Greater Manchester LHCRE

<fullUrl value="urn:oid:8847198e-4d15-497b-87d8-0b039bba2ae5" />
<resource>
<MessageHeader>
<eventCoding>
<system value="https://fhir.lhcre.nhs.uk/CodeSystem/message-event" />
<code value="unsolicited-observation" />
<display value="Unsolicited Observations" />
</eventCoding>
<destination>
<name value="CRS" />
<endpoint value="CRS" />
<receiver>
<reference value="urn:oid:180cf767-4ca2-4c11-b210-d5cd717fc5f7" />
</receiver>
</destination>
<sender>
<reference value="urn:oid:89004a04-3c6f-48f2-bb42-f9caf9e3e16a" />
</sender>
<source>
<name value="TDLAB" />
<endpoint value="TDLAB" />
</source>
<focus>
<reference value="urn:oid:6f6fccb4-89ce-486b-9948-8a1439b69a0b" />
</focus>
</MessageHeader>
</resource>

</entry>

<fullUrl value="urn:oid:6f6fccb4-89ce-486b-9948-8a1439b69a0b" />
<resource>
<DiagnosticReport>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203" />
<code value="FILL" />
</coding>
</type>
<system value="https://fhir.christie.nhs.uk/Id/FillerOrderNumber" />
<value value="00200014201XT" />
</identifier>
<status value="corrected" />
<category>
<coding>
<code value="bio dis" />
</coding>
</category>
<code>
<coding>
<code value="1XT" />
<display value="Christie Profile" />
</coding>
</code>
<subject>
<reference value="urn:oid:8f9ed341-9876-4b1e-91ac-0380fc27b976" />
</subject>
<effectivePeriod>
<start value="2020-02-26T14:54:00.000Z" />
</effectivePeriod>
<performer>
<extension url="http://hl7.org/fhir/StructureDefinition/event-performerFunction">
<valueCodeableConcept>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType" />
<code value="PPRF" />
</coding>
</valueCodeableConcept>
</extension>
<reference value="urn:oid:70c1995d-c5d3-47c3-b8fe-1dfe4f521f59" />
<type value="Practitioner" />
</performer>
<resultsInterpreter>
<reference value="urn:oid:70c1995d-c5d3-47c3-b8fe-1dfe4f521f59" />
<type value="Practitioner" />
</resultsInterpreter>
<result>
<reference value="urn:oid:484aa19c-b75a-4877-b5fc-98552fa7a031" />
</result>
<result>
<reference value="urn:oid:3af4a735-6135-43e2-855c-9308dde119a4" />
</result>
<result>
<reference value="urn:oid:ecd145fe-9707-4f39-ab2f-f390068441af" />
</result>
<result>
<reference value="urn:oid:742684f0-1120-47c0-839e-94e0a50f3076" />
</result>
<result>
<reference value="urn:oid:d851b97e-d2cd-40e3-a285-588a5bf23455" />
</result>
<result>
<reference value="urn:oid:e1899e4f-94ff-4a86-9913-e1bcbdd83ce2" />
</result>
<result>
<reference value="urn:oid:3f848c0a-e5cb-4f8a-b2fa-1be5cda2b623" />
</result>
<result>
<reference value="urn:oid:ef995ea4-bbc3-4b22-935b-a508702f8022" />
</result>
<result>
<reference value="urn:oid:13eae6c0-5318-49d4-b222-448cb61efb3f" />
</result>
<result>
<reference value="urn:oid:57ac3c7f-9afa-483e-a340-9bd6ba5b879b" />
</result>
<result>
<reference value="urn:oid:464fb5be-e3a7-4820-94dc-f920f1e58a00" />
</result>
<result>
<reference value="urn:oid:a58414a0-91f1-4d00-9cca-9da4405ac966" />
</result>
<result>
<reference value="urn:oid:30662a39-9d1a-41df-a06d-70f6541f3f14" />
</result>
<result>
<reference value="urn:oid:4a0e28a2-d223-45bb-a813-babd7dba3cba" />
</result>
<result>
<reference value="urn:oid:ffdd8254-9e2f-4f93-a10d-9a17ed8ccf82" />
</result>
<result>
<reference value="urn:oid:17e95cbd-e3ac-4508-abe6-d68944426d98" />
</result>
</DiagnosticReport>
</resource>

</entry>

<fullUrl value="urn:oid:484aa19c-b75a-4877-b5fc-98552fa7a031" />
<resource>
<Observation>
<identifier>
<system value="urn:oid:" />
<value value="484aa19c-b75a-4877-b5fc-98552fa7a031" />
</identifier>
<status value="unknown" />
<code>
<coding>
<system value="https://fhir.christie.nhs.uk/CodeSystem/OBS" />
<code value="1UE" />
<display value="Urea+Electrolytes" />
</coding>
</code>
<subject>
<reference value="urn:oid:8f9ed341-9876-4b1e-91ac-0380fc27b976" />
</subject>
<effectiveDateTime value="2020-02-26T14:54:00.000Z" />
</Observation>
</resource>

</entry>

<fullUrl value="urn:oid:3af4a735-6135-43e2-855c-9308dde119a4" />
<resource>
<Observation>
<identifier>
<system value="urn:oid:" />
<value value="3af4a735-6135-43e2-855c-9308dde119a4" />
</identifier>
<status value="corrected" />
<code>
<coding>
<system value="https://fhir.christie.nhs.uk/CodeSystem/OBS" />
<code value="1NA" />
<display value="Sodium" />
</coding>
<coding>
<system value="https://snomed.info" />
<code value="1020681000000107" />
<display value="Sodium level" />
</coding>
</code>
<subject>
<reference value="urn:oid:8f9ed341-9876-4b1e-91ac-0380fc27b976" />
</subject>
<effectiveDateTime value="2020-02-26T14:54:00.000Z" />
<performer>
<reference value="urn:oid:70c1995d-c5d3-47c3-b8fe-1dfe4f521f59" />
<type value="Practitioner" />
</performer>
<valueQuantity>
<value value="200" />
</valueQuantity>
<interpretation>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" />
<code value="H" />
<display value="High" />
</coding>
</interpretation>
<referenceRange>
<text value="133 - 146" />
</referenceRange>
</Observation>
</resource>

