• This is an example of a report that contains the results associated with a single test group and a single test.
• The tests were requested as part of the same “event” (i.e. by the same practitioner at the same time for the same subject).
• An instance of ServiceRequest is required for the test group and a separate instance of ServiceRequest is required for the single test.
• Each ServiceRequest within a set of related requests uses a common identifier, ServiceRequest.requisition, to link them together. For further information, refer to the description of the UKCore-ServiceRequest-Lab profile.
• In this example, the specimen (venous blood) was collected after the request was made. The specimen is linked to the request within the Bundle using Specimen.request.

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-Lipids-HbA1c-Report-Example" />
    <meta>
        <lastUpdated value="2022-07-06T10:49:00+00:00" />
        <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Bundle" />
    </meta>
    <identifier>
        <system value="https://tools.ietf.org/html/rfc4122" />
        <value value="d8d2d20e-8c44-466d-8640-7a516db7cd27" />
    </identifier>
    <type value="message" />
    <entry>
        <fullUrl value="urn:uuid:f18a2226-c0ab-480d-b80a-b6561fe8f9c4" />
        <resource>
            <MessageHeader>
                <!--  TBC Review content of MessageHeader  -->
                <id value="f18a2226-c0ab-480d-b80a-b6561fe8f9c4" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-MessageHeader" />
                </meta>
                <eventCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="371528001" />
                    <display value="Pathology report" />
                </eventCoding>
                <destination>
                    <name value="PICKERING MEDICAL PRACTICE" />
                    <!--  TBC Update endpoint address  -->
                    <endpoint value="TBC" />
                    <!--  Requesting Organisation  -->
                    <receiver>
                        <reference value="urn:uuid:3c43b5b3-06d6-445f-ae9a-48d5f05df434" />
                    </receiver>
                </destination>
                <sender>
                    <!--  Performing Laboratory  -->
                    <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
                </sender>
                <source>
                    <!--  TBC Update endpoint address  -->
                    <endpoint value="TBC" />
                </source>
                <focus>
                    <!--  DiagnosticReport  -->
                    <reference value="urn:uuid:35d46ca1-f253-4c97-b7ee-fb5fccdf6c20" />
                </focus>
                <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="9727710638" />
                </identifier>
                <name>
                    <use value="official" />
                    <family value="WELSH" />
                    <given value="Joel" />
                </name>
                <gender value="male" />
                <birthDate value="1972-08-23" />
                <address>
                    <line value="ACONBURY" />
                    <line value="LARPOOL DRIVE" />
                    <district value="NORTH YORKSHIRE" />
                    <postalCode value="YO22 4ND" />
                </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-20220704-000027-001" />
                </identifier>
                <requisition>
                    <system value="http://B82033-pickeringmedicalpractice.com/labrequest" />
                    <value value="REQ-20220704-000027" />
                </requisition>
                <status value="active" />
                <intent value="order" />
                <code>
                    <coding>
                        <!--  From PaLM procedure reference set  -->
                        <system value="http://snomed.info/sct" />
                        <code value="271244005" />
                        <display value="Measurement of serum lipid level" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="WELSH, Joel" />
                </subject>
                <authoredOn value="2022-07-04T11:05:00+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:8660ef6a-65ef-408f-92ce-b4d6d03d783c" />
        <resource>
            <ServiceRequest>
                <id value="8660ef6a-65ef-408f-92ce-b4d6d03d783c" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-ServiceRequest-Lab" />
                </meta>
                <identifier>
                    <system value="http://B82033-pickeringmedicalpractice.com/labrequest" />
                    <value value="REQ-20220704-000027-002" />
                </identifier>
                <requisition>
                    <system value="http://B82033-pickeringmedicalpractice.com/labrequest" />
                    <value value="REQ-20220704-000027" />
                </requisition>
                <status value="active" />
                <intent value="order" />
                <code>
                    <coding>
                        <!--  From PaLM procedure reference set  -->
                        <system value="http://snomed.info/sct" />
                        <code value="43396009" />
                        <display value="Haemoglobin A1c measurement" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="WELSH, Joel" />
                </subject>
                <authoredOn value="2022-07-04T11:05:00+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-20220706-002378" />
