England Pathology and Laboratory Medicine (PaLM) Technical Framework
0.1.0 - ci-build
England Pathology and Laboratory Medicine (PaLM) Technical Framework
0.1.0 - ci-build
England Pathology and Laboratory Medicine (PaLM) Technical Framework - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
<Bundle xmlns="http://hl7.org/fhir">
<id value="Message-HbA1c-Report-Example"/>
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value="https://examplesihe.org.uk/StructureDefinition/BundleMessage"/>
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<language value="en"/>
<identifier>
<value value="NHSE-EX-0001"/>
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<type value="message"/>
<timestamp value="2022-03-08T12:09:00+00:00"/>
<entry>
<fullUrl value="urn:uuid:92d17a28-d06d-55b6-b7f6-d3d9daebf9eb"/>
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<MessageHeader>
<id value="92d17a28-d06d-55b6-b7f6-d3d9daebf9eb"/>
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<lastUpdated value="2022-03-08T12:09:00+00:00"/>
<profile
value="https://examplesihe.org.uk/StructureDefinition/MessageHeader"/>
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<language value="en"/>
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<div xmlns="http://www.w3.org/1999/xhtml"><a name="MessageHeader_92d17a28-d06d-55b6-b7f6-d3d9daebf9eb"> </a><p class="res-header-id"><b>Generated Narrative: MessageHeader 92d17a28-d06d-55b6-b7f6-d3d9daebf9eb</b></p><a name="92d17a28-d06d-55b6-b7f6-d3d9daebf9eb"> </a><a name="hc92d17a28-d06d-55b6-b7f6-d3d9daebf9eb"> </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-HbA1c-Report-Example.html#urn-uuid-73f36ee5-bd67-57cb-860a-d12690aa09ba">Diagnostic Report for 'Diagnostic studies report' for '->ONE John EDITESTPATIENT Male, DoB: 1925-01-27 ( Medical record number: RCB4719263)'</a></p><p><b>definition</b>: <a href="MessageDefinition-laboratory-result.html">Laboratory Result (R01)</a></p></div>
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<eventCoding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0003"/>
<code value="R01"/>
<display
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<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>
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</destination>
<sender>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="Y8J7D"/>
</identifier>
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<source>
<name value="LIMS"/>
<endpoint value="urn:hl7-v2:LIMS"/>
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<focus>
<reference value="urn:uuid:73f36ee5-bd67-57cb-860a-d12690aa09ba"/>
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<definition
value="https://examplesihe.org.uk/MessageDefinition/laboratory-result"/>
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</entry>
<entry>
<fullUrl value="urn:uuid:bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5"/>
<resource>
<Patient>
<id value="bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5"/>
<meta>
<profile
value="https://examplesihe.org.uk/StructureDefinition/Patient"/>
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<language value="en"/>
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<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5"> </a><p class="res-header-id"><b>Generated Narrative: Patient bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5</b></p><a name="bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5"> </a><a name="hcbfe333d7-2a8c-5dae-a44a-5d3b120d2ef5"> </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;">ONE John EDITESTPATIENT Male, DoB: 1925-01-27 ( Medical record number: RCB4719263)</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/Y8J7D0381527</li><li>National Health Plan Identifier/9999999468</li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3">B6 5RQ </td></tr></table></div>
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<type>
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<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MR"/>
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<system value="https://examplesihe.org.uk/Id/mrn/RCB"/>
<value value="RCB4719263"/>
<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"/>
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</type>
<system
value="https://examplesihe.org.uk/Id/patient-internal/Y8J7D"/>
<value value="Y8J7D0381527"/>
<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"/>
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<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9999999468"/>
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<name>
<family value="EDITESTPATIENT"/>
<given value="ONE"/>
<given value="John"/>
</name>
<gender value="male"/>
<birthDate value="1925-01-27"/>
