England Pathology and Laboratory Medicine (PaLM) Technical Framework
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: Message - Lipids-HbA1c-Report-Example

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/Bundle/Message-Lipids-HbA1c-Report-Example> a fhir:Bundle ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "Message-Lipids-HbA1c-Report-Example"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://examplesihe.org.uk/StructureDefinition/BundleMessage" ;
       fhir:index -1 ;
       fhir:link <https://examplesihe.org.uk/StructureDefinition/BundleMessage>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:Bundle.identifier [
     fhir:Identifier.value [ fhir:value "NHSE-EX-0006" ]
  ] ;
  fhir:Bundle.type [ fhir:value "message"] ;
  fhir:Bundle.timestamp [ fhir:value "2022-03-08T12:09:00+00:00"^^xsd:dateTime] ;
  fhir:Bundle.entry [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:12dc485d-da26-519c-924b-c11185453e33" ] ;
     fhir:Bundle.entry.resource <urn:uuid:12dc485d-da26-519c-924b-c11185453e33>
  ], [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5" ] ;
     fhir:Bundle.entry.resource <urn:uuid:bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5>
  ], [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:84c94bb1-4336-5607-9124-6b82052db22a" ] ;
     fhir:Bundle.entry.resource <urn:uuid:84c94bb1-4336-5607-9124-6b82052db22a>
  ], [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:18e5bb16-3087-5fe4-b891-dfa10740366e" ] ;
     fhir:Bundle.entry.resource <urn:uuid:18e5bb16-3087-5fe4-b891-dfa10740366e>
  ], [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:eec04ca4-d7ea-543f-a826-a8562e794b7e" ] ;
     fhir:Bundle.entry.resource <urn:uuid:eec04ca4-d7ea-543f-a826-a8562e794b7e>
  ], [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:613a632f-56e1-5273-b243-e181e3cc4a0b" ] ;
     fhir:Bundle.entry.resource <urn:uuid:613a632f-56e1-5273-b243-e181e3cc4a0b>
  ], [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:7b38426e-471d-549c-957e-38611e2bb056" ] ;
     fhir:Bundle.entry.resource <urn:uuid:7b38426e-471d-549c-957e-38611e2bb056>
  ], [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:2ea95ee8-4ab2-5f1c-b5ef-95039610e986" ] ;
     fhir:Bundle.entry.resource <urn:uuid:2ea95ee8-4ab2-5f1c-b5ef-95039610e986>
  ], [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:f4cc8df0-a320-57be-8e4a-b54457151397" ] ;
     fhir:Bundle.entry.resource <urn:uuid:f4cc8df0-a320-57be-8e4a-b54457151397>
  ], [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:23bc1d7b-68b9-55a1-8389-3795196205e2" ] ;
     fhir:Bundle.entry.resource <urn:uuid:23bc1d7b-68b9-55a1-8389-3795196205e2>
  ], [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:3ede1ede-8cfd-517b-b489-f77830817645" ] ;
     fhir:Bundle.entry.resource <urn:uuid:3ede1ede-8cfd-517b-b489-f77830817645>
  ], [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:c6322d99-196a-59de-bcf0-0ee8447e2195" ] ;
     fhir:Bundle.entry.resource <urn:uuid:c6322d99-196a-59de-bcf0-0ee8447e2195>
  ], [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:91efc256-5c9b-5c5f-8275-dd13aec91395" ] ;
     fhir:Bundle.entry.resource <urn:uuid:91efc256-5c9b-5c5f-8275-dd13aec91395>
  ] .

<urn:uuid:12dc485d-da26-519c-924b-c11185453e33> a fhir:MessageHeader ;
  fhir:Resource.id [ fhir:value "12dc485d-da26-519c-924b-c11185453e33"] ;
  fhir:Resource.meta [
     fhir:Meta.lastUpdated [ fhir:value "2022-03-08T12:09:00+00:00"^^xsd:dateTime ] ;
     fhir:Meta.profile [
       fhir:value "https://examplesihe.org.uk/StructureDefinition/MessageHeader" ;
       fhir:index -1 ;
       fhir:link <https://examplesihe.org.uk/StructureDefinition/MessageHeader>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MessageHeader_12dc485d-da26-519c-924b-c11185453e33\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MessageHeader 12dc485d-da26-519c-924b-c11185453e33</b></p><a name=\"12dc485d-da26-519c-924b-c11185453e33\"> </a><a name=\"hc12dc485d-da26-519c-924b-c11185453e33\"> </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-Lipids-HbA1c-Report-Example.html#urn-uuid-3ede1ede-8cfd-517b-b489-f77830817645\">Diagnostic Report for 'Diagnostic studies report' for '-&gt;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>"
  ] ;
  fhir:MessageHeader.eventCoding [
     fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0003" ] ;
     fhir:Coding.code [ fhir:value "R01" ] ;
     fhir:Coding.display [ fhir:value "ORU/ACK - Unsolicited transmission of an observation message" ]
  ] ;
  fhir:MessageHeader.destination [
     fhir:index -1 ;
     fhir:MessageHeader.destination.name [ fhir:value "GPSYSTEM" ] ;
     fhir:MessageHeader.destination.endpoint [ fhir:value "urn:hl7-v2:GPSYSTEM" ] ;
     fhir:MessageHeader.destination.receiver [
       fhir:Reference.identifier [
         fhir:Identifier.system [ fhir:value "https://fhir.nhs.uk/Id/ods-organization-code" ] ;
         fhir:Identifier.value [ fhir:value "B82033" ]
       ]
     ]
  ] ;
  fhir:MessageHeader.sender [
     fhir:Reference.identifier [
       fhir:Identifier.system [ fhir:value "https://fhir.nhs.uk/Id/ods-organization-code" ] ;
       fhir:Identifier.value [ fhir:value "Y8J7D" ]
     ]
  ] ;
  fhir:MessageHeader.source [
     fhir:MessageHeader.source.name [ fhir:value "LIMS" ] ;
     fhir:MessageHeader.source.endpoint [ fhir:value "urn:hl7-v2:LIMS" ]
  ] ;
  fhir:MessageHeader.focus [
     fhir:index -1 ;
     fhir:Reference.reference [ fhir:value "urn:uuid:3ede1ede-8cfd-517b-b489-f77830817645" ]
  ] ;
  fhir:MessageHeader.definition [
     fhir:value "https://examplesihe.org.uk/MessageDefinition/laboratory-result" ;
     fhir:link <https://examplesihe.org.uk/MessageDefinition/laboratory-result>
  ] .

