<Bundle xmlns="http://hl7.org/fhir">
    <id value="9d5732fd-7edb-458a-9557-ebcb421196bb" />
    <identifier>
        <system value="http://fhir.christie.nhs.uk/TDLAB" />
        <value value="3c890fcc-bdc4-4c71-a4e9-e46ef5cc4ff7" />
    </identifier>
    <type value="message" />
    <timestamp value="2020-02-26T14:57:05.000Z" />
    <entry>
        <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>
    <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>
    <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>
    <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>
    <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>
    <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>
    <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>
    <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>
    <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>
    <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>
    <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>
    <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>
    <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>
    <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>
    <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>
    <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>
    <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="&lt;38" />
                </referenceRange>
            </Observation>
        </resource>
    </entry>
    <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>
    <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>
    <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>
    <entry>
        <fullUrl value="urn:oid:89004a04-3c6f-48f2-bb42-f9caf9e3e16a" />
        <resource>
            <Organization>
                <identifier>
                    <value value="PATH" />
                </identifier>
            </Organization>
        </resource>
    </entry>
    <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"
                    }
                ],
                "valueQuantity": {
                    "value": 200
                },
                "interpretation":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                                "code": "H",
                                "display": "High"
                            }
                        ]
                    }
                ],
                "referenceRange":  [
                    {
                        "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"
                    }
                ],
                "valueQuantity": {
                    "value": 4.0
                },
                "interpretation":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                                "code": "N",
                                "display": "Normal"
                            }
                        ]
                    }
                ],
                "referenceRange":  [
                    {
                        "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"
                    }
                ],
                "valueQuantity": {
                    "value": 4.0
                },
                "interpretation":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                                "code": "N",
                                "display": "Normal"
                            }
                        ]
                    }
                ],
                "referenceRange":  [
                    {
                        "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"
                    }
                ],
                "valueQuantity": {
                    "value": 44
                },
                "interpretation":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                                "code": "N",
                                "display": "Normal"
                            }
                        ]
                    }
                ],
                "referenceRange":  [
                    {
                        "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"
                    }
                ],
                "valueQuantity": {
                    "value": 2.30
                },
                "interpretation":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                                "code": "N",
                                "display": "Normal"
                            }
                        ]
                    }
                ],
                "referenceRange":  [
                    {
                        "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"
                    }
                ],
                "valueQuantity": {
                    "value": 1.00
                },
                "interpretation":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                                "code": "N",
                                "display": "Normal"
                            }
                        ]
                    }
                ],
                "referenceRange":  [
                    {
                        "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"
                    }
                ],
                "valueQuantity": {
                    "value": 70
                },
                "interpretation":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                                "code": "N",
                                "display": "Normal"
                            }
                        ]
                    }
                ],
                "referenceRange":  [
                    {
                        "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"
                    }
                ],
                "valueQuantity": {
                    "value": 40
                },
                "interpretation":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                                "code": "N",
                                "display": "Normal"
                            }
                        ]
                    }
                ],
                "referenceRange":  [
                    {
                        "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"
                    }
                ],
                "valueQuantity": {
                    "value": 30
                },
                "interpretation":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                                "code": "N",
                                "display": "Normal"
                            }
                        ]
                    }
                ],
                "referenceRange":  [
                    {
                        "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"
                    }
                ],
                "valueQuantity": {
                    "value": 2.42
                },
                "interpretation":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                                "code": "N",
                                "display": "Normal"
                            }
                        ]
                    }
                ],
                "referenceRange":  [
                    {
                        "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"
                    }
                ],
                "valueQuantity": {
                    "value": 10
                },
                "interpretation":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                                "code": "N",
                                "display": "Normal"
                            }
                        ]
                    }
                ],
                "referenceRange":  [
                    {
                        "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"
                    }
                ],
                "valueQuantity": {
                    "value": 100
                },
                "interpretation":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                                "code": "N",
                                "display": "Normal"
                            }
                        ]
                    }
                ],
                "referenceRange":  [
                    {
                        "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"
                    }
                ],
                "valueQuantity": {
                    "value": 20
                },
                "interpretation":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                                "code": "N",
                                "display": "Normal"
                            }
                        ]
                    }
                ],
                "referenceRange":  [
                    {
                        "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"
                    }
                ],
                "valueQuantity": {
                    "value": 20
                },
                "interpretation":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                                "code": "N",
                                "display": "Normal"
                            }
                        ]
                    }
                ],
                "referenceRange":  [
                    {
                        "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"
                    }
                ],
                "valueQuantity": {
                    "value": 140
                },
                "interpretation":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                                "code": "N",
                                "display": "Normal"
                            }
                        ]
                    }
                ],
                "referenceRange":  [
                    {
                        "text": "120 - 246"
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:oid:8f9ed341-9876-4b1e-91ac-0380fc27b976",
            "resource": {
                "resourceType": "Patient",
                "meta": {
                    "lastUpdated": "2020-09-25T11:49:47.000Z"
                },
                "extension":  [
                    {
                        "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race",
                        "extension":  [
                            {
                                "url": "ombCategory",
                                "valueCoding": {
                                    "code": "id"
                                }
                            },
                            {
                                "url": "text",
                                "valueString": "Race"
                            }
                        ]
                    }
                ],
                "identifier":  [
                    {
                        "type": {
                            "coding":  [
                                {
                                    "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                                    "code": "MR"
                                }
                            ]
                        },
                        "value": "200804513"
                    },
                    {
                        "type": {
                            "coding":  [
                                {
                                    "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                                    "code": "HOSP"
                                }
                            ]
                        },
                        "value": "200804513"
                    }
                ],
                "name":  [
                    {
                        "family": "ZEDITEST",
                        "given":  [
                            "Anne Mary 1"
                        ],
                        "prefix":  [
                            "MR"
                        ]
                    }
                ],
                "gender": "female",
                "birthDate": "1982-03-31",
                "address":  [
                    {
                        "line":  [
                            "Christie Hospital NHS Trust",
                            "550 Wilmslow Road"
                        ],
                        "state": "M20 4BX MANCHESTER"
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:oid:70c1995d-c5d3-47c3-b8fe-1dfe4f521f59",
            "resource": {
                "resourceType": "Practitioner",
                "identifier":  [
                    {
                        "value": "LG"
                    }
                ],
                "name":  [
                    {
                        "family": "Leon Guy"
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:oid:89004a04-3c6f-48f2-bb42-f9caf9e3e16a",
            "resource": {
                "resourceType": "Organization",
                "identifier":  [
                    {
                        "value": "PATH"
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:oid:180cf767-4ca2-4c11-b210-d5cd717fc5f7",
            "resource": {
                "resourceType": "Organization",
                "identifier":  [
                    {
                        "system": "http://fhir.nhs.uk/Id/ods-organization-code",
                        "value": "QPH"
                    }
                ]
            }
        }
    ]
}