• This is an example of a Glucose Tolerance Test (GTT) report, which is a type of dynamic function test.
• Dynamic function tests measure the outcome of certain stimulants (or suppressants) usually invoked on the endocrine system. A series of specimens is collected at defined time intervals and the results are reported together as a chronological sequence.
• Each specimen is represented as a separate Specimen instance.
• In this example, the patient fasted before the first specimen was taken. This is indicated using Specimen.collection.fastingStatus[x].
• The results are represented using a set of structured, coded Observations. These are grouped using a parent level test group Observation.
• The core observation-sequelTo extension is used to link the test result Observations to one another in a chronological sequence.
• The relative time interval associated with each test result Observation (e.g. 30 minutes) is carried using Observation.component.
• A clinical interpretation/summary of the test results is carried in DiagnosticReport.conclusion.

The following is a simplified logical data model that illustrates the key references between the FHIR profiles in the example message bundle. To aid clarity, not all of the references are shown. For a detailed description of the relationships between the FHIR profiles, and how they may be used, refer to How to Construct a Pathology Test Report Bundle.

<Bundle xmlns="http://hl7.org/fhir">
    <id value="Pathology-Bundle-GTT-Report-Example" />
    <meta>
        <lastUpdated value="2022-02-10T11:49:00+00:00" />
        <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Bundle" />
    </meta>
    <identifier>
        <system value="https://tools.ietf.org/html/rfc4122" />
        <value value="ee9f668a-020b-480f-9e52-8f4ec29f97bf" />
    </identifier>
    <type value="message" />
    <entry>
        <fullUrl value="urn:uuid:324d9589-21eb-4852-af10-b8a656105b10" />
        <resource>
            <MessageHeader>
                <!--  TBC Review content of MessageHeader  -->
                <id value="324d9589-21eb-4852-af10-b8a656105b10" />
                <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>
                <definition value="https://fhir.nhs.uk/England/MessageDefinition/England-Pathology-Report" />
            </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.hl7.org.uk/Id/gmc-number" />
                    <value value="C1008215" />
                </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-NHSNumberVerificationStatusEngland" />
                                <code value="01" />
                                <display value="Number present and verified" />
                            </coding>
                        </valueCodeableConcept>
                    </extension>
                    <system value="https://fhir.nhs.uk/Id/nhs-number" />
                    <value value="9727710859" />
                </identifier>
                <name>
                    <use value="official" />
                    <family value="MOXEY" />
                    <given value="Judy" />
                </name>
                <gender value="female" />
                <birthDate value="2004-05-06" />
                <address>
                    <line value="1 CASTLEGATE" />
                    <city value="PICKERING" />
                    <district value="NORTH YORKSHIRE" />
                    <postalCode value="YO18 7AY" />
                </address>
            </Patient>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac" />
        <resource>
            <ServiceRequest>
                <id value="1c38d507-9ad7-4b49-ba91-7da204842cac" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-ServiceRequest-Lab" />
                </meta>
                <identifier>
                    <system value="http://B82033-pickeringmedicalpractice.com/labrequest" />
                    <value value="REQ-20220207-000013" />
                </identifier>
                <status value="active" />
                <intent value="order" />
                <code>
                    <coding>
                        <!--  From PaLM procedure reference set  -->
                        <system value="http://snomed.info/sct" />
                        <code value="113076002" />
                        <display value="Glucose tolerance test" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="MOXEY, Judy" />
                </subject>
                <authoredOn value="2022-02-07T09:20:00+00:00" />
                <requester>
                    <reference value="urn:uuid:9a835acf-d715-4d84-8dcf-a8435f6417fe" />
                    <display value="GASKELL, Dr 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:35d46ca1-f253-4c97-b7ee-fb5fccdf6c20" />
        <resource>
            <DiagnosticReport>
                <id value="35d46ca1-f253-4c97-b7ee-fb5fccdf6c20" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-DiagnosticReport-Lab" />
                </meta>
                <identifier>
                    <system value="http://Y8J7D-pathlab001.com/report" />
                    <value value="REP-20220210-000218" />
                </identifier>
                <basedOn>
                    <reference value="urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac" />
                </basedOn>
                <status value="final" />
                <category>
                    <coding>
                        <system value="http://terminology.hl7.org/CodeSystem/v2-0074" />
                        <code value="LAB" />
                        <display value="Laboratory" />
                    </coding>
                </category>
                <code>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="721981007" />
