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-LFT-UandE-Report-Example"/>
<meta>
<profile
value="https://examplesihe.org.uk/StructureDefinition/BundleMessage"/>
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<language value="en"/>
<identifier>
<value value="NHSE-EX-0007"/>
</identifier>
<type value="message"/>
<timestamp value="2022-03-08T12:09:00+00:00"/>
<entry>
<fullUrl value="urn:uuid:a6903ffe-dd38-58bb-9c02-6778576adeed"/>
<resource>
<MessageHeader>
<id value="a6903ffe-dd38-58bb-9c02-6778576adeed"/>
<meta>
<lastUpdated value="2022-03-08T12:09:00+00:00"/>
<profile
value="https://examplesihe.org.uk/StructureDefinition/MessageHeader"/>
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<language value="en"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="MessageHeader_a6903ffe-dd38-58bb-9c02-6778576adeed"> </a><p class="res-header-id"><b>Generated Narrative: MessageHeader a6903ffe-dd38-58bb-9c02-6778576adeed</b></p><a name="a6903ffe-dd38-58bb-9c02-6778576adeed"> </a><a name="hca6903ffe-dd38-58bb-9c02-6778576adeed"> </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-LFT-UandE-Report-Example.html#urn-uuid-f4ce5504-3821-5939-8131-96727eda4722">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>
</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:f4ce5504-3821-5939-8131-96727eda4722"/>
</focus>
<definition
value="https://examplesihe.org.uk/MessageDefinition/laboratory-result"/>
</MessageHeader>
</resource>
</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"/>
</meta>
<language value="en"/>
<text>
<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>
</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="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"/>
</coding>
</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"/>
</coding>
</type>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9999999468"/>
</identifier>
<name>
<family value="EDITESTPATIENT"/>
<given value="ONE"/>
<given value="John"/>
</name>
<gender value="male"/>
<birthDate value="1925-01-27"/>
<address>
<postalCode value="B6 5RQ"/>
</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:5034f823-2354-50e0-8023-1b3cf29cd7dc"/>
<resource>
<ServiceRequest>
<id value="5034f823-2354-50e0-8023-1b3cf29cd7dc"/>
<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_5034f823-2354-50e0-8023-1b3cf29cd7dc"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest 5034f823-2354-50e0-8023-1b3cf29cd7dc</b></p><a name="5034f823-2354-50e0-8023-1b3cf29cd7dc"> </a><a name="hc5034f823-2354-50e0-8023-1b3cf29cd7dc"> </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-20220307-000046-001, Filler Identifier/REP-20220308-008902</p><p><b>status</b>: Completed</p><p><b>intent</b>: Order</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 1031081000000108}">Liver function tests</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>: 2022-03-07 09:48:00+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-CRP-Report-Example.html#urn-uuid-e1fae66a-128e-57f2-a3c0-41647ca6076b">Specimen: identifier = Placer Identifier: SPC-REQ-20220307-000105; accessionIdentifier = Accession ID: SPC-Lab-20220307-007856; status = available; type = Venous blood specimen; receivedTime = 2022-03-07 14:58:00+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-20220307-000046-001"/>
<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-20220308-008902"/>
<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="1031081000000108"/>
<display value="Liver function tests"/>
</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="2022-03-07T09:48:00+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:e1fae66a-128e-57f2-a3c0-41647ca6076b"/>
</specimen>
</ServiceRequest>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:e1fae66a-128e-57f2-a3c0-41647ca6076b"/>
<resource>
<Specimen>
<id value="e1fae66a-128e-57f2-a3c0-41647ca6076b"/>
<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_e1fae66a-128e-57f2-a3c0-41647ca6076b"> </a><p class="res-header-id"><b>Generated Narrative: Specimen e1fae66a-128e-57f2-a3c0-41647ca6076b</b></p><a name="e1fae66a-128e-57f2-a3c0-41647ca6076b"> </a><a name="hce1fae66a-128e-57f2-a3c0-41647ca6076b"> </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-20220307-000014</p><p><b>accessionIdentifier</b>: Accession ID/SPC-Lab-20220307-007856</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>: 2022-03-07 14:54:00+0000</p><p><b>request</b>: <a href="Bundle-Document-LFT-UandE-Report-Example.html#urn-uuid-5034f823-2354-50e0-8023-1b3cf29cd7dc">ServiceRequest Liver function tests</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>2022-03-07 10:02:00+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-20220307-000014"/>
</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-20220307-007856"/>
<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="2022-03-07T14:54:00+00:00"/>
<request>
<reference value="urn:uuid:5034f823-2354-50e0-8023-1b3cf29cd7dc"/>
</request>
<collection>