<urn:uuid:bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5> a fhir:Patient ;
  fhir:Resource.id [ fhir:value "bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://examplesihe.org.uk/StructureDefinition/Patient" ;
       fhir:index -1 ;
       fhir:link <https://examplesihe.org.uk/StructureDefinition/Patient>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<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>"
  ] ;
  fhir:Patient.identifier [
     fhir:index -1 ;
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ] ;
         fhir:Coding.code [ fhir:value "MR" ]
       ]
     ] ;
     fhir:Identifier.system [ fhir:value "https://examplesihe.org.uk/Id/mrn/RCB" ] ;
     fhir:Identifier.value [ fhir:value "RCB4719263" ] ;
     fhir:Identifier.assigner [
       fhir:Reference.identifier [
         fhir:Identifier.system [ fhir:value "https://fhir.nhs.uk/Id/ods-organization-code" ] ;
         fhir:Identifier.value [ fhir:value "RCB" ]
       ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ] ;
         fhir:Coding.code [ fhir:value "PI" ]
       ]
     ] ;
     fhir:Identifier.system [ fhir:value "https://examplesihe.org.uk/Id/patient-internal/Y8J7D" ] ;
     fhir:Identifier.value [ fhir:value "Y8J7D0381527" ] ;
     fhir:Identifier.assigner [
       fhir:Reference.identifier [
         fhir:Identifier.system [ fhir:value "https://fhir.nhs.uk/Id/ods-organization-code" ] ;
         fhir:Identifier.value [ fhir:value "Y8J7D" ]
       ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ] ;
         fhir:Coding.code [ fhir:value "NH" ]
       ]
     ] ;
     fhir:Identifier.system [ fhir:value "https://fhir.nhs.uk/Id/nhs-number" ] ;
     fhir:Identifier.value [ fhir:value "9999999468" ]
  ] ;
  fhir:Patient.name [
     fhir:index -1 ;
     fhir:HumanName.family [ fhir:value "EDITESTPATIENT" ] ;
     fhir:HumanName.given [
       fhir:value "ONE" ;
       fhir:index -1
     ], [
       fhir:value "John" ;
       fhir:index -1
     ]
  ] ;
  fhir:Patient.gender [ fhir:value "male"] ;
  fhir:Patient.birthDate [ fhir:value "1925-01-27"^^xsd:date] ;
  fhir:Patient.address [
     fhir:index -1 ;
     fhir:Address.postalCode [ fhir:value "B6 5RQ" ]
  ] .

<urn:uuid:84c94bb1-4336-5607-9124-6b82052db22a> a fhir:PractitionerRole ;
  fhir:Resource.id [ fhir:value "84c94bb1-4336-5607-9124-6b82052db22a"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://examplesihe.org.uk/StructureDefinition/PractitionerRole" ;
       fhir:index -1 ;
       fhir:link <https://examplesihe.org.uk/StructureDefinition/PractitionerRole>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"PractitionerRole_84c94bb1-4336-5607-9124-6b82052db22a\"> </a><p class=\"res-header-id\"><b>Generated Narrative: PractitionerRole 84c94bb1-4336-5607-9124-6b82052db22a</b></p><a name=\"84c94bb1-4336-5607-9124-6b82052db22a\"> </a><a name=\"hc84c94bb1-4336-5607-9124-6b82052db22a\"> </a><div style=\"display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-PractitionerRole.html\">PractitionerRole</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Dr Gale GASKELL at PICKERING MEDICAL PRACTICE</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"The practitioner who is able to provide the services in this role\">Practitioner:</td><td colspan=\"3\">Dr Gale GASKELL (Identifier: <a href=\"NamingSystem-gmcnumber-namingsystem.html\" title=\"General Medical Council Consultant Code. For more details see: [NHS Data Model Dictionary](https://www.datadictionary.nhs.uk/attributes/general_medical_council_reference_number.html)\">GMC Number</a>/C1008215)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"The organization where the practitioner performs the roles\">Organization:</td><td colspan=\"3\">PICKERING MEDICAL PRACTICE (Identifier: <a href=\"NamingSystem-ods-organization-code-namingsystem.html\" title=\"The identifier system for an Organisation registered with the Organisation Data Service (ODS).\">ODS Organisation Code</a>/B82033)</td></tr></table></div>"
  ] ;
  fhir:PractitionerRole.practitioner [
     fhir:Reference.type [ fhir:value "Practitioner" ] ;
     fhir:Reference.identifier [
       fhir:Identifier.system [ fhir:value "https://fhir.hl7.org.uk/Id/gmc-number" ] ;
       fhir:Identifier.value [ fhir:value "C1008215" ]
     ] ;
     fhir:Reference.display [ fhir:value "Dr Gale GASKELL" ]
  ] ;
  fhir:PractitionerRole.organization [
     fhir:Reference.type [ fhir:value "Organization" ] ;
     fhir:Reference.identifier [
       fhir:Identifier.system [ fhir:value "https://fhir.nhs.uk/Id/ods-organization-code" ] ;
       fhir:Identifier.value [ fhir:value "B82033" ]
     ] ;
     fhir:Reference.display [ fhir:value "PICKERING MEDICAL PRACTICE" ]
  ] .

<urn:uuid:18e5bb16-3087-5fe4-b891-dfa10740366e> a fhir:ServiceRequest ;
  fhir:Resource.id [ fhir:value "18e5bb16-3087-5fe4-b891-dfa10740366e"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://examplesihe.org.uk/StructureDefinition/LaboratoryOrder" ;
       fhir:index -1 ;
       fhir:link <https://examplesihe.org.uk/StructureDefinition/LaboratoryOrder>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_18e5bb16-3087-5fe4-b891-dfa10740366e\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest 18e5bb16-3087-5fe4-b891-dfa10740366e</b></p><a name=\"18e5bb16-3087-5fe4-b891-dfa10740366e\"> </a><a name=\"hc18e5bb16-3087-5fe4-b891-dfa10740366e\"> </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-20220704-000027-001, Filler Identifier/REP-20220706-002378</p><p><b>status</b>: Completed</p><p><b>intent</b>: Order</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 1005661000000103}\">Serum lipids 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>: 2022-07-04 11:05:00+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-Lipids-HbA1c-Report-Example.html#urn-uuid-eec04ca4-d7ea-543f-a826-a8562e794b7e\">Specimen: identifier = Placer Identifier: SPC-REQ-20220705-000004; accessionIdentifier = Accession ID: SPC-Lab-20220705-006215; status = available; type = Venous blood specimen; receivedTime = 2022-07-05 15:17:00+0000</a></p></div>"
  ] ;
  fhir:ServiceRequest.identifier [
     fhir:index -1 ;
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ] ;
         fhir:Coding.code [ fhir:value "PLAC" ]
       ]
     ] ;
     fhir:Identifier.system [ fhir:value "http://B82033-pickeringmedicalpractice.com/labrequest" ] ;
     fhir:Identifier.value [ fhir:value "REQ-20220704-000027-001" ] ;
     fhir:Identifier.assigner [
       fhir:Reference.identifier [
         fhir:Identifier.system [ fhir:value "https://fhir.nhs.uk/Id/ods-organization-code" ] ;
         fhir:Identifier.value [ fhir:value "B82033" ]
       ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ] ;
         fhir:Coding.code [ fhir:value "FILL" ]
       ]
     ] ;
     fhir:Identifier.system [ fhir:value "http://Y8J7D-pathlab001.com/report" ] ;
     fhir:Identifier.value [ fhir:value "REP-20220706-002378" ] ;
     fhir:Identifier.assigner [
       fhir:Reference.identifier [
         fhir:Identifier.system [ fhir:value "https://fhir.nhs.uk/Id/ods-organization-code" ] ;
         fhir:Identifier.value [ fhir:value "Y8J7D" ]
       ]
     ]
  ] ;
  fhir:ServiceRequest.status [ fhir:value "completed"] ;
  fhir:ServiceRequest.intent [ fhir:value "order"] ;
  fhir:ServiceRequest.code [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       a sct:1005661000000103 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "1005661000000103" ] ;
       fhir:Coding.display [ fhir:value "Serum lipids level" ]
     ]
  ] ;
  fhir:ServiceRequest.subject [
     fhir:Reference.reference [ fhir:value "urn:uuid:bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5" ] ;
     fhir:Reference.identifier [
       fhir:Identifier.system [ fhir:value "https://fhir.nhs.uk/Id/nhs-number" ] ;
       fhir:Identifier.value [ fhir:value "9999999468" ]
     ]
  ] ;
  fhir:ServiceRequest.authoredOn [ fhir:value "2022-07-04T11:05:00+00:00"^^xsd:dateTime] ;
  fhir:ServiceRequest.requester [
     fhir:Reference.reference [ fhir:value "urn:uuid:84c94bb1-4336-5607-9124-6b82052db22a" ]
  ] ;
  fhir:ServiceRequest.performer [
     fhir:index -1 ;
     fhir:Reference.type [ fhir:value "Organization" ] ;
     fhir:Reference.identifier [
       fhir:Identifier.system [ fhir:value "https://fhir.nhs.uk/Id/ods-organization-code" ] ;
       fhir:Identifier.value [ fhir:value "Y8J7D" ]
     ] ;
     fhir:Reference.display [ fhir:value "TD008362 PATH LAB 001" ]
  ] ;
  fhir:ServiceRequest.specimen [
     fhir:index -1 ;
     fhir:Reference.reference [ fhir:value "urn:uuid:eec04ca4-d7ea-543f-a826-a8562e794b7e" ]
  ] .