                        <display value="Diagnostic studies report" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="MOXEY, Judy" />
                </subject>
                <issued value="2022-02-10T11:49:00+00:00" />
                <performer>
                    <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
                    <display value="TD008362 PATH LAB 001" />
                </performer>
                <specimen>
                    <reference value="urn:uuid:bcee569d-c37d-4901-90b4-c9f27c4dafab" />
                </specimen>
                <specimen>
                    <reference value="urn:uuid:45f1e625-9af2-4920-9ac4-63b4d9d30bd0" />
                </specimen>
                <specimen>
                    <reference value="urn:uuid:ad717ae8-cb35-4d66-ba51-e22a76b1d158" />
                </specimen>
                <result>
                    <reference value="urn:uuid:2a48660b-8d45-4735-acaa-3d9918b6b902" />
                </result>
                <conclusion value="Fasting glucose below 5.1, 1hr below 10.0 and 2hr below 8.5 mmol/L. Normal response to glucose load, no further action required." />
            </DiagnosticReport>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:bcee569d-c37d-4901-90b4-c9f27c4dafab" />
        <resource>
            <Specimen>
                <id value="bcee569d-c37d-4901-90b4-c9f27c4dafab" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Specimen" />
                </meta>
                <identifier>
                    <system value="http://B82033-pickeringmedicalpractice.com/specimen" />
                    <value value="SPC-REQ-20220209-000082" />
                </identifier>
                <accessionIdentifier>
                    <system value="http://Y8J7D-pathlab001.com/specimen" />
                    <value value="SPC-LAB-20220209-001531" />
                </accessionIdentifier>
                <status value="available" />
                <type>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="122555007" />
                        <display value="Venous blood specimen" />
                    </coding>
                </type>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="MOXEY, Judy" />
                </subject>
                <receivedTime value="2022-02-09T14:17:06+00:00" />
                <request>
                    <reference value="urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac" />
                </request>
                <collection>
                    <collectedDateTime value="2022-02-09T10:01:23+00:00" />
                    <fastingStatusCodeableConcept>
                        <coding>
                            <system value="http://terminology.hl7.org/CodeSystem/v2-0916" />
                            <code value="F" />
                            <display value="Patient was fasting prior to the procedure." />
                        </coding>
                    </fastingStatusCodeableConcept>
                </collection>
            </Specimen>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:2a48660b-8d45-4735-acaa-3d9918b6b902" />
        <resource>
            <Observation>
                <!--  Test group Observation for Glucose Tolerance Test  -->
                <id value="2a48660b-8d45-4735-acaa-3d9918b6b902" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Group-Lab" />
                </meta>
                <identifier>
                    <system value="https://tools.ietf.org/html/rfc4122" />
                    <value value="df8fcad2-12f5-4f04-8b73-91dadc3120b9" />
                </identifier>
                <status value="final" />
                <category>
                    <coding>
                        <system value="http://terminology.hl7.org/CodeSystem/observation-category" />
                        <code value="laboratory" />
                        <display value="Laboratory" />
                    </coding>
                </category>
                <code>
                    <coding>
                        <!--  From PaLM procedure reference set  -->
                        <system value="http://snomed.info/sct" />
                        <code value="113076002" />
                        <display value="Glucose tolerance test" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="MOXEY, Judy" />
                </subject>
                <issued value="2022-02-10T11:49:00+00:00" />
                <performer>
                    <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
                    <display value="TD008362 PATH LAB 001" />
                </performer>
                <hasMember>
                    <!--  Glucose substance concentration at 0 minutes  -->
                    <reference value="urn:uuid:6b64af83-2ea2-4b0f-a6a7-17e5a7b27a31" />
                </hasMember>
                <hasMember>
                    <!--  Glucose substance concentration at 60 minutes  -->
                    <reference value="urn:uuid:1dbcb7a9-4506-40f9-9908-fa0d32deeaa4" />
                </hasMember>
                <hasMember>
                    <!--  Glucose substance concentration at 120 minutes  -->
                    <reference value="urn:uuid:1346248c-8c09-4312-a0b9-898de1cc16f5" />
                </hasMember>
            </Observation>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:6b64af83-2ea2-4b0f-a6a7-17e5a7b27a31" />
        <resource>
            <Observation>
                <!--  Glucose substance concentration at 0 minutes  -->
                <id value="6b64af83-2ea2-4b0f-a6a7-17e5a7b27a31" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" />
                </meta>
                <identifier>
                    <system value="https://tools.ietf.org/html/rfc4122" />
                    <value value="ba7fa6e0-2170-4905-ac9f-e53970b17aed" />
                </identifier>
                <status value="final" />