<collectedDateTime value="2022-03-07T10:02:00+00:00"/>
</collection>
</Specimen>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:a710f661-d19a-57c2-a0c2-41242f538809"/>
<resource>
<Observation>
<id value="a710f661-d19a-57c2-a0c2-41242f538809"/>
<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_a710f661-d19a-57c2-a0c2-41242f538809"> </a><p class="res-header-id"><b>Generated Narrative: Observation a710f661-d19a-57c2-a0c2-41242f538809</b></p><a name="a710f661-d19a-57c2-a0c2-41242f538809"> </a><a name="hca710f661-d19a-57c2-a0c2-41242f538809"> </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-LFT-UandE-Report-Example.html#urn-uuid-5034f823-2354-50e0-8023-1b3cf29cd7dc">ServiceRequest Liver function tests</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 997591000000109}, {http://snomed.info/sct 1107221000000109}">Serum total bilirubin level</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>: 2022-03-07 10:02:00+0000</p><p><b>issued</b>: 2022-03-08 14:23:00+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>: 6 umol/L<span style="background: LightGoldenRodYellow"> (Details: UCUM codeumol/L = 'umol/L')</span></p><p><b>specimen</b>: <a href="Bundle-Document-CRP-Report-Example.html#urn-uuid-e1fae66a-128e-57f2-a3c0-41647ca6076b">Specimen: identifier = Placer Identifier: SPC-REQ-20220307-000105; accessionIdentifier = Accession ID: SPC-Lab-20220307-007856; status = available; type = Venous blood specimen; receivedTime = 2022-03-07 14:58:00+0000</a></p><h3>ReferenceRanges</h3><table class="grid"><tr><td style="display: none">-</td><td><b>High</b></td></tr><tr><td style="display: none">*</td><td>21 umol/L<span style="background: LightGoldenRodYellow"> (Details: UCUM codeumol/L = 'umol/L')</span></td></tr></table></div>
</text>
<basedOn>
<reference value="urn:uuid:5034f823-2354-50e0-8023-1b3cf29cd7dc"/>
</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="997591000000109"/>
<display value="Serum total bilirubin level"/>
</coding>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1107221000000109"/>
<display
value="Total bilirubin substance concentration in serum"/>
</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="2022-03-07T10:02:00+00:00"/>
<issued value="2022-03-08T14:23:00+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="6"/>
<unit value="umol/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="umol/L"/>
</valueQuantity>
<specimen>
<reference value="urn:uuid:e1fae66a-128e-57f2-a3c0-41647ca6076b"/>
</specimen>
<referenceRange>
<high>
<value value="21"/>
<unit value="umol/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="umol/L"/>
</high>
</referenceRange>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:2fd38bf8-4ca6-5014-bce1-bbdc3d02b455"/>
<resource>
<Observation>
<id value="2fd38bf8-4ca6-5014-bce1-bbdc3d02b455"/>
<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_2fd38bf8-4ca6-5014-bce1-bbdc3d02b455"> </a><p class="res-header-id"><b>Generated Narrative: Observation 2fd38bf8-4ca6-5014-bce1-bbdc3d02b455</b></p><a name="2fd38bf8-4ca6-5014-bce1-bbdc3d02b455"> </a><a name="hc2fd38bf8-4ca6-5014-bce1-bbdc3d02b455"> </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-LFT-UandE-Report-Example.html#urn-uuid-5034f823-2354-50e0-8023-1b3cf29cd7dc">ServiceRequest Liver function tests</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 1000821000000103}, {http://snomed.info/sct 1105861000000106}">Serum albumin level</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>: 2022-03-07 10:02:00+0000</p><p><b>issued</b>: 2022-03-08 14:23:00+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>: 47 g/L<span style="background: LightGoldenRodYellow"> (Details: UCUM codeg/L = 'g/L')</span></p><p><b>specimen</b>: <a href="Bundle-Document-CRP-Report-Example.html#urn-uuid-e1fae66a-128e-57f2-a3c0-41647ca6076b">Specimen: identifier = Placer Identifier: SPC-REQ-20220307-000105; accessionIdentifier = Accession ID: SPC-Lab-20220307-007856; status = available; type = Venous blood specimen; receivedTime = 2022-03-07 14:58:00+0000</a></p><h3>ReferenceRanges</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td style="display: none">*</td><td>35 g/L<span style="background: LightGoldenRodYellow"> (Details: UCUM codeg/L = 'g/L')</span></td><td>50 g/L<span style="background: LightGoldenRodYellow"> (Details: UCUM codeg/L = 'g/L')</span></td></tr></table></div>
</text>
<basedOn>
<reference value="urn:uuid:5034f823-2354-50e0-8023-1b3cf29cd7dc"/>
</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="1000821000000103"/>
<display value="Serum albumin level"/>
</coding>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1105861000000106"/>
<display value="Albumin mass concentration in serum"/>
</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="2022-03-07T10:02:00+00:00"/>
<issued value="2022-03-08T14:23:00+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="47"/>
<unit value="g/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="g/L"/>