</entry>

<fullUrl value="urn:oid:ecd145fe-9707-4f39-ab2f-f390068441af" />
<resource>
<Observation>
<identifier>
<system value="urn:oid:" />
<value value="ecd145fe-9707-4f39-ab2f-f390068441af" />
</identifier>
<status value="final" />
<code>
<coding>
<system value="https://fhir.christie.nhs.uk/CodeSystem/OBS" />
<code value="1K" />
<display value="Potassium........" />
</coding>
<coding>
<system value="https://snomed.info" />
<code value="1028441000000104" />
<display value="Potassium level" />
</coding>
</code>
<subject>
<reference value="urn:oid:8f9ed341-9876-4b1e-91ac-0380fc27b976" />
</subject>
<effectiveDateTime value="2020-02-26T14:54:00.000Z" />
<performer>
<reference value="urn:oid:70c1995d-c5d3-47c3-b8fe-1dfe4f521f59" />
<type value="Practitioner" />
</performer>
<valueQuantity>
<value value="4.0" />
</valueQuantity>
<interpretation>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" />
<code value="N" />
<display value="Normal" />
</coding>
</interpretation>
<referenceRange>
<text value="3.5 - 5.3" />
</referenceRange>
</Observation>
</resource>

</entry>

<fullUrl value="urn:oid:742684f0-1120-47c0-839e-94e0a50f3076" />
<resource>
<Observation>
<identifier>
<system value="urn:oid:" />
<value value="742684f0-1120-47c0-839e-94e0a50f3076" />
</identifier>
<status value="final" />
<code>
<coding>
<system value="https://fhir.christie.nhs.uk/CodeSystem/OBS" />
<code value="1UREA" />
<display value="Urea............." />
</coding>
</code>
<subject>
<reference value="urn:oid:8f9ed341-9876-4b1e-91ac-0380fc27b976" />
</subject>
<effectiveDateTime value="2020-02-26T14:54:00.000Z" />
<performer>
<reference value="urn:oid:70c1995d-c5d3-47c3-b8fe-1dfe4f521f59" />
<type value="Practitioner" />
</performer>
<valueQuantity>
<value value="4.0" />
</valueQuantity>
<interpretation>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" />
<code value="N" />
<display value="Normal" />
</coding>
</interpretation>
<referenceRange>
<text value="2.5 - 7.8" />
</referenceRange>
</Observation>
</resource>

</entry>

<fullUrl value="urn:oid:d851b97e-d2cd-40e3-a285-588a5bf23455" />
<resource>
<Observation>
<identifier>
<system value="urn:oid:" />
<value value="d851b97e-d2cd-40e3-a285-588a5bf23455" />
</identifier>
<status value="final" />
<code>
<coding>
<system value="https://fhir.christie.nhs.uk/CodeSystem/OBS" />
<code value="1CREA" />
<display value="SCreatinine" />
</coding>
</code>
<subject>
<reference value="urn:oid:8f9ed341-9876-4b1e-91ac-0380fc27b976" />
</subject>
<effectiveDateTime value="2020-02-26T14:54:00.000Z" />
<performer>
<reference value="urn:oid:70c1995d-c5d3-47c3-b8fe-1dfe4f521f59" />
<type value="Practitioner" />
</performer>
<valueQuantity>
<value value="44" />
</valueQuantity>
<interpretation>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" />
<code value="N" />
<display value="Normal" />
</coding>
</interpretation>
<referenceRange>
<text value="44 - 97" />
</referenceRange>
</Observation>
</resource>

</entry>

<fullUrl value="urn:oid:e1899e4f-94ff-4a86-9913-e1bcbdd83ce2" />
<resource>
<Observation>
<identifier>
<system value="urn:oid:" />
<value value="e1899e4f-94ff-4a86-9913-e1bcbdd83ce2" />
</identifier>
<status value="final" />
<code>
<coding>
<system value="https://fhir.christie.nhs.uk/CodeSystem/OBS" />
<code value="1CA" />
<display value="Calcium.........." />
</coding>
<coding>
<system value="https://snomed.info" />
<code value="1028041000000107" />
<display value="Calcium level" />
</coding>
</code>
<subject>
<reference value="urn:oid:8f9ed341-9876-4b1e-91ac-0380fc27b976" />
</subject>
<effectiveDateTime value="2020-02-26T14:54:00.000Z" />
<performer>
<reference value="urn:oid:70c1995d-c5d3-47c3-b8fe-1dfe4f521f59" />
<type value="Practitioner" />
</performer>
<valueQuantity>
<value value="2.30" />
</valueQuantity>
<interpretation>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" />
<code value="N" />
<display value="Normal" />
</coding>
</interpretation>
<referenceRange>
<text value="2.20 - 2.60" />
</referenceRange>
</Observation>
</resource>