                </identifier>
                <basedOn>
                    <!--  Serum lipid levels request  -->
                    <reference value="urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac" />
                </basedOn>
                <basedOn>
                    <!--  HbA1c request  -->
                    <reference value="urn:uuid:8660ef6a-65ef-408f-92ce-b4d6d03d783c" />
                </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="WELSH, Joel" />
                </subject>
                <issued value="2022-07-06T10:49:00+00:00" />
                <performer>
                    <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
                    <display value="TD008362 PATH LAB 001" />
                </performer>
                <specimen>
                    <reference value="urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" />
                </specimen>
                <result>
                    <!--  Test group Observation for Serum lipid levels  -->
                    <reference value="urn:uuid:4e4410fd-27d3-413e-901a-380caa78b411" />
                </result>
                <result>
                    <!--  Test result Observation for HbA1c level  -->
                    <reference value="urn:uuid:efa161d2-5fe4-4c8c-8b0e-cc268c70be4f" />
                </result>
            </DiagnosticReport>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" />
        <resource>
            <Specimen>
                <id value="bab0eaec-1ec5-4598-b660-90bb38a1030d" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Specimen" />
                </meta>
                <identifier>
                    <system value="http://B82033-pickeringmedicalpractice.com/specimen" />
                    <value value="SPC-REQ-20220705-000004" />
                </identifier>
                <accessionIdentifier>
                    <system value="http://Y8J7D-pathlab001.com/specimen" />
                    <value value="SPC-LAB-20220705-006215" />
                </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="WELSH, Joel" />
                </subject>
                <receivedTime value="2022-07-05T15:17:00+00:00" />
                <request>
                    <reference value="urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac" />
                </request>
                <collection>
                    <collectedDateTime value="2022-07-05T08:52:00+00:00" />
                </collection>
            </Specimen>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:4e4410fd-27d3-413e-901a-380caa78b411" />
        <resource>
            <Observation>
                <!--  Test group Observation for Serum lipid levels  -->
                <id value="4e4410fd-27d3-413e-901a-380caa78b411" />
                <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="ee1a61c2-9a65-4dcb-ba83-fb25e3df6e72" />
                </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="271244005" />
                        <display value="Measurement of serum lipid level" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="WELSH, Joel" />
                </subject>
                <issued value="2022-07-06T10:49:00+00:00" />
                <performer>
                    <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
                    <display value="TD008362 PATH LAB 001" />
                </performer>
                <hasMember>
                    <!--  Cholesterol substance concentration in serum  -->
                    <reference value="urn:uuid:7038e91e-ec48-4e5c-9e1b-7d5111599410" />
                </hasMember>
                <hasMember>
                    <!--  HDL (high density lipoprotein) cholesterol substance concentration in serum  -->
                    <reference value="urn:uuid:d1249582-ac45-43a7-8254-dbb10acff635" />
                </hasMember>
                <hasMember>
                    <!--  Serum cholesterol/high density lipoprotein ratio  -->
                    <reference value="urn:uuid:417dd1ff-90ac-4553-9688-4f5a409eee48" />
                </hasMember>
                <hasMember>
                    <!--  Non-HDL (high density lipoprotein) cholesterol molar concentration in serum  -->
                    <reference value="urn:uuid:d6015a3f-2521-40db-b1e0-16ee53a23767" />
                </hasMember>
            </Observation>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:7038e91e-ec48-4e5c-9e1b-7d5111599410" />
        <resource>
            <Observation>
                <!--  Cholesterol substance concentration in serum  -->
                <id value="7038e91e-ec48-4e5c-9e1b-7d5111599410" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" />
                </meta>
                <identifier>
                    <system value="https://tools.ietf.org/html/rfc4122" />
                    <value value="ec266e51-1144-445e-8e24-cb7aad39d52a" />
                </identifier>
                <status value="final" />
                <category>
                    <coding>
                        <system value="http://terminology.hl7.org/CodeSystem/observation-category" />
                        <code value="laboratory" />
                        <display value="Laboratory" />
                    </coding>
                </category>
                <code>
                    <!--  Equivalent codes from the PBCL and PaLM SNOMED CT reference sets are used in this example.  -->