</valueQuantity>
<specimen>
<reference value="urn:uuid:e1fae66a-128e-57f2-a3c0-41647ca6076b"/>
</specimen>
<referenceRange>
<low>
<value value="35"/>
<unit value="g/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="g/L"/>
</low>
<high>
<value value="50"/>
<unit value="g/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="g/L"/>
</high>
</referenceRange>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:b2b377cb-8999-5ad4-a3a7-0ebf744f6385"/>
<resource>
<Observation>
<id value="b2b377cb-8999-5ad4-a3a7-0ebf744f6385"/>
<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_b2b377cb-8999-5ad4-a3a7-0ebf744f6385"> </a><p class="res-header-id"><b>Generated Narrative: Observation b2b377cb-8999-5ad4-a3a7-0ebf744f6385</b></p><a name="b2b377cb-8999-5ad4-a3a7-0ebf744f6385"> </a><a name="hcb2b377cb-8999-5ad4-a3a7-0ebf744f6385"> </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-LFT-UandE-Report-Example.html#urn-uuid-5034f823-2354-50e0-8023-1b3cf29cd7dc">ServiceRequest Liver function tests</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 1000621000000104}, {http://snomed.info/sct 1106051000000106}">Serum alkaline phosphatase level</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>: 2022-03-07 10:02:00+0000</p><p><b>issued</b>: 2022-03-08 14:23:00+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>: 96 iu/L<span style="background: LightGoldenRodYellow"> (Details: UCUM code[iU]/L = '[iU]/L')</span></p><p><b>specimen</b>: <a href="Bundle-Document-CRP-Report-Example.html#urn-uuid-e1fae66a-128e-57f2-a3c0-41647ca6076b">Specimen: identifier = Placer Identifier: SPC-REQ-20220307-000105; accessionIdentifier = Accession ID: SPC-Lab-20220307-007856; status = available; type = Venous blood specimen; receivedTime = 2022-03-07 14:58:00+0000</a></p><h3>ReferenceRanges</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td style="display: none">*</td><td>30 iu/L<span style="background: LightGoldenRodYellow"> (Details: UCUM code[iU]/L = '[iU]/L')</span></td><td>130 iu/L<span style="background: LightGoldenRodYellow"> (Details: UCUM code[iU]/L = '[iU]/L')</span></td></tr></table></div>
</text>
<basedOn>
<reference value="urn:uuid:5034f823-2354-50e0-8023-1b3cf29cd7dc"/>
</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="1000621000000104"/>
<display value="Serum alkaline phosphatase level"/>
</coding>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1106051000000106"/>
<display value="Alkaline phosphatase enzyme activity in serum"/>
</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="2022-03-07T10:02:00+00:00"/>
<issued value="2022-03-08T14:23:00+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="96"/>
<unit value="iu/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="[iU]/L"/>
</valueQuantity>
<specimen>
<reference value="urn:uuid:e1fae66a-128e-57f2-a3c0-41647ca6076b"/>
</specimen>
<referenceRange>
<low>
<value value="30"/>
<unit value="iu/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="[iU]/L"/>
</low>
<high>
<value value="130"/>
<unit value="iu/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="[iU]/L"/>
</high>
</referenceRange>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:67f8aca5-cf0d-5db2-9338-98f605fc85bc"/>
<resource>
<Observation>
<id value="67f8aca5-cf0d-5db2-9338-98f605fc85bc"/>
<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_67f8aca5-cf0d-5db2-9338-98f605fc85bc"> </a><p class="res-header-id"><b>Generated Narrative: Observation 67f8aca5-cf0d-5db2-9338-98f605fc85bc</b></p><a name="67f8aca5-cf0d-5db2-9338-98f605fc85bc"> </a><a name="hc67f8aca5-cf0d-5db2-9338-98f605fc85bc"> </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-LFT-UandE-Report-Example.html#urn-uuid-5034f823-2354-50e0-8023-1b3cf29cd7dc">ServiceRequest Liver function tests</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 1018251000000107}, {http://snomed.info/sct 1106081000000100}">Serum alanine aminotransferase level</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>: 2022-03-07 10:02:00+0000</p><p><b>issued</b>: 2022-03-08 14:23:00+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>: 15 iu/L<span style="background: LightGoldenRodYellow"> (Details: UCUM code[iU]/L = '[iU]/L')</span></p><p><b>specimen</b>: <a href="Bundle-Document-CRP-Report-Example.html#urn-uuid-e1fae66a-128e-57f2-a3c0-41647ca6076b">Specimen: identifier = Placer Identifier: SPC-REQ-20220307-000105; accessionIdentifier = Accession ID: SPC-Lab-20220307-007856; status = available; type = Venous blood specimen; receivedTime = 2022-03-07 14:58:00+0000</a></p><h3>ReferenceRanges</h3><table class="grid"><tr><td style="display: none">-</td><td><b>High</b></td></tr><tr><td style="display: none">*</td><td>40 iu/L<span style="background: LightGoldenRodYellow"> (Details: UCUM code[iU]/L = '[iU]/L')</span></td></tr></table></div>
</text>
<basedOn>
<reference value="urn:uuid:5034f823-2354-50e0-8023-1b3cf29cd7dc"/>
</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="1018251000000107"/>
