UK Core Clinical and Technical Assurance Sprint 6 Documentation Pack

UK Core Clinical and Technical Assurance Sprint 6 Documentation Pack

Reflex Test

Message Bundle Example - Reflex Test - Request

<Bundle xmlns="http://hl7.org/fhir">
    <id value="path-R4-example-bundle-TSH-reflex-test-request" />
    <meta>
        <lastUpdated value="2022-04-11T10:16:00+00:00" />
        <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Bundle" />
    </meta>
    <identifier>
        <system value="https://tools.ietf.org/html/rfc4122" />
        <value value="673ea2ed-005d-472f-903d-f4fc59c4a7b4" />
    </identifier>
    <type value="message" />
    <entry>
        <fullUrl value="urn:uuid:f18a2226-c0ab-480d-b80a-b6561fe8f9c4" />
        <resource>
            <MessageHeader>
                <!--  TBC Review content of MessageHeader  -->
                <id value="f18a2226-c0ab-480d-b80a-b6561fe8f9c4" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-MessageHeader" />
                </meta>
                <eventCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="371528001" />
                    <display value="Pathology report" />
                </eventCoding>
                <destination>
                    <name value="TD008362 PATH LAB 001" />
                    <!--  TBC Update endpoint address  -->
                    <endpoint value="TBC" />
                    <!--  Performing Laboratory  -->
                    <receiver>
                        <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
                    </receiver>
                </destination>
                <sender>
                    <!--  Requesting Organisation  -->
                    <reference value="urn:uuid:3c43b5b3-06d6-445f-ae9a-48d5f05df434" />
                </sender>
                <source>
                    <!--  TBC Update endpoint address  -->
                    <endpoint value="TBC" />
                </source>
                <focus>
                    <!--  ServiceRequest  -->
                    <reference value="urn:uuid:40b05d54-c870-4e96-841a-0d14e3a3a1c9" />
                </focus>
            </MessageHeader>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
        <resource>
            <Organization>
                <!--  Performing Laboratory  -->
                <id value="8a6d85b8-9837-4fed-a257-4cf207988338" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" />
                </meta>
                <identifier>
                    <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                    <value value="Y8J7D" />
                </identifier>
                <name value="TD008362 PATH LAB 001" />
                <address>
                    <line value="PATHOLOGY LAB" />
                    <line value="7-8 WELLINGTON PLACE" />
                    <city value="LEEDS" />
                    <district value="WEST YORKSHIRE" />
                    <postalCode value="LS1 4AP" />
                </address>
            </Organization>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:3c43b5b3-06d6-445f-ae9a-48d5f05df434" />
        <resource>
            <Organization>
                <!--  Requesting Organisation  -->
                <id value="3c43b5b3-06d6-445f-ae9a-48d5f05df434" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" />
                </meta>
                <identifier>
                    <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                    <value value="B82033" />
                </identifier>
                <name value="PICKERING MEDICAL PRACTICE" />
                <address>
                    <line value="SOUTHGATE" />
                    <city value="PICKERING" />
                    <district value="NORTH YORKSHIRE" />
                    <postalCode value="YO18 8BL" />
                </address>
            </Organization>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:9a835acf-d715-4d84-8dcf-a8435f6417fe" />
        <resource>
            <Practitioner>
                <!--  Requesting Practitioner  -->
                <id value="9a835acf-d715-4d84-8dcf-a8435f6417fe" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Practitioner" />
                </meta>
                <identifier>
                    <system value="https://fhir.nhs.uk/Id/sds-user-id" />
                    <!--  Confirm SDS user id  -->
                    <value value="TBC" />
                </identifier>
                <name>
                    <use value="official" />
                    <family value="GASKELL" />
                    <given value="Gale" />
                    <prefix value="Dr" />
                </name>
            </Practitioner>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
        <resource>
            <Patient>
                <id value="ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient" />
                </meta>
                <identifier>
                    <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus">
                        <valueCodeableConcept>
                            <coding>
                                <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberVerificationStatus" />
                                <code value="number-present-and-verified" />
                                <display value="Number present and verified" />
                            </coding>
                        </valueCodeableConcept>
                    </extension>
                    <system value="https://fhir.nhs.uk/Id/nhs-number" />
                    <value value="9727710883" />
                </identifier>
                <name>
                    <use value="official" />
                    <family value="DUNN" />
                    <given value="Joanna" />
                </name>
                <gender value="female" />
                <birthDate value="1966-02-27" />
                <address>
                    <line value="SHOTTON HOUSE" />
                    <line value="WEST LUND" />
                    <city value="KIRKBYMOORSIDE" />
                    <postalCode value="YO62 6AN" />
                </address>
            </Patient>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:40b05d54-c870-4e96-841a-0d14e3a3a1c9" />
        <resource>
            <ServiceRequest>
                <id value="40b05d54-c870-4e96-841a-0d14e3a3a1c9" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-ServiceRequest" />