                    <!--  In practice, it is likely that only a code from one reference set will be carried.  -->
                    <coding>
                        <!--  From PBCL observable entity reference set  -->
                        <system value="http://snomed.info/sct" />
                        <code value="1005671000000105" />
                        <display value="Serum cholesterol level" />
                    </coding>
                    <coding>
                        <!--  From PaLM observable entity reference set  -->
                        <system value="http://snomed.info/sct" />
                        <code value="1106541000000101" />
                        <display value="Cholesterol substance concentration in serum" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="WELSH, Joel" />
                </subject>
                <issued value="2022-07-06T10:49:00+00:00" />
                <performer>
                    <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
                    <display value="TD008362 PATH LAB 001" />
                </performer>
                <valueQuantity>
                    <value value="6.1" />
                    <unit value="mmol/L" />
                    <system value="http://unitsofmeasure.org" />
                    <code value="mmol/L" />
                </valueQuantity>
                <specimen>
                    <reference value="urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" />
                </specimen>
            </Observation>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:d1249582-ac45-43a7-8254-dbb10acff635" />
        <resource>
            <Observation>
                <!--  HDL (high density lipoprotein) cholesterol substance concentration in serum  -->
                <id value="d1249582-ac45-43a7-8254-dbb10acff635" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" />
                </meta>
                <identifier>
                    <system value="https://tools.ietf.org/html/rfc4122" />
                    <value value="4722ed7d-da71-46c4-88c5-6bea8a442efd" />
                </identifier>
                <status value="final" />
                <category>
                    <coding>
                        <system value="http://terminology.hl7.org/CodeSystem/observation-category" />
                        <code value="laboratory" />
                        <display value="Laboratory" />
                    </coding>
                </category>
                <code>
                    <!--  Equivalent codes from the PBCL and PaLM SNOMED CT reference sets are used in this example.  -->
                    <!--  In practice, it is likely that only a code from one reference set will be carried.  -->
                    <coding>
                        <!--  From PBCL observable entity reference set  -->
                        <system value="http://snomed.info/sct" />
                        <code value="1005681000000107" />
                        <display value="Serum high density lipoprotein cholesterol level" />
                    </coding>
                    <coding>
                        <!--  From PaLM observable entity reference set  -->
                        <system value="http://snomed.info/sct" />
                        <code value="1107681000000108" />
                        <display value="HDL (high density lipoprotein) cholesterol substance concentration in serum" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="WELSH, Joel" />
                </subject>
                <issued value="2022-07-06T10:49:00+00:00" />
                <performer>
                    <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
                    <display value="TD008362 PATH LAB 001" />
                </performer>
                <valueQuantity>
                    <value value="1.44" />
                    <unit value="mmol/L" />
                    <system value="http://unitsofmeasure.org" />
                    <code value="mmol/L" />
                </valueQuantity>
                <specimen>
                    <reference value="urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" />
                </specimen>
            </Observation>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:417dd1ff-90ac-4553-9688-4f5a409eee48" />
        <resource>
            <Observation>
                <!--  Serum cholesterol/high density lipoprotein ratio  -->
                <id value="417dd1ff-90ac-4553-9688-4f5a409eee48" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" />
                </meta>
                <identifier>
                    <system value="https://tools.ietf.org/html/rfc4122" />
                    <value value="80b5e6d0-8b18-456e-b5a0-d4e986533655" />
                </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 PBCL observable entity reference set (an equivalent PaLM code does not currently exist)  -->
                        <system value="http://snomed.info/sct" />
                        <code value="1015681000000109" />
                        <display value="Serum cholesterol/high density lipoprotein ratio" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="WELSH, Joel" />
                </subject>
                <issued value="2022-07-06T10:49:00+00:00" />
                <performer>
                    <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