<display value="Serum alanine aminotransferase level"/>
</coding>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1106081000000100"/>
<display
value="Alanine aminotransferase enzyme activity in serum"/>
</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="2022-03-07T10:02:00+00:00"/>
<issued value="2022-03-08T14:23:00+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="15"/>
<unit value="iu/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="[iU]/L"/>
</valueQuantity>
<specimen>
<reference value="urn:uuid:e1fae66a-128e-57f2-a3c0-41647ca6076b"/>
</specimen>
<referenceRange>
<high>
<value value="40"/>
<unit value="iu/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="[iU]/L"/>
</high>
</referenceRange>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:32f8a5ae-c597-54ac-b65c-2d1edfc352f2"/>
<resource>
<Observation>
<id value="32f8a5ae-c597-54ac-b65c-2d1edfc352f2"/>
<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_32f8a5ae-c597-54ac-b65c-2d1edfc352f2"> </a><p class="res-header-id"><b>Generated Narrative: Observation 32f8a5ae-c597-54ac-b65c-2d1edfc352f2</b></p><a name="32f8a5ae-c597-54ac-b65c-2d1edfc352f2"> </a><a name="hc32f8a5ae-c597-54ac-b65c-2d1edfc352f2"> </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-LFT-UandE-Report-Example.html#urn-uuid-5034f823-2354-50e0-8023-1b3cf29cd7dc">ServiceRequest Liver function tests</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 1031081000000108}">Liver function tests</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>: 2022-03-07 10:02:00+0000</p><p><b>issued</b>: 2022-03-08 14:23:00+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>specimen</b>: <a href="Bundle-Document-CRP-Report-Example.html#urn-uuid-e1fae66a-128e-57f2-a3c0-41647ca6076b">Specimen: identifier = Placer Identifier: SPC-REQ-20220307-000105; accessionIdentifier = Accession ID: SPC-Lab-20220307-007856; status = available; type = Venous blood specimen; receivedTime = 2022-03-07 14:58:00+0000</a></p><p><b>hasMember</b>: </p><ul><li><a href="Bundle-Document-LFT-UandE-Report-Example.html#urn-uuid-a710f661-d19a-57c2-a0c2-41242f538809">Observation Serum total bilirubin level</a></li><li><a href="Bundle-Document-LFT-UandE-Report-Example.html#urn-uuid-2fd38bf8-4ca6-5014-bce1-bbdc3d02b455">Observation Serum albumin level</a></li><li><a href="Bundle-Document-LFT-UandE-Report-Example.html#urn-uuid-b2b377cb-8999-5ad4-a3a7-0ebf744f6385">Observation Serum alkaline phosphatase level</a></li><li><a href="Bundle-Document-LFT-UandE-Report-Example.html#urn-uuid-67f8aca5-cf0d-5db2-9338-98f605fc85bc">Observation Serum alanine aminotransferase level</a></li></ul></div>
</text>
<basedOn>
<reference value="urn:uuid:5034f823-2354-50e0-8023-1b3cf29cd7dc"/>
</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="1031081000000108"/>
<display value="Liver function tests"/>
</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="2022-03-07T10:02:00+00:00"/>
<issued value="2022-03-08T14:23:00+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:e1fae66a-128e-57f2-a3c0-41647ca6076b"/>
</specimen>
<hasMember>
<reference value="urn:uuid:a710f661-d19a-57c2-a0c2-41242f538809"/>
</hasMember>
<hasMember>
<reference value="urn:uuid:2fd38bf8-4ca6-5014-bce1-bbdc3d02b455"/>
</hasMember>
<hasMember>
<reference value="urn:uuid:b2b377cb-8999-5ad4-a3a7-0ebf744f6385"/>
</hasMember>
<hasMember>
<reference value="urn:uuid:67f8aca5-cf0d-5db2-9338-98f605fc85bc"/>
</hasMember>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:f4ce5504-3821-5939-8131-96727eda4722"/>
<resource>
<DiagnosticReport>
<id value="f4ce5504-3821-5939-8131-96727eda4722"/>
<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_f4ce5504-3821-5939-8131-96727eda4722"> </a><p class="res-header-id"><b>Generated Narrative: DiagnosticReport f4ce5504-3821-5939-8131-96727eda4722</b></p><a name="f4ce5504-3821-5939-8131-96727eda4722"> </a><a name="hcf4ce5504-3821-5939-8131-96727eda4722"> </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>2022-03-07 10:02:00+0000</td></tr><tr><td>Reported</td><td>2022-03-08 14:23:00+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-20220308-008902</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-LFT-UandE-Report-Example.html#urn-uuid-32f8a5ae-c597-54ac-b65c-2d1edfc352f2"><span title="Codes:{http://snomed.info/sct 1031081000000108}">Liver function tests</span></a></td><td/><td>Final</td></tr><tr><td><a href="Bundle-Document-LFT-UandE-Report-Example.html#urn-uuid-91b76c07-cbc7-5a01-9b90-e6b4eea3fd80"><span title="Codes:{http://snomed.info/sct 1000971000000107}">Urea and electrolytes level</span></a></td><td/><td>Final</td></tr></table></div>
</text>
<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-20220308-008902"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="Y8J7D"/>
</identifier>
</assigner>
</identifier>
<basedOn>
<reference value="urn:uuid:5034f823-2354-50e0-8023-1b3cf29cd7dc"/>
</basedOn>
<basedOn>
<reference value="urn:uuid:e1a2c957-a745-501b-880c-358c673f2013"/>
