Pathology FHIR Implementation Guide

WARNING

This guidance is under active development by NHS England and content may be added or updated on a regular basis. The implementation guide is currently in draft and SHOULD NOT be used for development or implementation without consulting the NHS England Pathology Standards and Implementation team.

PATH-R4-18b: Bundle Example - Urine Microscopy, Culture and Sensitivity Report (Structured)

This is an example of a complex report.
The results are represented using a set of structured, coded Observations.
It contains multiple levels of test group Observations and test result Observations. Two of the test groups are nested ("Urine Culture" and "Antimicrobial sensitivity").
The report includes a range of numeric, semi-quantitative and qualitative results.
In this example, the specimen (urine) was collected after the request was made. The specimen is linked to the request within the Bundle using Specimen.request.
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-Urine-MCS-01-Report-Example" />
    <meta>
        <lastUpdated value="2022-02-25T13:47:00+00:00" />
        <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Bundle" />
    </meta>
    <identifier>
        <system value="https://tools.ietf.org/html/rfc4122" />
        <value value="86834956-dc57-4b90-8f1b-6174a887ca27" />
    </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="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-20220221-000018" />
                </identifier>
                <status value="active" />
                <intent value="order" />
                <code>
                    <coding>
                        <!--  From PaLM procedure reference set  -->
                        <system value="http://snomed.info/sct" />
                        <code value="401324008" />
                        <display value="Urinary microscopy, culture and sensitivities" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="MOXEY, Judy" />
                </subject>
                <authoredOn value="2022-02-21T10:29:00+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-20220225-006301" />
                </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="2022-02-25T13:47:00+00:00" />
                <performer>
                    <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
                    <display value="TD008362 PATH LAB 001" />
                </performer>
                <specimen>
                    <reference value="urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006" />
                </specimen>
                <result>
                    <!--  Urine microscopy, culture and sensitivities group  -->
                    <reference value="urn:uuid:724714a1-c3a3-48c0-87a3-8d3f6740d24c" />
                </result>
                <conclusion value="Likely to be clinically significant." />
            </DiagnosticReport>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:724714a1-c3a3-48c0-87a3-8d3f6740d24c" />
        <resource>
            <Observation>
                <!--  Urine microscopy, culture and sensitivities group  -->
                <id value="724714a1-c3a3-48c0-87a3-8d3f6740d24c" />
                <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="7ba81e08-8099-4fdb-9b50-a3c11afb6c0b" />
                </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="401324008" />
                        <display value="Urinary microscopy, culture and sensitivities" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="MOXEY, Judy" />
                </subject>
                <issued value="2022-02-25T13:47:00+00:00" />
                <performer>
                    <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
                    <display value="TD008362 PATH LAB 001" />
                </performer>
                <hasMember>
                    <!--  Microscopy group  -->
                    <reference value="urn:uuid:bd867909-49ca-4a4b-b02f-162790b6800f" />
                </hasMember>
                <hasMember>
                    <!--  Staphylococcus aureus - culture and sensitivities group  -->
                    <reference value="urn:uuid:70af0ca7-a77a-4daa-8aa2-1740433b1c3e" />
                </hasMember>
            </Observation>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:bd867909-49ca-4a4b-b02f-162790b6800f" />
        <resource>
            <Observation>
                <!--  Microscopy group  -->
                <id value="bd867909-49ca-4a4b-b02f-162790b6800f" />
                <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="02875aea-9815-4d1d-b34e-f9f29b859d02" />
                </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="127800008" />
                        <display value="Microscopic urinalysis" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="MOXEY, Judy" />
                </subject>
                <issued value="2022-02-25T13:47:00+00:00" />
                <performer>
                    <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
                    <display value="TD008362 PATH LAB 001" />
                </performer>
                <hasMember>
                    <!--  Casts in urine  -->
                    <reference value="urn:uuid:17ec651c-1b6f-43e9-9033-cbb49dbac3db" />
                </hasMember>
                <hasMember>
                    <!--  White blood cell count in urine  -->
                    <reference value="urn:uuid:3dc8d5d8-90ef-485c-ad67-d2e3c83ed83f" />
                </hasMember>
                <hasMember>
                    <!--  Red blood cell count in urine  -->
                    <reference value="urn:uuid:fce26593-20ee-45b6-b805-7eb7d0f0a3fa" />
                </hasMember>
                <hasMember>
                    <!--  Epithelial cells in urine  -->
                    <reference value="urn:uuid:a4b0fa1f-8679-45bb-82a2-85e4e1bd519a" />
                </hasMember>
            </Observation>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:17ec651c-1b6f-43e9-9033-cbb49dbac3db" />
        <resource>
            <Observation>
                <!--  Casts in urine  -->
                <id value="17ec651c-1b6f-43e9-9033-cbb49dbac3db" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" />
                </meta>
                <identifier>
                    <system value="https://tools.ietf.org/html/rfc4122" />
                    <value value="eab75d90-ce08-40a4-8247-34aad0d58873" />
                </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="51761000237101" />
                        <display value="Hyaline casts in mid-stream urine microscopy qualitative result" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="MOXEY, Judy" />
                </subject>
                <issued value="2022-02-25T13:47:00+00:00" />
                <performer>
                    <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
                    <display value="TD008362 PATH LAB 001" />
                </performer>
                <valueCodeableConcept>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="47492008" />
                        <display value="Not seen" />
                    </coding>
                </valueCodeableConcept>
                <specimen>
                    <reference value="urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006" />
                </specimen>
            </Observation>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:3dc8d5d8-90ef-485c-ad67-d2e3c83ed83f" />
        <resource>
            <Observation>
                <!--  White blood cell count in urine  -->
                <id value="3dc8d5d8-90ef-485c-ad67-d2e3c83ed83f" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" />
                </meta>
                <identifier>
                    <system value="https://tools.ietf.org/html/rfc4122" />
                    <value value="e644abd4-2587-486b-b6fe-ea3be866df29" />
                </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="42331000237103" />
                        <display value="White blood cell count in urine" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="MOXEY, Judy" />
                </subject>
                <issued value="2022-02-25T13:47:00+00:00" />
                <performer>
                    <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
                    <display value="TD008362 PATH LAB 001" />
                </performer>
                <valueQuantity>
                    <value value="35" />
                    <comparator value="&gt;" />
                    <unit value="x10*6/L" />
                    <system value="http://unitsofmeasure.org" />
                    <code value="10^6/L" />
                </valueQuantity>
                <specimen>
                    <reference value="urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006" />
                </specimen>
            </Observation>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:fce26593-20ee-45b6-b805-7eb7d0f0a3fa" />
        <resource>
            <Observation>
                <!--  Red blood cell count in urine  -->
                <id value="fce26593-20ee-45b6-b805-7eb7d0f0a3fa" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" />
                </meta>
                <identifier>
                    <system value="https://tools.ietf.org/html/rfc4122" />
                    <value value="fc9d8f93-5cc7-43e8-8816-f4f438221b9f" />
                </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="43331000237105" />
                        <display value="Red blood cell count in urine" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="MOXEY, Judy" />
                </subject>
                <issued value="2022-02-25T13:47:00+00:00" />
                <performer>
                    <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
                    <display value="TD008362 PATH LAB 001" />
                </performer>
                <valueRange>
                    <low>
                        <value value="10" />
                        <unit value="x10*6/L" />
                        <system value="http://unitsofmeasure.org" />
                        <code value="10^6/L" />
                    </low>
                    <high>
                        <value value="35" />
                        <unit value="x10*6/L" />
                        <system value="http://unitsofmeasure.org" />
                        <code value="10^6/L" />
                    </high>
                </valueRange>
                <specimen>
                    <reference value="urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006" />
                </specimen>
            </Observation>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:a4b0fa1f-8679-45bb-82a2-85e4e1bd519a" />
        <resource>
            <Observation>
                <!--  Epithelial cells in urine  -->
                <id value="a4b0fa1f-8679-45bb-82a2-85e4e1bd519a" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" />
                </meta>
                <identifier>
                    <system value="https://tools.ietf.org/html/rfc4122" />
                    <value value="db372648-314a-481a-a793-736b0ec3be76" />
                </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="49941000237104" />
                        <display value="Epithelial cells in mid-stream urine microscopy qualitative result" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="MOXEY, Judy" />
                </subject>
                <issued value="2022-02-25T13:47:00+00:00" />
                <performer>
                    <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
                    <display value="TD008362 PATH LAB 001" />
                </performer>
                <valueCodeableConcept>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="260347006" />
                        <display value="Present + out of ++++" />
                    </coding>
                </valueCodeableConcept>
                <specimen>
                    <reference value="urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006" />
                </specimen>
            </Observation>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:70af0ca7-a77a-4daa-8aa2-1740433b1c3e" />
        <resource>
            <Observation>
                <!--  Staphylococcus aureus - culture and sensitivities group  -->
                <id value="70af0ca7-a77a-4daa-8aa2-1740433b1c3e" />
                <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="147dbdea-22e1-4327-8407-b92bf362e115" />
                </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="117010004" />
                        <display value="Urine culture" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="MOXEY, Judy" />
                </subject>
                <issued value="2022-02-25T13:47:00+00:00" />
                <performer>
                    <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
                    <display value="TD008362 PATH LAB 001" />
                </performer>
                <hasMember>
                    <!--  Staphylococcus aureus - culture result  -->
                    <reference value="urn:uuid:25ab7b5f-a888-4928-8195-e4153f5f909b" />
                </hasMember>
                <hasMember>
                    <!--  Staphylococcus aureus - sensitivities group  -->
                    <reference value="urn:uuid:329c8c3f-461f-4b61-b93d-374d354d0c98" />
                </hasMember>
            </Observation>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:25ab7b5f-a888-4928-8195-e4153f5f909b" />
        <resource>
            <Observation>
                <!--  Staphylococcus aureus - culture result  -->
                <id value="25ab7b5f-a888-4928-8195-e4153f5f909b" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" />
                </meta>
                <identifier>
                    <system value="https://tools.ietf.org/html/rfc4122" />
                    <value value="83f33ad5-caf9-42f1-b85e-3382fd1718b8" />
                </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="42881000237105" />
                        <display value="Staphylococcus aureus culture qualitative result" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="MOXEY, Judy" />
                </subject>
                <issued value="2022-02-25T13:47:00+00:00" />
                <performer>
                    <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
                    <display value="TD008362 PATH LAB 001" />
                </performer>
                <valueCodeableConcept>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="263866000" />
                        <display value="Scanty growth" />
                    </coding>
                </valueCodeableConcept>
                <specimen>
                    <reference value="urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006" />
                </specimen>
            </Observation>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:329c8c3f-461f-4b61-b93d-374d354d0c98" />
        <resource>
            <Observation>
                <!--  Staphylococcus aureus - sensitivities group  -->
                <id value="329c8c3f-461f-4b61-b93d-374d354d0c98" />
                <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="4e505253-f4f4-4624-8348-e961ba157c88" />
                </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="14788002" />
                        <display value="Antimicrobial susceptibility test" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="MOXEY, Judy" />
                </subject>
                <issued value="2022-02-25T13:47:00+00:00" />
                <performer>
                    <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
                    <display value="TD008362 PATH LAB 001" />
                </performer>
                <hasMember>
                    <!--  Staphylococcus aureus - sensitivity result - flucloxacillin  -->
                    <reference value="urn:uuid:e3d50c0a-59c7-4269-b1a0-311b41a8af3c" />
                </hasMember>
                <hasMember>
                    <!--  Staphylococcus aureus - sensitivity result - trimethoprim  -->
                    <reference value="urn:uuid:69c37610-5272-48f8-8e35-462d0ee1d541" />
                </hasMember>
                <hasMember>
                    <!--  Staphylococcus aureus - sensitivity result - nitrofurantoin  -->
                    <reference value="urn:uuid:2138deb6-cc0e-44ba-becf-ce2538817fa1" />
                </hasMember>
            </Observation>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:e3d50c0a-59c7-4269-b1a0-311b41a8af3c" />
        <resource>
            <Observation>
                <!--  Staphylococcus aureus - sensitivity result - flucloxacillin  -->
                <id value="e3d50c0a-59c7-4269-b1a0-311b41a8af3c" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" />
                </meta>
                <identifier>
                    <system value="https://tools.ietf.org/html/rfc4122" />
                    <value value="4fd65865-5e9f-4c86-b408-795c27d06449" />
                </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="54151000237102" />
                        <display value="Organism susceptibility to flucloxacillin" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="MOXEY, Judy" />
                </subject>
                <issued value="2022-02-25T13:47:00+00:00" />
                <performer>
                    <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
                    <display value="TD008362 PATH LAB 001" />
                </performer>
                <valueCodeableConcept>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="131196009" />
                        <display value="Susceptible" />
                    </coding>
                </valueCodeableConcept>
                <specimen>
                    <reference value="urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006" />
                </specimen>
            </Observation>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:69c37610-5272-48f8-8e35-462d0ee1d541" />
        <resource>
            <Observation>
                <!--  Staphylococcus aureus - sensitivity result - trimethoprim  -->
                <id value="69c37610-5272-48f8-8e35-462d0ee1d541" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" />
                </meta>
                <identifier>
                    <system value="https://tools.ietf.org/html/rfc4122" />
                    <value value="56f2ec6b-edd4-41a8-9a4c-4cbcb019b599" />
                </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="53781000237107" />
                        <display value="Organism susceptibility to trimethoprim" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="MOXEY, Judy" />
                </subject>
                <issued value="2022-02-25T13:47:00+00:00" />
                <performer>
                    <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
                    <display value="TD008362 PATH LAB 001" />
                </performer>
                <valueCodeableConcept>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="131196009" />
                        <display value="Susceptible" />
                    </coding>
                </valueCodeableConcept>
                <specimen>
                    <reference value="urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006" />
                </specimen>
            </Observation>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:2138deb6-cc0e-44ba-becf-ce2538817fa1" />
        <resource>
            <Observation>
                <!--  Staphylococcus aureus - sensitivity result - nitrofurantoin  -->
                <id value="2138deb6-cc0e-44ba-becf-ce2538817fa1" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" />
                </meta>
                <identifier>
                    <system value="https://tools.ietf.org/html/rfc4122" />
                    <value value="a8cde339-9608-4e33-b465-e06a711f11a5" />
                </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="53851000237109" />
                        <display value="Organism susceptibility to nitrofurantoin" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="MOXEY, Judy" />
                </subject>
                <issued value="2022-02-25T13:47:00+00:00" />
                <performer>
                    <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" />
                    <display value="TD008362 PATH LAB 001" />
                </performer>
                <valueCodeableConcept>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="30714006" />
                        <display value="Resistant" />
                    </coding>
                </valueCodeableConcept>
                <specimen>
                    <reference value="urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006" />
                </specimen>
            </Observation>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006" />
        <resource>
            <Specimen>
                <id value="bde5b0a5-4fb3-4655-acf0-215b93aee006" />
                <meta>
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Specimen" />
                </meta>
                <identifier>
                    <system value="http://B82033-pickeringmedicalpractice.com/specimen" />
                    <value value="SPC-REQ-20220221-000024" />
                </identifier>
                <accessionIdentifier>
                    <system value="http://Y8J7D-pathlab001.com/specimen" />
                    <value value="SPC-LAB-20220221-004306" />
                </accessionIdentifier>
                <status value="available" />
                <type>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="122575003" />
                        <display value="Urine specimen" />
                    </coding>
                </type>
                <subject>
                    <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
                    <display value="MOXEY, Judy" />
                </subject>
                <receivedTime value="2022-02-21T14:58:00+00:00" />
                <request>
                    <reference value="urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac" />
                </request>
                <collection>
                    <collectedDateTime value="2022-02-21T11:07:00+00:00" />
                </collection>
            </Specimen>
        </resource>
    </entry>
</Bundle>

