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

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{
  "resourceType" : "Bundle",
  "id" : "Message-HPV-Report-Example",
  "meta" : {
    "profile" : [
      🔗 "https://examplesihe.org.uk/StructureDefinition/BundleMessage"
    ]
  },
  "language" : "en",
  "identifier" : {
    "value" : "NHSE-EX-0004"
  },
  "type" : "message",
  "timestamp" : "2022-03-08T12:09:00+00:00",
  "entry" : [
    {
      "fullUrl" : "urn:uuid:0b3cc52c-9a26-5af1-8844-fab101805305",
      "resource" : {
        "resourceType" : "MessageHeader",
        "id" : "0b3cc52c-9a26-5af1-8844-fab101805305",
        "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_0b3cc52c-9a26-5af1-8844-fab101805305\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MessageHeader 0b3cc52c-9a26-5af1-8844-fab101805305</b></p><a name=\"0b3cc52c-9a26-5af1-8844-fab101805305\"> </a><a name=\"hc0b3cc52c-9a26-5af1-8844-fab101805305\"> </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-HPV-Report-Example.html#urn-uuid-9e91ebae-7ada-55de-b146-618d2c15f951\">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:9e91ebae-7ada-55de-b146-618d2c15f951"
          }
        ],
        "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:a7b13e7c-7438-5aed-b19e-926deb256d8f",
      "resource" : {
        "resourceType" : "ServiceRequest",
        "id" : "a7b13e7c-7438-5aed-b19e-926deb256d8f",
        "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_a7b13e7c-7438-5aed-b19e-926deb256d8f\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest a7b13e7c-7438-5aed-b19e-926deb256d8f</b></p><a name=\"a7b13e7c-7438-5aed-b19e-926deb256d8f\"> </a><a name=\"hca7b13e7c-7438-5aed-b19e-926deb256d8f\"> </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-20220321-000017, Filler Identifier/REP-20220403-008209</p><p><b>status</b>: Completed</p><p><b>intent</b>: Order</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 50121000237101}\">Human papilloma virus RNA nucleic acid amplification qualitative result</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>: 2022-03-21 10:17:00+0000</p><p><b>requester</b>: <a href=\"Bundle-Document-CRP-Report-Example.html#urn-uuid-84c94bb1-4336-5607-9124-6b82052db22a\">Dr Gale GASKELL at PICKERING MEDICAL PRACTICE</a></p><p><b>performer</b>: TD008362 PATH LAB 001 (Identifier: <a href=\"NamingSystem-ods-organization-code-namingsystem.html\" title=\"The identifier system for an Organisation registered with the Organisation Data Service (ODS).\">ODS Organisation Code</a>/Y8J7D)</p><p><b>specimen</b>: <a href=\"Bundle-Document-HPV-Report-Example.html#urn-uuid-d5fd77cc-5550-5936-b33d-6e8bc2d67d13\">Specimen: identifier = Placer Identifier: SPC-REQ-20220321-000065; accessionIdentifier = Accession ID: SPC-Lab-20220322-005962; status = available; type = Cervical swab; receivedTime = 2022-03-22 15:25:00+0000</a></p></div>"
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "PLAC"
                }
              ]
            },
            "system" : "http://B82033-pickeringmedicalpractice.com/labrequest",
            "value" : "REQ-20220321-000017",
            "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-20220403-008209",
            "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" : "50121000237101",
              "display" : "Human papilloma virus RNA nucleic acid amplification qualitative result"
            }
          ]
        },
        "subject" : {
          "reference" : "urn:uuid:ce95bd35-3fbe-5e16-8275-54a730d8ee8b",
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/nhs-number",
            "value" : "9999999549"
          }
        },
        "authoredOn" : "2022-03-21T10:17:00+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:d5fd77cc-5550-5936-b33d-6e8bc2d67d13"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:d5fd77cc-5550-5936-b33d-6e8bc2d67d13",
      "resource" : {
        "resourceType" : "Specimen",
        "id" : "d5fd77cc-5550-5936-b33d-6e8bc2d67d13",
        "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_d5fd77cc-5550-5936-b33d-6e8bc2d67d13\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Specimen d5fd77cc-5550-5936-b33d-6e8bc2d67d13</b></p><a name=\"d5fd77cc-5550-5936-b33d-6e8bc2d67d13\"> </a><a name=\"hcd5fd77cc-5550-5936-b33d-6e8bc2d67d13\"> </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-20220321-000065</p><p><b>accessionIdentifier</b>: Accession ID/SPC-Lab-20220322-005962</p><p><b>status</b>: Available</p><p><b>type</b>: <span title=\"Codes:\">Cervical swab</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>: 2022-03-22 15:25:00+0000</p><p><b>request</b>: <a href=\"Bundle-Document-HPV-Report-Example.html#urn-uuid-a7b13e7c-7438-5aed-b19e-926deb256d8f\">ServiceRequest Human papilloma virus RNA nucleic acid amplification qualitative result</a></p><h3>Collections</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Collected[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>2022-03-22 11:04:00+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-20220321-000065"
          }
        ],
        "accessionIdentifier" : {
          "type" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code" : "ACSN"
              }
            ]
          },
          "system" : "http://Y8J7D-pathlab001.com/specimen",
          "value" : "SPC-Lab-20220322-005962",
          "assigner" : {
            "identifier" : {
              "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
              "value" : "Y8J7D"
            }
          }
        },
        "status" : "available",
        "type" : {
          "text" : "Cervical swab"
        },
        "subject" : {
          "reference" : "urn:uuid:ce95bd35-3fbe-5e16-8275-54a730d8ee8b",
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/nhs-number",
            "value" : "9999999549"
          }
        },