                <category>
                    <coding>
                        <system value="http://terminology.hl7.org/CodeSystem/observation-category" />
                        <code value="laboratory" />
                        <display value="Laboratory" />
                    </coding>
                </category>
                <code>
                    <coding>
                        <!--  From PaLM observable entity reference set  -->
                        <system value="http://snomed.info/sct" />
                        <code value="1107451000000100" />
                        <display value="Glucose substance concentration in serum" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="MOXEY, Judy" />
                </subject>
                <effectiveDateTime value="2022-02-09T10:01:23+00:00" />
                <issued value="2022-02-10T11:49:00+00:00" />
                <performer>
                    <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
                    <display value="TD008362 PATH LAB 001" />
                </performer>
                <valueQuantity>
                    <value value="4.8" />
                    <unit value="mmol/L" />
                    <system value="http://unitsofmeasure.org" />
                    <code value="mmol/L" />
                </valueQuantity>
                <specimen>
                    <reference value="urn:uuid:bcee569d-c37d-4901-90b4-c9f27c4dafab" />
                </specimen>
                <component>
                    <code>
                        <coding>
                            <system value="http://snomed.info/sct" />
                            <code value="118578006" />
                            <display value="Relative time" />
                        </coding>
                    </code>
                    <valueQuantity>
                        <value value="0" />
                        <unit value="min" />
                        <system value="http://unitsofmeasure.org" />
                        <code value="min" />
                    </valueQuantity>
                </component>
            </Observation>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:1dbcb7a9-4506-40f9-9908-fa0d32deeaa4" />
        <resource>
            <Observation>
                <id value="1dbcb7a9-4506-40f9-9908-fa0d32deeaa4" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" />
                </meta>
                <!--  Glucose substance concentration at 60 minutes  -->
                <extension url="http://hl7.org/fhir/StructureDefinition/observation-sequelTo">
                    <valueReference>
                        <reference value="urn:uuid:6b64af83-2ea2-4b0f-a6a7-17e5a7b27a31" />
                    </valueReference>
                </extension>
                <identifier>
                    <system value="https://tools.ietf.org/html/rfc4122" />
                    <value value="9e1f413b-8242-4e37-b23c-233be79e75a6" />
                </identifier>
                <status value="final" />
                <category>
                    <coding>
                        <system value="http://terminology.hl7.org/CodeSystem/observation-category" />
                        <code value="laboratory" />
                        <display value="Laboratory" />
                    </coding>
                </category>
                <code>
                    <coding>
                        <!--  From PaLM observable entity reference set  -->
                        <system value="http://snomed.info/sct" />
                        <code value="1107451000000100" />
                        <display value="Glucose substance concentration in serum" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="MOXEY, Judy" />
                </subject>
                <effectiveDateTime value="2022-02-09T11:03:07+00:00" />
                <issued value="2022-02-10T11:49:00+00:00" />
                <performer>
                    <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
                    <display value="TD008362 PATH LAB 001" />
                </performer>
                <valueQuantity>
                    <value value="8.8" />
                    <unit value="mmol/L" />
                    <system value="http://unitsofmeasure.org" />
                    <code value="mmol/L" />
                </valueQuantity>
                <specimen>
                    <reference value="urn:uuid:45f1e625-9af2-4920-9ac4-63b4d9d30bd0" />
                </specimen>
                <component>
                    <code>
                        <coding>
                            <system value="http://snomed.info/sct" />
                            <code value="118578006" />
                            <display value="Relative time" />
                        </coding>
                    </code>
                    <valueQuantity>
                        <value value="60" />
                        <unit value="min" />
                        <system value="http://unitsofmeasure.org" />
                        <code value="min" />
                    </valueQuantity>
                </component>
            </Observation>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:1346248c-8c09-4312-a0b9-898de1cc16f5" />
        <resource>
            <Observation>
                <id value="1346248c-8c09-4312-a0b9-898de1cc16f5" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" />
                </meta>
                <!--  Glucose substance concentration at 120 minutes  -->
                <extension url="http://hl7.org/fhir/StructureDefinition/observation-sequelTo">
                    <valueReference>
                        <reference value="urn:uuid:1dbcb7a9-4506-40f9-9908-fa0d32deeaa4" />
                    </valueReference>