</entry>

<fullUrl value="urn:oid:3f848c0a-e5cb-4f8a-b2fa-1be5cda2b623" />
<resource>
<Observation>
<identifier>
<system value="urn:oid:" />
<value value="3f848c0a-e5cb-4f8a-b2fa-1be5cda2b623" />
</identifier>
<status value="final" />
<code>
<coding>
<system value="https://fhir.christie.nhs.uk/CodeSystem/OBS" />
<code value="1PHOS" />
<display value="Phosphate........" />
</coding>
</code>
<subject>
<reference value="urn:oid:8f9ed341-9876-4b1e-91ac-0380fc27b976" />
</subject>
<effectiveDateTime value="2020-02-26T14:54:00.000Z" />
<performer>
<reference value="urn:oid:70c1995d-c5d3-47c3-b8fe-1dfe4f521f59" />
<type value="Practitioner" />
</performer>
<valueQuantity>
<value value="1.00" />
</valueQuantity>
<interpretation>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" />
<code value="N" />
<display value="Normal" />
</coding>
</interpretation>
<referenceRange>
<text value="0.80 - 1.50" />
</referenceRange>
</Observation>
</resource>

</entry>

<fullUrl value="urn:oid:ef995ea4-bbc3-4b22-935b-a508702f8022" />
<resource>
<Observation>
<identifier>
<system value="urn:oid:" />
<value value="ef995ea4-bbc3-4b22-935b-a508702f8022" />
</identifier>
<status value="final" />
<code>
<coding>
<system value="https://fhir.christie.nhs.uk/CodeSystem/OBS" />
<code value="1TP" />
<display value="Total Protein...." />
</coding>
</code>
<subject>
<reference value="urn:oid:8f9ed341-9876-4b1e-91ac-0380fc27b976" />
</subject>
<effectiveDateTime value="2020-02-26T14:54:00.000Z" />
<performer>
<reference value="urn:oid:70c1995d-c5d3-47c3-b8fe-1dfe4f521f59" />
<type value="Practitioner" />
</performer>
<valueQuantity>
<value value="70" />
</valueQuantity>
<interpretation>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" />
<code value="N" />
<display value="Normal" />
</coding>
</interpretation>
<referenceRange>
<text value="60 - 80" />
</referenceRange>
</Observation>
</resource>

</entry>

<fullUrl value="urn:oid:13eae6c0-5318-49d4-b222-448cb61efb3f" />
<resource>
<Observation>
<identifier>
<system value="urn:oid:" />
<value value="13eae6c0-5318-49d4-b222-448cb61efb3f" />
</identifier>
<status value="final" />
<code>
<coding>
<system value="https://fhir.christie.nhs.uk/CodeSystem/OBS" />
<code value="1ALB" />
<display value="Albumin.........." />
</coding>
</code>
<subject>
<reference value="urn:oid:8f9ed341-9876-4b1e-91ac-0380fc27b976" />
</subject>
<effectiveDateTime value="2020-02-26T14:54:00.000Z" />
<performer>
<reference value="urn:oid:70c1995d-c5d3-47c3-b8fe-1dfe4f521f59" />
<type value="Practitioner" />
</performer>
<valueQuantity>
<value value="40" />
</valueQuantity>
<interpretation>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" />
<code value="N" />
<display value="Normal" />
</coding>
</interpretation>
<referenceRange>
<text value="35 - 50" />
</referenceRange>
</Observation>
</resource>

</entry>

<fullUrl value="urn:oid:57ac3c7f-9afa-483e-a340-9bd6ba5b879b" />
<resource>
<Observation>
<identifier>
<system value="urn:oid:" />
<value value="57ac3c7f-9afa-483e-a340-9bd6ba5b879b" />
</identifier>
<status value="final" />
<code>
<coding>
<system value="https://fhir.christie.nhs.uk/CodeSystem/OBS" />
<code value="1GLOB" />
<display value="Globulin........." />
</coding>
</code>
<subject>
<reference value="urn:oid:8f9ed341-9876-4b1e-91ac-0380fc27b976" />
</subject>
<effectiveDateTime value="2020-02-26T14:54:00.000Z" />
<performer>
<reference value="urn:oid:70c1995d-c5d3-47c3-b8fe-1dfe4f521f59" />
<type value="Practitioner" />
</performer>
<valueQuantity>
<value value="30" />
</valueQuantity>
<interpretation>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" />
<code value="N" />
<display value="Normal" />
</coding>
</interpretation>
<referenceRange>
<text value="20 - 35" />
</referenceRange>
</Observation>
</resource>

</entry>

<fullUrl value="urn:oid:464fb5be-e3a7-4820-94dc-f920f1e58a00" />
<resource>
<Observation>
<identifier>
<system value="urn:oid:" />
<value value="464fb5be-e3a7-4820-94dc-f920f1e58a00" />
</identifier>
<status value="final" />
<code>
<coding>
<system value="https://fhir.christie.nhs.uk/CodeSystem/OBS" />
<code value="1ACA" />
<display value="Adjusted calcium." />
</coding>
<coding>
<system value="https://snomed.info" />
<code value="998341000000105" />
<display value="Calcium adjusted level" />
</coding>
</code>
<subject>
<reference value="urn:oid:8f9ed341-9876-4b1e-91ac-0380fc27b976" />
</subject>
<effectiveDateTime value="2020-02-26T14:54:00.000Z" />
<performer>
<reference value="urn:oid:70c1995d-c5d3-47c3-b8fe-1dfe4f521f59" />
<type value="Practitioner" />
</performer>
<valueQuantity>
<value value="2.42" />
</valueQuantity>
<interpretation>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" />
<code value="N" />
<display value="Normal" />
</coding>
</interpretation>
<referenceRange>
<text value="2.20 - 2.60" />
</referenceRange>
</Observation>
</resource>