<urn:uuid:eec04ca4-d7ea-543f-a826-a8562e794b7e> a fhir:Specimen ;
  fhir:Resource.id [ fhir:value "eec04ca4-d7ea-543f-a826-a8562e794b7e"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://examplesihe.org.uk/StructureDefinition/Specimen" ;
       fhir:index -1 ;
       fhir:link <https://examplesihe.org.uk/StructureDefinition/Specimen>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Specimen_eec04ca4-d7ea-543f-a826-a8562e794b7e\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Specimen eec04ca4-d7ea-543f-a826-a8562e794b7e</b></p><a name=\"eec04ca4-d7ea-543f-a826-a8562e794b7e\"> </a><a name=\"hceec04ca4-d7ea-543f-a826-a8562e794b7e\"> </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-20220705-000004</p><p><b>accessionIdentifier</b>: Accession ID/SPC-Lab-20220705-006215</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>: 2022-07-05 15:17:00+0000</p><p><b>request</b>: <a href=\"Bundle-Document-Lipids-HbA1c-Report-Example.html#urn-uuid-18e5bb16-3087-5fe4-b891-dfa10740366e\">ServiceRequest Serum lipids level</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>2022-07-05 08:52:00+0000</td></tr></table></div>"
  ] ;
  fhir:Specimen.identifier [
     fhir:index -1 ;
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ] ;
         fhir:Coding.code [ fhir:value "PLAC" ]
       ]
     ] ;
     fhir:Identifier.system [ fhir:value "http://B82033-pickeringmedicalpractice.com/specimen" ] ;
     fhir:Identifier.value [ fhir:value "SPC-REQ-20220705-000004" ]
  ] ;
  fhir:Specimen.accessionIdentifier [
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ] ;
         fhir:Coding.code [ fhir:value "ACSN" ]
       ]
     ] ;
     fhir:Identifier.system [ fhir:value "http://Y8J7D-pathlab001.com/specimen" ] ;
     fhir:Identifier.value [ fhir:value "SPC-Lab-20220705-006215" ] ;
     fhir:Identifier.assigner [
       fhir:Reference.identifier [
         fhir:Identifier.system [ fhir:value "https://fhir.nhs.uk/Id/ods-organization-code" ] ;
         fhir:Identifier.value [ fhir:value "Y8J7D" ]
       ]
     ]
  ] ;
  fhir:Specimen.status [ fhir:value "available"] ;
  fhir:Specimen.type [
     fhir:CodeableConcept.text [ fhir:value "Venous blood specimen" ]
  ] ;
  fhir:Specimen.subject [
     fhir:Reference.reference [ fhir:value "urn:uuid:bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5" ] ;
     fhir:Reference.identifier [
       fhir:Identifier.system [ fhir:value "https://fhir.nhs.uk/Id/nhs-number" ] ;
       fhir:Identifier.value [ fhir:value "9999999468" ]
     ]
  ] ;
  fhir:Specimen.receivedTime [ fhir:value "2022-07-05T15:17:00+00:00"^^xsd:dateTime] ;
  fhir:Specimen.request [
     fhir:index -1 ;
     fhir:Reference.reference [ fhir:value "urn:uuid:18e5bb16-3087-5fe4-b891-dfa10740366e" ]
  ] ;
  fhir:Specimen.collection [
     fhir:Specimen.collection.collectedDateTime [ fhir:value "2022-07-05T08:52:00+00:00"^^xsd:dateTime ]
  ] .