<address>
<postalCode value="B6 5RQ"/>
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</Patient>
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<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"/>
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<language value="en"/>
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<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>
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<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>
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<entry>
<fullUrl value="urn:uuid:d722ddcf-b3da-51eb-b616-01d6c5f1eace"/>
<resource>
<ServiceRequest>
<id value="d722ddcf-b3da-51eb-b616-01d6c5f1eace"/>
<meta>
<profile
value="https://examplesihe.org.uk/StructureDefinition/LaboratoryOrder"/>
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<language value="en"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="ServiceRequest_d722ddcf-b3da-51eb-b616-01d6c5f1eace"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest d722ddcf-b3da-51eb-b616-01d6c5f1eace</b></p><a name="d722ddcf-b3da-51eb-b616-01d6c5f1eace"> </a><a name="hcd722ddcf-b3da-51eb-b616-01d6c5f1eace"> </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-20220129-000241, Filler Identifier/REP-20220130-007843</p><p><b>status</b>: Completed</p><p><b>intent</b>: Order</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 999791000000106}">Haemoglobin A1c level - International Federation of Clinical Chemistry and Laboratory Medicine standardised</span></p><p><b>subject</b>: <a href="Bundle-Document-CRP-Report-Example.html#urn-uuid-bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5">ONE John EDITESTPATIENT Male, DoB: 1925-01-27 ( Medical record number: RCB4719263)</a></p><p><b>authoredOn</b>: 2022-01-29 10:24:00+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-HbA1c-Report-Example.html#urn-uuid-c41f9657-4d5b-553e-97db-9caf4478d9ad">Specimen: identifier = Placer Identifier: SPC-REQ-20220129-000362; accessionIdentifier = Accession ID: SPC-Lab-20220129-008927; status = available; type = Venous blood specimen; receivedTime = 2022-01-29 15:14:00+0000</a></p></div>
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<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-20220129-000241"/>
<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-20220130-007843"/>
<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="999791000000106"/>
<display
value="Haemoglobin A1c level - International Federation of Clinical Chemistry and Laboratory Medicine standardised"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9999999468"/>
</identifier>
</subject>
<authoredOn value="2022-01-29T10:24:00+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:c41f9657-4d5b-553e-97db-9caf4478d9ad"/>
</specimen>
</ServiceRequest>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:c41f9657-4d5b-553e-97db-9caf4478d9ad"/>
<resource>
<Specimen>
<id value="c41f9657-4d5b-553e-97db-9caf4478d9ad"/>
<meta>
<profile
value="https://examplesihe.org.uk/StructureDefinition/Specimen"/>
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<language value="en"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Specimen_c41f9657-4d5b-553e-97db-9caf4478d9ad"> </a><p class="res-header-id"><b>Generated Narrative: Specimen c41f9657-4d5b-553e-97db-9caf4478d9ad</b></p><a name="c41f9657-4d5b-553e-97db-9caf4478d9ad"> </a><a name="hcc41f9657-4d5b-553e-97db-9caf4478d9ad"> </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-20220129-000362</p><p><b>accessionIdentifier</b>: Accession ID/SPC-Lab-20220129-008927</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-CRP-Report-Example.html#urn-uuid-bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5">ONE John EDITESTPATIENT Male, DoB: 1925-01-27 ( Medical record number: RCB4719263)</a></p><p><b>receivedTime</b>: 2022-01-29 15:14:00+0000</p><p><b>request</b>: <a href="Bundle-Document-HbA1c-Report-Example.html#urn-uuid-d722ddcf-b3da-51eb-b616-01d6c5f1eace">ServiceRequest Haemoglobin A1c level - International Federation of Clinical Chemistry and Laboratory Medicine standardised</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>2022-01-29 10:18:00+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-20220129-000362"/>
</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-20220129-008927"/>
<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:bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9999999468"/>
</identifier>
</subject>
<receivedTime value="2022-01-29T15:14:00+00:00"/>
<request>
<reference value="urn:uuid:d722ddcf-b3da-51eb-b616-01d6c5f1eace"/>
</request>
<collection>
<collectedDateTime value="2022-01-29T10:18:00+00:00"/>
</collection>
</Specimen>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:f9469916-f829-5957-a478-acbef4b04196"/>