</entry>

<fullUrl value="urn:oid:a58414a0-91f1-4d00-9cca-9da4405ac966" />
<resource>
<Observation>
<identifier>
<system value="urn:oid:" />
<value value="a58414a0-91f1-4d00-9cca-9da4405ac966" />
</identifier>
<status value="final" />
<code>
<coding>
<system value="https://fhir.christie.nhs.uk/CodeSystem/OBS" />
<code value="1TBIL" />
<display value="Total Bilirubin.." />
</coding>
<coding>
<system value="https://snomed.info" />
<code value="1026761000000106" />
<display value="Total bilirubin level" />
</coding>
</code>
<subject>
<reference value="urn:oid:8f9ed341-9876-4b1e-91ac-0380fc27b976" />
</subject>
<effectiveDateTime value="2020-02-26T14:54:00.000Z" />
<performer>
<reference value="urn:oid:70c1995d-c5d3-47c3-b8fe-1dfe4f521f59" />
<type value="Practitioner" />
</performer>
<valueQuantity>
<value value="10" />
</valueQuantity>
<interpretation>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" />
<code value="N" />
<display value="Normal" />
</coding>
</interpretation>
<referenceRange>
<text value="0 - 20" />
</referenceRange>
</Observation>
</resource>

</entry>

<fullUrl value="urn:oid:30662a39-9d1a-41df-a06d-70f6541f3f14" />
<resource>
<Observation>
<identifier>
<system value="urn:oid:" />
<value value="30662a39-9d1a-41df-a06d-70f6541f3f14" />
</identifier>
<status value="final" />
<code>
<coding>
<system value="https://fhir.christie.nhs.uk/CodeSystem/OBS" />
<code value="1ALP" />
<display value="Alk Phos........." />
</coding>
</code>
<subject>
<reference value="urn:oid:8f9ed341-9876-4b1e-91ac-0380fc27b976" />
</subject>
<effectiveDateTime value="2020-02-26T14:54:00.000Z" />
<performer>
<reference value="urn:oid:70c1995d-c5d3-47c3-b8fe-1dfe4f521f59" />
<type value="Practitioner" />
</performer>
<valueQuantity>
<value value="100" />
</valueQuantity>
<interpretation>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" />
<code value="N" />
<display value="Normal" />
</coding>
</interpretation>
<referenceRange>
<text value="30 - 130" />
</referenceRange>
</Observation>
</resource>

</entry>

<fullUrl value="urn:oid:4a0e28a2-d223-45bb-a813-babd7dba3cba" />
<resource>
<Observation>
<identifier>
<system value="urn:oid:" />
<value value="4a0e28a2-d223-45bb-a813-babd7dba3cba" />
</identifier>
<status value="final" />
<code>
<coding>
<system value="https://fhir.christie.nhs.uk/CodeSystem/OBS" />
<code value="1AST" />
<display value="AST.............." />
</coding>
<coding>
<system value="https://snomed.info" />
<code value="1031101000000102" />
<display value="Aspartate aminotransferase level" />
</coding>
</code>
<subject>
<reference value="urn:oid:8f9ed341-9876-4b1e-91ac-0380fc27b976" />
</subject>
<effectiveDateTime value="2020-02-26T14:54:00.000Z" />
<performer>
<reference value="urn:oid:70c1995d-c5d3-47c3-b8fe-1dfe4f521f59" />
<type value="Practitioner" />
</performer>
<valueQuantity>
<value value="20" />
</valueQuantity>
<interpretation>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" />
<code value="N" />
<display value="Normal" />
</coding>
</interpretation>
<referenceRange>
<text value="0 - 33" />
</referenceRange>
</Observation>
</resource>

</entry>

<fullUrl value="urn:oid:ffdd8254-9e2f-4f93-a10d-9a17ed8ccf82" />
<resource>
<Observation>
<identifier>
<system value="urn:oid:" />
<value value="ffdd8254-9e2f-4f93-a10d-9a17ed8ccf82" />
</identifier>
<status value="final" />
<code>
<coding>
<system value="https://fhir.christie.nhs.uk/CodeSystem/OBS" />
<code value="1GGT" />
<display value="GGT.............." />
</coding>
<coding>
<system value="https://snomed.info" />
<code value="1028091000000102" />
<display value="Gamma-glutamyl transferase level" />
</coding>
</code>
<subject>
<reference value="urn:oid:8f9ed341-9876-4b1e-91ac-0380fc27b976" />
</subject>
<effectiveDateTime value="2020-02-26T14:54:00.000Z" />
<performer>
<reference value="urn:oid:70c1995d-c5d3-47c3-b8fe-1dfe4f521f59" />
<type value="Practitioner" />
</performer>
<valueQuantity>
<value value="20" />
</valueQuantity>
<interpretation>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" />
<code value="N" />
<display value="Normal" />
</coding>
</interpretation>
<referenceRange>
<text value="<38" />
</referenceRange>
</Observation>
</resource>

</entry>

<fullUrl value="urn:oid:17e95cbd-e3ac-4508-abe6-d68944426d98" />
<resource>
<Observation>
<identifier>
<system value="urn:oid:" />
<value value="17e95cbd-e3ac-4508-abe6-d68944426d98" />
</identifier>
<status value="final" />
<code>
<coding>
<system value="https://fhir.christie.nhs.uk/CodeSystem/OBS" />
<code value="1LDH" />
<display value="LDH.............." />
</coding>
<coding>
<system value="https://snomed.info" />
<code value="1028111000000107" />
<display value="Lactate dehydrogenase level" />
</coding>
</code>
<subject>
<reference value="urn:oid:8f9ed341-9876-4b1e-91ac-0380fc27b976" />
</subject>
<effectiveDateTime value="2020-02-26T14:54:00.000Z" />
<performer>
<reference value="urn:oid:70c1995d-c5d3-47c3-b8fe-1dfe4f521f59" />
<type value="Practitioner" />
</performer>
<valueQuantity>
<value value="140" />
</valueQuantity>
<interpretation>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" />
<code value="N" />
<display value="Normal" />
</coding>
</interpretation>
<referenceRange>
<text value="120 - 246" />
</referenceRange>
</Observation>
</resource>