<urn:uuid:613a632f-56e1-5273-b243-e181e3cc4a0b> a fhir:Observation ;
  fhir:Resource.id [ fhir:value "613a632f-56e1-5273-b243-e181e3cc4a0b"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://examplesihe.org.uk/StructureDefinition/LaboratoryResult" ;
       fhir:index -1 ;
       fhir:link <https://examplesihe.org.uk/StructureDefinition/LaboratoryResult>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_613a632f-56e1-5273-b243-e181e3cc4a0b\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 613a632f-56e1-5273-b243-e181e3cc4a0b</b></p><a name=\"613a632f-56e1-5273-b243-e181e3cc4a0b\"> </a><a name=\"hc613a632f-56e1-5273-b243-e181e3cc4a0b\"> </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-Lipids-HbA1c-Report-Example.html#urn-uuid-18e5bb16-3087-5fe4-b891-dfa10740366e\">ServiceRequest Serum lipids 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 1005671000000105}, {http://snomed.info/sct 1106541000000101}\">Serum cholesterol 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>: 2022-07-05 08:52:00+0000</p><p><b>issued</b>: 2022-07-06 10:49:00+0000</p><p><b>performer</b>: TD008362 PATH LAB 001 (Identifier: <a href=\"NamingSystem-ods-organization-code-namingsystem.html\" title=\"The identifier system for an Organisation registered with the Organisation Data Service (ODS).\">ODS Organisation Code</a>/Y8J7D)</p><p><b>value</b>: 6.1 mmol/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemmol/L = 'mmol/L')</span></p><p><b>specimen</b>: <a href=\"Bundle-Document-Lipids-HbA1c-Report-Example.html#urn-uuid-eec04ca4-d7ea-543f-a826-a8562e794b7e\">Specimen: identifier = Placer Identifier: SPC-REQ-20220705-000004; accessionIdentifier = Accession ID: SPC-Lab-20220705-006215; status = available; type = Venous blood specimen; receivedTime = 2022-07-05 15:17:00+0000</a></p></div>"
  ] ;
  fhir:Observation.basedOn [
     fhir:index -1 ;
     fhir:Reference.reference [ fhir:value "urn:uuid:18e5bb16-3087-5fe4-b891-dfa10740366e" ]
  ] ;
  fhir:Observation.status [ fhir:value "final"] ;
  fhir:Observation.category [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ] ;
       fhir:Coding.code [ fhir:value "laboratory" ] ;
       fhir:Coding.display [ fhir:value "Laboratory" ]
     ]
  ] ;
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       a sct:1005671000000105 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "1005671000000105" ] ;
       fhir:Coding.display [ fhir:value "Serum cholesterol level" ]
     ], [
       fhir:index -1 ;
       a sct:1106541000000101 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "1106541000000101" ] ;
       fhir:Coding.display [ fhir:value "Cholesterol substance concentration in serum" ]
     ]
  ] ;
  fhir:Observation.subject [
     fhir:Reference.reference [ fhir:value "urn:uuid:bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5" ] ;
     fhir:Reference.identifier [
       fhir:Identifier.system [ fhir:value "https://fhir.nhs.uk/Id/nhs-number" ] ;
       fhir:Identifier.value [ fhir:value "9999999468" ]
     ]
  ] ;
  fhir:Observation.effectiveDateTime [ fhir:value "2022-07-05T08:52:00+00:00"^^xsd:dateTime] ;
  fhir:Observation.issued [ fhir:value "2022-07-06T10:49:00+00:00"^^xsd:dateTime] ;
  fhir:Observation.performer [
     fhir:index -1 ;
     fhir:Reference.type [ fhir:value "Organization" ] ;
     fhir:Reference.identifier [
       fhir:Identifier.system [ fhir:value "https://fhir.nhs.uk/Id/ods-organization-code" ] ;
       fhir:Identifier.value [ fhir:value "Y8J7D" ]
     ] ;
     fhir:Reference.display [ fhir:value "TD008362 PATH LAB 001" ]
  ] ;
  fhir:Observation.valueQuantity [
     fhir:Quantity.value [ fhir:value "6.1"^^xsd:decimal ] ;
     fhir:Quantity.unit [ fhir:value "mmol/L" ] ;
     fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
     fhir:Quantity.code [ fhir:value "mmol/L" ]
  ] ;
  fhir:Observation.specimen [
     fhir:Reference.reference [ fhir:value "urn:uuid:eec04ca4-d7ea-543f-a826-a8562e794b7e" ]
  ] .

<urn:uuid:7b38426e-471d-549c-957e-38611e2bb056> a fhir:Observation ;
  fhir:Resource.id [ fhir:value "7b38426e-471d-549c-957e-38611e2bb056"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://examplesihe.org.uk/StructureDefinition/LaboratoryResult" ;
       fhir:index -1 ;
       fhir:link <https://examplesihe.org.uk/StructureDefinition/LaboratoryResult>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_7b38426e-471d-549c-957e-38611e2bb056\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 7b38426e-471d-549c-957e-38611e2bb056</b></p><a name=\"7b38426e-471d-549c-957e-38611e2bb056\"> </a><a name=\"hc7b38426e-471d-549c-957e-38611e2bb056\"> </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-Lipids-HbA1c-Report-Example.html#urn-uuid-18e5bb16-3087-5fe4-b891-dfa10740366e\">ServiceRequest Serum lipids 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 1005681000000107}, {http://snomed.info/sct 1107681000000108}\">Serum high density lipoprotein cholesterol 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>: 2022-07-05 08:52:00+0000</p><p><b>issued</b>: 2022-07-06 10:49:00+0000</p><p><b>performer</b>: TD008362 PATH LAB 001 (Identifier: <a href=\"NamingSystem-ods-organization-code-namingsystem.html\" title=\"The identifier system for an Organisation registered with the Organisation Data Service (ODS).\">ODS Organisation Code</a>/Y8J7D)</p><p><b>value</b>: 1.44 mmol/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemmol/L = 'mmol/L')</span></p><p><b>specimen</b>: <a href=\"Bundle-Document-Lipids-HbA1c-Report-Example.html#urn-uuid-eec04ca4-d7ea-543f-a826-a8562e794b7e\">Specimen: identifier = Placer Identifier: SPC-REQ-20220705-000004; accessionIdentifier = Accession ID: SPC-Lab-20220705-006215; status = available; type = Venous blood specimen; receivedTime = 2022-07-05 15:17:00+0000</a></p></div>"
  ] ;
  fhir:Observation.basedOn [
     fhir:index -1 ;
     fhir:Reference.reference [ fhir:value "urn:uuid:18e5bb16-3087-5fe4-b891-dfa10740366e" ]
  ] ;
  fhir:Observation.status [ fhir:value "final"] ;
  fhir:Observation.category [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ] ;
       fhir:Coding.code [ fhir:value "laboratory" ] ;
       fhir:Coding.display [ fhir:value "Laboratory" ]
     ]
  ] ;
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       a sct:1005681000000107 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "1005681000000107" ] ;
       fhir:Coding.display [ fhir:value "Serum high density lipoprotein cholesterol level" ]
     ], [
       fhir:index -1 ;
       a sct:1107681000000108 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "1107681000000108" ] ;
       fhir:Coding.display [ fhir:value "HDL (high density lipoprotein) cholesterol substance concentration in serum" ]
     ]
  ] ;
  fhir:Observation.subject [
     fhir:Reference.reference [ fhir:value "urn:uuid:bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5" ] ;
     fhir:Reference.identifier [
       fhir:Identifier.system [ fhir:value "https://fhir.nhs.uk/Id/nhs-number" ] ;
       fhir:Identifier.value [ fhir:value "9999999468" ]
     ]
  ] ;
  fhir:Observation.effectiveDateTime [ fhir:value "2022-07-05T08:52:00+00:00"^^xsd:dateTime] ;
  fhir:Observation.issued [ fhir:value "2022-07-06T10:49:00+00:00"^^xsd:dateTime] ;
  fhir:Observation.performer [
     fhir:index -1 ;
     fhir:Reference.type [ fhir:value "Organization" ] ;
     fhir:Reference.identifier [
       fhir:Identifier.system [ fhir:value "https://fhir.nhs.uk/Id/ods-organization-code" ] ;
       fhir:Identifier.value [ fhir:value "Y8J7D" ]
     ] ;
     fhir:Reference.display [ fhir:value "TD008362 PATH LAB 001" ]
  ] ;
  fhir:Observation.valueQuantity [
     fhir:Quantity.value [ fhir:value "1.44"^^xsd:decimal ] ;
     fhir:Quantity.unit [ fhir:value "mmol/L" ] ;
     fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
     fhir:Quantity.code [ fhir:value "mmol/L" ]
  ] ;
  fhir:Observation.specimen [
     fhir:Reference.reference [ fhir:value "urn:uuid:eec04ca4-d7ea-543f-a826-a8562e794b7e" ]
  ] .