{
    "resourceType": "Bundle",
    "id": "Pathology-Bundle-Urine-MCS-01-Report-Example",
    "meta": {
        "lastUpdated": "2022-02-25T13:47:00+00:00",
        "profile":  [
            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Bundle"
        ]
    },
    "identifier": {
        "system": "https://tools.ietf.org/html/rfc4122",
        "value": "86834956-dc57-4b90-8f1b-6174a887ca27"
    },
    "type": "message",
    "entry":  [
        {
            "fullUrl": "urn:uuid:f18a2226-c0ab-480d-b80a-b6561fe8f9c4",
            "resource": {
                "resourceType": "MessageHeader",
                "id": "f18a2226-c0ab-480d-b80a-b6561fe8f9c4",
                "meta": {
                    "profile":  [
                        "https://fhir.hl7.org.uk/StructureDefinition/UKCore-MessageHeader"
                    ]
                },
                "eventCoding": {
                    "system": "http://snomed.info/sct",
                    "code": "371528001",
                    "display": "Pathology report"
                },
                "destination":  [
                    {
                        "name": "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-20220221-000018"
                    }
                ],
                "status": "active",
                "intent": "order",
                "code": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "401324008",
                            "display": "Urinary microscopy, culture and sensitivities"
                        }
                    ]
                },
                "subject": {
                    "reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4",
                    "display": "MOXEY, Judy"
                },
                "authoredOn": "2022-02-21T10:29:00+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-20220225-006301"
                    }
                ],
                "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": "2022-02-25T13:47:00+00:00",
                "performer":  [
                    {
                        "reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338",
                        "display": "TD008362 PATH LAB 001"
                    }
                ],
                "specimen":  [
                    {
                        "reference": "urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006"
                    }
                ],
                "result":  [
                    {
                        "reference": "urn:uuid:724714a1-c3a3-48c0-87a3-8d3f6740d24c"
                    }
                ],
                "conclusion": "Likely to be clinically significant."
            }
        },
        {
            "fullUrl": "urn:uuid:724714a1-c3a3-48c0-87a3-8d3f6740d24c",
            "resource": {
                "resourceType": "Observation",
                "id": "724714a1-c3a3-48c0-87a3-8d3f6740d24c",
                "meta": {
                    "profile":  [
                        "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Group-Lab"
                    ]
                },
                "identifier":  [
                    {
                        "system": "https://tools.ietf.org/html/rfc4122",
                        "value": "7ba81e08-8099-4fdb-9b50-a3c11afb6c0b"
                    }
                ],
                "status": "final",
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                                "code": "laboratory",
                                "display": "Laboratory"
                            }
                        ]
                    }
                ],
                "code": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "401324008",
                            "display": "Urinary microscopy, culture and sensitivities"
                        }
                    ]
                },
                "subject": {
                    "reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4",
                    "display": "MOXEY, Judy"
                },
                "issued": "2022-02-25T13:47:00+00:00",
                "performer":  [
                    {
                        "reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338",
                        "display": "TD008362 PATH LAB 001"
                    }
                ],
                "hasMember":  [
                    {
                        "reference": "urn:uuid:bd867909-49ca-4a4b-b02f-162790b6800f"
                    },
                    {
                        "reference": "urn:uuid:70af0ca7-a77a-4daa-8aa2-1740433b1c3e"
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:uuid:bd867909-49ca-4a4b-b02f-162790b6800f",
            "resource": {
                "resourceType": "Observation",
                "id": "bd867909-49ca-4a4b-b02f-162790b6800f",
                "meta": {
                    "profile":  [
                        "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Group-Lab"
                    ]
                },
                "identifier":  [
                    {
                        "system": "https://tools.ietf.org/html/rfc4122",
                        "value": "02875aea-9815-4d1d-b34e-f9f29b859d02"
                    }
                ],
                "status": "final",
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                                "code": "laboratory",
                                "display": "Laboratory"
                            }
                        ]
                    }
                ],
                "code": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "127800008",
                            "display": "Microscopic urinalysis"
                        }
                    ]
                },
                "subject": {
                    "reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4",
                    "display": "MOXEY, Judy"
                },
                "issued": "2022-02-25T13:47:00+00:00",
                "performer":  [
                    {
                        "reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338",
                        "display": "TD008362 PATH LAB 001"
                    }
                ],
                "hasMember":  [
                    {
                        "reference": "urn:uuid:17ec651c-1b6f-43e9-9033-cbb49dbac3db"
                    },
                    {
                        "reference": "urn:uuid:3dc8d5d8-90ef-485c-ad67-d2e3c83ed83f"
                    },
                    {
                        "reference": "urn:uuid:fce26593-20ee-45b6-b805-7eb7d0f0a3fa"
                    },
                    {
                        "reference": "urn:uuid:a4b0fa1f-8679-45bb-82a2-85e4e1bd519a"
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:uuid:17ec651c-1b6f-43e9-9033-cbb49dbac3db",
            "resource": {
                "resourceType": "Observation",
                "id": "17ec651c-1b6f-43e9-9033-cbb49dbac3db",
                "meta": {
                    "profile":  [
                        "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab"
                    ]
                },
                "identifier":  [
                    {
                        "system": "https://tools.ietf.org/html/rfc4122",
                        "value": "eab75d90-ce08-40a4-8247-34aad0d58873"
                    }
                ],
                "status": "final",
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                                "code": "laboratory",
                                "display": "Laboratory"
                            }
                        ]
                    }
                ],
                "code": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "51761000237101",
                            "display": "Hyaline casts in mid-stream urine microscopy qualitative result"
                        }
                    ]
                },
                "subject": {
                    "reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4",
                    "display": "MOXEY, Judy"
                },
                "issued": "2022-02-25T13:47:00+00:00",
                "performer":  [
                    {
                        "reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338",
                        "display": "TD008362 PATH LAB 001"
                    }
                ],
                "valueCodeableConcept": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "47492008",
                            "display": "Not seen"
                        }
                    ]
                },
                "specimen": {
                    "reference": "urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006"
                }
            }
        },
        {
            "fullUrl": "urn:uuid:3dc8d5d8-90ef-485c-ad67-d2e3c83ed83f",
            "resource": {
                "resourceType": "Observation",
                "id": "3dc8d5d8-90ef-485c-ad67-d2e3c83ed83f",
                "meta": {
                    "profile":  [
                        "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab"
                    ]
                },
                "identifier":  [
                    {
                        "system": "https://tools.ietf.org/html/rfc4122",
                        "value": "e644abd4-2587-486b-b6fe-ea3be866df29"
                    }
                ],
                "status": "final",
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                                "code": "laboratory",
                                "display": "Laboratory"
                            }
                        ]
                    }
                ],
                "code": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "42331000237103",
                            "display": "White blood cell count in urine"
                        }
                    ]
                },
                "subject": {
                    "reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4",
                    "display": "MOXEY, Judy"
                },
                "issued": "2022-02-25T13:47:00+00:00",
                "performer":  [
                    {
                        "reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338",
                        "display": "TD008362 PATH LAB 001"
                    }
                ],
                "valueQuantity": {
                    "value": 35,
                    "comparator": ">",
                    "unit": "x10*6/L",
                    "system": "http://unitsofmeasure.org",
                    "code": "10^6/L"
                },
                "specimen": {
                    "reference": "urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006"
                }
            }
        },
        {
            "fullUrl": "urn:uuid:fce26593-20ee-45b6-b805-7eb7d0f0a3fa",
            "resource": {
                "resourceType": "Observation",
                "id": "fce26593-20ee-45b6-b805-7eb7d0f0a3fa",
                "meta": {
                    "profile":  [
                        "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab"
                    ]
                },
                "identifier":  [
                    {
                        "system": "https://tools.ietf.org/html/rfc4122",
                        "value": "fc9d8f93-5cc7-43e8-8816-f4f438221b9f"
                    }
                ],
                "status": "final",
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                                "code": "laboratory",
                                "display": "Laboratory"
                            }
                        ]
                    }
                ],
                "code": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "43331000237105",
                            "display": "Red blood cell count in urine"
                        }
                    ]
                },
                "subject": {
                    "reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4",
                    "display": "MOXEY, Judy"
                },
                "issued": "2022-02-25T13:47:00+00:00",
                "performer":  [
                    {
                        "reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338",
                        "display": "TD008362 PATH LAB 001"
                    }
                ],
                "valueRange": {
                    "low": {
                        "value": 10,
                        "unit": "x10*6/L",
                        "system": "http://unitsofmeasure.org",
                        "code": "10^6/L"
                    },
                    "high": {
                        "value": 35,
                        "unit": "x10*6/L",
                        "system": "http://unitsofmeasure.org",
                        "code": "10^6/L"
                    }
                },
                "specimen": {
                    "reference": "urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006"
                }
            }
        },
        {
            "fullUrl": "urn:uuid:a4b0fa1f-8679-45bb-82a2-85e4e1bd519a",
            "resource": {
                "resourceType": "Observation",
                "id": "a4b0fa1f-8679-45bb-82a2-85e4e1bd519a",
                "meta": {
                    "profile":  [
                        "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab"
                    ]
                },
                "identifier":  [
                    {
                        "system": "https://tools.ietf.org/html/rfc4122",
                        "value": "db372648-314a-481a-a793-736b0ec3be76"
                    }
                ],
                "status": "final",
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                                "code": "laboratory",
                                "display": "Laboratory"
                            }
                        ]
                    }
                ],
                "code": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "49941000237104",
                            "display": "Epithelial cells in mid-stream urine microscopy qualitative result"
                        }
                    ]
                },
                "subject": {
                    "reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4",