                </extension>
                <identifier>
                    <system value="https://tools.ietf.org/html/rfc4122" />
                    <value value="4c66b23a-5c91-49fb-85b1-5073a88afc25" />
                </identifier>
                <status value="final" />
                <category>
                    <coding>
                        <system value="http://terminology.hl7.org/CodeSystem/observation-category" />
                        <code value="laboratory" />
                        <display value="Laboratory" />
                    </coding>
                </category>
                <code>
                    <coding>
                        <!--  From PaLM observable entity reference set  -->
                        <system value="http://snomed.info/sct" />
                        <code value="1107451000000100" />
                        <display value="Glucose substance concentration in serum" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="MOXEY, Judy" />
                </subject>
                <effectiveDateTime value="2022-02-09T12:02:17+00:00" />
                <issued value="2022-02-10T11:49:00+00:00" />
                <performer>
                    <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
                    <display value="TD008362 PATH LAB 001" />
                </performer>
                <valueQuantity>
                    <value value="6.4" />
                    <unit value="mmol/L" />
                    <system value="http://unitsofmeasure.org" />
                    <code value="mmol/L" />
                </valueQuantity>
                <specimen>
                    <reference value="urn:uuid:ad717ae8-cb35-4d66-ba51-e22a76b1d158" />
                </specimen>
                <component>
                    <code>
                        <coding>
                            <system value="http://snomed.info/sct" />
                            <code value="118578006" />
                            <display value="Relative time" />
                        </coding>
                    </code>
                    <valueQuantity>
                        <value value="120" />
                        <unit value="min" />
                        <system value="http://unitsofmeasure.org" />
                        <code value="min" />
                    </valueQuantity>
                </component>
            </Observation>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:45f1e625-9af2-4920-9ac4-63b4d9d30bd0" />
        <resource>
            <Specimen>
                <id value="45f1e625-9af2-4920-9ac4-63b4d9d30bd0" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Specimen" />
                </meta>
                <identifier>
                    <system value="http://B82033-pickeringmedicalpractice.com/specimen" />
                    <value value="SPC-REQ-20220209-000083" />
                </identifier>
                <accessionIdentifier>
                    <system value="http://Y8J7D-pathlab001.com/specimen" />
                    <value value="SPC-LAB-20220209-001549" />
                </accessionIdentifier>
                <status value="available" />
                <type>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="122555007" />
                        <display value="Venous blood specimen" />
                    </coding>
                </type>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="MOXEY, Judy" />
                </subject>
                <receivedTime value="2022-02-09T14:17:06+00:00" />
                <request>
                    <reference value="urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac" />
                </request>
                <collection>
                    <collectedDateTime value="2022-02-09T11:03:07+00:00" />
                </collection>
            </Specimen>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:ad717ae8-cb35-4d66-ba51-e22a76b1d158" />
        <resource>
            <Specimen>
                <id value="ad717ae8-cb35-4d66-ba51-e22a76b1d158" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Specimen" />
                </meta>
                <identifier>
                    <system value="http://B82033-pickeringmedicalpractice.com/specimen" />
                    <value value="SPC-REQ-20220209-000084" />
                </identifier>
                <accessionIdentifier>
                    <system value="http://Y8J7D-pathlab001.com/specimen" />
                    <value value="SPC-LAB-20220209-001587" />
                </accessionIdentifier>
                <status value="available" />
                <type>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="122555007" />
                        <display value="Venous blood specimen" />
                    </coding>
                </type>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="MOXEY, Judy" />
                </subject>
                <receivedTime value="2022-02-09T14:17:06+00:00" />
                <request>
                    <reference value="urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac" />
                </request>
                <collection>
                    <collectedDateTime value="2022-02-09T12:02:17+00:00" />
                </collection>
            </Specimen>
        </resource>
    </entry>
</Bundle>

{
    "resourceType": "Bundle",
    "id": "Pathology-Bundle-GTT-Report-Example",
    "meta": {
        "lastUpdated": "2022-02-10T11:49:00+00:00",
        "profile":  [
            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Bundle"
        ]
    },
    "identifier": {
        "system": "https://tools.ietf.org/html/rfc4122",
        "value": "ee9f668a-020b-480f-9e52-8f4ec29f97bf"
    },
    "type": "message",
    "entry":  [
        {
            "fullUrl": "urn:uuid:324d9589-21eb-4852-af10-b8a656105b10",