<urn:uuid:2ea95ee8-4ab2-5f1c-b5ef-95039610e986> a fhir:Observation ;
  fhir:Resource.id [ fhir:value "2ea95ee8-4ab2-5f1c-b5ef-95039610e986"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://examplesihe.org.uk/StructureDefinition/LaboratoryResult" ;
       fhir:index -1 ;
       fhir:link <https://examplesihe.org.uk/StructureDefinition/LaboratoryResult>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_2ea95ee8-4ab2-5f1c-b5ef-95039610e986\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 2ea95ee8-4ab2-5f1c-b5ef-95039610e986</b></p><a name=\"2ea95ee8-4ab2-5f1c-b5ef-95039610e986\"> </a><a name=\"hc2ea95ee8-4ab2-5f1c-b5ef-95039610e986\"> </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-Lipids-HbA1c-Report-Example.html#urn-uuid-18e5bb16-3087-5fe4-b891-dfa10740366e\">ServiceRequest Serum lipids 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 1015681000000109}, {http://snomed.info/sct 1107741000000108}\">Serum cholesterol/high density lipoprotein ratio</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>: 2022-07-05 08:52:00+0000</p><p><b>issued</b>: 2022-07-06 10:49:00+0000</p><p><b>performer</b>: TD008362 PATH LAB 001 (Identifier: <a href=\"NamingSystem-ods-organization-code-namingsystem.html\" title=\"The identifier system for an Organisation registered with the Organisation Data Service (ODS).\">ODS Organisation Code</a>/Y8J7D)</p><p><b>value</b>: 4.2 1/1</p><p><b>specimen</b>: <a href=\"Bundle-Document-Lipids-HbA1c-Report-Example.html#urn-uuid-eec04ca4-d7ea-543f-a826-a8562e794b7e\">Specimen: identifier = Placer Identifier: SPC-REQ-20220705-000004; accessionIdentifier = Accession ID: SPC-Lab-20220705-006215; status = available; type = Venous blood specimen; receivedTime = 2022-07-05 15:17:00+0000</a></p></div>"
  ] ;
  fhir:Observation.basedOn [
     fhir:index -1 ;
     fhir:Reference.reference [ fhir:value "urn:uuid:18e5bb16-3087-5fe4-b891-dfa10740366e" ]
  ] ;
  fhir:Observation.status [ fhir:value "final"] ;
  fhir:Observation.category [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ] ;
       fhir:Coding.code [ fhir:value "laboratory" ] ;
       fhir:Coding.display [ fhir:value "Laboratory" ]
     ]
  ] ;
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       a sct:1015681000000109 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "1015681000000109" ] ;
       fhir:Coding.display [ fhir:value "Serum cholesterol/high density lipoprotein ratio" ]
     ], [
       fhir:index -1 ;
       a sct:1107741000000108 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "1107741000000108" ] ;
       fhir:Coding.display [ fhir:value "HDL (high density lipoprotein) cholesterol/total cholesterol ratio in serum" ]
     ]
  ] ;
  fhir:Observation.subject [
     fhir:Reference.reference [ fhir:value "urn:uuid:bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5" ] ;
     fhir:Reference.identifier [
       fhir:Identifier.system [ fhir:value "https://fhir.nhs.uk/Id/nhs-number" ] ;
       fhir:Identifier.value [ fhir:value "9999999468" ]
     ]
  ] ;
  fhir:Observation.effectiveDateTime [ fhir:value "2022-07-05T08:52:00+00:00"^^xsd:dateTime] ;
  fhir:Observation.issued [ fhir:value "2022-07-06T10:49:00+00:00"^^xsd:dateTime] ;
  fhir:Observation.performer [
     fhir:index -1 ;
     fhir:Reference.type [ fhir:value "Organization" ] ;
     fhir:Reference.identifier [
       fhir:Identifier.system [ fhir:value "https://fhir.nhs.uk/Id/ods-organization-code" ] ;
       fhir:Identifier.value [ fhir:value "Y8J7D" ]
     ] ;
     fhir:Reference.display [ fhir:value "TD008362 PATH LAB 001" ]
  ] ;
  fhir:Observation.valueQuantity [
     fhir:Quantity.value [ fhir:value "4.2"^^xsd:decimal ] ;
     fhir:Quantity.unit [ fhir:value "1/1" ]
  ] ;
  fhir:Observation.specimen [
     fhir:Reference.reference [ fhir:value "urn:uuid:eec04ca4-d7ea-543f-a826-a8562e794b7e" ]
  ] .

<urn:uuid:f4cc8df0-a320-57be-8e4a-b54457151397> a fhir:Observation ;
  fhir:Resource.id [ fhir:value "f4cc8df0-a320-57be-8e4a-b54457151397"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://examplesihe.org.uk/StructureDefinition/LaboratoryResult" ;
       fhir:index -1 ;
       fhir:link <https://examplesihe.org.uk/StructureDefinition/LaboratoryResult>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_f4cc8df0-a320-57be-8e4a-b54457151397\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation f4cc8df0-a320-57be-8e4a-b54457151397</b></p><a name=\"f4cc8df0-a320-57be-8e4a-b54457151397\"> </a><a name=\"hcf4cc8df0-a320-57be-8e4a-b54457151397\"> </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-Lipids-HbA1c-Report-Example.html#urn-uuid-18e5bb16-3087-5fe4-b891-dfa10740366e\">ServiceRequest Serum lipids 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 1006191000000106}, {http://snomed.info/sct 12021000237106}\">Serum non high density lipoprotein cholesterol 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>: 2022-07-05 08:52:00+0000</p><p><b>issued</b>: 2022-07-06 10:49:00+0000</p><p><b>performer</b>: TD008362 PATH LAB 001 (Identifier: <a href=\"NamingSystem-ods-organization-code-namingsystem.html\" title=\"The identifier system for an Organisation registered with the Organisation Data Service (ODS).\">ODS Organisation Code</a>/Y8J7D)</p><p><b>value</b>: 4.7 mmol/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemmol/L = 'mmol/L')</span></p><p><b>specimen</b>: <a href=\"Bundle-Document-Lipids-HbA1c-Report-Example.html#urn-uuid-eec04ca4-d7ea-543f-a826-a8562e794b7e\">Specimen: identifier = Placer Identifier: SPC-REQ-20220705-000004; accessionIdentifier = Accession ID: SPC-Lab-20220705-006215; status = available; type = Venous blood specimen; receivedTime = 2022-07-05 15:17:00+0000</a></p></div>"
  ] ;
  fhir:Observation.basedOn [
     fhir:index -1 ;
     fhir:Reference.reference [ fhir:value "urn:uuid:18e5bb16-3087-5fe4-b891-dfa10740366e" ]
  ] ;
  fhir:Observation.status [ fhir:value "final"] ;
  fhir:Observation.category [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ] ;
       fhir:Coding.code [ fhir:value "laboratory" ] ;
       fhir:Coding.display [ fhir:value "Laboratory" ]
     ]
  ] ;
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       a sct:1006191000000106 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "1006191000000106" ] ;
       fhir:Coding.display [ fhir:value "Serum non high density lipoprotein cholesterol level" ]
     ], [
       fhir:index -1 ;
       a sct:12021000237106 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "12021000237106" ] ;
       fhir:Coding.display [ fhir:value "Non-HDL (high density lipoprotein) cholesterol molar concentration in serum" ]
     ]
  ] ;
  fhir:Observation.subject [
     fhir:Reference.reference [ fhir:value "urn:uuid:bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5" ] ;
     fhir:Reference.identifier [
       fhir:Identifier.system [ fhir:value "https://fhir.nhs.uk/Id/nhs-number" ] ;
       fhir:Identifier.value [ fhir:value "9999999468" ]
     ]
  ] ;
  fhir:Observation.effectiveDateTime [ fhir:value "2022-07-05T08:52:00+00:00"^^xsd:dateTime] ;
  fhir:Observation.issued [ fhir:value "2022-07-06T10:49:00+00:00"^^xsd:dateTime] ;
  fhir:Observation.performer [
     fhir:index -1 ;
     fhir:Reference.type [ fhir:value "Organization" ] ;
     fhir:Reference.identifier [
       fhir:Identifier.system [ fhir:value "https://fhir.nhs.uk/Id/ods-organization-code" ] ;
       fhir:Identifier.value [ fhir:value "Y8J7D" ]
     ] ;
     fhir:Reference.display [ fhir:value "TD008362 PATH LAB 001" ]
  ] ;
  fhir:Observation.valueQuantity [
     fhir:Quantity.value [ fhir:value "4.7"^^xsd:decimal ] ;
     fhir:Quantity.unit [ fhir:value "mmol/L" ] ;
     fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
     fhir:Quantity.code [ fhir:value "mmol/L" ]
  ] ;
  fhir:Observation.specimen [
     fhir:Reference.reference [ fhir:value "urn:uuid:eec04ca4-d7ea-543f-a826-a8562e794b7e" ]
  ] .