                    "display": "MOXEY, Judy"
                },
                "issued": "2022-02-25T13:47:00+00:00",
                "performer":  [
                    {
                        "reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338",
                        "display": "TD008362 PATH LAB 001"
                    }
                ],
                "valueCodeableConcept": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "260347006",
                            "display": "Present + out of ++++"
                        }
                    ]
                },
                "specimen": {
                    "reference": "urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006"
                }
            }
        },
        {
            "fullUrl": "urn:uuid:70af0ca7-a77a-4daa-8aa2-1740433b1c3e",
            "resource": {
                "resourceType": "Observation",
                "id": "70af0ca7-a77a-4daa-8aa2-1740433b1c3e",
                "meta": {
                    "profile":  [
                        "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Group-Lab"
                    ]
                },
                "identifier":  [
                    {
                        "system": "https://tools.ietf.org/html/rfc4122",
                        "value": "147dbdea-22e1-4327-8407-b92bf362e115"
                    }
                ],
                "status": "final",
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                                "code": "laboratory",
                                "display": "Laboratory"
                            }
                        ]
                    }
                ],
                "code": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "117010004",
                            "display": "Urine culture"
                        }
                    ]
                },
                "subject": {
                    "reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4",
                    "display": "MOXEY, Judy"
                },
                "issued": "2022-02-25T13:47:00+00:00",
                "performer":  [
                    {
                        "reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338",
                        "display": "TD008362 PATH LAB 001"
                    }
                ],
                "hasMember":  [
                    {
                        "reference": "urn:uuid:25ab7b5f-a888-4928-8195-e4153f5f909b"
                    },
                    {
                        "reference": "urn:uuid:329c8c3f-461f-4b61-b93d-374d354d0c98"
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:uuid:25ab7b5f-a888-4928-8195-e4153f5f909b",
            "resource": {
                "resourceType": "Observation",
                "id": "25ab7b5f-a888-4928-8195-e4153f5f909b",
                "meta": {
                    "profile":  [
                        "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab"
                    ]
                },
                "identifier":  [
                    {
                        "system": "https://tools.ietf.org/html/rfc4122",
                        "value": "83f33ad5-caf9-42f1-b85e-3382fd1718b8"
                    }
                ],
                "status": "final",
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                                "code": "laboratory",
                                "display": "Laboratory"
                            }
                        ]
                    }
                ],
                "code": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "42881000237105",
                            "display": "Staphylococcus aureus culture qualitative result"
                        }
                    ]
                },
                "subject": {
                    "reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4",
                    "display": "MOXEY, Judy"
                },
                "issued": "2022-02-25T13:47:00+00:00",
                "performer":  [
                    {
                        "reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338",
                        "display": "TD008362 PATH LAB 001"
                    }
                ],
                "valueCodeableConcept": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "263866000",
                            "display": "Scanty growth"
                        }
                    ]
                },
                "specimen": {
                    "reference": "urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006"
                }
            }
        },
        {
            "fullUrl": "urn:uuid:329c8c3f-461f-4b61-b93d-374d354d0c98",
            "resource": {
                "resourceType": "Observation",
                "id": "329c8c3f-461f-4b61-b93d-374d354d0c98",
                "meta": {
                    "profile":  [
                        "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Group-Lab"
                    ]
                },
                "identifier":  [
                    {
                        "system": "https://tools.ietf.org/html/rfc4122",
                        "value": "4e505253-f4f4-4624-8348-e961ba157c88"
                    }
                ],
                "status": "final",
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                                "code": "laboratory",
                                "display": "Laboratory"
                            }
                        ]
                    }
                ],
                "code": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "14788002",
                            "display": "Antimicrobial susceptibility test"
                        }
                    ]
                },
                "subject": {
                    "reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4",
                    "display": "MOXEY, Judy"
                },
                "issued": "2022-02-25T13:47:00+00:00",
                "performer":  [
                    {
                        "reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338",
                        "display": "TD008362 PATH LAB 001"
                    }
                ],
                "hasMember":  [
                    {
                        "reference": "urn:uuid:e3d50c0a-59c7-4269-b1a0-311b41a8af3c"
                    },
                    {
                        "reference": "urn:uuid:69c37610-5272-48f8-8e35-462d0ee1d541"
                    },
                    {
                        "reference": "urn:uuid:2138deb6-cc0e-44ba-becf-ce2538817fa1"
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:uuid:e3d50c0a-59c7-4269-b1a0-311b41a8af3c",
            "resource": {
                "resourceType": "Observation",
                "id": "e3d50c0a-59c7-4269-b1a0-311b41a8af3c",
                "meta": {
                    "profile":  [
                        "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab"
                    ]
                },
                "identifier":  [
                    {
                        "system": "https://tools.ietf.org/html/rfc4122",
                        "value": "4fd65865-5e9f-4c86-b408-795c27d06449"
                    }
                ],
                "status": "final",
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                                "code": "laboratory",
                                "display": "Laboratory"
                            }
                        ]
                    }
                ],
                "code": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "54151000237102",
                            "display": "Organism susceptibility to flucloxacillin"
                        }
                    ]
                },
                "subject": {
                    "reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4",
                    "display": "MOXEY, Judy"
                },
                "issued": "2022-02-25T13:47:00+00:00",
                "performer":  [
                    {
                        "reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338",
                        "display": "TD008362 PATH LAB 001"
                    }
                ],
                "valueCodeableConcept": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "131196009",
                            "display": "Susceptible"
                        }
                    ]
                },
                "specimen": {
                    "reference": "urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006"
                }
            }
        },
        {
            "fullUrl": "urn:uuid:69c37610-5272-48f8-8e35-462d0ee1d541",
            "resource": {
                "resourceType": "Observation",
                "id": "69c37610-5272-48f8-8e35-462d0ee1d541",
                "meta": {
                    "profile":  [
                        "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab"
                    ]
                },
                "identifier":  [
                    {
                        "system": "https://tools.ietf.org/html/rfc4122",
                        "value": "56f2ec6b-edd4-41a8-9a4c-4cbcb019b599"
                    }
                ],
                "status": "final",
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                                "code": "laboratory",
                                "display": "Laboratory"
                            }
                        ]
                    }
                ],
                "code": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "53781000237107",
                            "display": "Organism susceptibility to trimethoprim"
                        }
                    ]
                },
                "subject": {
                    "reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4",
                    "display": "MOXEY, Judy"
                },
                "issued": "2022-02-25T13:47:00+00:00",
                "performer":  [
                    {
                        "reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338",
                        "display": "TD008362 PATH LAB 001"
                    }
                ],
                "valueCodeableConcept": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "131196009",
                            "display": "Susceptible"
                        }
                    ]
                },
                "specimen": {
                    "reference": "urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006"
                }
            }
        },
        {
            "fullUrl": "urn:uuid:2138deb6-cc0e-44ba-becf-ce2538817fa1",
            "resource": {
                "resourceType": "Observation",
                "id": "2138deb6-cc0e-44ba-becf-ce2538817fa1",
                "meta": {
                    "profile":  [
                        "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab"
                    ]
                },
                "identifier":  [
                    {
                        "system": "https://tools.ietf.org/html/rfc4122",
                        "value": "a8cde339-9608-4e33-b465-e06a711f11a5"
                    }
                ],
                "status": "final",
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                                "code": "laboratory",
                                "display": "Laboratory"
                            }
                        ]
                    }
                ],
                "code": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "53851000237109",
                            "display": "Organism susceptibility to nitrofurantoin"
                        }
                    ]
                },
                "subject": {
                    "reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4",
                    "display": "MOXEY, Judy"
                },
                "issued": "2022-02-25T13:47:00+00:00",
                "performer":  [
                    {
                        "reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338",
                        "display": "TD008362 PATH LAB 001"
                    }
                ],
                "valueCodeableConcept": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "30714006",
                            "display": "Resistant"
                        }
                    ]
                },
                "specimen": {
                    "reference": "urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006"
                }
            }
        },
        {
            "fullUrl": "urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006",
            "resource": {
                "resourceType": "Specimen",
                "id": "bde5b0a5-4fb3-4655-acf0-215b93aee006",
                "meta": {
                    "profile":  [
                        "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Specimen"
                    ]
                },
                "identifier":  [
                    {
                        "system": "http://B82033-pickeringmedicalpractice.com/specimen",
                        "value": "SPC-REQ-20220221-000024"
                    }
                ],
                "accessionIdentifier": {
                    "system": "http://Y8J7D-pathlab001.com/specimen",
                    "value": "SPC-LAB-20220221-004306"
                },
                "status": "available",
                "type": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "122575003",
                            "display": "Urine specimen"
                        }
                    ]
                },
                "subject": {
                    "reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4",
                    "display": "MOXEY, Judy"
                },
                "receivedTime": "2022-02-21T14:58:00+00:00",
                "request":  [
                    {
                        "reference": "urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac"
                    }
                ],
                "collection": {
                    "collectedDateTime": "2022-02-21T11:07:00+00:00"
                }
            }
        }
    ]
}

