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

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="Message-HPV-Report-Example"/>
  <meta>
    <profile
             value="https://examplesihe.org.uk/StructureDefinition/BundleMessage"/>
  </meta>
  <language value="en"/>
  <identifier>
    <value value="NHSE-EX-0004"/>
  </identifier>
  <type value="message"/>
  <timestamp value="2022-03-08T12:09:00+00:00"/>
  <entry>
    <fullUrl value="urn:uuid:0b3cc52c-9a26-5af1-8844-fab101805305"/>
    <resource>
      <MessageHeader>
        <id value="0b3cc52c-9a26-5af1-8844-fab101805305"/>
        <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_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>
        </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:9e91ebae-7ada-55de-b146-618d2c15f951"/>
        </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:a7b13e7c-7438-5aed-b19e-926deb256d8f"/>
    <resource>
      <ServiceRequest>
        <id value="a7b13e7c-7438-5aed-b19e-926deb256d8f"/>
        <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_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>
        </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-20220321-000017"/>
          <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-20220403-008209"/>
          <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="50121000237101"/>
            <display
                     value="Human papilloma virus RNA nucleic acid amplification qualitative result"/>
          </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="2022-03-21T10:17:00+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:d5fd77cc-5550-5936-b33d-6e8bc2d67d13"/>
        </specimen>
      </ServiceRequest>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:d5fd77cc-5550-5936-b33d-6e8bc2d67d13"/>
    <resource>
      <Specimen>
        <id value="d5fd77cc-5550-5936-b33d-6e8bc2d67d13"/>
        <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_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>
        </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-20220321-000065"/>
        </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-20220322-005962"/>
          <assigner>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="Y8J7D"/>
            </identifier>
          </assigner>
        </accessionIdentifier>
        <status value="available"/>
        <type>
          <text value="Cervical swab"/>
        </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="2022-03-22T15:25:00+00:00"/>
        <request>
          <reference value="urn:uuid:a7b13e7c-7438-5aed-b19e-926deb256d8f"/>
        </request>
        <collection>
          <collectedDateTime value="2022-03-22T11:04:00+00:00"/>
        </collection>
      </Specimen>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:300c81ac-d35d-58de-a5ce-3598a3abb148"/>
    <resource>
      <Observation>
        <id value="300c81ac-d35d-58de-a5ce-3598a3abb148"/>
        <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_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>
</div></blockquote><blockquote><div><p>Suggested management : Normal  Recall</p>
</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>
        </text>
        <basedOn>
          <reference value="urn:uuid:a7b13e7c-7438-5aed-b19e-926deb256d8f"/>
        </basedOn>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="laboratory"/>
            <display value="Laboratory"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="50121000237101"/>
            <display
                     value="Human papilloma virus RNA nucleic acid amplification qualitative result"/>
          </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="2022-03-22T11:04:00+00:00"/>
        <issued value="2022-04-03T15:43:00+00:00"/>
        <performer>
          <type value="Organization"/>
          <identifier>
            <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
            <value value="Y8J7D"/>
          </identifier>
          <display value="TD008362 PATH LAB 001"/>
        </performer>
        <valueString value="Not detected"/>
        <note>
          <text value="No cytology result (HPV Screening)"/>
        </note>
        <note>
          <text value="Suggested management : Normal  Recall"/>
        </note>
        <specimen>
          <reference value="urn:uuid:d5fd77cc-5550-5936-b33d-6e8bc2d67d13"/>
        </specimen>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:9e91ebae-7ada-55de-b146-618d2c15f951"/>
    <resource>
      <DiagnosticReport>
        <id value="9e91ebae-7ada-55de-b146-618d2c15f951"/>
        <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_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>
</div></blockquote>, <blockquote><div><p>Suggested management : Normal  Recall</p>
</div></blockquote></td></tr></table></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-20220403-008209"/>
          <assigner>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="Y8J7D"/>
            </identifier>
          </assigner>
        </identifier>
        <basedOn>
          <reference value="urn:uuid:a7b13e7c-7438-5aed-b19e-926deb256d8f"/>
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        <status value="final"/>
        <category>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v2-0074"/>
            <code value="CP"/>
            <display value="Cytopathology"/>
          </coding>
        </category>
        <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="2022-03-22T11:04:00+00:00"/>
        <issued value="2022-04-03T15:43:00+00:00"/>
        <performer>
          <type value="Organization"/>
          <identifier>
            <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
            <value value="Y8J7D"/>
          </identifier>
          <display value="TD008362 PATH LAB 001"/>
        </performer>
        <specimen>
          <reference value="urn:uuid:d5fd77cc-5550-5936-b33d-6e8bc2d67d13"/>
        </specimen>
        <result>
          <reference value="urn:uuid:300c81ac-d35d-58de-a5ce-3598a3abb148"/>
        </result>
      </DiagnosticReport>
    </resource>
  </entry>
</Bundle>