                </meta>
                <identifier>
                    <system value="http://B82033-pickeringmedicalpractice.com/labrequest" />
                    <value value="REQ-20220411-000046" />
                </identifier>
                <status value="active" />
                <intent value="order" />
                <code>
                    <coding>
                        <!--  Not in UTL. Taken from SNOMED CT UK Edition (procedure)  -->
                        <system value="http://snomed.info/sct" />
                        <code value="61167004" />
                        <display value="Thyroid stimulating hormone measurement" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="DUNN, Joanna" />
                </subject>
                <authoredOn value="2022-04-11T10:16:00+00:00" />
                <requester>
                    <reference value="urn:uuid:9a835acf-d715-4d84-8dcf-a8435f6417fe" />
                    <display value="GASKELL, Gale" />
                </requester>
                <performer>
                    <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
                    <display value="TD008362 PATH LAB 001" />
                </performer>
            </ServiceRequest>
        </resource>
    </entry>
</Bundle>

{
    "resourceType": "Bundle",
    "id": "path-R4-example-bundle-TSH-reflex-test-request",
    "meta": {
        "lastUpdated": "2022-04-11T10:16:00+00:00",
        "profile":  [
            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Bundle"
        ]
    },
    "identifier": {
        "system": "https://tools.ietf.org/html/rfc4122",
        "value": "673ea2ed-005d-472f-903d-f4fc59c4a7b4"
    },
    "type": "message",
    "entry":  [
        {
            "fullUrl": "urn:uuid:f18a2226-c0ab-480d-b80a-b6561fe8f9c4",
            "resource": {
                "resourceType": "MessageHeader",
                "id": "f18a2226-c0ab-480d-b80a-b6561fe8f9c4",
                "meta": {
                    "profile":  [
                        "https://fhir.hl7.org.uk/StructureDefinition/UKCore-MessageHeader"
                    ]
                },
                "eventCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "371528001",
                    "display": "Pathology report"
                },
                "destination":  [
                    {
                        "name": "TD008362 PATH LAB 001",
                        "endpoint": "TBC",
                        "receiver": {
                            "reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338"
                        }
                    }
                ],
                "sender": {
                    "reference": "urn:uuid:3c43b5b3-06d6-445f-ae9a-48d5f05df434"
                },
                "source": {
                    "endpoint": "TBC"
                },
                "focus":  [
                    {
                        "reference": "urn:uuid:40b05d54-c870-4e96-841a-0d14e3a3a1c9"
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338",
            "resource": {
                "resourceType": "Organization",
                "id": "8a6d85b8-9837-4fed-a257-4cf207988338",
                "meta": {
                    "profile":  [
                        "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
                    ]
                },
                "identifier":  [
                    {
                        "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                        "value": "Y8J7D"
                    }
                ],
                "name": "TD008362 PATH LAB 001",
                "address":  [
                    {
                        "line":  [
                            "PATHOLOGY LAB",
                            "7-8 WELLINGTON PLACE"
                        ],
                        "city": "LEEDS",
                        "district": "WEST YORKSHIRE",
                        "postalCode": "LS1 4AP"
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:uuid:3c43b5b3-06d6-445f-ae9a-48d5f05df434",
            "resource": {
                "resourceType": "Organization",
                "id": "3c43b5b3-06d6-445f-ae9a-48d5f05df434",
                "meta": {
                    "profile":  [
                        "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
                    ]
                },
                "identifier":  [
                    {
                        "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                        "value": "B82033"
                    }
                ],
                "name": "PICKERING MEDICAL PRACTICE",
                "address":  [
                    {
                        "line":  [
                            "SOUTHGATE"
                        ],
                        "city": "PICKERING",
                        "district": "NORTH YORKSHIRE",
                        "postalCode": "YO18 8BL"
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:uuid:9a835acf-d715-4d84-8dcf-a8435f6417fe",
            "resource": {
                "resourceType": "Practitioner",
                "id": "9a835acf-d715-4d84-8dcf-a8435f6417fe",
                "meta": {
                    "profile":  [
                        "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Practitioner"
                    ]
                },
                "identifier":  [
                    {
                        "system": "https://fhir.nhs.uk/Id/sds-user-id",
                        "value": "TBC"
                    }
                ],
                "name":  [
                    {
                        "use": "official",
                        "family": "GASKELL",
                        "given":  [
                            "Gale"
                        ],
                        "prefix":  [
                            "Dr"
                        ]
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4",
            "resource": {
                "resourceType": "Patient",
                "id": "ab87a3f8-1d37-44a9-804e-5e962598a6e4",
                "meta": {
                    "profile":  [
                        "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient"
                    ]
                },
                "identifier":  [
                    {