Bundle

id : Pathology-Bundle-Urine-MCS-01-Report-Example

meta

lastUpdated : 2022-02-25T13:47:00+00:00

profile : https://fhir.hl7.org.uk/StructureDefinition/UKCore-Bundle

identifier

system : https://tools.ietf.org/html/rfc4122

value : 86834956-dc57-4b90-8f1b-6174a887ca27

type : message

entry

fullUrl : urn:uuid:f18a2226-c0ab-480d-b80a-b6561fe8f9c4

resource

id : f18a2226-c0ab-480d-b80a-b6561fe8f9c4

meta

profile : https://fhir.hl7.org.uk/StructureDefinition/UKCore-MessageHeader

event

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

entry

fullUrl : urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338

resource

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

line : 7-8 WELLINGTON PLACE

city : LEEDS

district : WEST YORKSHIRE

postalCode : LS1 4AP

entry

fullUrl : urn:uuid:3c43b5b3-06d6-445f-ae9a-48d5f05df434

resource

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

entry

fullUrl : urn:uuid:9a835acf-d715-4d84-8dcf-a8435f6417fe

resource

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

entry

fullUrl : urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4

resource

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

value

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

entry

fullUrl : urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac

resource

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-20220221-000018

status : active

intent : order

code

coding

system : http://snomed.info/sct

code : 401324008

display : Urinary microscopy, culture and sensitivities

subject

reference : urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4

display : MOXEY, Judy

authoredOn : 2022-02-21T10:29:00+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

entry

fullUrl : urn:uuid:35d46ca1-f253-4c97-b7ee-fb5fccdf6c20

resource

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-20220225-006301

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 : 2022-02-25T13:47:00+00:00

performer

reference : urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338

display : TD008362 PATH LAB 001

specimen

reference : urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006

result

reference : urn:uuid:724714a1-c3a3-48c0-87a3-8d3f6740d24c

conclusion : Likely to be clinically significant.