</basedOn>
<status value="final"/>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0074"/>
<code value="CH"/>
<display value="Chemistry"/>
</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:bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9999999468"/>
</identifier>
</subject>
<effectiveDateTime value="2022-03-07T10:02:00+00:00"/>
<issued value="2022-03-08T14:23:00+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:e1fae66a-128e-57f2-a3c0-41647ca6076b"/>
</specimen>
<result>
<reference value="urn:uuid:32f8a5ae-c597-54ac-b65c-2d1edfc352f2"/>
</result>
<result>
<reference value="urn:uuid:91b76c07-cbc7-5a01-9b90-e6b4eea3fd80"/>
</result>
</DiagnosticReport>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:e1a2c957-a745-501b-880c-358c673f2013"/>
<resource>
<ServiceRequest>
<id value="e1a2c957-a745-501b-880c-358c673f2013"/>
<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_e1a2c957-a745-501b-880c-358c673f2013"> </a><p class="res-header-id"><b>Generated Narrative: ServiceRequest e1a2c957-a745-501b-880c-358c673f2013</b></p><a name="e1a2c957-a745-501b-880c-358c673f2013"> </a><a name="hce1a2c957-a745-501b-880c-358c673f2013"> </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-20220307-000046-002, Filler Identifier/REP-20220308-008902</p><p><b>status</b>: Completed</p><p><b>intent</b>: Order</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 1000971000000107}">Urea and electrolytes level</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>: 2022-03-07 09:48:00+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-CRP-Report-Example.html#urn-uuid-e1fae66a-128e-57f2-a3c0-41647ca6076b">Specimen: identifier = Placer Identifier: SPC-REQ-20220307-000105; accessionIdentifier = Accession ID: SPC-Lab-20220307-007856; status = available; type = Venous blood specimen; receivedTime = 2022-03-07 14:58:00+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-20220307-000046-002"/>
<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-20220308-008902"/>
<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="1000971000000107"/>
<display value="Urea and electrolytes level"/>
</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="2022-03-07T09:48:00+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:e1fae66a-128e-57f2-a3c0-41647ca6076b"/>
</specimen>
</ServiceRequest>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:9667895d-62e6-54ac-9ae0-5a614c3aa4d4"/>
<resource>
<Observation>
<id value="9667895d-62e6-54ac-9ae0-5a614c3aa4d4"/>
<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_9667895d-62e6-54ac-9ae0-5a614c3aa4d4"> </a><p class="res-header-id"><b>Generated Narrative: Observation 9667895d-62e6-54ac-9ae0-5a614c3aa4d4</b></p><a name="9667895d-62e6-54ac-9ae0-5a614c3aa4d4"> </a><a name="hc9667895d-62e6-54ac-9ae0-5a614c3aa4d4"> </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-LFT-UandE-Report-Example.html#urn-uuid-e1a2c957-a745-501b-880c-358c673f2013">ServiceRequest Urea and electrolytes level</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 1000951000000103}, {http://snomed.info/sct 1110281000000107}">Serum urea level</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>: 2022-03-07 10:02:00+0000</p><p><b>issued</b>: 2022-03-08 14:23:00+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>: 3.7 mmol/L<span style="background: LightGoldenRodYellow"> (Details: UCUM codemmol/L = 'mmol/L')</span></p><p><b>specimen</b>: <a href="Bundle-Document-CRP-Report-Example.html#urn-uuid-e1fae66a-128e-57f2-a3c0-41647ca6076b">Specimen: identifier = Placer Identifier: SPC-REQ-20220307-000105; accessionIdentifier = Accession ID: SPC-Lab-20220307-007856; status = available; type = Venous blood specimen; receivedTime = 2022-03-07 14:58:00+0000</a></p><h3>ReferenceRanges</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td style="display: none">*</td><td>2.5 mmol/L<span style="background: LightGoldenRodYellow"> (Details: UCUM codemmol/L = 'mmol/L')</span></td><td>7.8 mmol/L<span style="background: LightGoldenRodYellow"> (Details: UCUM codemmol/L = 'mmol/L')</span></td></tr></table></div>
</text>
<basedOn>
<reference value="urn:uuid:e1a2c957-a745-501b-880c-358c673f2013"/>
</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="1000951000000103"/>
<display value="Serum urea level"/>
</coding>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1110281000000107"/>
<display value="Urea substance concentration in serum"/>
</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="2022-03-07T10:02:00+00:00"/>
<issued value="2022-03-08T14:23:00+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="3.7"/>
<unit value="mmol/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="mmol/L"/>
</valueQuantity>
<specimen>
<reference value="urn:uuid:e1fae66a-128e-57f2-a3c0-41647ca6076b"/>
</specimen>
<referenceRange>
<low>
<value value="2.5"/>
<unit value="mmol/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="mmol/L"/>
</low>
<high>