            "resource": {
                "resourceType": "MessageHeader",
                "id": "324d9589-21eb-4852-af10-b8a656105b10",
                "meta": {
                    "profile":  [
                        "https://fhir.hl7.org.uk/StructureDefinition/UKCore-MessageHeader"
                    ]
                },
                "eventCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "371528001",
                    "display": "Pathology report"
                },
                "destination":  [
                    {
                        "name": "PICKERING MEDICAL PRACTICE",
                        "endpoint": "TBC",
                        "receiver": {
                            "reference": "urn:uuid:3c43b5b3-06d6-445f-ae9a-48d5f05df434"
                        }
                    }
                ],
                "sender": {
                    "reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338"
                },
                "source": {
                    "endpoint": "TBC"
                },
                "focus":  [
                    {
                        "reference": "urn:uuid:35d46ca1-f253-4c97-b7ee-fb5fccdf6c20"
                    }
                ],
                "definition": "https://fhir.nhs.uk/England/MessageDefinition/England-Pathology-Report"
            }
        },
        {
            "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.hl7.org.uk/Id/gmc-number",
                        "value": "C1008215"
                    }
                ],
                "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-NHSNumberVerificationStatusEngland",
                                            "code": "01",
                                            "display": "Number present and verified"
                                        }
                                    ]
                                }
                            }
                        ],
                        "system": "https://fhir.nhs.uk/Id/nhs-number",
                        "value": "9727710859"
                    }
                ],
                "name":  [
                    {
                        "use": "official",
                        "family": "MOXEY",
                        "given":  [
                            "Judy"
                        ]
                    }
                ],
                "gender": "female",
                "birthDate": "2004-05-06",
                "address":  [
                    {
                        "line":  [
                            "1 CASTLEGATE"
                        ],
                        "city": "PICKERING",
                        "district": "NORTH YORKSHIRE",
                        "postalCode": "YO18 7AY"
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac",
            "resource": {
                "resourceType": "ServiceRequest",
                "id": "1c38d507-9ad7-4b49-ba91-7da204842cac",
                "meta": {
                    "profile":  [
                        "https://fhir.hl7.org.uk/StructureDefinition/UKCore-ServiceRequest-Lab"
                    ]
                },
                "identifier":  [
                    {
                        "system": "http://B82033-pickeringmedicalpractice.com/labrequest",
                        "value": "REQ-20220207-000013"
                    }
                ],
                "status": "active",
                "intent": "order",
                "code": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "113076002",
                            "display": "Glucose tolerance test"
                        }
                    ]
                },
                "subject": {
                    "reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4",
                    "display": "MOXEY, Judy"
                },
                "authoredOn": "2022-02-07T09:20:00+00:00",
                "requester": {
                    "reference": "urn:uuid:9a835acf-d715-4d84-8dcf-a8435f6417fe",
                    "display": "GASKELL, Dr Gale"
                },
                "performer":  [
                    {
                        "reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338",
                        "display": "TD008362 PATH LAB 001"
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:uuid:35d46ca1-f253-4c97-b7ee-fb5fccdf6c20",
            "resource": {
                "resourceType": "DiagnosticReport",
                "id": "35d46ca1-f253-4c97-b7ee-fb5fccdf6c20",
                "meta": {
                    "profile":  [
                        "https://fhir.hl7.org.uk/StructureDefinition/UKCore-DiagnosticReport-Lab"
                    ]
                },
                "identifier":  [
                    {
                        "system": "http://Y8J7D-pathlab001.com/report",
                        "value": "REP-20220210-000218"
                    }
                ],
                "basedOn":  [
                    {
                        "reference": "urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac"
                    }
                ],
                "status": "final",
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/v2-0074",
                                "code": "LAB",
                                "display": "Laboratory"
                            }
                        ]
                    }
                ],
                "code": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "721981007",
                            "display": "Diagnostic studies report"
                        }
                    ]
                },
                "subject": {
                    "reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4",