<urn:uuid:23bc1d7b-68b9-55a1-8389-3795196205e2> a fhir:Observation ;
  fhir:Resource.id [ fhir:value "23bc1d7b-68b9-55a1-8389-3795196205e2"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://examplesihe.org.uk/StructureDefinition/LaboratoryResult" ;
       fhir:index -1 ;
       fhir:link <https://examplesihe.org.uk/StructureDefinition/LaboratoryResult>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_23bc1d7b-68b9-55a1-8389-3795196205e2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 23bc1d7b-68b9-55a1-8389-3795196205e2</b></p><a name=\"23bc1d7b-68b9-55a1-8389-3795196205e2\"> </a><a name=\"hc23bc1d7b-68b9-55a1-8389-3795196205e2\"> </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-Lipids-HbA1c-Report-Example.html#urn-uuid-18e5bb16-3087-5fe4-b891-dfa10740366e\">ServiceRequest Serum lipids 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 1005661000000103}\">Serum lipids 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>: 2022-07-05 08:52:00+0000</p><p><b>issued</b>: 2022-07-06 10:49:00+0000</p><p><b>performer</b>: TD008362 PATH LAB 001 (Identifier: <a href=\"NamingSystem-ods-organization-code-namingsystem.html\" title=\"The identifier system for an Organisation registered with the Organisation Data Service (ODS).\">ODS Organisation Code</a>/Y8J7D)</p><p><b>specimen</b>: <a href=\"Bundle-Document-Lipids-HbA1c-Report-Example.html#urn-uuid-eec04ca4-d7ea-543f-a826-a8562e794b7e\">Specimen: identifier = Placer Identifier: SPC-REQ-20220705-000004; accessionIdentifier = Accession ID: SPC-Lab-20220705-006215; status = available; type = Venous blood specimen; receivedTime = 2022-07-05 15:17:00+0000</a></p><p><b>hasMember</b>: </p><ul><li><a href=\"Bundle-Document-Lipids-HbA1c-Report-Example.html#urn-uuid-613a632f-56e1-5273-b243-e181e3cc4a0b\">Observation Serum cholesterol level</a></li><li><a href=\"Bundle-Document-Lipids-HbA1c-Report-Example.html#urn-uuid-7b38426e-471d-549c-957e-38611e2bb056\">Observation Serum high density lipoprotein cholesterol level</a></li><li><a href=\"Bundle-Document-Lipids-HbA1c-Report-Example.html#urn-uuid-2ea95ee8-4ab2-5f1c-b5ef-95039610e986\">Observation Serum cholesterol/high density lipoprotein ratio</a></li><li><a href=\"Bundle-Document-Lipids-HbA1c-Report-Example.html#urn-uuid-f4cc8df0-a320-57be-8e4a-b54457151397\">Observation Serum non high density lipoprotein cholesterol level</a></li></ul></div>"
  ] ;
  fhir:Observation.basedOn [
     fhir:index -1 ;
     fhir:Reference.reference [ fhir:value "urn:uuid:18e5bb16-3087-5fe4-b891-dfa10740366e" ]
  ] ;
  fhir:Observation.status [ fhir:value "final"] ;
  fhir:Observation.category [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ] ;
       fhir:Coding.code [ fhir:value "laboratory" ] ;
       fhir:Coding.display [ fhir:value "Laboratory" ]
     ]
  ] ;
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       a sct:1005661000000103 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "1005661000000103" ] ;
       fhir:Coding.display [ fhir:value "Serum lipids level" ]
     ]
  ] ;
  fhir:Observation.subject [
     fhir:Reference.reference [ fhir:value "urn:uuid:bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5" ] ;
     fhir:Reference.identifier [
       fhir:Identifier.system [ fhir:value "https://fhir.nhs.uk/Id/nhs-number" ] ;
       fhir:Identifier.value [ fhir:value "9999999468" ]
     ]
  ] ;
  fhir:Observation.effectiveDateTime [ fhir:value "2022-07-05T08:52:00+00:00"^^xsd:dateTime] ;
  fhir:Observation.issued [ fhir:value "2022-07-06T10:49:00+00:00"^^xsd:dateTime] ;
  fhir:Observation.performer [
     fhir:index -1 ;
     fhir:Reference.type [ fhir:value "Organization" ] ;
     fhir:Reference.identifier [
       fhir:Identifier.system [ fhir:value "https://fhir.nhs.uk/Id/ods-organization-code" ] ;
       fhir:Identifier.value [ fhir:value "Y8J7D" ]
     ] ;
     fhir:Reference.display [ fhir:value "TD008362 PATH LAB 001" ]
  ] ;
  fhir:Observation.specimen [
     fhir:Reference.reference [ fhir:value "urn:uuid:eec04ca4-d7ea-543f-a826-a8562e794b7e" ]
  ] ;
  fhir:Observation.hasMember [
     fhir:index -1 ;
     fhir:Reference.reference [ fhir:value "urn:uuid:613a632f-56e1-5273-b243-e181e3cc4a0b" ]
  ], [
     fhir:index -1 ;
     fhir:Reference.reference [ fhir:value "urn:uuid:7b38426e-471d-549c-957e-38611e2bb056" ]
  ], [
     fhir:index -1 ;
     fhir:Reference.reference [ fhir:value "urn:uuid:2ea95ee8-4ab2-5f1c-b5ef-95039610e986" ]
  ], [
     fhir:index -1 ;
     fhir:Reference.reference [ fhir:value "urn:uuid:f4cc8df0-a320-57be-8e4a-b54457151397" ]
  ] .