<value value="7.8"/>
<unit value="mmol/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="mmol/L"/>
</high>
</referenceRange>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:b454e50d-add5-5d43-bf30-3e74d00b748b"/>
<resource>
<Observation>
<id value="b454e50d-add5-5d43-bf30-3e74d00b748b"/>
<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_b454e50d-add5-5d43-bf30-3e74d00b748b"> </a><p class="res-header-id"><b>Generated Narrative: Observation b454e50d-add5-5d43-bf30-3e74d00b748b</b></p><a name="b454e50d-add5-5d43-bf30-3e74d00b748b"> </a><a name="hcb454e50d-add5-5d43-bf30-3e74d00b748b"> </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-LFT-UandE-Report-Example.html#urn-uuid-e1a2c957-a745-501b-880c-358c673f2013">ServiceRequest Urea and electrolytes level</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 1000661000000107}, {http://snomed.info/sct 1107871000000107}">Serum sodium level</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>: 2022-03-07 10:02:00+0000</p><p><b>issued</b>: 2022-03-08 14:23:00+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>: 139 mmol/L<span style="background: LightGoldenRodYellow"> (Details: UCUM codemmol/L = 'mmol/L')</span></p><p><b>specimen</b>: <a href="Bundle-Document-CRP-Report-Example.html#urn-uuid-e1fae66a-128e-57f2-a3c0-41647ca6076b">Specimen: identifier = Placer Identifier: SPC-REQ-20220307-000105; accessionIdentifier = Accession ID: SPC-Lab-20220307-007856; status = available; type = Venous blood specimen; receivedTime = 2022-03-07 14:58:00+0000</a></p><h3>ReferenceRanges</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td style="display: none">*</td><td>133 mmol/L<span style="background: LightGoldenRodYellow"> (Details: UCUM codemmol/L = 'mmol/L')</span></td><td>146 mmol/L<span style="background: LightGoldenRodYellow"> (Details: UCUM codemmol/L = 'mmol/L')</span></td></tr></table></div>
</text>
<basedOn>
<reference value="urn:uuid:e1a2c957-a745-501b-880c-358c673f2013"/>
</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="1000661000000107"/>
<display value="Serum sodium level"/>
</coding>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1107871000000107"/>
<display value="Sodium substance concentration in serum"/>
</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="2022-03-07T10:02:00+00:00"/>
<issued value="2022-03-08T14:23:00+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="139"/>
<unit value="mmol/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="mmol/L"/>
</valueQuantity>
<specimen>
<reference value="urn:uuid:e1fae66a-128e-57f2-a3c0-41647ca6076b"/>
</specimen>
<referenceRange>
<low>
<value value="133"/>
<unit value="mmol/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="mmol/L"/>
</low>
<high>
<value value="146"/>
<unit value="mmol/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="mmol/L"/>
</high>
</referenceRange>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:75268412-928e-5545-95f0-50dae673af89"/>
<resource>
<Observation>
<id value="75268412-928e-5545-95f0-50dae673af89"/>
<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_75268412-928e-5545-95f0-50dae673af89"> </a><p class="res-header-id"><b>Generated Narrative: Observation 75268412-928e-5545-95f0-50dae673af89</b></p><a name="75268412-928e-5545-95f0-50dae673af89"> </a><a name="hc75268412-928e-5545-95f0-50dae673af89"> </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-LFT-UandE-Report-Example.html#urn-uuid-e1a2c957-a745-501b-880c-358c673f2013">ServiceRequest Urea and electrolytes level</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 1000651000000109}, {http://snomed.info/sct 1107761000000109}">Serum potassium level</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>: 2022-03-07 10:02:00+0000</p><p><b>issued</b>: 2022-03-08 14:23:00+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>: 4.7 mmol/L<span style="background: LightGoldenRodYellow"> (Details: UCUM codemmol/L = 'mmol/L')</span></p><p><b>specimen</b>: <a href="Bundle-Document-CRP-Report-Example.html#urn-uuid-e1fae66a-128e-57f2-a3c0-41647ca6076b">Specimen: identifier = Placer Identifier: SPC-REQ-20220307-000105; accessionIdentifier = Accession ID: SPC-Lab-20220307-007856; status = available; type = Venous blood specimen; receivedTime = 2022-03-07 14:58:00+0000</a></p><h3>ReferenceRanges</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td style="display: none">*</td><td>3.5 mmol/L<span style="background: LightGoldenRodYellow"> (Details: UCUM codemmol/L = 'mmol/L')</span></td><td>5.3 mmol/L<span style="background: LightGoldenRodYellow"> (Details: UCUM codemmol/L = 'mmol/L')</span></td></tr></table></div>
</text>
<basedOn>
<reference value="urn:uuid:e1a2c957-a745-501b-880c-358c673f2013"/>
</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="1000651000000109"/>
<display value="Serum potassium level"/>
</coding>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1107761000000109"/>
<display value="Potassium substance concentration in serum"/>
