<status value="draft" /> <date value="2026-01-26" /> <publisher value="NHS England" /> <contact> <name value="NHS England" /> <telecom> <system value="email" /> <value value="interoperabilityteam@nhs.net" /> <use value="work" /> <rank value="1" /> </telecom> </contact> <description value="This profile defines the NHSE constraints and extensions on the UK FHIR resource, in order to represent an individual laboratory test and result value." /> <purpose value="To provide the minimum expectations for each individual laboratory test. This includes the NHSE requirements for PaLM and PBCL Codes in Observation.code" /> <copyright value="Copyright © 2021+ HL7 UK Licensed under the Apache License, Version 2.0 (the "License"); you may not use this file except in compliance with the License. You may obtain a copy of the License at http://www.apache.org/licenses/LICENSE-2.0 Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an "AS IS" BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License. HL7® FHIR® standard Copyright © 2011+ HL7 The HL7® FHIR® standard is used under the FHIR license. You may obtain a copy of the FHIR license at https://www.hl7.org/fhir/license.html." /> <fhirVersion value="4.0.1" /> <kind value="resource" /> <abstract value="false" /> <type value="Observation" /> <baseDefinition value="http://hl7.eu/fhir/laboratory/StructureDefinition/Observation-resultslab-eu-lab" /> <derivation value="constraint" /> <differential> <element id="Observation.extension:extensionorganizer-r6"> <path value="Observation.extension" /> <sliceName value="extensionorganizer-r6" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/6.0/StructureDefinition/extension-Observation.organizer" /> </type> <isModifier value="false" /> </element> <element id="Observation.code.coding"> <path value="Observation.code.coding" /> <slicing> <description value="Slicing for Pathology to differentiate between the SNOMED CT ValueSets, PaLM and PCBL" /> <rules value="open" /> </slicing> </element> <element id="Observation.code.coding.extension:reference"> <path value="Observation.code.coding.extension" /> <sliceName value="reference" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/StructureDefinition/valueset-reference" /> </type> </element> <element id="Observation.code.coding:pathology-PaLM"> <path value="Observation.code.coding" /> <sliceName value="pathology-PaLM" /> <binding> <strength value="extensible" /> <description value="This slice is to denote the code comes from the Pathology and laboratory medicine observable entity simple reference set" /> <valueSet value="https://fhir.nhs.uk/England/ValueSet/England-PathologyAndLaboratoryMedicineObservables" /> </binding> </element> <element id="Observation.code.coding:pathology-PaLM.extension:reference-palm-observables"> <path value="Observation.code.coding.extension" /> <sliceName value="reference-palm-observables" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/StructureDefinition/valueset-reference" /> </type> </element> <element id="Observation.code.coding:pathology-PaLM.extension:reference-palm-observables.value[x]"> <path value="Observation.code.coding.extension.value[x]" /> <fixedUri value="https://fhir.nhs.uk/England/ValueSet/England-PathologyAndLaboratoryMedicineObservables" /> </element> <element id="Observation.code.coding:pathology-PBCL"> <path value="Observation.code.coding" /> <sliceName value="pathology-PBCL" /> <binding> <strength value="extensible" /> <description value="This slice is to denote the code comes from the Pathology Bounded Code List observables simple reference set" /> <valueSet value="https://fhir.nhs.uk/England/ValueSet/England-PathologyBoundedCodeListObservables" /> </binding> </element> <element id="Observation.code.coding:pathology-PBCL.extension:reference-pbcl-observables"> <path value="Observation.code.coding.extension" /> <sliceName value="reference-pbcl-observables" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/StructureDefinition/valueset-reference" /> </type> </element> <element id="Observation.code.coding:pathology-PBCL.extension:reference-pbcl-observables.value[x]"> <path value="Observation.code.coding.extension.value[x]" /> <fixedUri value="https://fhir.nhs.uk/England/ValueSet/England-PathologyBoundedCodeListObservables" /> </element> <element id="Observation.value[x]:valueCodeableConcept"> <path value="Observation.value[x]" /> <sliceName value="valueCodeableConcept" /> </element> <element id="Observation.interpretation"> <path value="Observation.interpretation" /> <binding> <strength value="extensible" /> <valueSet value="https://fhir.nhs.uk/England/ValueSet/England-DeviatingResultIndicator" /> </binding> </element> <element id="Observation.component.value[x]:valueCodeableConcept"> <path value="Observation.component.value[x]" /> <sliceName value="valueCodeableConcept" /> </element> </differential> </StructureDefinition>