</entry>

<fullUrl value="urn:oid:8f9ed341-9876-4b1e-91ac-0380fc27b976" />
<resource>
<Patient>
<meta>
<lastUpdated value="2020-09-25T11:49:47.000Z" />
</meta>
<extension url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
<extension url="ombCategory">
<valueCoding>
<code value="id" />
</valueCoding>
</extension>
<extension url="text">
<valueString value="Race" />
</extension>
</extension>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203" />
<code value="MR" />
</coding>
</type>
<value value="200804513" />
</identifier>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203" />
<code value="HOSP" />
</coding>
</type>
<value value="200804513" />
</identifier>
<name>
<family value="ZEDITEST" />
<given value="Anne Mary 1" />
<prefix value="MR" />
</name>
<gender value="female" />
<birthDate value="1982-03-31" />
<address>
<line value="Christie Hospital NHS Trust" />
<line value="550 Wilmslow Road" />
<state value="M20 4BX MANCHESTER" />
</address>
</Patient>
</resource>

</entry>

<fullUrl value="urn:oid:70c1995d-c5d3-47c3-b8fe-1dfe4f521f59" />
<resource>
<Practitioner>
<identifier>
<value value="LG" />
</identifier>
<name>
<family value="Leon Guy" />
</name>
</Practitioner>
</resource>

</entry>

<fullUrl value="urn:oid:89004a04-3c6f-48f2-bb42-f9caf9e3e16a" />
<resource>
<Organization>
<identifier>
<value value="PATH" />
</identifier>
</Organization>
</resource>

</entry>

<fullUrl value="urn:oid:180cf767-4ca2-4c11-b210-d5cd717fc5f7" />
<resource>
<Organization>
<identifier>
<system value="http://fhir.nhs.uk/Id/ods-organization-code" />
<value value="QPH" />
</identifier>
</Organization>
</resource>

</entry>

</Bundle>

{

"resourceType": "Bundle",

"id": "9d5732fd-7edb-458a-9557-ebcb421196bb",

"identifier": {

"system": "http://fhir.christie.nhs.uk/TDLAB",

"value": "3c890fcc-bdc4-4c71-a4e9-e46ef5cc4ff7"

"type": "message",

"timestamp": "2020-02-26T14:57:05.000Z",

"entry": [

{

"fullUrl": "urn:oid:8847198e-4d15-497b-87d8-0b039bba2ae5",

"resource": {

"resourceType": "MessageHeader",

"eventCoding": {

"system": "https://fhir.lhcre.nhs.uk/CodeSystem/message-event",
"code": "unsolicited-observation",
"display": "Unsolicited Observations"

"destination": [

{

"name": "CRS",

"endpoint": "CRS",

"receiver": {

"reference": "urn:oid:180cf767-4ca2-4c11-b210-d5cd717fc5f7"

}

"sender": {

"reference": "urn:oid:89004a04-3c6f-48f2-bb42-f9caf9e3e16a"

"source": {

"name": "TDLAB",

"endpoint": "TDLAB"

"focus": [

{

"reference": "urn:oid:6f6fccb4-89ce-486b-9948-8a1439b69a0b"

}

]

}

{

"fullUrl": "urn:oid:6f6fccb4-89ce-486b-9948-8a1439b69a0b",

"resource": {

"resourceType": "DiagnosticReport",

"identifier": [

{

"type": {

"coding": [

{

"system": "http://terminology.hl7.org/CodeSystem/v2-0203",

"code": "FILL"

}

]

"system": "https://fhir.christie.nhs.uk/Id/FillerOrderNumber",

"value": "00200014201XT"

}

"status": "corrected",

"category": [

{

"coding": [

{

"code": "bio dis"

}

]

}

"code": {

"coding": [

{

"code": "1XT",

"display": "Christie Profile"

}

]

"subject": {

"reference": "urn:oid:8f9ed341-9876-4b1e-91ac-0380fc27b976"

"effectivePeriod": {

"start": "2020-02-26T14:54:00.000Z"

"performer": [

{

"extension": [

{

"url": "http://hl7.org/fhir/StructureDefinition/event-performerFunction",

"valueCodeableConcept": {

"coding": [

{

"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",

"code": "PPRF"

}

]

}

"reference": "urn:oid:70c1995d-c5d3-47c3-b8fe-1dfe4f521f59",

"type": "Practitioner"

}

"resultsInterpreter": [

{

"reference": "urn:oid:70c1995d-c5d3-47c3-b8fe-1dfe4f521f59",

"type": "Practitioner"

}

"result": [

{

"reference": "urn:oid:484aa19c-b75a-4877-b5fc-98552fa7a031"

{

"reference": "urn:oid:3af4a735-6135-43e2-855c-9308dde119a4"

{

"reference": "urn:oid:ecd145fe-9707-4f39-ab2f-f390068441af"

{

"reference": "urn:oid:742684f0-1120-47c0-839e-94e0a50f3076"

{

"reference": "urn:oid:d851b97e-d2cd-40e3-a285-588a5bf23455"

{

"reference": "urn:oid:e1899e4f-94ff-4a86-9913-e1bcbdd83ce2"

{

"reference": "urn:oid:3f848c0a-e5cb-4f8a-b2fa-1be5cda2b623"

{

"reference": "urn:oid:ef995ea4-bbc3-4b22-935b-a508702f8022"