                    "display": "MOXEY, Judy"
                },
                "issued": "2022-02-10T11:49:00+00:00",
                "performer":  [
                    {
                        "reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338",
                        "display": "TD008362 PATH LAB 001"
                    }
                ],
                "specimen":  [
                    {
                        "reference": "urn:uuid:bcee569d-c37d-4901-90b4-c9f27c4dafab"
                    },
                    {
                        "reference": "urn:uuid:45f1e625-9af2-4920-9ac4-63b4d9d30bd0"
                    },
                    {
                        "reference": "urn:uuid:ad717ae8-cb35-4d66-ba51-e22a76b1d158"
                    }
                ],
                "result":  [
                    {
                        "reference": "urn:uuid:2a48660b-8d45-4735-acaa-3d9918b6b902"
                    }
                ],
                "conclusion": "Fasting glucose below 5.1, 1hr below 10.0 and 2hr below 8.5 mmol/L. Normal response to glucose load, no further action required."
            }
        },
        {
            "fullUrl": "urn:uuid:bcee569d-c37d-4901-90b4-c9f27c4dafab",
            "resource": {
                "resourceType": "Specimen",
                "id": "bcee569d-c37d-4901-90b4-c9f27c4dafab",
                "meta": {
                    "profile":  [
                        "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Specimen"
                    ]
                },
                "identifier":  [
                    {
                        "system": "http://B82033-pickeringmedicalpractice.com/specimen",
                        "value": "SPC-REQ-20220209-000082"
                    }
                ],
                "accessionIdentifier": {
                    "system": "http://Y8J7D-pathlab001.com/specimen",
                    "value": "SPC-LAB-20220209-001531"
                },
                "status": "available",
                "type": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "122555007",
                            "display": "Venous blood specimen"
                        }
                    ]
                },
                "subject": {
                    "reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4",
                    "display": "MOXEY, Judy"
                },
                "receivedTime": "2022-02-09T14:17:06+00:00",
                "request":  [
                    {
                        "reference": "urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac"
                    }
                ],
                "collection": {
                    "collectedDateTime": "2022-02-09T10:01:23+00:00",
                    "fastingStatusCodeableConcept": {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/v2-0916",
                                "code": "F",
                                "display": "Patient was fasting prior to the procedure."
                            }
                        ]
                    }
                }
            }
        },
        {
            "fullUrl": "urn:uuid:2a48660b-8d45-4735-acaa-3d9918b6b902",
            "resource": {
                "resourceType": "Observation",
                "id": "2a48660b-8d45-4735-acaa-3d9918b6b902",
                "meta": {
                    "profile":  [
                        "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Group-Lab"
                    ]
                },
                "identifier":  [
                    {
                        "system": "https://tools.ietf.org/html/rfc4122",
                        "value": "df8fcad2-12f5-4f04-8b73-91dadc3120b9"
                    }
                ],
                "status": "final",
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                                "code": "laboratory",
                                "display": "Laboratory"
                            }
                        ]
                    }
                ],
                "code": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "113076002",
                            "display": "Glucose tolerance test"
                        }
                    ]
                },
                "subject": {
                    "reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4",
                    "display": "MOXEY, Judy"
                },
                "issued": "2022-02-10T11:49:00+00:00",
                "performer":  [
                    {
                        "reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338",
                        "display": "TD008362 PATH LAB 001"
                    }
                ],
                "hasMember":  [
                    {
                        "reference": "urn:uuid:6b64af83-2ea2-4b0f-a6a7-17e5a7b27a31"
                    },
                    {
                        "reference": "urn:uuid:1dbcb7a9-4506-40f9-9908-fa0d32deeaa4"
                    },
                    {
                        "reference": "urn:uuid:1346248c-8c09-4312-a0b9-898de1cc16f5"
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:uuid:6b64af83-2ea2-4b0f-a6a7-17e5a7b27a31",
            "resource": {
                "resourceType": "Observation",
                "id": "6b64af83-2ea2-4b0f-a6a7-17e5a7b27a31",
                "meta": {
                    "profile":  [
                        "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab"
                    ]
                },
                "identifier":  [
                    {
                        "system": "https://tools.ietf.org/html/rfc4122",
                        "value": "ba7fa6e0-2170-4905-ac9f-e53970b17aed"
                    }
                ],
                "status": "final",