entry

fullUrl : urn:uuid:724714a1-c3a3-48c0-87a3-8d3f6740d24c

resource

id : 724714a1-c3a3-48c0-87a3-8d3f6740d24c

meta

profile : https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Group-Lab

identifier

system : https://tools.ietf.org/html/rfc4122

value : 7ba81e08-8099-4fdb-9b50-a3c11afb6c0b

status : final

category

coding

system : http://terminology.hl7.org/CodeSystem/observation-category

code : laboratory

display : Laboratory

code

coding

system : http://snomed.info/sct

code : 401324008

display : Urinary microscopy, culture and sensitivities

subject

reference : urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4

display : MOXEY, Judy

issued : 2022-02-25T13:47:00+00:00

performer

reference : urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338

display : TD008362 PATH LAB 001

hasMember

reference : urn:uuid:bd867909-49ca-4a4b-b02f-162790b6800f

hasMember

reference : urn:uuid:70af0ca7-a77a-4daa-8aa2-1740433b1c3e

entry

fullUrl : urn:uuid:bd867909-49ca-4a4b-b02f-162790b6800f

resource

id : bd867909-49ca-4a4b-b02f-162790b6800f

meta

profile : https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Group-Lab

identifier

system : https://tools.ietf.org/html/rfc4122

value : 02875aea-9815-4d1d-b34e-f9f29b859d02

status : final

category

coding

system : http://terminology.hl7.org/CodeSystem/observation-category

code : laboratory

display : Laboratory

code

coding

system : http://snomed.info/sct

code : 127800008

display : Microscopic urinalysis

subject

reference : urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4

display : MOXEY, Judy

issued : 2022-02-25T13:47:00+00:00

performer

reference : urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338

display : TD008362 PATH LAB 001

hasMember

reference : urn:uuid:17ec651c-1b6f-43e9-9033-cbb49dbac3db

hasMember

reference : urn:uuid:3dc8d5d8-90ef-485c-ad67-d2e3c83ed83f

hasMember

reference : urn:uuid:fce26593-20ee-45b6-b805-7eb7d0f0a3fa

hasMember

reference : urn:uuid:a4b0fa1f-8679-45bb-82a2-85e4e1bd519a

entry

fullUrl : urn:uuid:17ec651c-1b6f-43e9-9033-cbb49dbac3db

resource

id : 17ec651c-1b6f-43e9-9033-cbb49dbac3db

meta

profile : https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab

identifier

system : https://tools.ietf.org/html/rfc4122

value : eab75d90-ce08-40a4-8247-34aad0d58873

status : final

category

coding

system : http://terminology.hl7.org/CodeSystem/observation-category

code : laboratory

display : Laboratory

code

coding

system : http://snomed.info/sct

code : 51761000237101

display : Hyaline casts in mid-stream urine microscopy qualitative result

subject

reference : urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4

display : MOXEY, Judy

issued : 2022-02-25T13:47:00+00:00

performer

reference : urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338

display : TD008362 PATH LAB 001

value

coding

system : http://snomed.info/sct

code : 47492008

display : Not seen

specimen

reference : urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006

entry

fullUrl : urn:uuid:3dc8d5d8-90ef-485c-ad67-d2e3c83ed83f

resource

id : 3dc8d5d8-90ef-485c-ad67-d2e3c83ed83f

meta

profile : https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab

identifier

system : https://tools.ietf.org/html/rfc4122

value : e644abd4-2587-486b-b6fe-ea3be866df29

status : final

category

coding

system : http://terminology.hl7.org/CodeSystem/observation-category

code : laboratory

display : Laboratory

code

coding

system : http://snomed.info/sct

code : 42331000237103

display : White blood cell count in urine

subject

reference : urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4

display : MOXEY, Judy

issued : 2022-02-25T13:47:00+00:00

performer

reference : urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338

display : TD008362 PATH LAB 001

value

value : 35

comparator : >

unit : x10*6/L

system : http://unitsofmeasure.org

code : 10^6/L

specimen

reference : urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006

entry

fullUrl : urn:uuid:fce26593-20ee-45b6-b805-7eb7d0f0a3fa

resource

id : fce26593-20ee-45b6-b805-7eb7d0f0a3fa

meta

profile : https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab

identifier

system : https://tools.ietf.org/html/rfc4122

value : fc9d8f93-5cc7-43e8-8816-f4f438221b9f

status : final

category

coding

system : http://terminology.hl7.org/CodeSystem/observation-category

code : laboratory

display : Laboratory

code

coding

system : http://snomed.info/sct

code : 43331000237105

display : Red blood cell count in urine

subject

reference : urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4

display : MOXEY, Judy

issued : 2022-02-25T13:47:00+00:00

performer

reference : urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338

display : TD008362 PATH LAB 001

value

low

value : 10

unit : x10*6/L

system : http://unitsofmeasure.org

code : 10^6/L

high

value : 35

unit : x10*6/L

system : http://unitsofmeasure.org

code : 10^6/L

specimen

reference : urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006

entry

fullUrl : urn:uuid:a4b0fa1f-8679-45bb-82a2-85e4e1bd519a

resource

id : a4b0fa1f-8679-45bb-82a2-85e4e1bd519a

meta

profile : https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab

identifier

system : https://tools.ietf.org/html/rfc4122

value : db372648-314a-481a-a793-736b0ec3be76

status : final

category

coding

system : http://terminology.hl7.org/CodeSystem/observation-category

code : laboratory

display : Laboratory

code

coding

system : http://snomed.info/sct

code : 49941000237104

display : Epithelial cells in mid-stream urine microscopy qualitative result

subject

reference : urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4

display : MOXEY, Judy

issued : 2022-02-25T13:47:00+00:00

performer

reference : urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338

display : TD008362 PATH LAB 001

value

coding

system : http://snomed.info/sct

code : 260347006

display : Present + out of ++++

specimen

reference : urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006

entry

fullUrl : urn:uuid:70af0ca7-a77a-4daa-8aa2-1740433b1c3e

resource

id : 70af0ca7-a77a-4daa-8aa2-1740433b1c3e

meta

profile : https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Group-Lab

identifier

system : https://tools.ietf.org/html/rfc4122

value : 147dbdea-22e1-4327-8407-b92bf362e115

status : final

category

coding

system : http://terminology.hl7.org/CodeSystem/observation-category

code : laboratory

display : Laboratory

code

coding

system : http://snomed.info/sct

code : 117010004

display : Urine culture

subject

reference : urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4

display : MOXEY, Judy

issued : 2022-02-25T13:47:00+00:00

performer

reference : urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338

display : TD008362 PATH LAB 001

hasMember

reference : urn:uuid:25ab7b5f-a888-4928-8195-e4153f5f909b

hasMember

reference : urn:uuid:329c8c3f-461f-4b61-b93d-374d354d0c98

entry

fullUrl : urn:uuid:25ab7b5f-a888-4928-8195-e4153f5f909b

resource

id : 25ab7b5f-a888-4928-8195-e4153f5f909b

meta

profile : https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab

identifier

system : https://tools.ietf.org/html/rfc4122

value : 83f33ad5-caf9-42f1-b85e-3382fd1718b8

status : final

category

coding

system : http://terminology.hl7.org/CodeSystem/observation-category

code : laboratory

display : Laboratory

code

coding

system : http://snomed.info/sct

code : 42881000237105

display : Staphylococcus aureus culture qualitative result

subject

reference : urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4

display : MOXEY, Judy

issued : 2022-02-25T13:47:00+00:00

performer

reference : urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338

display : TD008362 PATH LAB 001

value

coding

system : http://snomed.info/sct

code : 263866000

display : Scanty growth

specimen

reference : urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006

entry

fullUrl : urn:uuid:329c8c3f-461f-4b61-b93d-374d354d0c98

resource

id : 329c8c3f-461f-4b61-b93d-374d354d0c98

meta

profile : https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Group-Lab

identifier

system : https://tools.ietf.org/html/rfc4122

value : 4e505253-f4f4-4624-8348-e961ba157c88

status : final

category

coding

system : http://terminology.hl7.org/CodeSystem/observation-category

code : laboratory

display : Laboratory

code

coding

system : http://snomed.info/sct

code : 14788002

display : Antimicrobial susceptibility test

subject

reference : urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4

display : MOXEY, Judy

issued : 2022-02-25T13:47:00+00:00

performer

reference : urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338

display : TD008362 PATH LAB 001

hasMember

reference : urn:uuid:e3d50c0a-59c7-4269-b1a0-311b41a8af3c

hasMember

reference : urn:uuid:69c37610-5272-48f8-8e35-462d0ee1d541

hasMember

reference : urn:uuid:2138deb6-cc0e-44ba-becf-ce2538817fa1

entry

fullUrl : urn:uuid:e3d50c0a-59c7-4269-b1a0-311b41a8af3c

resource

id : e3d50c0a-59c7-4269-b1a0-311b41a8af3c

meta

profile : https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab

identifier

system : https://tools.ietf.org/html/rfc4122

value : 4fd65865-5e9f-4c86-b408-795c27d06449

status : final

category

coding

system : http://terminology.hl7.org/CodeSystem/observation-category

code : laboratory

display : Laboratory

code

coding

system : http://snomed.info/sct

code : 54151000237102

display : Organism susceptibility to flucloxacillin

subject

reference : urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4

display : MOXEY, Judy

issued : 2022-02-25T13:47:00+00:00

performer

reference : urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338

display : TD008362 PATH LAB 001

value

coding

system : http://snomed.info/sct

code : 131196009

display : Susceptible

specimen

reference : urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006

entry

fullUrl : urn:uuid:69c37610-5272-48f8-8e35-462d0ee1d541

resource

id : 69c37610-5272-48f8-8e35-462d0ee1d541

meta

profile : https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab

identifier

system : https://tools.ietf.org/html/rfc4122

value : 56f2ec6b-edd4-41a8-9a4c-4cbcb019b599

status : final

category

coding

system : http://terminology.hl7.org/CodeSystem/observation-category

code : laboratory

display : Laboratory

code

coding

system : http://snomed.info/sct

code : 53781000237107

display : Organism susceptibility to trimethoprim

subject

reference : urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4

display : MOXEY, Judy

issued : 2022-02-25T13:47:00+00:00

performer