{

"reference": "urn:oid:13eae6c0-5318-49d4-b222-448cb61efb3f"

{

"reference": "urn:oid:57ac3c7f-9afa-483e-a340-9bd6ba5b879b"

{

"reference": "urn:oid:464fb5be-e3a7-4820-94dc-f920f1e58a00"

{

"reference": "urn:oid:a58414a0-91f1-4d00-9cca-9da4405ac966"

{

"reference": "urn:oid:30662a39-9d1a-41df-a06d-70f6541f3f14"

{

"reference": "urn:oid:4a0e28a2-d223-45bb-a813-babd7dba3cba"

{

"reference": "urn:oid:ffdd8254-9e2f-4f93-a10d-9a17ed8ccf82"

{

"reference": "urn:oid:17e95cbd-e3ac-4508-abe6-d68944426d98"

}

]

}

{

"fullUrl": "urn:oid:484aa19c-b75a-4877-b5fc-98552fa7a031",

"resource": {

"resourceType": "Observation",

"identifier": [

{

"system": "urn:oid:",

"value": "484aa19c-b75a-4877-b5fc-98552fa7a031"

}

"status": "unknown",

"code": {

"coding": [

{

"system": "https://fhir.christie.nhs.uk/CodeSystem/OBS",
"code": "1UE",
"display": "Urea+Electrolytes"

}

]

"subject": {

"reference": "urn:oid:8f9ed341-9876-4b1e-91ac-0380fc27b976"

"effectiveDateTime": "2020-02-26T14:54:00.000Z"

}

{

"fullUrl": "urn:oid:3af4a735-6135-43e2-855c-9308dde119a4",

"resource": {

"resourceType": "Observation",

"identifier": [

{

"system": "urn:oid:",

"value": "3af4a735-6135-43e2-855c-9308dde119a4"

}

"status": "corrected",

"code": {

"coding": [

{

"system": "https://fhir.christie.nhs.uk/CodeSystem/OBS",
"code": "1NA",
"display": "Sodium"

{

"system": "https://snomed.info",
"code": "1020681000000107",
"display": "Sodium level"

}

]

"subject": {

"reference": "urn:oid:8f9ed341-9876-4b1e-91ac-0380fc27b976"

"effectiveDateTime": "2020-02-26T14:54:00.000Z",

"performer": [

{

"reference": "urn:oid:70c1995d-c5d3-47c3-b8fe-1dfe4f521f59",

"type": "Practitioner"

}

"value": 200

{

"coding": [

{

"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code": "H",
"display": "High"

}

]

}

{

"text": "133 - 146"

}

]

}

{

"fullUrl": "urn:oid:ecd145fe-9707-4f39-ab2f-f390068441af",

"resource": {

"resourceType": "Observation",

"identifier": [

{

"system": "urn:oid:",

"value": "ecd145fe-9707-4f39-ab2f-f390068441af"

}

"status": "final",

"code": {

"coding": [

{

"system": "https://fhir.christie.nhs.uk/CodeSystem/OBS",
"code": "1K",
"display": "Potassium........"

{

"system": "https://snomed.info",
"code": "1028441000000104",
"display": "Potassium level"

}

]

"subject": {

"reference": "urn:oid:8f9ed341-9876-4b1e-91ac-0380fc27b976"

"effectiveDateTime": "2020-02-26T14:54:00.000Z",

"performer": [

{

"reference": "urn:oid:70c1995d-c5d3-47c3-b8fe-1dfe4f521f59",

"type": "Practitioner"

}

"value": 4

{

"coding": [

{

"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code": "N",
"display": "Normal"

}

]

}

{

"text": "3.5 - 5.3"

}

]

}

{

"fullUrl": "urn:oid:742684f0-1120-47c0-839e-94e0a50f3076",

"resource": {

"resourceType": "Observation",

"identifier": [

{

"system": "urn:oid:",

"value": "742684f0-1120-47c0-839e-94e0a50f3076"

}

"status": "final",

"code": {

"coding": [

{

"system": "https://fhir.christie.nhs.uk/CodeSystem/OBS",
"code": "1UREA",
"display": "Urea............."

}

]

"subject": {

"reference": "urn:oid:8f9ed341-9876-4b1e-91ac-0380fc27b976"

"effectiveDateTime": "2020-02-26T14:54:00.000Z",

"performer": [

{

"reference": "urn:oid:70c1995d-c5d3-47c3-b8fe-1dfe4f521f59",

"type": "Practitioner"

}

"value": 4

{

"coding": [

{

"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code": "N",
"display": "Normal"

}

]

}

{

"text": "2.5 - 7.8"

}

]

}

{

"fullUrl": "urn:oid:d851b97e-d2cd-40e3-a285-588a5bf23455",

"resource": {

"resourceType": "Observation",

"identifier": [

{

"system": "urn:oid:",

"value": "d851b97e-d2cd-40e3-a285-588a5bf23455"

}

"status": "final",

"code": {

"coding": [

{

"system": "https://fhir.christie.nhs.uk/CodeSystem/OBS",
"code": "1CREA",
"display": "SCreatinine"

}

]

"subject": {

"reference": "urn:oid:8f9ed341-9876-4b1e-91ac-0380fc27b976"

"effectiveDateTime": "2020-02-26T14:54:00.000Z",

"performer": [

{

"reference": "urn:oid:70c1995d-c5d3-47c3-b8fe-1dfe4f521f59",

"type": "Practitioner"

}

"value": 44

{

"coding": [

{

"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code": "N",
"display": "Normal"

}

]

}

{

"text": "44 - 97"

}

]

}

{

"fullUrl": "urn:oid:e1899e4f-94ff-4a86-9913-e1bcbdd83ce2",

"resource": {

"resourceType": "Observation",

"identifier": [

{

"system": "urn:oid:",

"value": "e1899e4f-94ff-4a86-9913-e1bcbdd83ce2"

}

"status": "final",

"code": {

"coding": [

{

"system": "https://fhir.christie.nhs.uk/CodeSystem/OBS",
"code": "1CA",
"display": "Calcium.........."