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                                "code": "laboratory",
                                "display": "Laboratory"
                            }
                        ]
                    }
                ],
                "code": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "1107451000000100",
                            "display": "Glucose substance concentration in serum"
                        }
                    ]
                },
                "subject": {
                    "reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4",
                    "display": "MOXEY, Judy"
                },
                "effectiveDateTime": "2022-02-09T10:01:23+00:00",
                "issued": "2022-02-10T11:49:00+00:00",
                "performer":  [
                    {
                        "reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338",
                        "display": "TD008362 PATH LAB 001"
                    }
                ],
                "valueQuantity": {
                    "value": 4.8,
                    "unit": "mmol/L",
                    "system": "http://unitsofmeasure.org",
                    "code": "mmol/L"
                },
                "specimen": {
                    "reference": "urn:uuid:bcee569d-c37d-4901-90b4-c9f27c4dafab"
                },
                "component":  [
                    {
                        "code": {
                            "coding":  [
                                {
                                    "system": "http://snomed.info/sct",
                                    "code": "118578006",
                                    "display": "Relative time"
                                }
                            ]
                        },
                        "valueQuantity": {
                            "value": 0,
                            "unit": "min",
                            "system": "http://unitsofmeasure.org",
                            "code": "min"
                        }
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:uuid:1dbcb7a9-4506-40f9-9908-fa0d32deeaa4",
            "resource": {
                "resourceType": "Observation",
                "id": "1dbcb7a9-4506-40f9-9908-fa0d32deeaa4",
                "meta": {
                    "profile":  [
                        "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab"
                    ]
                },
                "extension":  [
                    {
                        "url": "http://hl7.org/fhir/StructureDefinition/observation-sequelTo",
                        "valueReference": {
                            "reference": "urn:uuid:6b64af83-2ea2-4b0f-a6a7-17e5a7b27a31"
                        }
                    }
                ],
                "identifier":  [
                    {
                        "system": "https://tools.ietf.org/html/rfc4122",
                        "value": "9e1f413b-8242-4e37-b23c-233be79e75a6"
                    }
                ],
                "status": "final",
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                                "code": "laboratory",
                                "display": "Laboratory"
                            }
                        ]
                    }
                ],
                "code": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "1107451000000100",
                            "display": "Glucose substance concentration in serum"
                        }
                    ]
                },
                "subject": {
                    "reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4",
                    "display": "MOXEY, Judy"
                },
                "effectiveDateTime": "2022-02-09T11:03:07+00:00",
                "issued": "2022-02-10T11:49:00+00:00",
                "performer":  [
                    {
                        "reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338",
                        "display": "TD008362 PATH LAB 001"
                    }
                ],
                "valueQuantity": {
                    "value": 8.8,
                    "unit": "mmol/L",
                    "system": "http://unitsofmeasure.org",
                    "code": "mmol/L"
                },
                "specimen": {
                    "reference": "urn:uuid:45f1e625-9af2-4920-9ac4-63b4d9d30bd0"
                },
                "component":  [
                    {
                        "code": {
                            "coding":  [
                                {
                                    "system": "http://snomed.info/sct",
                                    "code": "118578006",
                                    "display": "Relative time"
                                }
                            ]
                        },
                        "valueQuantity": {
                            "value": 60,
                            "unit": "min",
                            "system": "http://unitsofmeasure.org",
                            "code": "min"
                        }
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:uuid:1346248c-8c09-4312-a0b9-898de1cc16f5",
            "resource": {
                "resourceType": "Observation",
                "id": "1346248c-8c09-4312-a0b9-898de1cc16f5",
                "meta": {
                    "profile":  [
                        "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab"
                    ]
                },
                "extension":  [
                    {
                        "url": "http://hl7.org/fhir/StructureDefinition/observation-sequelTo",
                        "valueReference": {
