af6c6d6-64c1-5acc-bac8-9c96d266f5e8"/>
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        <specimen>
          <reference value="urn:uuid:c6d12c68-b7f5-58f2-a15f-fae8ed14bfef"/>
        </specimen>
        <specimen>
          <reference value="urn:uuid:d4d97863-50e7-5114-a1af-c3d43e5f705d"/>
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          <reference value="urn:uuid:95c09825-169a-524a-9569-f08c5f288ca4"/>
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        <conclusion
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      </DiagnosticReport>
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</Bundle>