reference : urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338

display : TD008362 PATH LAB 001

value

coding

system : http://snomed.info/sct

code : 131196009

display : Susceptible

specimen

reference : urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006

entry

fullUrl : urn:uuid:2138deb6-cc0e-44ba-becf-ce2538817fa1

resource

id : 2138deb6-cc0e-44ba-becf-ce2538817fa1

meta

profile : https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab

identifier

system : https://tools.ietf.org/html/rfc4122

value : a8cde339-9608-4e33-b465-e06a711f11a5

status : final

category

coding

system : http://terminology.hl7.org/CodeSystem/observation-category

code : laboratory

display : Laboratory

code

coding

system : http://snomed.info/sct

code : 53851000237109

display : Organism susceptibility to nitrofurantoin

subject

reference : urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4

display : MOXEY, Judy

issued : 2022-02-25T13:47:00+00:00

performer

reference : urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338

display : TD008362 PATH LAB 001

value

coding

system : http://snomed.info/sct

code : 30714006

display : Resistant

specimen

reference : urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006

entry

fullUrl : urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006

resource

id : bde5b0a5-4fb3-4655-acf0-215b93aee006

meta

profile : https://fhir.hl7.org.uk/StructureDefinition/UKCore-Specimen

identifier

system : http://B82033-pickeringmedicalpractice.com/specimen

value : SPC-REQ-20220221-000024

accessionIdentifier

system : http://Y8J7D-pathlab001.com/specimen

value : SPC-LAB-20220221-004306

status : available

type

coding

system : http://snomed.info/sct

code : 122575003

display : Urine specimen

subject

reference : urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4

display : MOXEY, Judy

receivedTime : 2022-02-21T14:58:00+00:00

request

reference : urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac

collection

collected : 2022-02-21T11:07:00+00:00

Bundle.id[0]	Pathology-Bundle-Urine-MCS-01-Report-Example
Bundle.meta[0].lastUpdated[0]	2022-02-25T13:47:00+00:00
Bundle.meta[0].profile[0]	https://fhir.hl7.org.uk/StructureDefinition/UKCore-Bundle
Bundle.identifier[0].system[0]	https://tools.ietf.org/html/rfc4122
Bundle.identifier[0].value[0]	86834956-dc57-4b90-8f1b-6174a887ca27
Bundle.type[0]	message
Bundle.entry[0].fullUrl[0]	urn:uuid:f18a2226-c0ab-480d-b80a-b6561fe8f9c4
Bundle.entry[0].resource[0].id[0]	f18a2226-c0ab-480d-b80a-b6561fe8f9c4
Bundle.entry[0].resource[0].meta[0].profile[0]	https://fhir.hl7.org.uk/StructureDefinition/UKCore-MessageHeader
Bundle.entry[0].resource[0].event[0].system[0]	http://snomed.info/sct
Bundle.entry[0].resource[0].event[0].code[0]	371528001
Bundle.entry[0].resource[0].event[0].display[0]	Pathology report
Bundle.entry[0].resource[0].destination[0].name[0]	PICKERING MEDICAL PRACTICE
Bundle.entry[0].resource[0].destination[0].endpoint[0]	TBC
Bundle.entry[0].resource[0].destination[0].receiver[0].reference[0]	urn:uuid:3c43b5b3-06d6-445f-ae9a-48d5f05df434
Bundle.entry[0].resource[0].sender[0].reference[0]	urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338
Bundle.entry[0].resource[0].source[0].endpoint[0]	TBC
Bundle.entry[0].resource[0].focus[0].reference[0]	urn:uuid:35d46ca1-f253-4c97-b7ee-fb5fccdf6c20
Bundle.entry[0].resource[0].definition[0]	https://fhir.nhs.uk/England/MessageDefinition/England-Pathology-Report
Bundle.entry[1].fullUrl[0]	urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338
Bundle.entry[1].resource[0].id[0]	8a6d85b8-9837-4fed-a257-4cf207988338
Bundle.entry[1].resource[0].meta[0].profile[0]	https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization
Bundle.entry[1].resource[0].identifier[0].system[0]	https://fhir.nhs.uk/Id/ods-organization-code
Bundle.entry[1].resource[0].identifier[0].value[0]	Y8J7D
Bundle.entry[1].resource[0].name[0]	TD008362 PATH LAB 001
Bundle.entry[1].resource[0].address[0].line[0]	PATHOLOGY LAB
Bundle.entry[1].resource[0].address[0].line[1]	7-8 WELLINGTON PLACE
Bundle.entry[1].resource[0].address[0].city[0]	LEEDS
Bundle.entry[1].resource[0].address[0].district[0]	WEST YORKSHIRE
Bundle.entry[1].resource[0].address[0].postalCode[0]	LS1 4AP
Bundle.entry[2].fullUrl[0]	urn:uuid:3c43b5b3-06d6-445f-ae9a-48d5f05df434
Bundle.entry[2].resource[0].id[0]	3c43b5b3-06d6-445f-ae9a-48d5f05df434
Bundle.entry[2].resource[0].meta[0].profile[0]	https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization
Bundle.entry[2].resource[0].identifier[0].system[0]	https://fhir.nhs.uk/Id/ods-organization-code
Bundle.entry[2].resource[0].identifier[0].value[0]	B82033
Bundle.entry[2].resource[0].name[0]	PICKERING MEDICAL PRACTICE
Bundle.entry[2].resource[0].address[0].line[0]	SOUTHGATE
Bundle.entry[2].resource[0].address[0].city[0]	PICKERING
Bundle.entry[2].resource[0].address[0].district[0]	NORTH YORKSHIRE
Bundle.entry[2].resource[0].address[0].postalCode[0]	YO18 8BL
Bundle.entry[3].fullUrl[0]	urn:uuid:9a835acf-d715-4d84-8dcf-a8435f6417fe
Bundle.entry[3].resource[0].id[0]	9a835acf-d715-4d84-8dcf-a8435f6417fe
Bundle.entry[3].resource[0].meta[0].profile[0]	https://fhir.hl7.org.uk/StructureDefinition/UKCore-Practitioner
Bundle.entry[3].resource[0].identifier[0].system[0]	https://fhir.hl7.org.uk/Id/gmc-number
Bundle.entry[3].resource[0].identifier[0].value[0]	C1008215
Bundle.entry[3].resource[0].name[0].use[0]	official
Bundle.entry[3].resource[0].name[0].family[0]	GASKELL
Bundle.entry[3].resource[0].name[0].given[0]	Gale
Bundle.entry[3].resource[0].name[0].prefix[0]	Dr
Bundle.entry[4].fullUrl[0]	urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4
Bundle.entry[4].resource[0].id[0]	ab87a3f8-1d37-44a9-804e-5e962598a6e4
Bundle.entry[4].resource[0].meta[0].profile[0]	https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient
Bundle.entry[4].resource[0].identifier[0].extension[0].url[0]	https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus
Bundle.entry[4].resource[0].identifier[0].extension[0].value[0].coding[0].system[0]	https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberVerificationStatusEngland
Bundle.entry[4].resource[0].identifier[0].extension[0].value[0].coding[0].code[0]	01
Bundle.entry[4].resource[0].identifier[0].extension[0].value[0].coding[0].display[0]	Number present and verified
Bundle.entry[4].resource[0].identifier[0].system[0]	https://fhir.nhs.uk/Id/nhs-number
Bundle.entry[4].resource[0].identifier[0].value[0]	9727710859
Bundle.entry[4].resource[0].name[0].use[0]	official
Bundle.entry[4].resource[0].name[0].family[0]	MOXEY
Bundle.entry[4].resource[0].name[0].given[0]	Judy
Bundle.entry[4].resource[0].gender[0]	female
Bundle.entry[4].resource[0].birthDate[0]	2004-05-06
Bundle.entry[4].resource[0].address[0].line[0]	1 CASTLEGATE
Bundle.entry[4].resource[0].address[0].city[0]	PICKERING
Bundle.entry[4].resource[0].address[0].district[0]	NORTH YORKSHIRE
Bundle.entry[4].resource[0].address[0].postalCode[0]	YO18 7AY
Bundle.entry[5].fullUrl[0]	urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac
Bundle.entry[5].resource[0].id[0]	1c38d507-9ad7-4b49-ba91-7da204842cac
Bundle.entry[5].resource[0].meta[0].profile[0]	https://fhir.hl7.org.uk/StructureDefinition/UKCore-ServiceRequest-Lab
Bundle.entry[5].resource[0].identifier[0].system[0]	http://B82033-pickeringmedicalpractice.com/labrequest
Bundle.entry[5].resource[0].identifier[0].value[0]	REQ-20220221-000018
Bundle.entry[5].resource[0].status[0]	active
Bundle.entry[5].resource[0].intent[0]	order
Bundle.entry[5].resource[0].code[0].coding[0].system[0]	http://snomed.info/sct
Bundle.entry[5].resource[0].code[0].coding[0].code[0]	401324008
Bundle.entry[5].resource[0].code[0].coding[0].display[0]	Urinary microscopy, culture and sensitivities
Bundle.entry[5].resource[0].subject[0].reference[0]	urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4
Bundle.entry[5].resource[0].subject[0].display[0]	MOXEY, Judy
Bundle.entry[5].resource[0].authoredOn[0]	2022-02-21T10:29:00+00:00
Bundle.entry[5].resource[0].requester[0].reference[0]	urn:uuid:9a835acf-d715-4d84-8dcf-a8435f6417fe
Bundle.entry[5].resource[0].requester[0].display[0]	GASKELL, Dr Gale
Bundle.entry[5].resource[0].performer[0].reference[0]	urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338
Bundle.entry[5].resource[0].performer[0].display[0]	TD008362 PATH LAB 001
Bundle.entry[6].fullUrl[0]	urn:uuid:35d46ca1-f253-4c97-b7ee-fb5fccdf6c20
Bundle.entry[6].resource[0].id[0]	35d46ca1-f253-4c97-b7ee-fb5fccdf6c20
Bundle.entry[6].resource[0].meta[0].profile[0]	https://fhir.hl7.org.uk/StructureDefinition/UKCore-DiagnosticReport-Lab
Bundle.entry[6].resource[0].identifier[0].system[0]	http://Y8J7D-pathlab001.com/report
Bundle.entry[6].resource[0].identifier[0].value[0]	REP-20220225-006301
Bundle.entry[6].resource[0].basedOn[0].reference[0]	urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac
Bundle.entry[6].resource[0].status[0]	final
Bundle.entry[6].resource[0].category[0].coding[0].system[0]	http://terminology.hl7.org/CodeSystem/v2-0074
Bundle.entry[6].resource[0].category[0].coding[0].code[0]	LAB
Bundle.entry[6].resource[0].category[0].coding[0].display[0]	Laboratory
Bundle.entry[6].resource[0].code[0].coding[0].system[0]	http://snomed.info/sct
Bundle.entry[6].resource[0].code[0].coding[0].code[0]	721981007
Bundle.entry[6].resource[0].code[0].coding[0].display[0]	Diagnostic studies report
Bundle.entry[6].resource[0].subject[0].reference[0]	urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4
Bundle.entry[6].resource[0].subject[0].display[0]	MOXEY, Judy
Bundle.entry[6].resource[0].issued[0]	2022-02-25T13:47:00+00:00
Bundle.entry[6].resource[0].performer[0].reference[0]	urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338
Bundle.entry[6].resource[0].performer[0].display[0]	TD008362 PATH LAB 001
Bundle.entry[6].resource[0].specimen[0].reference[0]	urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006
Bundle.entry[6].resource[0].result[0].reference[0]	urn:uuid:724714a1-c3a3-48c0-87a3-8d3f6740d24c
Bundle.entry[6].resource[0].conclusion[0]	Likely to be clinically significant.
Bundle.entry[7].fullUrl[0]	urn:uuid:724714a1-c3a3-48c0-87a3-8d3f6740d24c
Bundle.entry[7].resource[0].id[0]	724714a1-c3a3-48c0-87a3-8d3f6740d24c
Bundle.entry[7].resource[0].meta[0].profile[0]	https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Group-Lab
Bundle.entry[7].resource[0].identifier[0].system[0]	https://tools.ietf.org/html/rfc4122
Bundle.entry[7].resource[0].identifier[0].value[0]	7ba81e08-8099-4fdb-9b50-a3c11afb6c0b
Bundle.entry[7].resource[0].status[0]	final
Bundle.entry[7].resource[0].category[0].coding[0].system[0]	http://terminology.hl7.org/CodeSystem/observation-category
Bundle.entry[7].resource[0].category[0].coding[0].code[0]	laboratory
Bundle.entry[7].resource[0].category[0].coding[0].display[0]	Laboratory
