England Pathology and Laboratory Medicine (PaLM) Technical Framework
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: Laboratory Order - Full blood count (accepted by the laboratory)

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<ServiceRequest xmlns="http://hl7.org/fhir">
  <id value="LaboratoryOrderFBC"/>
  <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"><p class="res-header-id"><b>Generated Narrative: ServiceRequest LaboratoryOrderFBC</b></p><a name="LaboratoryOrderFBC"> </a><a name="hcLaboratoryOrderFBC"> </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/GP-ORD-000123, Filler Identifier/26H012345</p><p><b>requisition</b>: <code>https://fhir.examplesurgery.nhs.uk/Id/requisition</code>/GP-REQ-000045</p><p><b>status</b>: Completed</p><p><b>intent</b>: Order</p><p><b>priority</b>: Routine</p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 1022441000000101}">FBC - full blood count</span></p><p><b>subject</b>: <a href="Patient-PatientOctaviaCHISLETT.html">Octavia CHISLETT  Female, DoB: 2008-09-20 ( National Health Plan Identifier: NHS Number#9449305552)</a></p><p><b>authoredOn</b>: 2026-11-03 09:10:00+0000</p><p><b>requester</b>: <a href="PractitionerRole-PractitionerRoleGP.html">Alex GREEN (https://fhir.hl7.org.uk/Id/gmp-number#GMP Number#G1234567) at Example Surgery (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#A12345)</a></p><p><b>performer</b>: <a href="Organization-OrganizationMFT.html">Manchester University NHS Foundation Trust (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#R0A)</a></p><p><b>reasonCode</b>: <span title="Codes:">Tiredness</span></p><p><b>specimen</b>: <a href="Specimen-SpecimenFBC.html">Specimen: identifier = Placer Identifier: GP-SPC-000123; accessionIdentifier = Accession ID: 26H012345; status = available; type = Blood specimen; receivedTime = 2026-11-03 13:40:00+0000</a></p><p><b>note</b>: </p><blockquote><div><p>Tired all the time for 3 months. ? anaemia</p>
</div></blockquote></div>
  </text>
  <identifier>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
        <code value="PLAC"/>
      </coding>
    </type>
    <system value="https://fhir.examplesurgery.nhs.uk/Id/order"/>
    <value value="GP-ORD-000123"/>
    <assigner>
      <identifier>
        <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
        <value value="A12345"/>
      </identifier>
    </assigner>
  </identifier>
  <identifier>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
        <code value="FILL"/>
      </coding>
    </type>
    <system value="https://fhir.mft.nhs.uk/Id/lims-order"/>
    <value value="26H012345"/>
    <assigner>
      <identifier>
        <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
        <value value="R0A"/>
      </identifier>
    </assigner>
  </identifier>
  <requisition>
    <system value="https://fhir.examplesurgery.nhs.uk/Id/requisition"/>
    <value value="GP-REQ-000045"/>
  </requisition>
  <status value="completed"/>
  <intent value="order"/>
  <priority value="routine"/>
  <code>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="1022441000000101"/>
      <display value="FBC - full blood count"/>
    </coding>
  </code>
  <subject>🔗 
    <reference value="Patient/PatientOctaviaCHISLETT"/>
  </subject>
  <authoredOn value="2026-11-03T09:10:00Z"/>
  <requester>🔗 
    <reference value="PractitionerRole/PractitionerRoleGP"/>
  </requester>
  <performer>🔗 
    <reference value="Organization/OrganizationMFT"/>
  </performer>
  <reasonCode>
    <text value="Tiredness"/>
  </reasonCode>
  <specimen>🔗 
    <reference value="Specimen/SpecimenFBC"/>
  </specimen>
  <note>
    <text value="Tired all the time for 3 months. ? anaemia"/>
  </note>
</ServiceRequest>