</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="2022-03-07T10:02:00+00:00"/>
<issued value="2022-03-08T14:23:00+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="4.7"/>
<unit value="mmol/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="mmol/L"/>
</valueQuantity>
<specimen>
<reference value="urn:uuid:e1fae66a-128e-57f2-a3c0-41647ca6076b"/>
</specimen>
<referenceRange>
<low>
<value value="3.5"/>
<unit value="mmol/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="mmol/L"/>
</low>
<high>
<value value="5.3"/>
<unit value="mmol/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="mmol/L"/>
</high>
</referenceRange>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:f6f51c99-e09c-5d75-b6ba-c11787b54760"/>
<resource>
<Observation>
<id value="f6f51c99-e09c-5d75-b6ba-c11787b54760"/>
<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_f6f51c99-e09c-5d75-b6ba-c11787b54760"> </a><p class="res-header-id"><b>Generated Narrative: Observation f6f51c99-e09c-5d75-b6ba-c11787b54760</b></p><a name="f6f51c99-e09c-5d75-b6ba-c11787b54760"> </a><a name="hcf6f51c99-e09c-5d75-b6ba-c11787b54760"> </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-LFT-UandE-Report-Example.html#urn-uuid-e1a2c957-a745-501b-880c-358c673f2013">ServiceRequest Urea and electrolytes level</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 1000731000000107}, {http://snomed.info/sct 1107001000000108}">Serum creatinine level</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>: 2022-03-07 10:02:00+0000</p><p><b>issued</b>: 2022-03-08 14:23:00+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>: 73 umol/L<span style="background: LightGoldenRodYellow"> (Details: UCUM codeumol/L = 'umol/L')</span></p><p><b>specimen</b>: <a href="Bundle-Document-CRP-Report-Example.html#urn-uuid-e1fae66a-128e-57f2-a3c0-41647ca6076b">Specimen: identifier = Placer Identifier: SPC-REQ-20220307-000105; accessionIdentifier = Accession ID: SPC-Lab-20220307-007856; status = available; type = Venous blood specimen; receivedTime = 2022-03-07 14:58:00+0000</a></p><h3>ReferenceRanges</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td style="display: none">*</td><td>59 umol/L<span style="background: LightGoldenRodYellow"> (Details: UCUM codeumol/L = 'umol/L')</span></td><td>104 umol/L<span style="background: LightGoldenRodYellow"> (Details: UCUM codeumol/L = 'umol/L')</span></td></tr></table></div>
</text>
<basedOn>
<reference value="urn:uuid:e1a2c957-a745-501b-880c-358c673f2013"/>
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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="1000731000000107"/>
<display value="Serum creatinine level"/>
</coding>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1107001000000108"/>
<display value="Creatinine substance concentration in serum"/>
</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="2022-03-07T10:02:00+00:00"/>
<issued value="2022-03-08T14:23:00+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="73"/>
<unit value="umol/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="umol/L"/>
</valueQuantity>
<specimen>
<reference value="urn:uuid:e1fae66a-128e-57f2-a3c0-41647ca6076b"/>
</specimen>
<referenceRange>
<low>
<value value="59"/>
<unit value="umol/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="umol/L"/>
</low>
<high>
<value value="104"/>
<unit value="umol/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="umol/L"/>
</high>
</referenceRange>
</Observation>
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</entry>
<entry>
<fullUrl value="urn:uuid:b2e68e13-b395-5f61-b2c4-4aa8e4062edc"/>
<resource>
<Observation>
<id value="b2e68e13-b395-5f61-b2c4-4aa8e4062edc"/>
<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_b2e68e13-b395-5f61-b2c4-4aa8e4062edc"> </a><p class="res-header-id"><b>Generated Narrative: Observation b2e68e13-b395-5f61-b2c4-4aa8e4062edc</b></p><a name="b2e68e13-b395-5f61-b2c4-4aa8e4062edc"> </a><a name="hcb2e68e13-b395-5f61-b2c4-4aa8e4062edc"> </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-LFT-UandE-Report-Example.html#urn-uuid-e1a2c957-a745-501b-880c-358c673f2013">ServiceRequest Urea and electrolytes level</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 1011481000000105}">eGFR (estimated glomerular filtration rate) using creatinine Chronic Kidney Disease Epidemiology Collaboration equation per 1.73 square metres</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>: 2022-03-07 10:02:00+0000</p><p><b>issued</b>: 2022-03-08 14:23:00+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>: 100 mL/min/1.73m2<span style="background: LightGoldenRodYellow"> (Details: UCUM codemL/min/((173/100).m2) = 'mL/min/((173/100).m2)')</span></p><p><b>note</b>: </p><blockquote><div><p>Calculated eGFR is not valid in children or pregnancy.
Less accurate with acute change in creatinine (AKI).
Caution with high or low muscle mass or amputation.
Avoid blood sampling within 12 hours of eating meat.