                            "reference": "urn:uuid:1dbcb7a9-4506-40f9-9908-fa0d32deeaa4"
                        }
                    }
                ],
                "identifier":  [
                    {
                        "system": "https://tools.ietf.org/html/rfc4122",
                        "value": "4c66b23a-5c91-49fb-85b1-5073a88afc25"
                    }
                ],
                "status": "final",
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                                "code": "laboratory",
                                "display": "Laboratory"
                            }
                        ]
                    }
                ],
                "code": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "1107451000000100",
                            "display": "Glucose substance concentration in serum"
                        }
                    ]
                },
                "subject": {
                    "reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4",
                    "display": "MOXEY, Judy"
                },
                "effectiveDateTime": "2022-02-09T12:02:17+00:00",
                "issued": "2022-02-10T11:49:00+00:00",
                "performer":  [
                    {
                        "reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338",
                        "display": "TD008362 PATH LAB 001"
                    }
                ],
                "valueQuantity": {
                    "value": 6.4,
                    "unit": "mmol/L",
                    "system": "http://unitsofmeasure.org",
                    "code": "mmol/L"
                },
                "specimen": {
                    "reference": "urn:uuid:ad717ae8-cb35-4d66-ba51-e22a76b1d158"
                },
                "component":  [
                    {
                        "code": {
                            "coding":  [
                                {
                                    "system": "http://snomed.info/sct",
                                    "code": "118578006",
                                    "display": "Relative time"
                                }
                            ]
                        },
                        "valueQuantity": {
                            "value": 120,
                            "unit": "min",
                            "system": "http://unitsofmeasure.org",
                            "code": "min"
                        }
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:uuid:45f1e625-9af2-4920-9ac4-63b4d9d30bd0",
            "resource": {
                "resourceType": "Specimen",
                "id": "45f1e625-9af2-4920-9ac4-63b4d9d30bd0",
                "meta": {
                    "profile":  [
                        "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Specimen"
                    ]
                },
                "identifier":  [
                    {
                        "system": "http://B82033-pickeringmedicalpractice.com/specimen",
                        "value": "SPC-REQ-20220209-000083"
                    }
                ],
                "accessionIdentifier": {
                    "system": "http://Y8J7D-pathlab001.com/specimen",
                    "value": "SPC-LAB-20220209-001549"
                },
                "status": "available",
                "type": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "122555007",
                            "display": "Venous blood specimen"
                        }
                    ]
                },
                "subject": {
                    "reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4",
                    "display": "MOXEY, Judy"
                },
                "receivedTime": "2022-02-09T14:17:06+00:00",
                "request":  [
                    {
                        "reference": "urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac"
                    }
                ],
                "collection": {
                    "collectedDateTime": "2022-02-09T11:03:07+00:00"
                }
            }
        },
        {
            "fullUrl": "urn:uuid:ad717ae8-cb35-4d66-ba51-e22a76b1d158",
            "resource": {
                "resourceType": "Specimen",
                "id": "ad717ae8-cb35-4d66-ba51-e22a76b1d158",
                "meta": {
                    "profile":  [
                        "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Specimen"
                    ]
                },
                "identifier":  [
                    {
                        "system": "http://B82033-pickeringmedicalpractice.com/specimen",
                        "value": "SPC-REQ-20220209-000084"
                    }
                ],
                "accessionIdentifier": {
                    "system": "http://Y8J7D-pathlab001.com/specimen",
                    "value": "SPC-LAB-20220209-001587"
                },
                "status": "available",
                "type": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "122555007",
                            "display": "Venous blood specimen"
                        }
                    ]
                },
                "subject": {
                    "reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4",
                    "display": "MOXEY, Judy"
                },
                "receivedTime": "2022-02-09T14:17:06+00:00",
                "request":  [
                    {
                        "reference": "urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac"
                    }
                ],
                "collection": {
                    "collectedDateTime": "2022-02-09T12:02:17+00:00"
                }
            }
        }
    ]
}