                        "extension":  [
                            {
                                "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus",
                                "valueCodeableConcept": {
                                    "coding":  [
                                        {
                                            "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberVerificationStatus",
                                            "code": "number-present-and-verified",
                                            "display": "Number present and verified"
                                        }
                                    ]
                                }
                            }
                        ],
                        "system": "https://fhir.nhs.uk/Id/nhs-number",
                        "value": "9727710883"
                    }
                ],
                "name":  [
                    {
                        "use": "official",
                        "family": "DUNN",
                        "given":  [
                            "Joanna"
                        ]
                    }
                ],
                "gender": "female",
                "birthDate": "1966-02-27",
                "address":  [
                    {
                        "line":  [
                            "SHOTTON HOUSE",
                            "WEST LUND"
                        ],
                        "city": "KIRKBYMOORSIDE",
                        "postalCode": "YO62 6AN"
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:uuid:40b05d54-c870-4e96-841a-0d14e3a3a1c9",
            "resource": {
                "resourceType": "ServiceRequest",
                "id": "40b05d54-c870-4e96-841a-0d14e3a3a1c9",
                "meta": {
                    "profile":  [
                        "https://fhir.hl7.org.uk/StructureDefinition/UKCore-ServiceRequest"
                    ]
                },
                "identifier":  [
                    {
                        "system": "http://B82033-pickeringmedicalpractice.com/labrequest",
                        "value": "REQ-20220411-000046"
                    }
                ],
                "status": "active",
                "intent": "order",
                "code": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "61167004",
                            "display": "Thyroid stimulating hormone measurement"
                        }
                    ]
                },
                "subject": {
                    "reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4",
                    "display": "DUNN, Joanna"
                },
                "authoredOn": "2022-04-11T10:16:00+00:00",
                "requester": {
                    "reference": "urn:uuid:9a835acf-d715-4d84-8dcf-a8435f6417fe",
                    "display": "GASKELL, Gale"
                },
                "performer":  [
                    {
                        "reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338",
                        "display": "TD008362 PATH LAB 001"
                    }
                ]
            }
        }
    ]
}

Message Bundle Example - Reflex Test - Report

<Bundle xmlns="http://hl7.org/fhir">
    <id value="path-R4-example-bundle-TSH-reflex-test-report" />
    <meta>
        <lastUpdated value="2022-04-12T13:58:00+00:00" />
        <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Bundle" />
    </meta>
    <identifier>
        <system value="https://tools.ietf.org/html/rfc4122" />
        <value value="79748af3-cb73-4224-b7f9-b2977d701d45" />
    </identifier>
    <type value="message" />
    <entry>
        <fullUrl value="urn:uuid:f18a2226-c0ab-480d-b80a-b6561fe8f9c4" />
        <resource>
            <MessageHeader>
                <!--  TBC Review content of MessageHeader  -->
                <id value="f18a2226-c0ab-480d-b80a-b6561fe8f9c4" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-MessageHeader" />
                </meta>
                <eventCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="371528001" />
                    <display value="Pathology report" />
                </eventCoding>
                <destination>
                    <name value="PICKERING MEDICAL PRACTICE" />
                    <!--  TBC Update endpoint address  -->
                    <endpoint value="TBC" />
                    <!--  Requesting Organisation  -->
                    <receiver>
                        <reference value="urn:uuid:3c43b5b3-06d6-445f-ae9a-48d5f05df434" />
                    </receiver>
                </destination>
                <sender>
                    <!--  Performing Laboratory  -->
                    <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
                </sender>
                <source>
                    <!--  TBC Update endpoint address  -->
                    <endpoint value="TBC" />
                </source>
                <focus>
                    <!--  DiagnosticReport  -->
                    <reference value="urn:uuid:35d46ca1-f253-4c97-b7ee-fb5fccdf6c20" />
                </focus>
            </MessageHeader>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
        <resource>
            <Organization>
                <!--  Performing Laboratory  -->
                <id value="8a6d85b8-9837-4fed-a257-4cf207988338" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" />
                </meta>
                <identifier>
                    <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                    <value value="Y8J7D" />
                </identifier>
                <name value="TD008362 PATH LAB 001" />
                <address>
                    <line value="PATHOLOGY LAB" />
                    <line value="7-8 WELLINGTON PLACE" />
                    <city value="LEEDS" />
                    <district value="WEST YORKSHIRE" />
                    <postalCode value="LS1 4AP" />
                </address>
            </Organization>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:3c43b5b3-06d6-445f-ae9a-48d5f05df434" />
        <resource>
            <Organization>
                <!--  Requesting Organisation  -->
                <id value="3c43b5b3-06d6-445f-ae9a-48d5f05df434" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" />