Bundle.entry[7].resource[0].code[0].coding[0].system[0]	http://snomed.info/sct
Bundle.entry[7].resource[0].code[0].coding[0].code[0]	401324008
Bundle.entry[7].resource[0].code[0].coding[0].display[0]	Urinary microscopy, culture and sensitivities
Bundle.entry[7].resource[0].subject[0].reference[0]	urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4
Bundle.entry[7].resource[0].subject[0].display[0]	MOXEY, Judy
Bundle.entry[7].resource[0].issued[0]	2022-02-25T13:47:00+00:00
Bundle.entry[7].resource[0].performer[0].reference[0]	urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338
Bundle.entry[7].resource[0].performer[0].display[0]	TD008362 PATH LAB 001
Bundle.entry[7].resource[0].hasMember[0].reference[0]	urn:uuid:bd867909-49ca-4a4b-b02f-162790b6800f
Bundle.entry[7].resource[0].hasMember[1].reference[0]	urn:uuid:70af0ca7-a77a-4daa-8aa2-1740433b1c3e
Bundle.entry[8].fullUrl[0]	urn:uuid:bd867909-49ca-4a4b-b02f-162790b6800f
Bundle.entry[8].resource[0].id[0]	bd867909-49ca-4a4b-b02f-162790b6800f
Bundle.entry[8].resource[0].meta[0].profile[0]	https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Group-Lab
Bundle.entry[8].resource[0].identifier[0].system[0]	https://tools.ietf.org/html/rfc4122
Bundle.entry[8].resource[0].identifier[0].value[0]	02875aea-9815-4d1d-b34e-f9f29b859d02
Bundle.entry[8].resource[0].status[0]	final
Bundle.entry[8].resource[0].category[0].coding[0].system[0]	http://terminology.hl7.org/CodeSystem/observation-category
Bundle.entry[8].resource[0].category[0].coding[0].code[0]	laboratory
Bundle.entry[8].resource[0].category[0].coding[0].display[0]	Laboratory
Bundle.entry[8].resource[0].code[0].coding[0].system[0]	http://snomed.info/sct
Bundle.entry[8].resource[0].code[0].coding[0].code[0]	127800008
Bundle.entry[8].resource[0].code[0].coding[0].display[0]	Microscopic urinalysis
Bundle.entry[8].resource[0].subject[0].reference[0]	urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4
Bundle.entry[8].resource[0].subject[0].display[0]	MOXEY, Judy
Bundle.entry[8].resource[0].issued[0]	2022-02-25T13:47:00+00:00
Bundle.entry[8].resource[0].performer[0].reference[0]	urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338
Bundle.entry[8].resource[0].performer[0].display[0]	TD008362 PATH LAB 001
Bundle.entry[8].resource[0].hasMember[0].reference[0]	urn:uuid:17ec651c-1b6f-43e9-9033-cbb49dbac3db
Bundle.entry[8].resource[0].hasMember[1].reference[0]	urn:uuid:3dc8d5d8-90ef-485c-ad67-d2e3c83ed83f
Bundle.entry[8].resource[0].hasMember[2].reference[0]	urn:uuid:fce26593-20ee-45b6-b805-7eb7d0f0a3fa
Bundle.entry[8].resource[0].hasMember[3].reference[0]	urn:uuid:a4b0fa1f-8679-45bb-82a2-85e4e1bd519a
Bundle.entry[9].fullUrl[0]	urn:uuid:17ec651c-1b6f-43e9-9033-cbb49dbac3db
Bundle.entry[9].resource[0].id[0]	17ec651c-1b6f-43e9-9033-cbb49dbac3db
Bundle.entry[9].resource[0].meta[0].profile[0]	https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab
Bundle.entry[9].resource[0].identifier[0].system[0]	https://tools.ietf.org/html/rfc4122
Bundle.entry[9].resource[0].identifier[0].value[0]	eab75d90-ce08-40a4-8247-34aad0d58873
Bundle.entry[9].resource[0].status[0]	final
Bundle.entry[9].resource[0].category[0].coding[0].system[0]	http://terminology.hl7.org/CodeSystem/observation-category
Bundle.entry[9].resource[0].category[0].coding[0].code[0]	laboratory
Bundle.entry[9].resource[0].category[0].coding[0].display[0]	Laboratory
Bundle.entry[9].resource[0].code[0].coding[0].system[0]	http://snomed.info/sct
Bundle.entry[9].resource[0].code[0].coding[0].code[0]	51761000237101
Bundle.entry[9].resource[0].code[0].coding[0].display[0]	Hyaline casts in mid-stream urine microscopy qualitative result
Bundle.entry[9].resource[0].subject[0].reference[0]	urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4
Bundle.entry[9].resource[0].subject[0].display[0]	MOXEY, Judy
Bundle.entry[9].resource[0].issued[0]	2022-02-25T13:47:00+00:00
Bundle.entry[9].resource[0].performer[0].reference[0]	urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338
Bundle.entry[9].resource[0].performer[0].display[0]	TD008362 PATH LAB 001
Bundle.entry[9].resource[0].value[0].coding[0].system[0]	http://snomed.info/sct
Bundle.entry[9].resource[0].value[0].coding[0].code[0]	47492008
Bundle.entry[9].resource[0].value[0].coding[0].display[0]	Not seen
Bundle.entry[9].resource[0].specimen[0].reference[0]	urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006
Bundle.entry[10].fullUrl[0]	urn:uuid:3dc8d5d8-90ef-485c-ad67-d2e3c83ed83f
Bundle.entry[10].resource[0].id[0]	3dc8d5d8-90ef-485c-ad67-d2e3c83ed83f
Bundle.entry[10].resource[0].meta[0].profile[0]	https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab
Bundle.entry[10].resource[0].identifier[0].system[0]	https://tools.ietf.org/html/rfc4122
Bundle.entry[10].resource[0].identifier[0].value[0]	e644abd4-2587-486b-b6fe-ea3be866df29
Bundle.entry[10].resource[0].status[0]	final
Bundle.entry[10].resource[0].category[0].coding[0].system[0]	http://terminology.hl7.org/CodeSystem/observation-category
Bundle.entry[10].resource[0].category[0].coding[0].code[0]	laboratory
Bundle.entry[10].resource[0].category[0].coding[0].display[0]	Laboratory
Bundle.entry[10].resource[0].code[0].coding[0].system[0]	http://snomed.info/sct
Bundle.entry[10].resource[0].code[0].coding[0].code[0]	42331000237103
Bundle.entry[10].resource[0].code[0].coding[0].display[0]	White blood cell count in urine
Bundle.entry[10].resource[0].subject[0].reference[0]	urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4
Bundle.entry[10].resource[0].subject[0].display[0]	MOXEY, Judy
Bundle.entry[10].resource[0].issued[0]	2022-02-25T13:47:00+00:00
Bundle.entry[10].resource[0].performer[0].reference[0]	urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338
Bundle.entry[10].resource[0].performer[0].display[0]	TD008362 PATH LAB 001
Bundle.entry[10].resource[0].value[0].value[0]	35
Bundle.entry[10].resource[0].value[0].comparator[0]	>
Bundle.entry[10].resource[0].value[0].unit[0]	x10*6/L
Bundle.entry[10].resource[0].value[0].system[0]	http://unitsofmeasure.org
Bundle.entry[10].resource[0].value[0].code[0]	10^6/L
Bundle.entry[10].resource[0].specimen[0].reference[0]	urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006
Bundle.entry[11].fullUrl[0]	urn:uuid:fce26593-20ee-45b6-b805-7eb7d0f0a3fa
Bundle.entry[11].resource[0].id[0]	fce26593-20ee-45b6-b805-7eb7d0f0a3fa
Bundle.entry[11].resource[0].meta[0].profile[0]	https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab
Bundle.entry[11].resource[0].identifier[0].system[0]	https://tools.ietf.org/html/rfc4122
Bundle.entry[11].resource[0].identifier[0].value[0]	fc9d8f93-5cc7-43e8-8816-f4f438221b9f
Bundle.entry[11].resource[0].status[0]	final
Bundle.entry[11].resource[0].category[0].coding[0].system[0]	http://terminology.hl7.org/CodeSystem/observation-category
Bundle.entry[11].resource[0].category[0].coding[0].code[0]	laboratory
Bundle.entry[11].resource[0].category[0].coding[0].display[0]	Laboratory
Bundle.entry[11].resource[0].code[0].coding[0].system[0]	http://snomed.info/sct
Bundle.entry[11].resource[0].code[0].coding[0].code[0]	43331000237105
Bundle.entry[11].resource[0].code[0].coding[0].display[0]	Red blood cell count in urine
Bundle.entry[11].resource[0].subject[0].reference[0]	urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4
Bundle.entry[11].resource[0].subject[0].display[0]	MOXEY, Judy
Bundle.entry[11].resource[0].issued[0]	2022-02-25T13:47:00+00:00
Bundle.entry[11].resource[0].performer[0].reference[0]	urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338
Bundle.entry[11].resource[0].performer[0].display[0]	TD008362 PATH LAB 001
Bundle.entry[11].resource[0].value[0].low[0].value[0]	10
Bundle.entry[11].resource[0].value[0].low[0].unit[0]	x10*6/L
Bundle.entry[11].resource[0].value[0].low[0].system[0]	http://unitsofmeasure.org
Bundle.entry[11].resource[0].value[0].low[0].code[0]	10^6/L
Bundle.entry[11].resource[0].value[0].high[0].value[0]	35
Bundle.entry[11].resource[0].value[0].high[0].unit[0]	x10*6/L
Bundle.entry[11].resource[0].value[0].high[0].system[0]	http://unitsofmeasure.org
Bundle.entry[11].resource[0].value[0].high[0].code[0]	10^6/L
Bundle.entry[11].resource[0].specimen[0].reference[0]	urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006
Bundle.entry[12].fullUrl[0]	urn:uuid:a4b0fa1f-8679-45bb-82a2-85e4e1bd519a
Bundle.entry[12].resource[0].id[0]	a4b0fa1f-8679-45bb-82a2-85e4e1bd519a
Bundle.entry[12].resource[0].meta[0].profile[0]	https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab
Bundle.entry[12].resource[0].identifier[0].system[0]	https://tools.ietf.org/html/rfc4122
Bundle.entry[12].resource[0].identifier[0].value[0]	db372648-314a-481a-a793-736b0ec3be76
Bundle.entry[12].resource[0].status[0]	final
Bundle.entry[12].resource[0].category[0].coding[0].system[0]	http://terminology.hl7.org/CodeSystem/observation-category
Bundle.entry[12].resource[0].category[0].coding[0].code[0]	laboratory
Bundle.entry[12].resource[0].category[0].coding[0].display[0]	Laboratory
Bundle.entry[12].resource[0].code[0].coding[0].system[0]	http://snomed.info/sct
Bundle.entry[12].resource[0].code[0].coding[0].code[0]	49941000237104
Bundle.entry[12].resource[0].code[0].coding[0].display[0]	Epithelial cells in mid-stream urine microscopy qualitative result
Bundle.entry[12].resource[0].subject[0].reference[0]	urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4
Bundle.entry[12].resource[0].subject[0].display[0]	MOXEY, Judy
Bundle.entry[12].resource[0].issued[0]	2022-02-25T13:47:00+00:00
Bundle.entry[12].resource[0].performer[0].reference[0]	urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338
Bundle.entry[12].resource[0].performer[0].display[0]	TD008362 PATH LAB 001
Bundle.entry[12].resource[0].value[0].coding[0].system[0]	http://snomed.info/sct
Bundle.entry[12].resource[0].value[0].coding[0].code[0]	260347006
Bundle.entry[12].resource[0].value[0].coding[0].display[0]	Present + out of ++++
Bundle.entry[12].resource[0].specimen[0].reference[0]	urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006
Bundle.entry[13].fullUrl[0]	urn:uuid:70af0ca7-a77a-4daa-8aa2-1740433b1c3e
Bundle.entry[13].resource[0].id[0]	70af0ca7-a77a-4daa-8aa2-1740433b1c3e
Bundle.entry[13].resource[0].meta[0].profile[0]	https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Group-Lab
Bundle.entry[13].resource[0].identifier[0].system[0]	https://tools.ietf.org/html/rfc4122
Bundle.entry[13].resource[0].identifier[0].value[0]	147dbdea-22e1-4327-8407-b92bf362e115
Bundle.entry[13].resource[0].status[0]	final
Bundle.entry[13].resource[0].category[0].coding[0].system[0]	http://terminology.hl7.org/CodeSystem/observation-category
Bundle.entry[13].resource[0].category[0].coding[0].code[0]	laboratory
Bundle.entry[13].resource[0].category[0].coding[0].display[0]	Laboratory
Bundle.entry[13].resource[0].code[0].coding[0].system[0]	http://snomed.info/sct