{

"system": "https://snomed.info",
"code": "1028041000000107",
"display": "Calcium level"

}

]

"subject": {

"reference": "urn:oid:8f9ed341-9876-4b1e-91ac-0380fc27b976"

"effectiveDateTime": "2020-02-26T14:54:00.000Z",

"performer": [

{

"reference": "urn:oid:70c1995d-c5d3-47c3-b8fe-1dfe4f521f59",

"type": "Practitioner"

}

"value": 2.3

{

"coding": [

{

"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code": "N",
"display": "Normal"

}

]

}

{

"text": "2.20 - 2.60"

}

]

}

{

"fullUrl": "urn:oid:3f848c0a-e5cb-4f8a-b2fa-1be5cda2b623",

"resource": {

"resourceType": "Observation",

"identifier": [

{

"system": "urn:oid:",

"value": "3f848c0a-e5cb-4f8a-b2fa-1be5cda2b623"

}

"status": "final",

"code": {

"coding": [

{

"system": "https://fhir.christie.nhs.uk/CodeSystem/OBS",
"code": "1PHOS",
"display": "Phosphate........"

}

]

"subject": {

"reference": "urn:oid:8f9ed341-9876-4b1e-91ac-0380fc27b976"

"effectiveDateTime": "2020-02-26T14:54:00.000Z",

"performer": [

{

"reference": "urn:oid:70c1995d-c5d3-47c3-b8fe-1dfe4f521f59",

"type": "Practitioner"

}

"value": 1

{

"coding": [

{

"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code": "N",
"display": "Normal"

}

]

}

{

"text": "0.80 - 1.50"

}

]

}

{

"fullUrl": "urn:oid:ef995ea4-bbc3-4b22-935b-a508702f8022",

"resource": {

"resourceType": "Observation",

"identifier": [

{

"system": "urn:oid:",

"value": "ef995ea4-bbc3-4b22-935b-a508702f8022"

}

"status": "final",

"code": {

"coding": [

{

"system": "https://fhir.christie.nhs.uk/CodeSystem/OBS",
"code": "1TP",
"display": "Total Protein...."

}

]

"subject": {

"reference": "urn:oid:8f9ed341-9876-4b1e-91ac-0380fc27b976"

"effectiveDateTime": "2020-02-26T14:54:00.000Z",

"performer": [

{

"reference": "urn:oid:70c1995d-c5d3-47c3-b8fe-1dfe4f521f59",

"type": "Practitioner"

}

"value": 70

{

"coding": [

{

"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code": "N",
"display": "Normal"

}

]

}

{

"text": "60 - 80"

}

]

}

{

"fullUrl": "urn:oid:13eae6c0-5318-49d4-b222-448cb61efb3f",

"resource": {

"resourceType": "Observation",

"identifier": [

{

"system": "urn:oid:",

"value": "13eae6c0-5318-49d4-b222-448cb61efb3f"

}

"status": "final",

"code": {

"coding": [

{

"system": "https://fhir.christie.nhs.uk/CodeSystem/OBS",
"code": "1ALB",
"display": "Albumin.........."

}

]

"subject": {

"reference": "urn:oid:8f9ed341-9876-4b1e-91ac-0380fc27b976"

"effectiveDateTime": "2020-02-26T14:54:00.000Z",

"performer": [

{

"reference": "urn:oid:70c1995d-c5d3-47c3-b8fe-1dfe4f521f59",

"type": "Practitioner"

}

"value": 40

{

"coding": [

{

"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code": "N",
"display": "Normal"

}

]

}

{

"text": "35 - 50"

}

]

}

{

"fullUrl": "urn:oid:57ac3c7f-9afa-483e-a340-9bd6ba5b879b",

"resource": {

"resourceType": "Observation",

"identifier": [

{

"system": "urn:oid:",

"value": "57ac3c7f-9afa-483e-a340-9bd6ba5b879b"

}

"status": "final",

"code": {

"coding": [

{

"system": "https://fhir.christie.nhs.uk/CodeSystem/OBS",
"code": "1GLOB",
"display": "Globulin........."

}

]

"subject": {

"reference": "urn:oid:8f9ed341-9876-4b1e-91ac-0380fc27b976"

"effectiveDateTime": "2020-02-26T14:54:00.000Z",

"performer": [

{

"reference": "urn:oid:70c1995d-c5d3-47c3-b8fe-1dfe4f521f59",

"type": "Practitioner"

}

"value": 30

{

"coding": [

{

"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code": "N",
"display": "Normal"

}

]

}

{

"text": "20 - 35"

}

]

}

{

"fullUrl": "urn:oid:464fb5be-e3a7-4820-94dc-f920f1e58a00",

"resource": {

"resourceType": "Observation",

"identifier": [

{

"system": "urn:oid:",

"value": "464fb5be-e3a7-4820-94dc-f920f1e58a00"

}

"status": "final",

"code": {

"coding": [

{

"system": "https://fhir.christie.nhs.uk/CodeSystem/OBS",
"code": "1ACA",
"display": "Adjusted calcium."