                </meta>
                <identifier>
                    <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                    <value value="B82033" />
                </identifier>
                <name value="PICKERING MEDICAL PRACTICE" />
                <address>
                    <line value="SOUTHGATE" />
                    <city value="PICKERING" />
                    <district value="NORTH YORKSHIRE" />
                    <postalCode value="YO18 8BL" />
                </address>
            </Organization>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:9a835acf-d715-4d84-8dcf-a8435f6417fe" />
        <resource>
            <Practitioner>
                <!--  Requesting Practitioner  -->
                <id value="9a835acf-d715-4d84-8dcf-a8435f6417fe" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Practitioner" />
                </meta>
                <identifier>
                    <system value="https://fhir.nhs.uk/Id/sds-user-id" />
                    <!--  Confirm SDS user id  -->
                    <value value="TBC" />
                </identifier>
                <name>
                    <use value="official" />
                    <family value="GASKELL" />
                    <given value="Gale" />
                    <prefix value="Dr" />
                </name>
            </Practitioner>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
        <resource>
            <Patient>
                <id value="ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient" />
                </meta>
                <identifier>
                    <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus">
                        <valueCodeableConcept>
                            <coding>
                                <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberVerificationStatus" />
                                <code value="number-present-and-verified" />
                                <display value="Number present and verified" />
                            </coding>
                        </valueCodeableConcept>
                    </extension>
                    <system value="https://fhir.nhs.uk/Id/nhs-number" />
                    <value value="9727710883" />
                </identifier>
                <name>
                    <use value="official" />
                    <family value="DUNN" />
                    <given value="Joanna" />
                </name>
                <gender value="female" />
                <birthDate value="1966-02-27" />
                <address>
                    <line value="SHOTTON HOUSE" />
                    <line value="WEST LUND" />
                    <city value="KIRKBYMOORSIDE" />
                    <postalCode value="YO62 6AN" />
                </address>
            </Patient>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:40b05d54-c870-4e96-841a-0d14e3a3a1c9" />
        <resource>
            <ServiceRequest>
                <id value="40b05d54-c870-4e96-841a-0d14e3a3a1c9" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-ServiceRequest" />
                </meta>
                <identifier>
                    <system value="http://B82033-pickeringmedicalpractice.com/labrequest" />
                    <value value="REQ-20220411-000046" />
                </identifier>
                <status value="active" />
                <intent value="order" />
                <code>
                    <coding>
                        <!--  Not in UTL. Taken from SNOMED CT UK Edition (procedure)  -->
                        <system value="http://snomed.info/sct" />
                        <code value="61167004" />
                        <display value="Thyroid stimulating hormone measurement" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="DUNN, Joanna" />
                </subject>
                <authoredOn value="2022-04-11T10:16:00+00:00" />
                <requester>
                    <reference value="urn:uuid:9a835acf-d715-4d84-8dcf-a8435f6417fe" />
                    <display value="GASKELL, Gale" />
                </requester>
                <performer>
                    <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
                    <display value="TD008362 PATH LAB 001" />
                </performer>
            </ServiceRequest>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:145d0f75-9d33-4c20-8799-65e7f056483b" />
        <resource>
            <ServiceRequest>
                <id value="145d0f75-9d33-4c20-8799-65e7f056483b" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-ServiceRequest" />
                </meta>
                <identifier>
                    <system value="http://Y8J7D-pathlab001.com/reflex" />
                    <value value="REQ-20220411-000046-RFX-001" />
                </identifier>
                <basedOn>
                    <!--   Original request - TSH: Thyroid stimulating hormone measurement  -->
                    <reference value="urn:uuid:40b05d54-c870-4e96-841a-0d14e3a3a1c9" />
                    <type value="http://hl7.org/fhir/StructureDefinition/ServiceRequest" />
                </basedOn>
                <status value="active" />
                <intent value="reflex-order" />
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                    <coding>
                        <!--  UTL Requestable (procedure)  -->
                        <system value="http://snomed.info/sct" />
                        <code value="313837000" />
                        <display value="Serum free T4 measurement" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="DUNN, Joanna" />
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                    <reference value="urn:uuid:9a835acf-d715-4d84-8dcf-a8435f6417fe" />
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            </ServiceRequest>
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    <entry>
        <fullUrl value="urn:uuid:b351ac7c-c5f0-49ae-be21-47a6f1d14544" />
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            <ServiceRequest>
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                <identifier>
                    <system value="http://Y8J7D-pathlab001.com/reflex" />
                    <value value="REQ-20220411-000046-RFX-002" />
                </identifier>
                <basedOn>