<resource>
<Observation>
<id value="f9469916-f829-5957-a478-acbef4b04196"/>
<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_f9469916-f829-5957-a478-acbef4b04196"> </a><p class="res-header-id"><b>Generated Narrative: Observation f9469916-f829-5957-a478-acbef4b04196</b></p><a name="f9469916-f829-5957-a478-acbef4b04196"> </a><a name="hcf9469916-f829-5957-a478-acbef4b04196"> </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-HbA1c-Report-Example.html#urn-uuid-d722ddcf-b3da-51eb-b616-01d6c5f1eace">ServiceRequest Haemoglobin A1c level - International Federation of Clinical Chemistry and Laboratory Medicine standardised</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 999791000000106}">Haemoglobin A1c level - International Federation of Clinical Chemistry and Laboratory Medicine standardised</span></p><p><b>subject</b>: <a href="Bundle-Document-CRP-Report-Example.html#urn-uuid-bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5">ONE John EDITESTPATIENT Male, DoB: 1925-01-27 ( Medical record number: RCB4719263)</a></p><p><b>effective</b>: 2022-01-29 10:18:00+0000</p><p><b>issued</b>: 2022-01-30 12:48:00+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>: 54 mmol/mol<span style="background: LightGoldenRodYellow"> (Details: UCUM codemmol/mol = 'mmol/mol')</span></p><p><b>note</b>: </p><blockquote><div><p>DIAGNOSIS OF DIABETES MELLITUS:
HbA1c of 48 mmol/mol and above is diagnostic of DM (WHO 2011)
42 - 47 mmol/mol indicates high risk of DM (NICE Guidance PH38 2012)</p>
<p>MONITORING OF DIABETES MELLITUS (ADULTS):
Type 2 target values: 48 mmol/mol – 57 mmol/mol (NICE Guidelines NG28)
Type 1 target values: 48 mmol/mol or lower (NICE Guidelines NG17)</p>
</div></blockquote><p><b>specimen</b>: <a href="Bundle-Document-HbA1c-Report-Example.html#urn-uuid-c41f9657-4d5b-553e-97db-9caf4478d9ad">Specimen: identifier = Placer Identifier: SPC-REQ-20220129-000362; accessionIdentifier = Accession ID: SPC-Lab-20220129-008927; status = available; type = Venous blood specimen; receivedTime = 2022-01-29 15:14:00+0000</a></p></div>
</text>
<basedOn>
<reference value="urn:uuid:d722ddcf-b3da-51eb-b616-01d6c5f1eace"/>
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<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="999791000000106"/>
<display
value="Haemoglobin A1c level - International Federation of Clinical Chemistry and Laboratory Medicine standardised"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9999999468"/>
</identifier>
</subject>
<effectiveDateTime value="2022-01-29T10:18:00+00:00"/>
<issued value="2022-01-30T12:48:00+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>
<valueQuantity>
<value value="54"/>
<unit value="mmol/mol"/>
<system value="http://unitsofmeasure.org"/>
<code value="mmol/mol"/>
</valueQuantity>
<note>
<text
value="DIAGNOSIS OF DIABETES MELLITUS:
HbA1c of 48 mmol/mol and above is diagnostic of DM (WHO 2011)
42 - 47 mmol/mol indicates high risk of DM (NICE Guidance PH38 2012)
MONITORING OF DIABETES MELLITUS (ADULTS):
Type 2 target values: 48 mmol/mol – 57 mmol/mol (NICE Guidelines NG28)
Type 1 target values: 48 mmol/mol or lower (NICE Guidelines NG17)"/>
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<div xmlns="http://www.w3.org/1999/xhtml"><a name="DiagnosticReport_73f36ee5-bd67-57cb-860a-d12690aa09ba"> </a><p class="res-header-id"><b>Generated Narrative: DiagnosticReport 73f36ee5-bd67-57cb-860a-d12690aa09ba</b></p><a name="73f36ee5-bd67-57cb-860a-d12690aa09ba"> </a><a name="hc73f36ee5-bd67-57cb-860a-d12690aa09ba"> </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>ONE John EDITESTPATIENT Male, DoB: 1925-01-27 ( Medical record number: RCB4719263)</td></tr><tr><td>Relevant Time</td><td>2022-01-29 10:18:00+0000</td></tr><tr><td>Reported</td><td>2022-01-30 12:48:00+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-20220130-007843</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-HbA1c-Report-Example.html#urn-uuid-f9469916-f829-5957-a478-acbef4b04196"><span title="Codes:{http://snomed.info/sct 999791000000106}">Haemoglobin A1c level - International Federation of Clinical Chemistry and Laboratory Medicine standardised</span></a></td><td>54 mmol/mol<span style="background: LightGoldenRodYellow"> (Details: UCUM codemmol/mol = 'mmol/mol')</span></td><td>Final</td><td><blockquote><div><p>DIAGNOSIS OF DIABETES MELLITUS:
HbA1c of 48 mmol/mol and above is diagnostic of DM (WHO 2011)
42 - 47 mmol/mol indicates high risk of DM (NICE Guidance PH38 2012)</p>
<p>MONITORING OF DIABETES MELLITUS (ADULTS):
Type 2 target values: 48 mmol/mol – 57 mmol/mol (NICE Guidelines NG28)
Type 1 target values: 48 mmol/mol or lower (NICE Guidelines NG17)</p>
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