England Pathology and Laboratory Medicine (PaLM) Technical Framework
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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

Example Observation: Laboratory Result - Total white cell count

basedOn: ServiceRequest FBC - full blood count

status: Final

category: Laboratory

code: Total white cell count

subject: Octavia CHISLETT Female, DoB: 2008-09-20 ( National Health Plan Identifier: NHS Number#9449305552)

effective: 2026-11-03 09:15:00+0000

issued: 2026-11-03 16:05:00+0000

performer: Manchester University NHS Foundation Trust (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#R0A)

value: 3.5 10*9/L (Details: UCUM code10*9/L = '10*9/L')

interpretation: Low

specimen: Specimen: identifier = Placer Identifier: GP-SPC-000123; accessionIdentifier = Accession ID: 26H012345; status = available; type = Blood specimen; receivedTime = 2026-11-03 13:40:00+0000

ReferenceRanges

-LowHigh
*4 10*9/L (Details: UCUM code10*9/L = '10*9/L')11 10*9/L (Details: UCUM code10*9/L = '10*9/L')