                    <display value="TD008362 PATH LAB 001" />
                </performer>
                <valueQuantity>
                    <value value="4.2" />
                    <unit value="1/1" />
                </valueQuantity>
                <specimen>
                    <reference value="urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" />
                </specimen>
            </Observation>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:d6015a3f-2521-40db-b1e0-16ee53a23767" />
        <resource>
            <Observation>
                <!--   Non-HDL (high density lipoprotein) cholesterol molar concentration in serum  -->
                <id value="d6015a3f-2521-40db-b1e0-16ee53a23767" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" />
                </meta>
                <identifier>
                    <system value="https://tools.ietf.org/html/rfc4122" />
                    <value value="f048744a-a3ad-4e07-b5a8-c5a332dd244e" />
                </identifier>
                <status value="final" />
                <category>
                    <coding>
                        <system value="http://terminology.hl7.org/CodeSystem/observation-category" />
                        <code value="laboratory" />
                        <display value="Laboratory" />
                    </coding>
                </category>
                <code>
                    <!--  Equivalent codes from the PBCL and PaLM SNOMED CT reference sets are used in this example.  -->
                    <!--  In practice, it is likely that only a code from one reference set will be carried.  -->
                    <coding>
                        <!--  From PBCL observable entity reference set  -->
                        <system value="http://snomed.info/sct" />
                        <code value="1006191000000106" />
                        <display value="Serum non high density lipoprotein cholesterol level" />
                    </coding>
                    <coding>
                        <!--  From PaLM observable entity reference set  -->
                        <system value="http://snomed.info/sct" />
                        <code value="12021000237106" />
                        <display value="Non-HDL (high density lipoprotein) cholesterol molar concentration in serum" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="WELSH, Joel" />
                </subject>
                <issued value="2022-07-06T10:49:00+00:00" />
                <performer>
                    <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
                    <display value="TD008362 PATH LAB 001" />
                </performer>
                <valueQuantity>
                    <value value="4.7" />
                    <unit value="mmol/L" />
                    <system value="http://unitsofmeasure.org" />
                    <code value="mmol/L" />
                </valueQuantity>
                <specimen>
                    <reference value="urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" />
                </specimen>
            </Observation>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:efa161d2-5fe4-4c8c-8b0e-cc268c70be4f" />
        <resource>
            <Observation>
                <!--  Haemoglobin A1c level - International Federation of Clinical Chemistry and Laboratory Medicine standardised  -->
                <id value="efa161d2-5fe4-4c8c-8b0e-cc268c70be4f" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" />
                </meta>
                <identifier>
                    <system value="https://tools.ietf.org/html/rfc4122" />
                    <value value="92c27127-dfca-471b-9b89-0b6475f20c43" />
                </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 PBCL and PaLM observable entity reference sets  -->
                        <system value="http://snomed.info/sct" />
                        <code value="999791000000106" />
                        <display value="Haemoglobin A1c level - International Federation of Clinical Chemistry and Laboratory Medicine standardised" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="WELSH, Joel" />
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                <issued value="2022-01-30T12:48:00+00:00" />
                <performer>
                    <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
                    <display value="TD008362 PATH LAB 001" />
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                <valueQuantity>
                    <value value="38" />
                    <unit value="mmol/mol" />
                    <system value="http://unitsofmeasure.org" />
                    <code value="mmol/mol" />
                </valueQuantity>
                <specimen>
                    <reference value="urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" />
                </specimen>
            </Observation>
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                "meta": {
                    "profile":  [
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                },
                "identifier":  [
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                        "extension":  [
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                                "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus",
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