{

"system": "https://snomed.info",
"code": "998341000000105",
"display": "Calcium adjusted level"

}

]

"subject": {

"reference": "urn:oid:8f9ed341-9876-4b1e-91ac-0380fc27b976"

"effectiveDateTime": "2020-02-26T14:54:00.000Z",

"performer": [

{

"reference": "urn:oid:70c1995d-c5d3-47c3-b8fe-1dfe4f521f59",

"type": "Practitioner"

}

"value": 2.42

{

"coding": [

{

"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code": "N",
"display": "Normal"

}

]

}

{

"text": "2.20 - 2.60"

}

]

}

{

"fullUrl": "urn:oid:a58414a0-91f1-4d00-9cca-9da4405ac966",

"resource": {

"resourceType": "Observation",

"identifier": [

{

"system": "urn:oid:",

"value": "a58414a0-91f1-4d00-9cca-9da4405ac966"

}

"status": "final",

"code": {

"coding": [

{

"system": "https://fhir.christie.nhs.uk/CodeSystem/OBS",
"code": "1TBIL",
"display": "Total Bilirubin.."

{

"system": "https://snomed.info",
"code": "1026761000000106",
"display": "Total bilirubin level"

}

]

"subject": {

"reference": "urn:oid:8f9ed341-9876-4b1e-91ac-0380fc27b976"

"effectiveDateTime": "2020-02-26T14:54:00.000Z",

"performer": [

{

"reference": "urn:oid:70c1995d-c5d3-47c3-b8fe-1dfe4f521f59",

"type": "Practitioner"

}

"value": 10

{

"coding": [

{

"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code": "N",
"display": "Normal"

}

]

}

{

"text": "0 - 20"

}

]

}

{

"fullUrl": "urn:oid:30662a39-9d1a-41df-a06d-70f6541f3f14",

"resource": {

"resourceType": "Observation",

"identifier": [

{

"system": "urn:oid:",

"value": "30662a39-9d1a-41df-a06d-70f6541f3f14"

}

"status": "final",

"code": {

"coding": [

{

"system": "https://fhir.christie.nhs.uk/CodeSystem/OBS",
"code": "1ALP",
"display": "Alk Phos........."

}

]

"subject": {

"reference": "urn:oid:8f9ed341-9876-4b1e-91ac-0380fc27b976"

"effectiveDateTime": "2020-02-26T14:54:00.000Z",

"performer": [

{

"reference": "urn:oid:70c1995d-c5d3-47c3-b8fe-1dfe4f521f59",

"type": "Practitioner"

}

"value": 100

{

"coding": [

{

"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code": "N",
"display": "Normal"

}

]

}

{

"text": "30 - 130"

}

]

}

{

"fullUrl": "urn:oid:4a0e28a2-d223-45bb-a813-babd7dba3cba",

"resource": {

"resourceType": "Observation",

"identifier": [

{

"system": "urn:oid:",

"value": "4a0e28a2-d223-45bb-a813-babd7dba3cba"

}

"status": "final",

"code": {

"coding": [

{

"system": "https://fhir.christie.nhs.uk/CodeSystem/OBS",
"code": "1AST",
"display": "AST.............."

{

"system": "https://snomed.info",
"code": "1031101000000102",
"display": "Aspartate aminotransferase level"

}

]

"subject": {

"reference": "urn:oid:8f9ed341-9876-4b1e-91ac-0380fc27b976"

"effectiveDateTime": "2020-02-26T14:54:00.000Z",

"performer": [

{

"reference": "urn:oid:70c1995d-c5d3-47c3-b8fe-1dfe4f521f59",

"type": "Practitioner"

}

"value": 20

{

"coding": [

{

"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code": "N",
"display": "Normal"

}

]

}

{

"text": "0 - 33"

}

]

}

{

"fullUrl": "urn:oid:ffdd8254-9e2f-4f93-a10d-9a17ed8ccf82",

"resource": {

"resourceType": "Observation",

"identifier": [

{

"system": "urn:oid:",

"value": "ffdd8254-9e2f-4f93-a10d-9a17ed8ccf82"

}

"status": "final",

"code": {

"coding": [

{

"system": "https://fhir.christie.nhs.uk/CodeSystem/OBS",
"code": "1GGT",
"display": "GGT.............."

{

"system": "https://snomed.info",
"code": "1028091000000102",
"display": "Gamma-glutamyl transferase level"

}

]

"subject": {

"reference": "urn:oid:8f9ed341-9876-4b1e-91ac-0380fc27b976"

"effectiveDateTime": "2020-02-26T14:54:00.000Z",

"performer": [

{

"reference": "urn:oid:70c1995d-c5d3-47c3-b8fe-1dfe4f521f59",

"type": "Practitioner"

}

"value": 20

{

"coding": [

{

"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code": "N",
"display": "Normal"

}

]

}

{

"text": "<38"

}

]

}

{

"fullUrl": "urn:oid:17e95cbd-e3ac-4508-abe6-d68944426d98",

"resource": {

"resourceType": "Observation",

"identifier": [

{

"system": "urn:oid:",

"value": "17e95cbd-e3ac-4508-abe6-d68944426d98"

}

"status": "final",

"code": {

"coding": [

{

"system": "https://fhir.christie.nhs.uk/CodeSystem/OBS",
"code": "1LDH",
"display": "LDH.............."

{

"system": "https://snomed.info",
"code": "1028111000000107",
"display": "Lactate dehydrogenase level"

}

]

"subject": {

"reference": "urn:oid:8f9ed341-9876-4b1e-91ac-0380fc27b976"

"effectiveDateTime": "2020-02-26T14:54:00.000Z",

"performer": [

{

"reference": "urn:oid:70c1995d-c5d3-47c3-b8fe-1dfe4f521f59",

"type": "Practitioner"

}

"value": 140

{

"coding": [

{

"system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
"code": "N",
"display": "Normal"

}

]

}