Ethnicity factor comment removed Dec21 NG203.</p>
</div></blockquote><p><b>specimen</b>: <a href="Bundle-Document-CRP-Report-Example.html#urn-uuid-e1fae66a-128e-57f2-a3c0-41647ca6076b">Specimen: identifier = Placer Identifier: SPC-REQ-20220307-000105; accessionIdentifier = Accession ID: SPC-Lab-20220307-007856; status = available; type = Venous blood specimen; receivedTime = 2022-03-07 14:58:00+0000</a></p></div>
</text>
<basedOn>
<reference value="urn:uuid:e1a2c957-a745-501b-880c-358c673f2013"/>
</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="1011481000000105"/>
<display
value="eGFR (estimated glomerular filtration rate) using creatinine Chronic Kidney Disease Epidemiology Collaboration equation per 1.73 square metres"/>
</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="2022-03-07T10:02:00+00:00"/>
<issued value="2022-03-08T14:23:00+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="100"/>
<unit value="mL/min/1.73m2"/>
<system value="http://unitsofmeasure.org"/>
<code value="mL/min/((173/100).m2)"/>
</valueQuantity>
<note>
<text
value="Calculated eGFR is not valid in children or pregnancy.
Less accurate with acute change in creatinine (AKI).
Caution with high or low muscle mass or amputation.
Avoid blood sampling within 12 hours of eating meat.
Ethnicity factor comment removed Dec21 NG203.
"/>
</note>
<specimen>
<reference value="urn:uuid:e1fae66a-128e-57f2-a3c0-41647ca6076b"/>
</specimen>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:91b76c07-cbc7-5a01-9b90-e6b4eea3fd80"/>
<resource>
<Observation>
<id value="91b76c07-cbc7-5a01-9b90-e6b4eea3fd80"/>
<meta>
<profile
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</meta>
<language value="en"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_91b76c07-cbc7-5a01-9b90-e6b4eea3fd80"> </a><p class="res-header-id"><b>Generated Narrative: Observation 91b76c07-cbc7-5a01-9b90-e6b4eea3fd80</b></p><a name="91b76c07-cbc7-5a01-9b90-e6b4eea3fd80"> </a><a name="hc91b76c07-cbc7-5a01-9b90-e6b4eea3fd80"> </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-LFT-UandE-Report-Example.html#urn-uuid-e1a2c957-a745-501b-880c-358c673f2013">ServiceRequest Urea and electrolytes level</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 1000971000000107}">Urea and electrolytes level</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>: 2022-03-07 10:02:00+0000</p><p><b>issued</b>: 2022-03-08 14:23:00+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>specimen</b>: <a href="Bundle-Document-CRP-Report-Example.html#urn-uuid-e1fae66a-128e-57f2-a3c0-41647ca6076b">Specimen: identifier = Placer Identifier: SPC-REQ-20220307-000105; accessionIdentifier = Accession ID: SPC-Lab-20220307-007856; status = available; type = Venous blood specimen; receivedTime = 2022-03-07 14:58:00+0000</a></p><p><b>hasMember</b>: </p><ul><li><a href="Bundle-Document-LFT-UandE-Report-Example.html#urn-uuid-9667895d-62e6-54ac-9ae0-5a614c3aa4d4">Observation Serum urea level</a></li><li><a href="Bundle-Document-LFT-UandE-Report-Example.html#urn-uuid-b454e50d-add5-5d43-bf30-3e74d00b748b">Observation Serum sodium level</a></li><li><a href="Bundle-Document-LFT-UandE-Report-Example.html#urn-uuid-75268412-928e-5545-95f0-50dae673af89">Observation Serum potassium level</a></li><li><a href="Bundle-Document-LFT-UandE-Report-Example.html#urn-uuid-f6f51c99-e09c-5d75-b6ba-c11787b54760">Observation Serum creatinine level</a></li><li><a href="Bundle-Document-LFT-UandE-Report-Example.html#urn-uuid-b2e68e13-b395-5f61-b2c4-4aa8e4062edc">Observation eGFR (estimated glomerular filtration rate) using creatinine Chronic Kidney Disease Epidemiology Collaboration equation per 1.73 square metres</a></li></ul></div>
</text>
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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="1000971000000107"/>
<display value="Urea and electrolytes level"/>
</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="2022-03-07T10:02:00+00:00"/>
<issued value="2022-03-08T14:23:00+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:e1fae66a-128e-57f2-a3c0-41647ca6076b"/>
</specimen>
<hasMember>
<reference value="urn:uuid:9667895d-62e6-54ac-9ae0-5a614c3aa4d4"/>
</hasMember>
<hasMember>
<reference value="urn:uuid:b454e50d-add5-5d43-bf30-3e74d00b748b"/>
</hasMember>
<hasMember>
<reference value="urn:uuid:75268412-928e-5545-95f0-50dae673af89"/>
</hasMember>
<hasMember>
<reference value="urn:uuid:f6f51c99-e09c-5d75-b6ba-c11787b54760"/>
</hasMember>
<hasMember>
<reference value="urn:uuid:b2e68e13-b395-5f61-b2c4-4aa8e4062edc"/>
</hasMember>
</Observation>
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