<urn:uuid:3ede1ede-8cfd-517b-b489-f77830817645> a fhir:DiagnosticReport ;
  fhir:Resource.id [ fhir:value "3ede1ede-8cfd-517b-b489-f77830817645"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://examplesihe.org.uk/StructureDefinition/LaboratoryReport" ;
       fhir:index -1 ;
       fhir:link <https://examplesihe.org.uk/StructureDefinition/LaboratoryReport>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_3ede1ede-8cfd-517b-b489-f77830817645\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport 3ede1ede-8cfd-517b-b489-f77830817645</b></p><a name=\"3ede1ede-8cfd-517b-b489-f77830817645\"> </a><a name=\"hc3ede1ede-8cfd-517b-b489-f77830817645\"> </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>2022-07-05 08:52:00+0000</td></tr><tr><td>Reported</td><td>2022-07-06 10:49:00+0000</td></tr><tr><td>Performer</td><td> TD008362 PATH LAB 001 (Identifier: <a href=\"NamingSystem-ods-organization-code-namingsystem.html\" title=\"The identifier system for an Organisation registered with the Organisation Data Service (ODS).\">ODS Organisation Code</a>/Y8J7D)</td></tr><tr><td>Identifier</td><td> Filler Identifier/REP-20220706-002378</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-Lipids-HbA1c-Report-Example.html#urn-uuid-23bc1d7b-68b9-55a1-8389-3795196205e2\"><span title=\"Codes:{http://snomed.info/sct 1005661000000103}\">Serum lipids level</span></a></td><td/><td>Final</td></tr><tr><td><a href=\"Bundle-Document-Lipids-HbA1c-Report-Example.html#urn-uuid-91efc256-5c9b-5c5f-8275-dd13aec91395\"><span title=\"Codes:{http://snomed.info/sct 999791000000106}\">Haemoglobin A1c level - International Federation of Clinical Chemistry and Laboratory Medicine standardised</span></a></td><td>38 mmol/mol<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemmol/mol = 'mmol/mol')</span></td><td>Final</td></tr></table></div>"
  ] ;
  fhir:DiagnosticReport.identifier [
     fhir:index -1 ;
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ] ;
         fhir:Coding.code [ fhir:value "FILL" ]
       ]
     ] ;
     fhir:Identifier.system [ fhir:value "http://Y8J7D-pathlab001.com/report" ] ;
     fhir:Identifier.value [ fhir:value "REP-20220706-002378" ] ;
     fhir:Identifier.assigner [
       fhir:Reference.identifier [
         fhir:Identifier.system [ fhir:value "https://fhir.nhs.uk/Id/ods-organization-code" ] ;
         fhir:Identifier.value [ fhir:value "Y8J7D" ]
       ]
     ]
  ] ;
  fhir:DiagnosticReport.basedOn [
     fhir:index -1 ;
     fhir:Reference.reference [ fhir:value "urn:uuid:18e5bb16-3087-5fe4-b891-dfa10740366e" ]
  ], [
     fhir:index -1 ;
     fhir:Reference.reference [ fhir:value "urn:uuid:c6322d99-196a-59de-bcf0-0ee8447e2195" ]
  ] ;
  fhir:DiagnosticReport.status [ fhir:value "final"] ;
  fhir:DiagnosticReport.category [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0074" ] ;
       fhir:Coding.code [ fhir:value "CH" ] ;
       fhir:Coding.display [ fhir:value "Chemistry" ]
     ]
  ] ;
  fhir:DiagnosticReport.code [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       a sct:721981007 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "721981007" ] ;
       fhir:Coding.display [ fhir:value "Diagnostic studies report" ]
     ], [
       fhir:index -1 ;
       a loinc:11502-2 ;
       fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
       fhir:Coding.code [ fhir:value "11502-2" ] ;
       fhir:Coding.display [ fhir:value "Laboratory report" ]
     ]
  ] ;
  fhir:DiagnosticReport.subject [
     fhir:Reference.reference [ fhir:value "urn:uuid:bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5" ] ;
     fhir:Reference.identifier [
       fhir:Identifier.system [ fhir:value "https://fhir.nhs.uk/Id/nhs-number" ] ;
       fhir:Identifier.value [ fhir:value "9999999468" ]
     ]
  ] ;
  fhir:DiagnosticReport.effectiveDateTime [ fhir:value "2022-07-05T08:52:00+00:00"^^xsd:dateTime] ;
  fhir:DiagnosticReport.issued [ fhir:value "2022-07-06T10:49:00+00:00"^^xsd:dateTime] ;
  fhir:DiagnosticReport.performer [
     fhir:index -1 ;
     fhir:Reference.type [ fhir:value "Organization" ] ;
     fhir:Reference.identifier [
       fhir:Identifier.system [ fhir:value "https://fhir.nhs.uk/Id/ods-organization-code" ] ;
       fhir:Identifier.value [ fhir:value "Y8J7D" ]
     ] ;
     fhir:Reference.display [ fhir:value "TD008362 PATH LAB 001" ]
  ] ;
  fhir:DiagnosticReport.specimen [
     fhir:index -1 ;
     fhir:Reference.reference [ fhir:value "urn:uuid:eec04ca4-d7ea-543f-a826-a8562e794b7e" ]
  ] ;
  fhir:DiagnosticReport.result [
     fhir:index -1 ;
     fhir:Reference.reference [ fhir:value "urn:uuid:23bc1d7b-68b9-55a1-8389-3795196205e2" ]
  ], [
     fhir:index -1 ;
     fhir:Reference.reference [ fhir:value "urn:uuid:91efc256-5c9b-5c5f-8275-dd13aec91395" ]
  ] .