        "receivedTime" : "2022-03-22T15:25:00+00:00",
        "request" : [
          {
            "reference" : "urn:uuid:a7b13e7c-7438-5aed-b19e-926deb256d8f"
          }
        ],
        "collection" : {
          "collectedDateTime" : "2022-03-22T11:04:00+00:00"
        }
      }
    },
    {
      "fullUrl" : "urn:uuid:300c81ac-d35d-58de-a5ce-3598a3abb148",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "300c81ac-d35d-58de-a5ce-3598a3abb148",
        "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_300c81ac-d35d-58de-a5ce-3598a3abb148\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 300c81ac-d35d-58de-a5ce-3598a3abb148</b></p><a name=\"300c81ac-d35d-58de-a5ce-3598a3abb148\"> </a><a name=\"hc300c81ac-d35d-58de-a5ce-3598a3abb148\"> </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-HPV-Report-Example.html#urn-uuid-a7b13e7c-7438-5aed-b19e-926deb256d8f\">ServiceRequest Human papilloma virus RNA nucleic acid amplification qualitative result</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 50121000237101}\">Human papilloma virus RNA nucleic acid amplification qualitative result</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>: 2022-03-22 11:04:00+0000</p><p><b>issued</b>: 2022-04-03 15:43:00+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>: Not detected</p><p><b>note</b>: , </p><blockquote><div><p>No cytology result (HPV Screening)</p>\n</div></blockquote><blockquote><div><p>Suggested management : Normal  Recall</p>\n</div></blockquote><p><b>specimen</b>: <a href=\"Bundle-Document-HPV-Report-Example.html#urn-uuid-d5fd77cc-5550-5936-b33d-6e8bc2d67d13\">Specimen: identifier = Placer Identifier: SPC-REQ-20220321-000065; accessionIdentifier = Accession ID: SPC-Lab-20220322-005962; status = available; type = Cervical swab; receivedTime = 2022-03-22 15:25:00+0000</a></p></div>"
        },
        "basedOn" : [
          {
            "reference" : "urn:uuid:a7b13e7c-7438-5aed-b19e-926deb256d8f"
          }
        ],
        "status" : "final",
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                "code" : "laboratory",
                "display" : "Laboratory"
              }
            ]
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "50121000237101",
              "display" : "Human papilloma virus RNA nucleic acid amplification qualitative result"
            }
          ]
        },
        "subject" : {
          "reference" : "urn:uuid:ce95bd35-3fbe-5e16-8275-54a730d8ee8b",
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/nhs-number",
            "value" : "9999999549"
          }
        },
        "effectiveDateTime" : "2022-03-22T11:04:00+00:00",
        "issued" : "2022-04-03T15:43:00+00:00",
        "performer" : [
          {
            "type" : "Organization",
            "identifier" : {
              "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
              "value" : "Y8J7D"
            },
            "display" : "TD008362 PATH LAB 001"
          }
        ],
        "valueString" : "Not detected",
        "note" : [
          {
            "text" : "No cytology result (HPV Screening)"
          },
          {
            "text" : "Suggested management : Normal  Recall"
          }
        ],
        "specimen" : {
          "reference" : "urn:uuid:d5fd77cc-5550-5936-b33d-6e8bc2d67d13"
        }
      }
    },
    {
      "fullUrl" : "urn:uuid:9e91ebae-7ada-55de-b146-618d2c15f951",
      "resource" : {
        "resourceType" : "DiagnosticReport",
        "id" : "9e91ebae-7ada-55de-b146-618d2c15f951",
        "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_9e91ebae-7ada-55de-b146-618d2c15f951\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport 9e91ebae-7ada-55de-b146-618d2c15f951</b></p><a name=\"9e91ebae-7ada-55de-b146-618d2c15f951\"> </a><a name=\"hc9e91ebae-7ada-55de-b146-618d2c15f951\"> </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 CP}\">Cytopathology</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>2022-03-22 11:04:00+0000</td></tr><tr><td>Reported</td><td>2022-04-03 15:43:00+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-20220403-008209</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><td><b>Note</b></td></tr><tr><td><a href=\"Bundle-Document-HPV-Report-Example.html#urn-uuid-300c81ac-d35d-58de-a5ce-3598a3abb148\"><span title=\"Codes:{http://snomed.info/sct 50121000237101}\">Human papilloma virus RNA nucleic acid amplification qualitative result</span></a></td><td>Not detected</td><td>Final</td><td><blockquote><div><p>No cytology result (HPV Screening)</p>\n</div></blockquote>, <blockquote><div><p>Suggested management : Normal  Recall</p>\n</div></blockquote></td></tr></table></div>"
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "FILL"
                }
              ]
            },
            "system" : "http://Y8J7D-pathlab001.com/report",
            "value" : "REP-20220403-008209",
            "assigner" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "Y8J7D"
              }
            }
          }
        ],
        "basedOn" : [
          {
            "reference" : "urn:uuid:a7b13e7c-7438-5aed-b19e-926deb256d8f"
          }
        ],
        "status" : "final",
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
                "code" : "CP",
                "display" : "Cytopathology"
              }
            ]
          }
        ],
        "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"
          }
        },
        "effectiveDateTime" : "2022-03-22T11:04:00+00:00",
        "issued" : "2022-04-03T15:43:00+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:d5fd77cc-5550-5936-b33d-6e8bc2d67d13"
          }
        ],
        "result" : [
          {
            "reference" : "urn:uuid:300c81ac-d35d-58de-a5ce-3598a3abb148"
          }
        ]
      }
    }
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}