                    <!--   Original request - TSH: Thyroid stimulating hormone measurement  -->
                    <reference value="urn:uuid:40b05d54-c870-4e96-841a-0d14e3a3a1c9" />
                    <type value="http://hl7.org/fhir/StructureDefinition/ServiceRequest" />
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                <status value="active" />
                <intent value="reflex-order" />
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                    <coding>
                        <!--  UTL Requestable (procedure)  -->
                        <system value="http://snomed.info/sct" />
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        <fullUrl value="urn:uuid:35d46ca1-f253-4c97-b7ee-fb5fccdf6c20" />
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            <DiagnosticReport>
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                    <system value="http://Y8J7D-pathlab001.com/report" />
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                <basedOn>
                    <!--   Original request - TSH: Thyroid stimulating hormone measurement  -->
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                <basedOn>
                    <!--  Reflex test - Free T4: Serum free T4 measurement  -->
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                    <type value="http://hl7.org/fhir/StructureDefinition/ServiceRequest" />
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                <basedOn>
                    <!--  Reflex test - Free T3: Serum free triiodothyronine measurement  -->
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                    <type value="http://hl7.org/fhir/StructureDefinition/ServiceRequest" />
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                    <coding>
                        <system value="http://snomed.info/sct" />
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                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
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                    <reference value="urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" />
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                </result>
                <result>
                    <!--  Free T4 (reflex): Free T4 (thyroxine) mass concentration in serum  -->
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                <result>
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                    <reference value="urn:uuid:de47b3f7-1e23-424e-9b01-fd77a1b1de73" />
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                    <coding>
                        <system value="http://snomed.info/sct" />
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                        <display value="Venous blood specimen" />
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    <entry>
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                <specimen>
                    <reference value="urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" />
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                <referenceRange>
                    <low>
                        <value value="0.2" />
                    </low>
                    <high>
                        <value value="4.0" />
                    </high>
                </referenceRange>
            </Observation>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:84fa2fb4-818c-4d27-9879-ca115e9713be" />
        <resource>
            <Observation>
                <!--  Free T4 (reflex): Free T4 (thyroxine) mass concentration in serum  -->
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                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation" />
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                <identifier>
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                    <value value="cd2483af-fb70-4d55-bd60-3124c691b57a" />
                </identifier>
                <basedOn>
                    <!--  Reflex test - Free T4: Serum free T4 measurement  -->
                    <reference value="urn:uuid:145d0f75-9d33-4c20-8799-65e7f056483b" />
                    <type value="http://hl7.org/fhir/StructureDefinition/ServiceRequest" />
                </basedOn>
                <status value="final" />
                <code>
                    <coding>
                        <!--  UTL Reportable (observable entity)  -->
                        <system value="http://snomed.info/sct" />
                        <code value="1109401000000108" />
                        <display value="Free T4 (thyroxine) mass concentration in serum" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
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                <performer>
                    <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
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                <valueQuantity>
                    <value value="19.0" />
                    <unit value="pmol/L" />
                    <system value="http://unitsofmeasure.org" />
                    <code value="pmol/L" />
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                <specimen>
                    <reference value="urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" />
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                <referenceRange>
                    <low>
                        <value value="11" />
                    </low>
                    <high>
                        <value value="22.6" />
                    </high>
                </referenceRange>
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    </entry>
    <entry>
        <fullUrl value="urn:uuid:de47b3f7-1e23-424e-9b01-fd77a1b1de73" />
        <resource>
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                    <reference value="urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" />
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                    <low>
                        <value value="3.5" />
                    </low>
                    <high>
                        <value value="6.5" />
                    </high>
                </referenceRange>
            </Observation>
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