<urn:uuid:c6322d99-196a-59de-bcf0-0ee8447e2195> a fhir:ServiceRequest ;
  fhir:Resource.id [ fhir:value "c6322d99-196a-59de-bcf0-0ee8447e2195"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://examplesihe.org.uk/StructureDefinition/LaboratoryOrder" ;
       fhir:index -1 ;
       fhir:link <https://examplesihe.org.uk/StructureDefinition/LaboratoryOrder>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_c6322d99-196a-59de-bcf0-0ee8447e2195\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest c6322d99-196a-59de-bcf0-0ee8447e2195</b></p><a name=\"c6322d99-196a-59de-bcf0-0ee8447e2195\"> </a><a name=\"hcc6322d99-196a-59de-bcf0-0ee8447e2195\"> </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-20220704-000027-002, Filler Identifier/REP-20220706-002378</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>: 2022-07-04 11:05:00+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-Lipids-HbA1c-Report-Example.html#urn-uuid-eec04ca4-d7ea-543f-a826-a8562e794b7e\">Specimen: identifier = Placer Identifier: SPC-REQ-20220705-000004; accessionIdentifier = Accession ID: SPC-Lab-20220705-006215; status = available; type = Venous blood specimen; receivedTime = 2022-07-05 15:17:00+0000</a></p></div>"
  ] ;
  fhir:ServiceRequest.identifier [
     fhir:index -1 ;
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ] ;
         fhir:Coding.code [ fhir:value "PLAC" ]
       ]
     ] ;
     fhir:Identifier.system [ fhir:value "http://B82033-pickeringmedicalpractice.com/labrequest" ] ;
     fhir:Identifier.value [ fhir:value "REQ-20220704-000027-002" ] ;
     fhir:Identifier.assigner [
       fhir:Reference.identifier [
         fhir:Identifier.system [ fhir:value "https://fhir.nhs.uk/Id/ods-organization-code" ] ;
         fhir:Identifier.value [ fhir:value "B82033" ]
       ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ] ;
         fhir:Coding.code [ fhir:value "FILL" ]
       ]
     ] ;
     fhir:Identifier.system [ fhir:value "http://Y8J7D-pathlab001.com/report" ] ;
     fhir:Identifier.value [ fhir:value "REP-20220706-002378" ] ;
     fhir:Identifier.assigner [
       fhir:Reference.identifier [
         fhir:Identifier.system [ fhir:value "https://fhir.nhs.uk/Id/ods-organization-code" ] ;
         fhir:Identifier.value [ fhir:value "Y8J7D" ]
       ]
     ]
  ] ;
  fhir:ServiceRequest.status [ fhir:value "completed"] ;
  fhir:ServiceRequest.intent [ fhir:value "order"] ;
  fhir:ServiceRequest.code [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       a sct:999791000000106 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "999791000000106" ] ;
       fhir:Coding.display [ fhir:value "Haemoglobin A1c level - International Federation of Clinical Chemistry and Laboratory Medicine standardised" ]
     ]
  ] ;
  fhir:ServiceRequest.subject [
     fhir:Reference.reference [ fhir:value "urn:uuid:bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5" ] ;
     fhir:Reference.identifier [
       fhir:Identifier.system [ fhir:value "https://fhir.nhs.uk/Id/nhs-number" ] ;
       fhir:Identifier.value [ fhir:value "9999999468" ]
     ]
  ] ;
  fhir:ServiceRequest.authoredOn [ fhir:value "2022-07-04T11:05:00+00:00"^^xsd:dateTime] ;
  fhir:ServiceRequest.requester [
     fhir:Reference.reference [ fhir:value "urn:uuid:84c94bb1-4336-5607-9124-6b82052db22a" ]
  ] ;
  fhir:ServiceRequest.performer [
     fhir:index -1 ;
     fhir:Reference.type [ fhir:value "Organization" ] ;
     fhir:Reference.identifier [
       fhir:Identifier.system [ fhir:value "https://fhir.nhs.uk/Id/ods-organization-code" ] ;
       fhir:Identifier.value [ fhir:value "Y8J7D" ]
     ] ;
     fhir:Reference.display [ fhir:value "TD008362 PATH LAB 001" ]
  ] ;
  fhir:ServiceRequest.specimen [
     fhir:index -1 ;
     fhir:Reference.reference [ fhir:value "urn:uuid:eec04ca4-d7ea-543f-a826-a8562e794b7e" ]
  ] .

<urn:uuid:91efc256-5c9b-5c5f-8275-dd13aec91395> a fhir:Observation ;
  fhir:Resource.id [ fhir:value "91efc256-5c9b-5c5f-8275-dd13aec91395"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://examplesihe.org.uk/StructureDefinition/LaboratoryResult" ;
       fhir:index -1 ;
       fhir:link <https://examplesihe.org.uk/StructureDefinition/LaboratoryResult>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_91efc256-5c9b-5c5f-8275-dd13aec91395\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 91efc256-5c9b-5c5f-8275-dd13aec91395</b></p><a name=\"91efc256-5c9b-5c5f-8275-dd13aec91395\"> </a><a name=\"hc91efc256-5c9b-5c5f-8275-dd13aec91395\"> </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-Lipids-HbA1c-Report-Example.html#urn-uuid-c6322d99-196a-59de-bcf0-0ee8447e2195\">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>: 2022-07-05 08:52:00+0000</p><p><b>issued</b>: 2022-07-06 10:49:00+0000</p><p><b>performer</b>: TD008362 PATH LAB 001 (Identifier: <a href=\"NamingSystem-ods-organization-code-namingsystem.html\" title=\"The identifier system for an Organisation registered with the Organisation Data Service (ODS).\">ODS Organisation Code</a>/Y8J7D)</p><p><b>value</b>: 38 mmol/mol<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemmol/mol = 'mmol/mol')</span></p><p><b>specimen</b>: <a href=\"Bundle-Document-Lipids-HbA1c-Report-Example.html#urn-uuid-eec04ca4-d7ea-543f-a826-a8562e794b7e\">Specimen: identifier = Placer Identifier: SPC-REQ-20220705-000004; accessionIdentifier = Accession ID: SPC-Lab-20220705-006215; status = available; type = Venous blood specimen; receivedTime = 2022-07-05 15:17:00+0000</a></p></div>"
  ] ;
  fhir:Observation.basedOn [
     fhir:index -1 ;
     fhir:Reference.reference [ fhir:value "urn:uuid:c6322d99-196a-59de-bcf0-0ee8447e2195" ]
  ] ;
  fhir:Observation.status [ fhir:value "final"] ;
  fhir:Observation.category [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ] ;
       fhir:Coding.code [ fhir:value "laboratory" ] ;
       fhir:Coding.display [ fhir:value "Laboratory" ]
     ]
  ] ;
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       a sct:999791000000106 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "999791000000106" ] ;
       fhir:Coding.display [ fhir:value "Haemoglobin A1c level - International Federation of Clinical Chemistry and Laboratory Medicine standardised" ]
     ]
  ] ;
  fhir:Observation.subject [
     fhir:Reference.reference [ fhir:value "urn:uuid:bfe333d7-2a8c-5dae-a44a-5d3b120d2ef5" ] ;
     fhir:Reference.identifier [
       fhir:Identifier.system [ fhir:value "https://fhir.nhs.uk/Id/nhs-number" ] ;
       fhir:Identifier.value [ fhir:value "9999999468" ]
     ]
  ] ;
  fhir:Observation.effectiveDateTime [ fhir:value "2022-07-05T08:52:00+00:00"^^xsd:dateTime] ;
  fhir:Observation.issued [ fhir:value "2022-07-06T10:49:00+00:00"^^xsd:dateTime] ;
  fhir:Observation.performer [
     fhir:index -1 ;
     fhir:Reference.type [ fhir:value "Organization" ] ;
     fhir:Reference.identifier [
       fhir:Identifier.system [ fhir:value "https://fhir.nhs.uk/Id/ods-organization-code" ] ;
       fhir:Identifier.value [ fhir:value "Y8J7D" ]
     ] ;
     fhir:Reference.display [ fhir:value "TD008362 PATH LAB 001" ]
  ] ;
  fhir:Observation.valueQuantity [
     fhir:Quantity.value [ fhir:value "38"^^xsd:decimal ] ;
     fhir:Quantity.unit [ fhir:value "mmol/mol" ] ;
     fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
     fhir:Quantity.code [ fhir:value "mmol/mol" ]
  ] ;
  fhir:Observation.specimen [
     fhir:Reference.reference [ fhir:value "urn:uuid:eec04ca4-d7ea-543f-a826-a8562e794b7e" ]
  ] .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/Bundle/Message-Lipids-HbA1c-Report-Example.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/Bundle/Message-Lipids-HbA1c-Report-Example.ttl> .