Bundle.entry[13].resource[0].code[0].coding[0].code[0]	117010004
Bundle.entry[13].resource[0].code[0].coding[0].display[0]	Urine culture
Bundle.entry[13].resource[0].subject[0].reference[0]	urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4
Bundle.entry[13].resource[0].subject[0].display[0]	MOXEY, Judy
Bundle.entry[13].resource[0].issued[0]	2022-02-25T13:47:00+00:00
Bundle.entry[13].resource[0].performer[0].reference[0]	urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338
Bundle.entry[13].resource[0].performer[0].display[0]	TD008362 PATH LAB 001
Bundle.entry[13].resource[0].hasMember[0].reference[0]	urn:uuid:25ab7b5f-a888-4928-8195-e4153f5f909b
Bundle.entry[13].resource[0].hasMember[1].reference[0]	urn:uuid:329c8c3f-461f-4b61-b93d-374d354d0c98
Bundle.entry[14].fullUrl[0]	urn:uuid:25ab7b5f-a888-4928-8195-e4153f5f909b
Bundle.entry[14].resource[0].id[0]	25ab7b5f-a888-4928-8195-e4153f5f909b
Bundle.entry[14].resource[0].meta[0].profile[0]	https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab
Bundle.entry[14].resource[0].identifier[0].system[0]	https://tools.ietf.org/html/rfc4122
Bundle.entry[14].resource[0].identifier[0].value[0]	83f33ad5-caf9-42f1-b85e-3382fd1718b8
Bundle.entry[14].resource[0].status[0]	final
Bundle.entry[14].resource[0].category[0].coding[0].system[0]	http://terminology.hl7.org/CodeSystem/observation-category
Bundle.entry[14].resource[0].category[0].coding[0].code[0]	laboratory
Bundle.entry[14].resource[0].category[0].coding[0].display[0]	Laboratory
Bundle.entry[14].resource[0].code[0].coding[0].system[0]	http://snomed.info/sct
Bundle.entry[14].resource[0].code[0].coding[0].code[0]	42881000237105
Bundle.entry[14].resource[0].code[0].coding[0].display[0]	Staphylococcus aureus culture qualitative result
Bundle.entry[14].resource[0].subject[0].reference[0]	urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4
Bundle.entry[14].resource[0].subject[0].display[0]	MOXEY, Judy
Bundle.entry[14].resource[0].issued[0]	2022-02-25T13:47:00+00:00
Bundle.entry[14].resource[0].performer[0].reference[0]	urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338
Bundle.entry[14].resource[0].performer[0].display[0]	TD008362 PATH LAB 001
Bundle.entry[14].resource[0].value[0].coding[0].system[0]	http://snomed.info/sct
Bundle.entry[14].resource[0].value[0].coding[0].code[0]	263866000
Bundle.entry[14].resource[0].value[0].coding[0].display[0]	Scanty growth
Bundle.entry[14].resource[0].specimen[0].reference[0]	urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006
Bundle.entry[15].fullUrl[0]	urn:uuid:329c8c3f-461f-4b61-b93d-374d354d0c98
Bundle.entry[15].resource[0].id[0]	329c8c3f-461f-4b61-b93d-374d354d0c98
Bundle.entry[15].resource[0].meta[0].profile[0]	https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Group-Lab
Bundle.entry[15].resource[0].identifier[0].system[0]	https://tools.ietf.org/html/rfc4122
Bundle.entry[15].resource[0].identifier[0].value[0]	4e505253-f4f4-4624-8348-e961ba157c88
Bundle.entry[15].resource[0].status[0]	final
Bundle.entry[15].resource[0].category[0].coding[0].system[0]	http://terminology.hl7.org/CodeSystem/observation-category
Bundle.entry[15].resource[0].category[0].coding[0].code[0]	laboratory
Bundle.entry[15].resource[0].category[0].coding[0].display[0]	Laboratory
Bundle.entry[15].resource[0].code[0].coding[0].system[0]	http://snomed.info/sct
Bundle.entry[15].resource[0].code[0].coding[0].code[0]	14788002
Bundle.entry[15].resource[0].code[0].coding[0].display[0]	Antimicrobial susceptibility test
Bundle.entry[15].resource[0].subject[0].reference[0]	urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4
Bundle.entry[15].resource[0].subject[0].display[0]	MOXEY, Judy
Bundle.entry[15].resource[0].issued[0]	2022-02-25T13:47:00+00:00
Bundle.entry[15].resource[0].performer[0].reference[0]	urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338
Bundle.entry[15].resource[0].performer[0].display[0]	TD008362 PATH LAB 001
Bundle.entry[15].resource[0].hasMember[0].reference[0]	urn:uuid:e3d50c0a-59c7-4269-b1a0-311b41a8af3c
Bundle.entry[15].resource[0].hasMember[1].reference[0]	urn:uuid:69c37610-5272-48f8-8e35-462d0ee1d541
Bundle.entry[15].resource[0].hasMember[2].reference[0]	urn:uuid:2138deb6-cc0e-44ba-becf-ce2538817fa1
Bundle.entry[16].fullUrl[0]	urn:uuid:e3d50c0a-59c7-4269-b1a0-311b41a8af3c
Bundle.entry[16].resource[0].id[0]	e3d50c0a-59c7-4269-b1a0-311b41a8af3c
Bundle.entry[16].resource[0].meta[0].profile[0]	https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab
Bundle.entry[16].resource[0].identifier[0].system[0]	https://tools.ietf.org/html/rfc4122
Bundle.entry[16].resource[0].identifier[0].value[0]	4fd65865-5e9f-4c86-b408-795c27d06449
Bundle.entry[16].resource[0].status[0]	final
Bundle.entry[16].resource[0].category[0].coding[0].system[0]	http://terminology.hl7.org/CodeSystem/observation-category
Bundle.entry[16].resource[0].category[0].coding[0].code[0]	laboratory
Bundle.entry[16].resource[0].category[0].coding[0].display[0]	Laboratory
Bundle.entry[16].resource[0].code[0].coding[0].system[0]	http://snomed.info/sct
Bundle.entry[16].resource[0].code[0].coding[0].code[0]	54151000237102
Bundle.entry[16].resource[0].code[0].coding[0].display[0]	Organism susceptibility to flucloxacillin
Bundle.entry[16].resource[0].subject[0].reference[0]	urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4
Bundle.entry[16].resource[0].subject[0].display[0]	MOXEY, Judy
Bundle.entry[16].resource[0].issued[0]	2022-02-25T13:47:00+00:00
Bundle.entry[16].resource[0].performer[0].reference[0]	urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338
Bundle.entry[16].resource[0].performer[0].display[0]	TD008362 PATH LAB 001
Bundle.entry[16].resource[0].value[0].coding[0].system[0]	http://snomed.info/sct
Bundle.entry[16].resource[0].value[0].coding[0].code[0]	131196009
Bundle.entry[16].resource[0].value[0].coding[0].display[0]	Susceptible
Bundle.entry[16].resource[0].specimen[0].reference[0]	urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006
Bundle.entry[17].fullUrl[0]	urn:uuid:69c37610-5272-48f8-8e35-462d0ee1d541
Bundle.entry[17].resource[0].id[0]	69c37610-5272-48f8-8e35-462d0ee1d541
Bundle.entry[17].resource[0].meta[0].profile[0]	https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab
Bundle.entry[17].resource[0].identifier[0].system[0]	https://tools.ietf.org/html/rfc4122
Bundle.entry[17].resource[0].identifier[0].value[0]	56f2ec6b-edd4-41a8-9a4c-4cbcb019b599
Bundle.entry[17].resource[0].status[0]	final
Bundle.entry[17].resource[0].category[0].coding[0].system[0]	http://terminology.hl7.org/CodeSystem/observation-category
Bundle.entry[17].resource[0].category[0].coding[0].code[0]	laboratory
Bundle.entry[17].resource[0].category[0].coding[0].display[0]	Laboratory
Bundle.entry[17].resource[0].code[0].coding[0].system[0]	http://snomed.info/sct
Bundle.entry[17].resource[0].code[0].coding[0].code[0]	53781000237107
Bundle.entry[17].resource[0].code[0].coding[0].display[0]	Organism susceptibility to trimethoprim
Bundle.entry[17].resource[0].subject[0].reference[0]	urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4
Bundle.entry[17].resource[0].subject[0].display[0]	MOXEY, Judy
Bundle.entry[17].resource[0].issued[0]	2022-02-25T13:47:00+00:00
Bundle.entry[17].resource[0].performer[0].reference[0]	urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338
Bundle.entry[17].resource[0].performer[0].display[0]	TD008362 PATH LAB 001
Bundle.entry[17].resource[0].value[0].coding[0].system[0]	http://snomed.info/sct
Bundle.entry[17].resource[0].value[0].coding[0].code[0]	131196009
Bundle.entry[17].resource[0].value[0].coding[0].display[0]	Susceptible
Bundle.entry[17].resource[0].specimen[0].reference[0]	urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006
Bundle.entry[18].fullUrl[0]	urn:uuid:2138deb6-cc0e-44ba-becf-ce2538817fa1
Bundle.entry[18].resource[0].id[0]	2138deb6-cc0e-44ba-becf-ce2538817fa1
Bundle.entry[18].resource[0].meta[0].profile[0]	https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab
Bundle.entry[18].resource[0].identifier[0].system[0]	https://tools.ietf.org/html/rfc4122
Bundle.entry[18].resource[0].identifier[0].value[0]	a8cde339-9608-4e33-b465-e06a711f11a5
Bundle.entry[18].resource[0].status[0]	final
Bundle.entry[18].resource[0].category[0].coding[0].system[0]	http://terminology.hl7.org/CodeSystem/observation-category
Bundle.entry[18].resource[0].category[0].coding[0].code[0]	laboratory
Bundle.entry[18].resource[0].category[0].coding[0].display[0]	Laboratory
Bundle.entry[18].resource[0].code[0].coding[0].system[0]	http://snomed.info/sct
Bundle.entry[18].resource[0].code[0].coding[0].code[0]	53851000237109
Bundle.entry[18].resource[0].code[0].coding[0].display[0]	Organism susceptibility to nitrofurantoin
Bundle.entry[18].resource[0].subject[0].reference[0]	urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4
Bundle.entry[18].resource[0].subject[0].display[0]	MOXEY, Judy
Bundle.entry[18].resource[0].issued[0]	2022-02-25T13:47:00+00:00
Bundle.entry[18].resource[0].performer[0].reference[0]	urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338
Bundle.entry[18].resource[0].performer[0].display[0]	TD008362 PATH LAB 001
Bundle.entry[18].resource[0].value[0].coding[0].system[0]	http://snomed.info/sct
Bundle.entry[18].resource[0].value[0].coding[0].code[0]	30714006
Bundle.entry[18].resource[0].value[0].coding[0].display[0]	Resistant
Bundle.entry[18].resource[0].specimen[0].reference[0]	urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006
Bundle.entry[19].fullUrl[0]	urn:uuid:bde5b0a5-4fb3-4655-acf0-215b93aee006
Bundle.entry[19].resource[0].id[0]	bde5b0a5-4fb3-4655-acf0-215b93aee006
Bundle.entry[19].resource[0].meta[0].profile[0]	https://fhir.hl7.org.uk/StructureDefinition/UKCore-Specimen
Bundle.entry[19].resource[0].identifier[0].system[0]	http://B82033-pickeringmedicalpractice.com/specimen
Bundle.entry[19].resource[0].identifier[0].value[0]	SPC-REQ-20220221-000024
Bundle.entry[19].resource[0].accessionIdentifier[0].system[0]	http://Y8J7D-pathlab001.com/specimen
Bundle.entry[19].resource[0].accessionIdentifier[0].value[0]	SPC-LAB-20220221-004306
Bundle.entry[19].resource[0].status[0]	available
Bundle.entry[19].resource[0].type[0].coding[0].system[0]	http://snomed.info/sct
Bundle.entry[19].resource[0].type[0].coding[0].code[0]	122575003
Bundle.entry[19].resource[0].type[0].coding[0].display[0]	Urine specimen
Bundle.entry[19].resource[0].subject[0].reference[0]	urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4
Bundle.entry[19].resource[0].subject[0].display[0]	MOXEY, Judy
Bundle.entry[19].resource[0].receivedTime[0]	2022-02-21T14:58:00+00:00
Bundle.entry[19].resource[0].request[0].reference[0]	urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac
Bundle.entry[19].resource[0].collection[0].collected[0]	2022-02-21T11:07:00+00:00